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Claim Resolution Case Manager - Orlando Job

Date: Jan 20, 2010

Location: Orlando, FL, US

Job Description

Job Title:

Claim Resolution Case Manager - Orlando

Job ID:

792024

Location: FL-Orlando

Available Openings:

Committed. Competitive. Constructing our Future.



That's Travelers. We are one of the leading insurance companies in the United States. Our superior financial strength and consistent record of strong operating returns mean security for our customers - and opportunities for our employees. You will find Travelers to be full of energy, and a workplace in which you truly can make a difference.



SUMMARY:

Telephonic case management with an emphasis on maximizing quality and controlling costs through aggressive case resolution.

Focus on claims with anticipated or actual duration of five months or more.

Coordinate medical and indemnity position of the claim with a Medical Case Manger.



PRIMARY DUTIES:

Aggressively managing inventory to resolution.

Establishing the file on the system. Initiating letters, filling out of state reporting forms and all other necessary state regulated documents.

Building a strong partnership with Medical Management in order to integrate the delivery of medical services into the overall claim strategy. If severity of medical treatment or length of disability increases, discuss with Unit Manager for possible reassignment to the Critical Claim Unit.

Establish appropriate reserves to reflect claim exposure and document rationale in notes.

Aggressively pursue all claim resolution opportunities, (i.e.) return to work, structured settlement, and discontinuance of benefits through litigation.

Aggressively manage inventory to ensure timely file closing or timely reassignment if necessary.



EDUCATION/COURSE OF STUDY:

College degree preferred.



WORK EXPERIENCE:

Preferably a minimum of 2-3 years prior Workers Compensation claim management experience.



CERTIFICATES/DEGREES:

Successful completion of the Case Manager proficiency/knowledge/skill assessment also preferred.



OTHER:

Expert understanding of Workers Compensation laws and regulations, including benefits administration and state filings. Basic claim and jurisdictional knowledge.



File Management

Technical

Customer Focus/ Communication

Relationship Management

Technology



Travelers is an equal opportunity employer. We actively promote a drug-free workplace.


Nearest Major Market: Orlando
Job Segments: Claims, Developer, Insurance


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Find similar jobs:  All Travelers Jobs, Claims Jobs, Florida Claims Jobs, Florida Insurance Jobs, Information Technology Jobs

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