Auto First Party Medical Claim Representative Associate

About the Role

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. This position focuses on developing your skills and knowledge to successfully manage first party medical claims, such as personal injury protection and medical payment benefits. This position is the first step toward becoming a fully qualified Claims Representative. This program is typically 9-12 months and upon successful completion of this program you will have the skills needed to handle claims independently and progress toward full claims handling responsibility.

What Will You Do?

• 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 by gathering information from policyholders, and medical providers.
• Develop, and execute action plans for effective claim resolution.
• Communicate and apprise all parties regarding claim status, 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 License(s) to comply with state and Travelers’ requirements within three months of starting the job.
• Perform other duties as assigned.

Requirements & Tech Stack

• High School Diploma or GED
• One year of customer service experience
• Willingness to obtain an active adjuster license where required by state law.
• Proficient in Microsoft Office (Word, Excel, Outlook)
• Willingness to learn claims management systems.
• Strong verbal and written communication skills
• Ability to exercise sound judgement and make effective decisions
• Exceptional customer service skills
• Attention to detail and organizational skills
• Ability to manage multiple tasks and prioritize effectively.
• Basic conflict resolution skills
• Demonstrated openness to continuous learning.

Qualifications

• Bachelor’s Degree
• Previous internship or work experience in customer service or insurance.

What is in It for You?

• Health Insurance: Eligible from the first day of employment.
• Retirement: Travelers matches 401(k) contributions up to 5%; offers Paying it Forward Savings Program for student loan debt; includes a 100% Travelers-funded Pension Plan.
• Paid Time Off: Minimum of 20 days annually, plus nine paid company Holidays.
• Wellness Program: Tools, discounts, resources, and mental health program with free professional counseling, health coaching, and support resources.
• Volunteer Encouragement: Matching Gift and Volunteer Rewards program.