Travelers

RN Unit Manager for Medical Case Management

Posted on: 26 Mar 2021

Rancho Cordova, CA

Job Description

Company Summary

Taking care of our customers, our communities and each other. Thats 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.

Target Openings

1

Job Description Summary

Solid reputation, passionate people and endless opportunities. That's Travelers!

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.

If passion, reliability, and dedication are part of your DNA, this is the job for you!

Passion: You are passionate about helping others and maintain a sense of urgency for our customers when they reach out for assistance.
Reliability: You combine understanding with medical and technical skills to provide service our customers know they can count on.
Dedication: Your dedication is clearly demonstrated throughout each phase of the workers compensation claims process.

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.

In this role you will:
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.
his job manages staff.

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.

Minimum Qualifications

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

Education, Work Experience, & Knowledge

* Bachelor's degree preferred.
* RN highly preferred.
* Spanish Speaking candidates encouraged to apply.
* Claim management experience preferred.
* Strong computer skills including experience with MS Office.
* Leadership experience preferred.

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

Environmental / Work Schedules / Other

Employment Practices

Travelers is an equal opportunity employer. We value the unique abilities and talents each individual brings to our organization and recognize that we benefit in numerous ways from our differences.

If you have 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.

Travelers

New York, New York

The Travelers Companies, Inc., through its subsidiaries, provides a range of commercial and personal property, and casualty insurance products and services to businesses, government units, associations, and individuals in the United states and internationally. The company operates through three segments: Business Insurance, Bond & Specialty Insurance, and Personal Insurance. The Business Insurance segment offers workers' compensation, commercial automobile and property, general liability, commercial multi-peril, employers' liability, public and product liability, professional indemnity, marine, aviation, onshore and offshore energy, construction, terrorism, personal accident, and kidnap and ransom insurance products.

This segment operates through select accounts, which serve small businesses; commercial accounts that serve mid-sized businesses; national accounts, which serve large companies; and national property and other that serve large and mid-sized customers, commercial transportation industry, and agricultural businesses, as well as markets and distributes its products through brokers, wholesale agents, program managers, and specialized retail agents. The Bond & Specialty Insurance segment provides surety, fidelity, management and professional liability, and other property and casualty insurance products.

The Personal Insurance segment offers property and casualty insurance covering personal risks, primarily automobile and homeowners insurance to individuals. The company distributes its products primarily through independent agencies and brokers. The Travelers Companies, Inc. was founded in 1853 and is based in New York, New York.

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