Workers' Compensation Claims Associate — Hybrid Training

Insurance Journal; Wyomissing (Berks County); Hybrid; USD 53,000 - 87,000; Full time

Benefits offered by this job

Health Insurance

Retirement plan matching (401(k))

Paid Time Off

Wellness Program

Volunteer Encouragement

Job summary

Travelers is looking for an Associate Claim Rep, Workers Compensation, to begin with structured training in claims handling, customer service, and policy interpretation. The program lasts up to 12 months, after which you’ll handle claims with guidance, aiming for independent work and progression within the department.

The role emphasizes building knowledge in workers compensation, coverage evaluation, and collaboration with internal and external resources, with a hybrid work location model to

Qualifications

• Bachelor's Degree.
• Previous internship or work experience in customer service or insurance.
• Willingness to obtain an active adjuster license where required by state law.
• Proficient in Microsoft Office (Word, Excel, Outlook); willingness to learn claims management.
• Strong verbal and written communication skills with the ability to convey information clearly and professionally.

Responsibilities

• Actively participate in structured training classes covering insurance policies, specific 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 if a claim is compensable under Workers Compensation including evaluating claims for potential fraud.
• Participate in Telephonic and/or onsite File Reviews.
• Learn how 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 apprise all parties regarding claim status which may include our business customers, injured employees, medical providers, and legal counsel.
• Maintain accurate records of claim activity in claim management systems.
• Achieve a positive result by returning an injured party to work when appropriate. This may include coordinating medical treatment in collaboration with internal or external resources.
• Demonstrate openness to continuous learning, particularly in AI and digital transformation.
• Acquire and maintain relevant Insurance License(s) to comply with state and Travelers' requirements within three months of starting the job.
• Perform other duties as assigned.

Skills

Customer service

Insurance knowledge

Communication

Decision making

Attention to detail

Conflict resolution

Continuous learning

Education

Bachelor's Degree

High School Diploma or GED

Tools

Microsoft Office

Job description

Travelers is looking for an Associate Claim Rep, Workers Compensation, to begin with structured training in claims handling, customer service, and policy interpretation. The program lasts up to 12 months, after which you’ll handle claims with guidance, aiming for independent work and progression within the department.

The role emphasizes building knowledge in workers compensation, coverage evaluation, and collaboration with internal and external resources, with a hybrid work location model to