Workers Compensation Medical Only Claim Specialist

Travelers

St. Paul, MN, United States
Base: $45,400.00 - $74,900.00; bonus/equity: perfo...
On-site
Medical treatment evaluation
Bill and expense payment
State regulations compliance
Travelers is seeking a Workers Compensation Medical Only Claim Specialist for their St. Paul, MN location. The position involves evaluating and processing medical-only claims while ensuring compliance with regulatory requirements and maintaining high standards of customer service

Job Summary

  • Under moderate to direct supervision, this position is responsible for reviewing, evaluating, approving, and processing Medical Only claims with specific limitations on lost time, salary continuation, and medical expenses.
  • Key responsibilities include identifying red flags, evaluating the need for transfers to other units, responding to inquiries, determining causal relatedness and medical necessity of treatment, and coordinating medical treatment.
  • Travelers offers a comprehensive benefits package including health insurance, retirement plans with company match, paid time off, and a wellness program.

Matching Summary

Match Score: 85

Travelers is seeking a Workers Compensation Medical Only Claim Specialist for their St. Paul, MN location. The position involves evaluating and processing medical-only claims while ensuring compliance with regulatory requirements and maintaining high standards of customer service.

Salary

Base: $45,400.00 - $74,900.00; Bonus/Equity: performance-based cash incentive awards; Benefits: Health Insurance, Retirement, Paid Time Off, Wellness Program

Skills & Requirements

Must-have

  • medical treatment evaluation
  • bill and expense payment
  • state regulations compliance
  • medical guideline utilization

Nice-to-have

  • customer service skills
  • teamwork and collaboration
  • analytical thinking and decision making

Key Requirements

  • High School Diploma or GED and one year of customer service experience OR Bachelor’s Degree
  • Acquisition and maintenance of Insurance License(s) may be required

Work Rights

Not specified

Tailored Resume

Cover Letter