« Back to search
Apply now »
« Back to search
Watch for similar jobs
Dir, WC Major Case Job
Date: Nov 7, 2009
Location: Hartford, CT, US
Job Title: Dir, WC Major Case
Job ID: 791842
Location: CT-Hartford
Available Openings: 1
Committed. Competitive. Constructing our Future.
That's Travelers. We are one of the leading insurance companies in the United States. Our superior financial strength and consistent record of strong operating returns mean security for our customers - and opportunities for our employees. You will find Travelers to be full of energy, and a workplace in which you truly can make a difference.
SUMMARY:
As a member of the Workers Compensation management team, this position is responsible for driving product quality, and performance of the Workers Compensation severity claim team handling serious and complex commercial lines and personal liability claims.
Provide direction and technical guidance through a continuous process of management involvement and frequent claim file review and extensive litigation management.
Reinforce Workers Compensation Vision, Strategies, and Objectives through word and action.
Select, lead, mentor, performance manage and develop staff.
PRIMARY DUTIES:
Attract, Retain and Develop World Class Talent:
Proactive recruitment of talent; work with management to establish and implement a strategic staffing strategy
Effective orientation and on-boarding.
Manage staff performance; implement strategies and plans to address staff development; identify and address training needs on an ongoing basis; provide frequent performance feedback.
Work with management to develop and implement effective training, performance development and succession planning
Effective retention planning; proactively manage and respond to turnover
Effectively utilize reward system to distinguish top performers and significant achievements.
Provide Compelling Claim Services
Employ proper claim handling techniques to protect the integrity of our brand and providing consistent service quality and streamlined processes to add value for our customers.
Develop and execute a strategic file management plan that achieves optimal file resolution and business results.
Provide face-to-face and written guidance to ensure effectiveness, engagement, accuracy and efficiency.
Conduct quality file best practices guidelines.
Establish/ follow up on file reviews per diary instructions, conducting additional reviews, as necessary.
Develop and implement process improvement strategies that impact indemnity and expense management, investigations, subrogation, structured settlement, medical case and litigation management.
Oversee the handling of the Company's severe and/or complex claims with exposure greater than $1M or $500K for Construction claims.
Ensure timely and appropriate reserves.
Effectively and efficiently manage allocated loss adjustment expenses.
Oversee the development and employment of creative resolution strategies for complex files effectively utilizing all appropriate resources.
Identify business drivers and trends from rigorously analyzing workers compensation claim data. Work with Workers Compensation teams to develop, understand and implement national strategies and provide input on new strategies.
Drive the Information Advantage
Successfully leverage data, management information and technology to identify and make the most of opportunities to support business strategies and improve results.
Achieve Optimal Solutions
Focus on resolution and process improvement, fulfilling all obligations while maximizing cost effectiveness, helping the business understand drivers, trends and product stress points and helping our partners attract and retain business.
Operate within agreed upon expense budget to achieve optimal business results through productivity, appropriate resource allocation, inventory management and loss adjustment expense.
Partner for Mutual Success
Develop and maintain effective relationships with colleagues, business partners, customers, agents, regulatory agencies and others to achieve organizational goals and create better outcomes.
Participate in business meetings and agency visits as required.
Collaborate with claim and medical case management across other lines of business as well as Underwriting, Marketing, Actuarial, Claim Legal to develop and direct local strategies to increase productivity, reduce expenses, share resources and improve results and customer service.
EDUCATION/COURSE OF STUDY:
College degree or equivalent business experience.
WORK EXPERIENCE:
10 years claim handling or catastrophic medical case management experience with 5 - 7 years experience handling serious injury and complex workers compensation claims preferred.
Skilled in coverage, liability and damages analysis and has a thorough understanding of the litigation process, relevant case and statutory law and expert litigation management skills
Current on jurisdictional laws and regulations.
Extensive claim and/or legal experience and/or medical case management experience and thus the technical expertise to evaluate severe and complex claims.
Thorough understanding of commercial lines products, policy language, exclusions, ISO forms, and effective claims handling practices.
Insurance license(s) and/or nurse license as required by state regulation.
OTHER:
Leading the Business:
Drive Results
Leads Change
Executes Business Strategy
Leading Others:
Attract Top Talent
Maximize Individual Performance
Holds Others Accountable
Aligns Rewards
Creates and Sustains a Dynamic Workplace
Leading Self:
Demonstrates Self-Awareness
Applies Critical Thinking
Communicates Effectively & Influences Others
Exhibits Courage, Conviction & Credibility
Travelers is an equal opportunity employer. We actively promote a drug-free workplace.
Job ID: 791842
Location: CT-Hartford
Available Openings: 1
Committed. Competitive. Constructing our Future.
That's Travelers. We are one of the leading insurance companies in the United States. Our superior financial strength and consistent record of strong operating returns mean security for our customers - and opportunities for our employees. You will find Travelers to be full of energy, and a workplace in which you truly can make a difference.
SUMMARY:
As a member of the Workers Compensation management team, this position is responsible for driving product quality, and performance of the Workers Compensation severity claim team handling serious and complex commercial lines and personal liability claims.
Provide direction and technical guidance through a continuous process of management involvement and frequent claim file review and extensive litigation management.
Reinforce Workers Compensation Vision, Strategies, and Objectives through word and action.
Select, lead, mentor, performance manage and develop staff.
PRIMARY DUTIES:
Attract, Retain and Develop World Class Talent:
Proactive recruitment of talent; work with management to establish and implement a strategic staffing strategy
Effective orientation and on-boarding.
Manage staff performance; implement strategies and plans to address staff development; identify and address training needs on an ongoing basis; provide frequent performance feedback.
Work with management to develop and implement effective training, performance development and succession planning
Effective retention planning; proactively manage and respond to turnover
Effectively utilize reward system to distinguish top performers and significant achievements.
Provide Compelling Claim Services
Employ proper claim handling techniques to protect the integrity of our brand and providing consistent service quality and streamlined processes to add value for our customers.
Develop and execute a strategic file management plan that achieves optimal file resolution and business results.
Provide face-to-face and written guidance to ensure effectiveness, engagement, accuracy and efficiency.
Conduct quality file best practices guidelines.
Establish/ follow up on file reviews per diary instructions, conducting additional reviews, as necessary.
Develop and implement process improvement strategies that impact indemnity and expense management, investigations, subrogation, structured settlement, medical case and litigation management.
Oversee the handling of the Company's severe and/or complex claims with exposure greater than $1M or $500K for Construction claims.
Ensure timely and appropriate reserves.
Effectively and efficiently manage allocated loss adjustment expenses.
Oversee the development and employment of creative resolution strategies for complex files effectively utilizing all appropriate resources.
Identify business drivers and trends from rigorously analyzing workers compensation claim data. Work with Workers Compensation teams to develop, understand and implement national strategies and provide input on new strategies.
Drive the Information Advantage
Successfully leverage data, management information and technology to identify and make the most of opportunities to support business strategies and improve results.
Achieve Optimal Solutions
Focus on resolution and process improvement, fulfilling all obligations while maximizing cost effectiveness, helping the business understand drivers, trends and product stress points and helping our partners attract and retain business.
Operate within agreed upon expense budget to achieve optimal business results through productivity, appropriate resource allocation, inventory management and loss adjustment expense.
Partner for Mutual Success
Develop and maintain effective relationships with colleagues, business partners, customers, agents, regulatory agencies and others to achieve organizational goals and create better outcomes.
Participate in business meetings and agency visits as required.
Collaborate with claim and medical case management across other lines of business as well as Underwriting, Marketing, Actuarial, Claim Legal to develop and direct local strategies to increase productivity, reduce expenses, share resources and improve results and customer service.
EDUCATION/COURSE OF STUDY:
College degree or equivalent business experience.
WORK EXPERIENCE:
10 years claim handling or catastrophic medical case management experience with 5 - 7 years experience handling serious injury and complex workers compensation claims preferred.
Skilled in coverage, liability and damages analysis and has a thorough understanding of the litigation process, relevant case and statutory law and expert litigation management skills
Current on jurisdictional laws and regulations.
Extensive claim and/or legal experience and/or medical case management experience and thus the technical expertise to evaluate severe and complex claims.
Thorough understanding of commercial lines products, policy language, exclusions, ISO forms, and effective claims handling practices.
Insurance license(s) and/or nurse license as required by state regulation.
OTHER:
Leading the Business:
Drive Results
Leads Change
Executes Business Strategy
Leading Others:
Attract Top Talent
Maximize Individual Performance
Holds Others Accountable
Aligns Rewards
Creates and Sustains a Dynamic Workplace
Leading Self:
Demonstrates Self-Awareness
Applies Critical Thinking
Communicates Effectively & Influences Others
Exhibits Courage, Conviction & Credibility
Travelers is an equal opportunity employer. We actively promote a drug-free workplace.
Nearest Major Market: Hartford
Apply now »
| Find similar jobs: | CT Insurance Jobs, Claims Jobs, Connecticut Customer Service Jobs, Connecticut Legal Jobs, Hartford Actuarial Jobs |
« Back to search