Workers Compensation Associate Claim Representative
About The Position
The Associate Claim Representative, Workers Compensation, receives comprehensive training in claim handling, customer service, and policy interpretation while working alongside experienced claim professionals. The role develops the skills and knowledge needed to manage workers compensation claims, with a training program that can typically last up to 12 months. After successful completion, the associate is prepared to handle claims independently and progress toward full claims-handling responsibility. The position involves assisting with claim review, investigation, documentation, evaluation, and resolution under close supervision. It also includes communicating with policyholders, claimants, witnesses, medical providers, legal counsel, and other parties; maintaining claim records; and coordinating medical treatment when appropriate to support an injured party’s return to work. The associate must obtain and maintain relevant insurance licenses within three months of starting.
Requirements
- High school diploma or GED.
- One year of customer service experience.
- Acquire and maintain relevant insurance licenses within three months of starting the job.
- Willingness to obtain an active adjuster license where required by state law.
- Proficiency in Microsoft Office, including Word, Excel, and Outlook.
- 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.
- Strong customer service skills and commitment to 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 productive discussions and negotiations.
- Openness to continuous learning.
Nice To Haves
- Bachelor’s degree.
- Previous internship or work experience in customer service or insurance.
Responsibilities
- Participate in structured training on insurance policies, claim processes, systems, and procedures through virtual, classroom, and on-the-job instruction.
- Assist with reviewing, investigating, and documenting Workers Compensation claims under close supervision.
- Investigate claims and develop and evaluate action plans for resolution.
- Assess coverage and determine whether claims are compensable, including evaluating potential fraud.
- Participate in telephonic and/or onsite file reviews.
- Learn to determine coverage, compensability, and exposure based on policy terms and claim facts.
- Gather information from policyholders, claimants, witnesses, and third-party providers.
- Communicate claim status to relevant parties, including business customers, injured employees, medical providers, and legal counsel.
- Maintain accurate records of claim activity in claim management systems.
- Support an injured party’s return to work when appropriate, including coordinating medical treatment with internal or external resources.
- 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 eligible employees and family members beginning on the first day of employment.
- Dollar-for-dollar 401(k) matching on contributions up to the first 5% of eligible pay, subject to an annual maximum.
- Paying it Forward Savings Program contributions to an employee’s 401(k) when the employee makes student loan payments.
- A 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 for wellness goals and caregiving needs.
- Mental health program offering 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
