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Experienced Workers Compensation Representative

at Travelers
Lake Oswego, OR
Posted: 4-21-2025
Finance
$86,450/year
Apply to this job
You’ll be taken to a third party website to find the job application. You got this!
EDUCATIONAL BENEFITS
Tuition Reimbursement
OTHER BENEFITS
Healthcare, 401 K Retirement Plan
EDUCATIONAL BENEFITS
Tuition Reimbursement
OTHER BENEFITS
Healthcare, 401 K Retirement Plan
About this Career
Claims Adjusters, Examiners, and Investigators
Skills
Customer Service, General Insurance, Trial Preparation, Grammar, Workers' Compensation, Planning, Analytical Thinking, Value Averaging, Investigation, Coordinating, Influencing Skills, Settlement, Actuarial Reserves, Communication, Lawsuits, Decision Making, Medicare, Court Proceedings, Inventory Management, Structured Settlement, Surgery, State Regulations, Claims Resolution, Chain Of Custody, Negotiation, Medical Science, Legal Knowledge, Writing, Insurance License, Teamwork, Vocational Rehabilitation
Job Description
Prepare necessary letters and state filings within statutory limits. Pursue all offset opportunities, including apportionment, contribution and subrogation. Evaluate claims for potential fraud.
Proactively manage inventory with documented plans of action to ensure timely and appropriate file closing or reassignment. Effectively manage litigation to drive files to an optimal outcome, including resolution of benefits. Understand and apply Medicare Set Asides and allocations. Negotiate settlement of claims within designated authority. May use structured settlement/annuity as appropriate for the jurisdiction. In order to perform the essential functions of this job, acquisition and maintenance of Insurance License(s) may be required to comply with state 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? 2 years Workers Compensation claim handling experience preferred.
Analytical Thinking:
Identifies current or future problems or opportunities; analyzes, synthesizes and compares information to understand issues; identifies cause/effect relationships; and explores alternative solutions that support sound decision-making.Communication:
Expresses, summarizes and records thoughts clearly and concisely orally and in writing by applying proper content, format, sentence structure, grammar, language and terminology. Ability to effectively present file resolution to internal and/or external stakeholders.Negotiation:
Intermediate ability to understand alternatives, influence stakeholders and reach a fair agreement through discussion and compromise.General Insurance Contract Knowledge:
Interprets policies and contracts, applies loss facts to policy conditions, and determines whether or not a loss comes within the scope of the insurance contract.Principles of Investigation:
Intermediate investigative skills including the ability to take statements. Follows a logical sequence of inquiry with a goal of arriving at an accurate reconstruction of events related to the loss.Value Determination:
Intermediate ability to determine liability and assigns a dollar value based on damages claimed and estimates, sets and readjusts reserves.Settlement Techniques:
Intermediate ability to assess how a claim will be settled, when and when not to make an offer, and what should be included in the settlement offer package.Legal Knowledge:
General knowledge, understanding and application of state, federal and regulatory laws and statutes, rules of evidence, chain of custody, trial preparation and discovery, court proceedings, and other rules and regulations applicable to the insurance industry.Medical knowledge:
Intermediate knowledge of the nature and extent of injuries, periods of disability, and treatment needed.WC Technical:
Intermediate ability to demonstrate understanding of WC Products and ability to apply available resources and technology to resolve claims. Demonstrate a clear understanding and ability to work within jurisdictional parameters within their assigned state. Intermediate knowledge, understanding and application of state, federal and regulatory laws and statutes, rules of evidence, chain of custody, trial preparation and discovery, court proceedings, and other rules and regulations applicable to the insurance industry.Customer Service:
Advanced ability to build and maintain productive relationships with our insureds and deliver results with optimal outcomesTeamwork:
Advanced ability to work together in situations when actions are interdependent and a team is mutually responsible to produce a resultPlanning & Organizing:
Advanced ability to establish a plan/course of action and contingencies for self or others to meet current or future goals Maintain Continuing Education requirements as required or as mandated by state regulations What is a Must Have? High School Diploma or GED required. Minimum of 1 year Workers Compensation claim handling experience or successful completion of the WC trainee program required. What Is in It for You?Health Insurance :
Employees and their eligible family members - including spouses, domestic partners, and children - are eligible for coverage from the first day of employment.Retirement:
Travelers matches your 401(k) contributions dollar-for-dollar up to your first 5% of eligible pay, subject to an annual maximum. If you have student loan debt, you can enroll in the Paying it Forward Savings Program. When you make a payment toward your student loan, Travelers will make an annual contribution into your 401(k) account. You are also eligible for a Pension Plan that is 100% funded by Travelers.Paid Time Off:
Start your career at Travelers with a minimum of 20 days Paid Time Off annually, plus nine 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. Employment Practices Travelers is an equal opportunity employer. We value the unique abilities and talents each individual brings to our organization and recognize that we benefit in numerous ways from our differences. In accordance with local law, candidates seeking employment in Colorado are not required to disclose dates of attendance at or graduation from educational institutions. 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. Travelers reserves the right to fill this position at a level above or below the level included in this posting. To learn more about our comprehensive benefit programs please visit http://careers.travelers.com/life-at-travelers/benefits/ .Other Job Posting Details
Salary
Minimum
Maximum
$65,300/yr
$107,600/yr