Nationwide, US, USA
28 days ago
Director, WC Major Case
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.

Job CategoryClaim

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$118,200.00 - $195,000.00

Target Openings1

What Is the Opportunity?As a member of the Workers' Compensation Product management team, this position is responsible for leading a team of advanced claim, Medicare Set Aside, and nurse specialists to guide, implement and deliver industry leading best practices for the most serious and complex workers' compensation claims. Drives performance of a Workers Compensation severity claim team, field claim offices, and vendors handling serious and complex claims to include excellent claim file quality, reserve adequacy, and results. Provides direction for claim technical guidance, legal, and medical issues through a continuous process of management involvement and frequent claim file review. Leads, develops, and participates on projects and initiatives to advance and improve product delivery and results. Leverages analytic tools and resources to identify claim trends and recommend improvements. Helps to drive knowledge transfer and sharing of expertise to develop major case talent throughout the organization. Partner with key stakeholders to share information on claims and claim trends. Reinforce Workers Compensation Vision, Strategies, and Objectives through word and action. Select, lead, mentor, performance manage and develop staff.What Will You Do?CLAIM HANDLING:Oversee the handling (management) of the Company's most severe and/or highly complex claims with exposure greater than $1M or $500K for Construction claims.Develop, implement and monitor Major Case policies, procedures, practices and standards for the handling of claims by professionals within the Home Office and Field organizations.Leads and collaborates in large loss forums that discuss case management decisions to achieve optimal outcomes.Provide superior customer service.Conducts best practice file reviews. Adheres and manages to company quality, regulatory, and compliance guidelines.Manage reserves in a timely, fact based, and appropriate approach to consistently reflect company reserve policies.LEADERSHIP:Lead, manage and motivate the organization toward improved quality and higher standards.Provide technical assistance to Claim University to identify, develop and present training and strategic approaches that will optimize the effectiveness of field claim handling. Develops, assists, and delivers training. Effective identification, selection, orientation, on-boarding and retention of staff.Proactive recruitment of talent; work with management to establish and implement a strategic staffing strategy. Manage staff performance; implement strategies and plans to address staff development; identify and address training needs on an ongoing basis; provide frequent performance feedback.Effective retention planning; proactively manage and respond to turnover.PRODUCT DEVELOPMENT:Develop and implement process improvement strategies that impact indemnity, medical, and expense management, investigations, subrogation, structured settlements, medical case and litigation management.Oversee the development and employment of creative resolution strategies for complex files effectively utilizing all appropriate resources.Collaborate and partner with parties to develop and execute a strategic file management plan that achieves optimal file resolution and business results.Develops, designs, documents and recommends multiple solutions and leads initiative implementation to improve countrywide results. Review and analyze data and information to determine trends and opportunities for improved service delivery. Leads projects and project teams to design innovative solutions to business and claim challenges. Evaluates operating environment, vendors, workflow processes, and support services, and influences direction for assigned line of business programs and products.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.Work with Workers Compensation teams to develop, understand and implement national strategies and provide input on new strategies.Successfully leverage data, management information and technology to identify and make the most of opportunities to support business strategies and improve results.COMMUNICATION/INFLUENCE:Develop and maintain collaborative relationships and partnerships with the field offices, business, and other partners and customers.Develop and maintain effective relationships with colleagues, business partners, customers, agents, regulatory agencies and others to achieve organizational goals and create better outcomes.Promote the WC Product Line, Business Plan and initiatives. Actively and enthusiastically share experience and knowledge of creative resolution techniques to improve claim results of others. Shares experience and knowledge with others.OTHER ACCOUNTABILITIES:Oversee and participate in periodic file reviews.Drive and support business and cultural change. Support and embrace diversity and inclusion initiatives. Perform other duties as assigned. What Will Our Ideal Candidate Have?College degree or equivalent business experience.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.Leading the Business:Drive ResultsLeads ChangeExecutes Business StrategyLeading Others:Attract Top TalentMaximize Individual PerformanceHolds Others AccountableAligns Rewards Creates and Sustains a Dynamic WorkplaceLeading Self:Demonstrates Self-AwarenessApplies Critical ThinkingCommunicates Effectively & Influences OthersExhibits Courage, Conviction & CredibilityCollege degree or equivalent business experience.Previous Leadership experience preferred.Skilled in coverage, compensability and exposure analysis with strong medical and claim knowledge 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.Demonstrated ability to lead and inspire others to meet and exceed high expectations.Demonstrated coaching, influence and persuasion skills.Deep familiarity with effective claims handling practices Expert written and verbal communication skills are required so as to understand, synthesize, interpret and convey, in a simplified manner, complex data and information to audiences varying in levels of expertise.Excellent presentation and persuasion skills.Strong technology aptitude; ability to use business technology to effectively research, track, and communicate information. Demonstrated history of strong mentoring relationships and influence management skills throughout an organization.

What is a Must Have?High school diploma or GED required. 10 years claim handling or catastrophic medical case management experience with 7 years claim handling or medical case management experience with 3 – 5 years experience handling serious injury and complex workers compensation claims.In order to perform the essential job functions of this job, acquisition and maintenance of Insurance or Nurse License(s) may be required to comply with state and Travelers requirements. Generally, license(s) are required to be obtained within three months of starting the job.

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, discounts and resources that empower you to achieve your wellness goals and caregiving needs. In addition, our mental health program provides access to free professional counseling services, health coaching and other resources to support your daily life needs.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. 

In accordance with local law, candidates seeking employment in Colorado are not required to disclose dates of attendance at or graduation from educational institutions.


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/.

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