Workers Compensation Claim Representative, Experienced

Travelers

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

Posted 11/6/2026full-timeIndianapolis • Illinois • United StatesJunior💰 $68,700 - $113,400 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 applying legal and medical knowledge to ensure compliance and optimal outcomes in claims handling.

Highest-signal resume keywords

Workers' Compensation Claims ManagementNegotiation SkillsAnalytical ThinkingMedical Knowledge of InjuriesInsurance Contract Knowledge

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Claims InvestigationSettlement TechniquesValue DeterminationReserve-SettingFraud EvaluationStatutory Benefit EntitlementReturn-to-Work CoordinationDocumentation SkillsFile ManagementLegal Knowledge

Soft Skills

Clear CommunicationProblem-SolvingCustomer ServiceTeamworkPlanning and Organizing

Tools & Technologies

Workers' Compensation Technology

Certifications & Qualifications

Insurance License

Industry Keywords

Medicare Set AsidesClaim ResolutionApportionmentSubrogationDisability Periods

About the role

Key responsibilities & impact

Manage Workers' Compensation claims with lost time through conclusion
Negotiate settlements where appropriate to resolve claims
Conduct investigations and assess policy coverage and compensability
Contact insureds, injured workers, medical providers, and other parties
Establish and update reserves and document claim-exposure rationale
Determine causal relatedness of medical conditions
Manage files for quality, timely contact, documentation, and proactive resolution
Coordinate return-to-work efforts and appropriate medical treatment with internal nurse resources
Collaborate with medical and legal specialty resources on claim resolution
Develop strategies involving statutory benefit entitlement, medical diagnoses, Medicare Set Asides, and structured settlements
Prepare necessary 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 closing or reassignment
Manage litigation toward optimal outcomes, including resolution of benefits
Understand and apply Medicare Set Asides and allocations
Negotiate claim settlements within designated authority
Perform other duties as assigned

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 for the ideal candidate
Analytical thinking and problem-solving skills
Clear and concise oral and written communication skills
Ability to present file resolutions to internal and external stakeholders
Intermediate negotiation skills
General insurance contract knowledge
Intermediate investigative skills, including taking statements
Intermediate value determination and reserve-setting skills
Intermediate settlement techniques
General legal knowledge applicable to the insurance industry
Intermediate medical knowledge of injuries, disability periods, and treatment
Intermediate understanding of Workers Compensation products and technology
Ability to work within jurisdictional parameters of the assigned state
Advanced customer service, teamwork, and planning and organizing skills
Maintain continuing education requirements mandated by state regulations
Insurance license(s) may be required; generally obtained within three months of starting and maintained with continuing education

Benefits

Comp & perks

Health insurance for employees and eligible family members from the first day of employment
Dollar-for-dollar 401(k) matching up to the first 5% of eligible pay, subject to an annual maximum
Paying it Forward Savings Program with annual 401(k) contributions for 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, caregiving support, free professional counseling services, and health coaching
Matching Gift and Volunteer Rewards program
Performance-based cash incentive awards