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.
Claim
1
Under moderate supervision, supports the claim professional by providing medical expertise and serving as a technical resource for claim staff.
What Will You Do?
- Interpret routine, complex or unique medical information.
- Evaluate medical treatment to provide medical judgment in alignment with company policies and service values.
- Discuss medical information with claim handler to assist in developing claim medical resolution strategy.
- Assist claim handler in projecting medical costs of claims.
- Provide medical expertise by attending roundtables. May include mediations, arbitrations, pre-trial conferences, depositions and trials with claim staff.
- Provide medical expertise to defense counsel.
- Research medical information to support the claim review process.
- Identify medical trends for use in developing and recommending training programs.
- Respond to claim requests for training as needed.
- Provide objective, concise documentation of medical review in approved report format or in claim notes.
- Maintain accurate productivity records.
- In order to perform the essential functions of this job, acquisition and maintenance of Insurance License(s) may be required to comply with provincial and Travelers requirements. Generally, license(s) must be obtained within three months of starting the job and obtain ongoing continuing education credits as mandated.
- Perform other duties as assigned.
What Will Our Ideal Candidate Have?
- Strong knowledge of medical causation and relatedness.
- Knowledge of jurisdiction-specific medical guidelines.
- Prior clinical experience.
- Strong research and analytical thinking skills..
- Effective time management and organizational skills..
- Computer skills to include Microsoft Word, Excel and Outlook..
- Excellent written and verbal communication skills with the ability to clearly convey information to various audiences.
- Strong relationship building skills with the ability to work both independently and collaboratively with internal and external partners.
What is a Must Have?
- Registered Nurse; Licensed Practical Nurse or Licensed Vocational Nurse
What Is in It for You?
- Health Insurance: Employees and their eligible family members – including spouses, partners, and children – are eligible for coverage from the first day of employment.
- Retirement: Travelers provides a core contribution of 3% of your total eligible earnings to your Deferred Profit Sharing Plan (“DPSP”). Travelers also matches your savings plan contribution dollar-for-dollar up to 5% of base pay.
- Paid Time Off: Start your career at Travelers with a minimum of 20 days Paid Time Off (“PTO”) annually, plus the opportunity to purchase additional days to allow for up to a total of 36 PTO days per year. You will also receive twelve paid company Holidays.
- Wellness Program: The Travelers wellness program is comprised of tools, discounts and resources that empower you to achieve your wellness goals and caregiving needs. In addition, our mental health program provides access to free professional counseling services, health coaching and other resources to support your daily life needs.
- Volunteer Encouragement: We have a deep commitment to the communities we serve and encourage our employees to get involved. Travelers has a Matching Gift and Volunteer Rewards program that enables you to give back to the charity of your choice.
Equal Employment Opportunity Statement
Travelers is an equal opportunity employer. We are committed to providing accommodation to persons with disabilities. If you require accommodation during the recruitment or interview process we will work with you to accommodate your needs.
If you are a candidate and have specific questions regarding the physical requirements of this role, please send us an email so we may assist you.