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Travelers

Insures homes, cars and businesses through agents

Workers Compensation Associate Claim Representative

Claims AdjudicationUpdated on Nov 5
Full-timeDiamond Bar, CA, USAHybrid

About the Job

Requirements

  • A high school diploma or GED and one year of customer service experience are required.
  • A Bachelor's degree is preferred.
  • Previous internship or work experience in customer service or insurance is preferred.
  • The candidate must be willing to obtain an active adjuster license where required by state law.
  • The candidate must be proficient in Microsoft Office, including Word, Excel, and Outlook, and willing to learn claims management.
  • The candidate must be able to exercise sound judgment and make effective decisions within established authority.
  • The candidate should have strong verbal and written communication skills to convey information clearly and professionally.
  • The candidate should demonstrate customer service skills and a commitment to providing a positive experience for insureds and claimants.
  • The candidate should have attention to detail and organizational skills, and be able to manage multiple tasks and prioritize effectively.
  • The candidate should have basic conflict resolution skills and be willing to learn techniques for facilitating productive discussions and negotiations.
  • The candidate must demonstrate openness to continuous learning.
  • The candidate must acquire and maintain relevant insurance licenses to comply with state and Travelers’ requirements within three months of starting the job.

Responsibilities

  • Participate in structured training classes covering insurance policies, claim processes, systems, and procedures, including virtual, classroom, and on-the-job training.
  • Assist in reviewing, investigating, and documenting workers compensation claims under close supervision.
  • Investigate, develop, and evaluate action plans for claim resolution.
  • Assess coverage and determine whether a claim is compensable under workers compensation, 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 and provide claim-status updates to business customers, injured employees, medical providers, and legal counsel.
  • Maintain accurate records of claim activity in claim management systems.
  • Help return injured parties to work when appropriate, including coordinating medical treatment in collaboration with internal or external resources.
  • Demonstrate openness to continuous learning, particularly in artificial intelligence and digital transformation.
  • Perform other duties as assigned.

About the Company

Travelers

Insures homes, cars and businesses through agents

Travelers insures businesses, homeowners and drivers, mostly in the United States, with smaller operations in the United Kingdom and Ireland. Its Business Insurance unit covers companies of every size with policies such as workers' compensation, commercial property and commercial auto, while Bond & Specialty Insurance covers executive liability, cyber and fidelity risks. Personal Insurance protects individuals' homes, cars and valuables. Travelers sells mostly through independent agents and brokers, and it earns money from premiums and from investing the reserves it holds to pay future claims. The company traces its roots to 1853 and is headquartered in New York City.

Company size
10,001+
Company stage
IPO
Headquarters
New York City, New York
Founded
1853

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