Workers Compensation Associate Claim Representative

Travelers • Diamond Bar, CA

17h

About The Position

As an Associate Claim Representative in Workers Compensation, you will receive comprehensive training in claim handling, customer service, and policy interpretation while working alongside experienced claim professionals. The position develops the skills and knowledge needed to manage workers compensation claims. The training program typically lasts up to 12 months; after successful completion, you will be prepared to handle claims independently and progress toward full claims-handling responsibility.

Requirements

• High school diploma or GED.
• One year of customer service experience.
• Acquire and maintain relevant insurance license(s) within three months of starting, as required by state and Travelers’ requirements.
• Willingness to obtain an active adjuster license where required by state law.
• Proficiency in Microsoft Office, including Word, Excel, and Outlook, and willingness to learn claims management.
• Strong verbal and written communication skills.
• 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 claims for 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 positive outcomes by helping return injured parties to work when appropriate, including coordinating medical treatment with internal or external resources.
• Remain open 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.
• Perform other duties as assigned.

Benefits

• Health insurance coverage for eligible employees and family members from 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 a 401(k) for employees making student loan payments.
• A pension plan funded 100% by Travelers.
• At least 20 days of paid time off annually.
• Nine paid company holidays.
• Wellness tools, discounts, and resources, including support for caregiving needs.
• Free professional counseling, health coaching, and other mental health resources.
• Matching Gift and Volunteer Rewards program.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED