Company Name: Travelers Import
Job Details
Duration: Permanent
Min Education: Not Specified
Salary: Commensurate
Job Type: Full Time
Min Experience: Not Specified
Required Travel:
  • USA - Diamond Bar California, 91765
Job Description
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.

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 and Responsibilities:

Contact medical provider, insured and injured worker 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.

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.

Education / Work Experience:
Registered Nurse or Licensed Vocational Nurse

Appropriate license per state regulation

Strong customer service skills.
Strong PC skills including proficient use of Word, Excel, e-mail, and web-enabled applications required.
Strong verbal and written communication skills.
Flexible and adaptable to change
Knowledge of medical causation and relatedness, as well as use of medical treatment protocols and physician advisor/peer review programs.

We have an outstanding benefit program including: 401k plan, 100% company-funded pension plan, medical, dental and vision insurance, as well as paid holidays and a generous PTO plan.

Travelers is an equal opportunity employer. We actively promote a drug-free workplace.