Who Are We?

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 160 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.

Job Category

Claim, Nurse - Medical Case Manager

Compensation Overview

The annual base salary range provided for this position is a nationwide market range and represents a broad range of salaries for this role across the country. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment. As part of our comprehensive compensation and benefits program, employees are also eligible for performance-based cash incentive awards.

Salary Range

$77,100.00 - $127,200.00

Target Openings

1

What Is the Opportunity?

Under moderate supervision, supports the claim professional to develop the medical resolution strategy and serves as a technical resource to provide proactive medical expertise for claim staff.

What Will You Do?

• Interpret routine, complex or unique medical information.

• Evaluate medical treatment to determine whether it was/is reasonable, necessary and causally related.

• 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. GL 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 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?

• Strong knowledge of medical causation and relatedness required/Intermediate Level.

• Knowledge of jurisdiction-specific medical guidelines preferred.

• Prior clinical experience preferred.

• Strong research and analytical thinking skills preferred.

• Effective time management and organizational skills preferred.

• Very strong oral and written communication skills preferred.

• Strong interpersonal skills preferred.

• Good computer skills to include Microsoft Word, Excel and Outlook preferred.

• Preferred

• Analytical Thinking - Basic Preferred

• Judgment/Decision-making - Basic Preferred

• Communication - Intermediate Preferred

• Negotiation - Basic Preferred

• Principles of Investigation -Basic Preferred

• Value Determination - Basic Preferred

• Legal Knowledge - Basic Preferred

• Medical Knowledge -- Intermediate Preferred

What is a Must Have?

• Registered Nurse; Licensed Practical Nurse or Licensed Vocational Nurse 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 believe that we can deliver the very best products and services when our workforce reflects the diverse customers and communities we serve. We are committed to recruiting, retaining and developing the diverse talent of all of our employees and fostering an inclusive workplace, where we celebrate differences, promote belonging, and work together to deliver extraordinary results.

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 (4-ESU@travelers.com) 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/ .