Return To Work Claim Representative, Workers Compensation

Travelers

. Manage Workers' Compensation claims with lost time through conclusion .

Posted 9/24/2026full-timeRichmond • Virginia • United StatesJunior💰 $67,000 - $110,600 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in managing Workers' Compensation claims, including negotiation, investigation, and resolution strategies. Proficient in coordinating medical treatment and legal resources while ensuring compliance with statutory requirements and maintaining effective communication with stakeholders.

Highest-signal resume keywords

Workers' Compensation Claim HandlingNegotiation SkillsAnalytical ThinkingLegal Knowledge in InsuranceIntermediate Medical Knowledge

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Claims InvestigationSettlement TechniquesDetermining LiabilityEstablishing ReservesFraud EvaluationStatutory Benefit EntitlementMedical Case CoordinationFile ManagementDocumentation SkillsInsurance Contract Knowledge

Soft Skills

Clear CommunicationProblem-SolvingCustomer ServiceTeamworkPlanning and Organizing

Certifications & Qualifications

Insurance License

Industry Keywords

Workers' CompensationMedical Treatment CoordinationStatutory LimitsMedicare Set AsidesStructured SettlementsIndemnity PositionsClaim ResolutionJurisdictional ParametersContinuing Education RequirementsAction Plans

About the role

Key responsibilities & impact

Manage Workers' Compensation claims with lost time through conclusion
Negotiate settlements where appropriate
Coordinate medical and indemnity positions with a Medical Case Manager
Handle assigned claims of low to moderate complexity and, with close to moderate supervision, claims of greater complexity
Investigate claims by assessing policy coverage and contacting insureds, injured workers, medical providers, and other parties
Establish and update reserves, including actuarial reserves, and document rationale
Determine causal relatedness of medical conditions
Manage files for quality, timely contact, documentation, and proactive resolution of outstanding issues
Return injured parties to work and coordinate appropriate medical treatment with internal nurse resources
Collaborate with medical and legal specialty resources to pursue claim resolution opportunities
Develop strategies addressing statutory benefit entitlement, medical diagnoses, Medicare Set Asides, return to work, structured settlements, and litigation
Prepare required letters and state filings within statutory limits
Pursue offset opportunities including apportionment, contribution, and subrogation
Evaluate claims for potential fraud
Manage inventory with documented action plans for timely file closing or reassignment
Manage litigation and resolve benefits toward optimal outcomes
Negotiate claims settlements within designated authority, including structured settlements or annuities where appropriate
Perform other assigned duties

Requirements

What you’ll need

High School Diploma or GED
1 year Workers Compensation claim handling experience or successful completion of the WC trainee program
2 years Workers Compensation claim handling experience preferred as part of the ideal candidate profile
Analytical thinking and problem-solving skills
Clear and concise oral and written communication
Ability to present file resolutions to internal and external stakeholders
Intermediate negotiation skills
General insurance contract knowledge
Intermediate investigative skills, including taking statements
Ability to determine liability and assign dollar values based on damages and estimates
Intermediate settlement techniques
Legal knowledge applicable to the insurance industry
Intermediate medical knowledge regarding injuries, disability periods, and treatment
Intermediate knowledge of Workers' Compensation products, resources, technology, and jurisdictional parameters
Advanced customer service, teamwork, and planning and organizing abilities
Maintain continuing education requirements mandated by state regulations
Insurance license(s) may be required and generally must be obtained within three months of starting the job, with ongoing continuing education

Benefits

Comp & perks

Health insurance for employees and eligible family members from the first day of employment
401(k) dollar-for-dollar matching up to the first 5% of eligible pay
Paying it Forward Savings Program with annual 401(k) contributions for eligible student loan payments
Pension Plan 100% funded by Travelers
Minimum of 20 days Paid Time Off annually
Nine paid company Holidays
Wellness program with tools, discounts, resources, and caregiving support
Mental health program with free professional counseling services, health coaching, and other resources
Matching Gift and Volunteer Rewards program
Continuing education support/requirements