Auto First Party Medical Claim Representative Associate
About The Position
As an Associate Claim Rep, Auto First Party Medical (FPM), you will receive comprehensive training in claim handling, customer service, and policy interpretation while working alongside experienced claim professionals. The role focuses on developing the skills and knowledge needed to manage first party medical claims, such as personal injury protection and medical payment benefits. It is the first step toward becoming a fully qualified Claims Representative. The program typically lasts 9–12 months; upon successful completion, you will have the skills needed to handle claims independently and progress toward full claims-handling responsibility.
Requirements
- High school diploma or GED.
- One year of customer service experience.
- Willingness to obtain an active adjuster license where required by state law.
Nice To Haves
- Bachelor’s degree.
- Previous internship or work experience in customer service or insurance.
- Proficiency in Microsoft Office (Word, Excel, Outlook) and willingness to learn claims management.
- Strong verbal and written communication skills, with the ability to convey information clearly and professionally.
- Ability to exercise sound judgment and make effective decisions within established authority.
- Exceptional customer service skills and commitment to providing a positive experience for insureds and claimants.
- Attention to detail and organizational skills, including the ability to manage multiple tasks and prioritize effectively.
- Basic conflict resolution skills and willingness to learn techniques for facilitating productive discussions and negotiations.
- Demonstrated openness to continuous learning.
Responsibilities
- Actively participate in structured training classes covering specific claim processes, systems, and procedures, including virtual, classroom, and on-the-job training.
- Assess coverage to determine compensability and evaluate claims for potential fraud.
- Investigate claims by gathering information from policyholders and medical providers.
- Develop and execute action plans for effective claim resolution.
- Communicate claim status to all parties, including business customers, injured employees, medical providers, and legal counsel.
- Maintain accurate records of claim activity in claim management systems.
- Demonstrate openness to continuous learning, particularly in AI and digital transformation.
- Acquire and maintain relevant insurance licenses to comply with state and Travelers’ requirements within three months of starting the job.
- Perform other duties as assigned.
Benefits
- Health insurance coverage for employees and eligible family members from the first day of employment.
- Dollar-for-dollar 401(k) contribution matching up to the first 5% of eligible pay, subject to an annual maximum.
- Paying it Forward Savings Program contributions to employees’ 401(k) accounts when they make student loan payments.
- Pension Plan funded 100% by Travelers.
- A minimum of 20 days of paid time off annually.
- Nine paid company holidays.
- Wellness program with tools, discounts, and resources.
- Mental health program with access to free professional counseling services, health coaching, and other resources.
- Matching Gift and Volunteer Rewards program.
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
