http://travelers.jobs2web.com/go/Albany,-NY-Case-Management-Jobs/19027/ View Albany, NY Case Management Jobs at Travelers en-us http://travelers.jobs2web.com/images/travelers/home_logo.gif http://travelers.jobs2web.com/go/Albany,-NY-Case-Management-Jobs/19027/ 720 Job ID: 791881
Location: NY-Albany

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:
Office based telephonic medical case management with emphasis on early intervention, return to work planning, coordination of quality medical care on claims involving disability and medical treatment as well as in-house medical reviews as applicable to claim handling laws and regulations. Responsible for helping to ensure injured parties receive appropriate treatment directly related to the compensable injury or assist claim handlers in managing medical treatment to an appropriate resolution.

PRIMARY DUTIES:
Contact medical provider and injured parties on claims involving medical treatment and /or disability to coordinate appropriate medical care. Develop medical management strategy and give the provider information necessary to facilitate a return to work plan on claims requiring disability management. Responsible for ongoing evaluation of treatment and return to work plan, within established protocols.
Work with medical providers and suggest cost effective treatment alternatives, when appropriate. Help ensure that all injured parties are on an aggressive treatment plan. Authorize medical treatment and associated diagnostic testing on assigned claims as allowed by state or policy jurisdictions. For nurses handling Workers Compensation Claims, perform Utilization Review according to established guidelines. Utilize physician advisor program.
Proactively manage the medical expenses by partnering with specialty resources to achieve appropriate claim outcomes (SIU, Legal, Risk Control, Disability Management, IME and Peer Review vendors, Major Case, etc.)
Obtain medical records from providers telephonically during initial contact, and follow up with written correspondence if necessary. Discuss medical information and disability status with claim handler and integrate into overall strategy to ensure appropriateness of indemnity payments. Provide technical assistance and act as a resource for claim handling staff.
Contact employer to initiate modified duty or full return to work. Obtain job description and discuss job modifications required to ensure a prompt return to work. Medical Case Manager will work with employer, injured party, provider and claim handler to expedite return to work.
Identify cases requiring task assignments to field case managers, discuss with supervisor for assignment to Medical or Vocational Case Manager, or vendor.
Document all contacts and outcomes related to case activity in system. Submit billing reports on all activities per established guidelines.
Provide feedback to Preferred Provider Network regarding provider nominations and experience with providers.
Comply with established Best Practices
Perform other duties as required.

EDUCATION/COURSE OF STUDY:
Registered Nurse or other qualified health professionals.

CDMS, CRC, CCM, CRRN desirable

WORK EXPERIENCE:
Disability case management experience preferred.

CERTIFICATES/DEGREES:
Appropriate license per state regulation

COMMUNICATION SKILLS:
Very strong oral and written communication skills.

COMPUTER SKILLS:
Good computer skills

OTHER:
Strong clinical background.
Knowledge of medical causation and relatedness, as well as use of medical treatment protocols and physician advisor/peer review programs.
Understanding of Workers Compensation laws or Auto First Party Medical preferred.

File Management
Nursing skills and knowledge
Customer Focus/ Communication
Relationship Management
Use of Technology

Travelers is an equal opportunity employer. We actively promote a drug-free workplace.]]> http://travelers.jobs2web.com/job/ALBANY-Medical-Case-Manager-Job-NY-12201/673574/?utm_source=J2WRSS&utm_medium=rss&utm_campaign=J2W_RSS http://travelers.jobs2web.com/job/ALBANY-Medical-Case-Manager-Job-NY-12201/673574/?utm_source=J2WRSS&utm_medium=rss&utm_campaign=J2W_RSS Job ID: 791744
Location: NY-Albany

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:
This position is responsible for providing high quality and cost-effective legal representation. Demonstrating superior knowledge and expertise in the litigation process and provides excellent client service as part of a legal team. Responsible for independent, aggressive case handling with a resolution management focus. Candidates should possess 5-10 years or equivalent legal experience with Public Sector litigation experience.

PRIMARY DUTIES / RESPONSIBILITES:
-Litigates cases to verdict, demonstrating superior use of trial skills and techniques
-Ability to independently handle a full to moderate caseload with moderate level of severity and complexity from case inception through trial/resolution
-Works under the guidance of Senior Counsel in litigating complex and high exposure files
-Conducts legal research as necessitated and supervises research projects delegated to Associate Counsel and paralegals
-Independently drafts pleadings, motions, briefs, discovery and other file documents
-Attends court events and other appointments independently
-Learns and understands claim customers expectations and key department business goals and assists them in meeting those goals
-Handles and actively seeks opportunities to become involved in special projects and on committees
-Provides recommendations and case analysis to business partners on appropriate file handling strategy
-Integrates legal support staff into case handling process
-Builds and maintains superior internal and external client relationships
-Completes all required administrative tasks including time reporting, closed cases, reports and other materials appropriate to performance of job duties
-Effectively makes use of technology and automation in the practice of law
-Adheres to all standards of excellence in file management
-Travels as required to meet business needs
-Ability to mentor and train less experienced counsel and legal support staff
-Provide advice and training to claim partners and clients

EDUCATION / COURSE OF STUDY:
Graduation from an accredited law school with a strong academic record
Successful completion of the bar and ethics examinations in the state(s) in which representation is required
Active license to practice law

WORK EXPERIENCE:
5-10 years or equivalent legal experience
Public Sector litigation experience
Insurance litigation work exposure desirable
Demonstrated track record of trial skills and techniques

COMMUNICATION SKILLS:

Articulate presentation skills using technology
Strong and persuasive legal writing skills and oral advocacy skills
Ability to clearly and succinctly articulate position
Strong client and customer service skills

COMPUTER SKILLS:

Ability to effectively understand and utilize technology and automation resources, including, but not limited to, Microsoft Office Products, Voice Recognition Technology, Westlaw and other case management programs.

OTHER COMPETENCIES / SKILLS:

-Independent ability to analyze legal issues with minimal supervision
-Appreciation for and commitment to delivery of high quality legal work
-Works collaboratively with team members and others
-Demonstrates desire to acquire effective trial skills with increased litigation complexity
-Demonstrates superior legal acumen
-Demonstrates personal commitment to professional development
-Continued development of technical skills with a goal of handling the highest complexity/exposure MCU cases
-Personal integrity and adherence to a high degree of professionalism and ethical competency
-Strong research skills
-Strong negotiation skills
-Multi tasking tolerance and success
-Decision making and problem solving abilities
-Sense of urgency/responsiveness
-Strong desire to communicate timely and regularly to insured client and claims client.

Travelers is an equal opportunity employer. We actively promote a drug-free workplace.]]> http://travelers.jobs2web.com/job/ALBANY-Counsel-Job-NY-12201/664892/?utm_source=J2WRSS&utm_medium=rss&utm_campaign=J2W_RSS http://travelers.jobs2web.com/job/ALBANY-Counsel-Job-NY-12201/664892/?utm_source=J2WRSS&utm_medium=rss&utm_campaign=J2W_RSS