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.

Previous internship or work experience in insurance, finance, or customer service.
Strong attention to detail and organizational skills.
Ability to manage multiple tasks and prioritize effectively.
Exceptional customer service skills and a commitment to providing a positive experience for insureds and claimants.
Ability to exercise sound judgement and make effective decisions.
Strong verbal and written communication skills with the ability to convey information clearly and professionally.
High School Diploma or GED.
One year of customer service experience OR Bachelor’s Degree.

Health Insurance : Employees and their eligible family members – including spouses, domestic partners, and children – are eligible for coverage from the first day of employment.
Retirement: Travelers matches your 401(k) contributions dollar-for-dollar up to your first 5% of eligible pay, subject to an annual maximum.
If you have student loan debt, you can enroll in the Paying it Forward Savings Program.
When you make a payment toward your student loan, Travelers will make an annual contribution into your 401(k) account.
You are also eligible for a Pension Plan that is 100% funded by Travelers.
Paid Time Off: Start your career at Travelers with a minimum of 20 days Paid Time Off annually, plus nine paid company Holidays.
Wellness Program: The Travelers wellness program is comprised of tools, discounts and resources that empower you to achieve your wellness goals and caregiving needs.
In addition, our mental health program provides access to free professional counseling services, health coaching and other resources to support your daily life needs.
Volunteer Encouragement: We have a deep commitment to the communities we serve and encourage our employees to get involved. Travelers has a Matching Gift and Volunteer Rewards program that enables you to give back to the charity of your choice.

Workers Compensation Claim Representative

Key skills