Workers Compensation Senior Technical Specialist

Under limited supervision, effectively evaluate and manage high exposure Workers Compensation claims including catastrophic loss, specified serious injury and other complex claims.

• CLAIM HANDLING: Work in collaboration with specialty resources (e.g. medical, legal) to manage medical treatment and lost time benefits in cases involving extremely complex issues or potentially high financial exposure.
• INFLUENCE AND COMMUNICATION: Pursue all offset opportunities, including apportionment, contribution and subrogation.
• OTHER ACCOUNTABILITIES: Act as technical resource to others.
• Maintain Continuing Education requirements as required.

• 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.
• Negotiation: Master evaluation, negotiation and case resolution skills.
• Thorough 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: Advanced investigative skills including the ability to take statements.
• Value Determination: Advanced ability to determine liability and assigns a dollar value based on damages claimed and estimates, sets and readjusts reserves.
• Settlement Techniques: Advanced 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: Thorough 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: Thorough knowledge of the nature and extent of injuries, periods of disability, and treatment needed.
• WC Technical: Advanced 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.
• Customer Service: Advanced ability to build and maintain productive relationships with our insureds and deliver results with optimal outcomes.
• Teamwork: Advanced ability to work together in situations when actions are interdependent and a team is mutually responsible to produce a result.
• Planning & Organizing: Advanced ability to establishes a plan/course of action and contingencies for self or others to meet current or future goals.

• Health Insurance
• Retirement
• Paid Time Off
• Wellness Program
• Volunteer Encouragement

Taking care of our customers, our communities and each other. That’s the Travelers Promise.