Workers Compensation Benefit Management Claim Analyst
Travelers, Tampa, FL, United States
Taking care of our customers, our communities and each other. That’s the Travelers Promise. By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 170 years. Join us to discover a culture that is rooted in innovation and thrives on collaboration. Imagine loving what you do and where you do it.
Compensation Overview
Annual base salary range: $47,700.00 - $78,600.00. The actual salary will depend on factors such as scope, location, education, experience, and other employment conditions. Employees may also receive performance‑based cash incentive awards.
Target openings: 2.
What Is the Opportunity?
Under moderate supervision, manage Workers' Compensation Claims with stable lifetime indemnity and/or medical benefits where medical expenditures are not expected to exceed $6,000 annually and there are settlement opportunities. Handle death benefits, pay award only, minimal active or pending litigation, and mediation.
What Will You Do?
Manage and resolve stable lifetime claims.
Use structured settlement or annuity as appropriate for the jurisdiction.
Manage existing offsets, including apportionment, contribution and subrogation.
Facilitate timely claim resolution by leveraging mitigation opportunities.
Establish and update reserves to reflect claim exposure with documented rationale.
Collaborate with specialty resources to proactively pursue claim resolution opportunities.
Apply knowledge to determine causal relatedness of medical conditions.
Negotiate settlement of claims within designated authority.
Proactively manage inventory with documented plans of action for file closure or reassignment.
Manage cases telephonically, maximizing quality and controlling costs.
Review, approve and issue accurate indemnity, medical, and expense payments for lifetime and long‑term claims.
Determine claim value.
Complete required letters, state forms and any other documents.
Establish and maintain incurreds that reflect claim exposure.
Apply coverage limits and endorsements.
Determine and apply offset or contribution from third‑party sources.
Develop and execute resolution strategy.
Develop ongoing strategic plans for resolution when significant events occur.
Utilize and manage resources to resolve outstanding issues.
Communicate and complete denials on medical and indemnity issues.
Ensure timely file closing or reassignment.
Evaluate and negotiate settlements, determining appropriate value and range.
Communicate negotiation status.
Identify need for allocation or Medicare Set Asides and refer appropriately.
Engage customers and specialty resources as needed.
Perform other duties as assigned.
Obtain and maintain required Insurance Licenses within three months of employment.
Maintain ongoing continuing education credits.
What Will Our Ideal Candidate Have?
College degree.
Analytical thinking that identifies problems, analyzes information, and determines cause/effect relationships.
Clear verbal and written communication skills.
Ability to present file resolution to stakeholders.
Basic negotiation skills and ability to influence stakeholders.
Knowledge of insurance contracts and policy conditions.
Investigative skills, including taking statements and reconstructing events.
Ability to determine liability and assign dollar value based on estimates and reserves.
Understanding of settlement techniques and appropriate offer timing.
Knowledge of state, federal and regulatory laws affecting insurance.
Medical knowledge of injury nature, disability periods, and treatment.
Ability to know when to utilize a medical resource.
Understanding of Workers' Compensation products and available resources.
Clear understanding of jurisdictional parameters.
Advanced customer service skills.
Advanced teamwork skills.
Intermediate planning and organizing ability.
What is a Must Have?
High School Diploma or GED and one year of customer service experience OR Bachelor’s Degree.
What Is in It for You?
Health Insurance for employees and eligible family members from day one.
Retirement: 401(k) matching up to 5% of eligible pay and Pension Plan fully funded by Travelers. Option to enroll in Paying It Forward Savings Program to direct student loan payments into 401(k).
Paid Time Off: Minimum of 20 days PTO annually plus nine paid company holidays.
Wellness Program: Tools, discounts and resources for well‑being and mental health counseling.
Volunteer Encouragement: Matching gift and Volunteer Rewards program to support charitable giving.
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 Colorado, candidates are not required to disclose dates of attendance at or graduation from educational institutions.
We welcome candidates with questions regarding the physical requirements of this role; please email us for assistance.
Travelers reserves the right to fill this position at a level above or below the level included in this posting.
#J-18808-Ljbffr
Compensation Overview
Annual base salary range: $47,700.00 - $78,600.00. The actual salary will depend on factors such as scope, location, education, experience, and other employment conditions. Employees may also receive performance‑based cash incentive awards.
Target openings: 2.
What Is the Opportunity?
Under moderate supervision, manage Workers' Compensation Claims with stable lifetime indemnity and/or medical benefits where medical expenditures are not expected to exceed $6,000 annually and there are settlement opportunities. Handle death benefits, pay award only, minimal active or pending litigation, and mediation.
What Will You Do?
Manage and resolve stable lifetime claims.
Use structured settlement or annuity as appropriate for the jurisdiction.
Manage existing offsets, including apportionment, contribution and subrogation.
Facilitate timely claim resolution by leveraging mitigation opportunities.
Establish and update reserves to reflect claim exposure with documented rationale.
Collaborate with specialty resources to proactively pursue claim resolution opportunities.
Apply knowledge to determine causal relatedness of medical conditions.
Negotiate settlement of claims within designated authority.
Proactively manage inventory with documented plans of action for file closure or reassignment.
Manage cases telephonically, maximizing quality and controlling costs.
Review, approve and issue accurate indemnity, medical, and expense payments for lifetime and long‑term claims.
Determine claim value.
Complete required letters, state forms and any other documents.
Establish and maintain incurreds that reflect claim exposure.
Apply coverage limits and endorsements.
Determine and apply offset or contribution from third‑party sources.
Develop and execute resolution strategy.
Develop ongoing strategic plans for resolution when significant events occur.
Utilize and manage resources to resolve outstanding issues.
Communicate and complete denials on medical and indemnity issues.
Ensure timely file closing or reassignment.
Evaluate and negotiate settlements, determining appropriate value and range.
Communicate negotiation status.
Identify need for allocation or Medicare Set Asides and refer appropriately.
Engage customers and specialty resources as needed.
Perform other duties as assigned.
Obtain and maintain required Insurance Licenses within three months of employment.
Maintain ongoing continuing education credits.
What Will Our Ideal Candidate Have?
College degree.
Analytical thinking that identifies problems, analyzes information, and determines cause/effect relationships.
Clear verbal and written communication skills.
Ability to present file resolution to stakeholders.
Basic negotiation skills and ability to influence stakeholders.
Knowledge of insurance contracts and policy conditions.
Investigative skills, including taking statements and reconstructing events.
Ability to determine liability and assign dollar value based on estimates and reserves.
Understanding of settlement techniques and appropriate offer timing.
Knowledge of state, federal and regulatory laws affecting insurance.
Medical knowledge of injury nature, disability periods, and treatment.
Ability to know when to utilize a medical resource.
Understanding of Workers' Compensation products and available resources.
Clear understanding of jurisdictional parameters.
Advanced customer service skills.
Advanced teamwork skills.
Intermediate planning and organizing ability.
What is a Must Have?
High School Diploma or GED and one year of customer service experience OR Bachelor’s Degree.
What Is in It for You?
Health Insurance for employees and eligible family members from day one.
Retirement: 401(k) matching up to 5% of eligible pay and Pension Plan fully funded by Travelers. Option to enroll in Paying It Forward Savings Program to direct student loan payments into 401(k).
Paid Time Off: Minimum of 20 days PTO annually plus nine paid company holidays.
Wellness Program: Tools, discounts and resources for well‑being and mental health counseling.
Volunteer Encouragement: Matching gift and Volunteer Rewards program to support charitable giving.
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 Colorado, candidates are not required to disclose dates of attendance at or graduation from educational institutions.
We welcome candidates with questions regarding the physical requirements of this role; please email us for assistance.
Travelers reserves the right to fill this position at a level above or below the level included in this posting.
#J-18808-Ljbffr