First Party Medical Claim Rep Trainee

Freshers years

$42,800.00 - $70,600.00

Wyomissing

10 Oct. 23, 2024

Job Description

Job Type: Full Time Education: B.Sc./ M.Sc./ M.Pharm/ B.Pharm/ Life Sciences Skills: Causality Assessment, Clinical SAS Programming, Communication Skills, CPC Certified, GCP guidelines, ICD-10 CM Codes, CPT-Codes, HCPCS Codes, ICD-10 CM, CPT, HCPCS Coding, ICH guidelines, ICSR Case Processing, Interpersonal Skill, Labelling Assessment, MedDRA Coding, Medical Billing, Medical Coding, Medical Terminology, Narrative Writing, Research & Development, Technical Skill, Triage of ICSRs, WHO DD Coding

Who Are We?

At Travelers, we are dedicated to taking care of our customers, communities, and each other. This commitment, known as the Travelers Promise, has established our reputation as one of the leading property casualty insurers for over 160 years. Join us to explore a culture that emphasizes innovation and thrives on collaboration. Imagine loving what you do and where you do it.

Job Category

Claim

Compensation Overview

The annual base salary range for this position reflects a nationwide market and varies based on several factors, including role complexity, location, and the candidate's qualifications. Employees are also eligible for performance-based cash incentive awards as part of our comprehensive compensation and benefits program.

Salary Range: $42,800.00 - $70,600.00
Target Openings: 1

What Is the Opportunity?

This entry-level position requires satisfactory completion of a formal training program to advance to the Claim Representative – Auto First Party Medical role. You will develop skills in investigating, evaluating, negotiating, and resolving First Party Medical claims of lesser value and complexity. Quality claim handling is essential throughout the claim life cycle, ensuring compliance with internal and external quality standards and state-specific regulations. An online pre-employment assessment is part of the hiring process, with accommodations available if needed.

Travelers offers a hybrid work location model to support flexibility.

What Will You Do?

Complete a required training program that includes online, virtual, classroom, and on-the-job training. Travel may be necessary.
Engage in ongoing training sessions for the inside auto business.
Collaborate with your Unit Manager or mentor to resolve assigned claims promptly.
Customer Contacts/Experience: Provide consistent service quality throughout the claim life cycle, including prompt contact, explaining processes, setting expectations, ongoing communication, and follow-through.
Coverage Analysis: Review and analyze coverage, applying policy conditions and verifying benefits, eligibility, and limits.
Investigation/Evaluation: Investigate claims to gather necessary facts regarding coverage, causation, damages, and medical necessity, including wage loss and essential services claims.
Reserving: Establish and maintain timely claim and expense reserves to reflect overall claim exposure.
Negotiation/Resolution: Determine settlement amounts, negotiate claims, and manage correspondence with insureds and claimants.
Insurance License: Acquire and maintain necessary insurance licenses within three months of starting, completing ongoing continuing education as required.
Perform other duties as assigned.

What Will Our Ideal Candidate Have?

Bachelor’s Degree preferred or a minimum of 2 years of work or customer service-related experience.
A customer-centric attitude and ownership of tasks.
Strong organizational skills with the ability to prioritize and work independently.
Attention to detail ensuring accuracy.
Proficiency in keyboard skills and Windows applications, including Excel and Word (intermediate level).
Intermediate verbal and written communication skills.
Basic analytical thinking and judgment/decision-making skills.

What is a Must Have?

High School Diploma or GED and one year of customer service experience, or a Bachelor’s Degree.

What Is in It for You?

Health Insurance: Coverage for employees and eligible family members from day one.
Retirement: 401(k) matching contributions up to 5% of eligible pay and access to a fully funded pension plan. Options for student loan debt contributions are available.
Paid Time Off: Start with a minimum of 20 days of Paid Time Off annually, plus nine paid holidays.
Wellness Program: Access to tools, discounts, and resources to support your wellness and mental health needs.
Volunteer Encouragement: Opportunities to engage with your community through our Matching Gift and Volunteer Rewards programs.

Employment Practices

Travelers is an equal opportunity employer. We believe that a diverse workforce is essential for delivering the best products and services. We are committed to fostering an inclusive environment where differences are celebrated, promoting belonging, and working together for extraordinary results.

Candidates in Colorado are not required to disclose educational dates in accordance with local law.

If you have specific questions regarding the physical requirements of this role, please reach out for assistance.

Travelers reserves the right to fill this position at a level above or below the one listed.

To learn more about our benefits, please visit Travelers Benefits.

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