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Job Details

Workers Compensation Claim Representative

Location
Honolulu, HI, United States

Posted on
Oct 26,2019

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Job Overview
Job Title:
Workers' Compensation Claim Representative
Company:****
Pay:
Not Specified
Job Type:
Not Specified
Category:
Claims
Location:
Honolulu, Hawaii
Tweets by @TRV_Careers
Workers' Compensation Claim Representative
Honolulu, Hawaii
Solid reputation, passionate people and endless opportunities. That's Travelers!
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.
Under moderate supervision, investigate compensability of questionable Workers Compensation claims, manage claims with lost time to conclusion and negotiate settlements where appropriate to resolve claims. Coordinate medical and indemnity position of the claim with a Medical Case Manager.
This work may include: Remains out of work and unlikely to return to position.
Employer is unable to accommodate the restrictions. Injured Worker has returned to work, reached Maximum Medical Improvement (MMI), and has PPD.
File litigated to dispute the permanency rating and/or causality. Injured Worker is receiving Vocational Rehabilitation.
Claims that have been reopened for additional medical treatment on more complex files.
Injuries may involve one or multiple back, shoulder or knee surgeries, knee replacements, claims involving moderate to complex offsets, permanent restrictions and/or fatalities.
Claims on which a settlement should be considered.
As part of the hiring process, this position requires the completion of an online pre-employment assessment.
Further information regarding the assessment including an accommodation process, if needed, will be provided at such time as your candidacy is deemed appropriate for further consideration.
Conduct investigations on non-questionable/questionable claims, including, but not limited to assessing policy coverage, contacting insureds, injured workers, medical providers, and other parties in a timely manner to determine compensability.
Establish and update reserves to reflect claim exposure and document rationale. Identify and set actuarial reserves.

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