Managed Care Representative - Workers Compensation

Job Description

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.

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

$37,300.00 - $61,500.00

Target Openings

2

What Is the Opportunity?

Responsible for the coordination, and implementation, of the workers compensation managed care program for a specific state to assist policyholders and agents with the enrollment process. Responsible for managed care processes including state panel production, issue tracking and support of network operations.

What Will You Do?

• Contact new and renewal policyholders and customers. Communicate information on the benefits of the managed care program and the process for a successful implementation. As needed, provide necessary forms and written documentation on the implementation process.
• Serve as the front-line managed care resource to policyholders, customers, Account Consultants, Account Executives and Claim Account Executives on the coordination and implementation of the managed care process.
• Ensure Information Request, Implementation Verification, and all other required forms have been completed and returned. Follow-up with accounts who have not returned required documentation.
• Maintain required documentation and tracking records of assigned activities.
• Assist Managed Care Consultant in the managed care compliance activities in accordance with Workers Compensation law and Administrative Rules.
• Professionally place and answer telephone calls and all other correspondence, respond to routine questions and reroute inquiries when appropriate.
• Effectively capture information and respond in an efficient manner.
• Consistently provide top-tier, high-level customer service.
• Share policyholder/customer, telephone, system and/or other business concerns with Unit Manager or other appropriate parties for prompt and effective resolution.
• Perform other duties as assigned.

What Will Our Ideal Candidate Have?

• Education/Course of Study:
• Strong communication / telephone skills
• Strong customer service skills
• Solid organization skills and attention to detail
• Basic knowledge of claim systems
• Ability to resolve general / basic problems
• Strong team member
• Basic knowledge of Microsoft Office Excel helpful Work Experience:
• Competencies, as demonstrated by ability to:
• Lead the Business
• Align personal work goals and actions to the vision and business strategies
• Implement change
• Support enterprise culture
• Lead Self
• Exhibit courage, credibility and conviction
• Communicate effectively
• Influences others by appealing to reason
• Apply analytical/problem solving skills

What is a Must Have?

• High School diploma or equivalent

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 and resources that empower you to achieve your wellness goals. In addition, our Life Balance program provides access to professional counseling services, life coaching and other resources to support your daily life needs. Through Life Balance, you’re eligible for five free counseling sessions with a licensed therapist.
• 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.

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/.