Workers Comp Medical Unit Manager

The Travelers Companies Buffalo , NY 14202

Posted 2 months ago

Primary Job Duties & Responsibilities

Attract, Retain and Develop World Class Talent: Proactive recruitment of talent; work with management establishing and implementing 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.

Review new notices, ensuring claims are assigned to staff with appropriate skill sets. Conduct quality file reviews per office/ best practices guidelines. Establish/follow up on file reviews per diary instructions, conducting additional reviews (i.e. 180, 360 day reviews), as necessary.

Implement strategies and initiatives to improve file quality, customer service and manage costs. 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.

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. Other duties as assigned. Perform other duties as assigned.

Job Specific & Technical Skills & Competencies

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

Job Summary

Under general direction and as a member of the local management team, this position is responsible for product quality and performance for a specific team of Workers Compensation claim professionals. Provide guidance and direction to direct reports through a continuous process of management involvement and frequent claim file review.

Serve as a field representative for the Home Office Workers Compensation product, as requested. Reinforce the Workers Compensation Vision, Strategies, and Objectives through word and action. Select, lead, mentor, performance manage and develop staff. This job manages staff.

Preferred Qualifications

A registered nursing license is required, and 5 years of clinical nursing experience and prior leadership experience preferred

Education, Work Experience & Knowledge

Bachelor's degree preferred. Claim management experience preferred.

Minimum Qualifications

High School Diploma or GED required. A minimum of 3 years claim work experience in at least one line of business required.



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Workers Comp Medical Unit Manager

The Travelers Companies