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 prioritize the well-being of our customers, communities, and each other. This commitment, known as the Travelers Promise, has helped us maintain our reputation as one of the leading property casualty insurers for over 160 years. We invite you to explore a culture founded on innovation and collaboration. Imagine loving what you do and where you do it.

Compensation Overview

The salary range for this position reflects a national market and varies based on factors like role complexity, location, and candidate qualifications. In addition to a competitive base salary, employees may also qualify for performance-based cash incentives.

Salary Range: $42,800.00 – $70,600.00

Target Openings: 1

What Is the Opportunity?

This entry-level position involves completing a formal training program to advance to a Claim Representative – Auto First Party Medical role. You will develop skills in investigating, evaluating, negotiating, and resolving First Party Medical claims for less complex cases. Quality claim handling is essential throughout the entire claim life cycle, ensuring compliance with internal and external standards and state regulations. An online pre-employment assessment is part of the hiring process, with accommodation options available if needed.

Travelers supports a hybrid work model to promote flexibility.

What Will You Do?

Complete a comprehensive training program, including online, virtual, classroom, and on-the-job training. Travel may be required.
Engage in ongoing training for the inside auto business.
Collaborate with your Unit Manager or mentor to resolve assigned claims promptly.
Deliver consistent service quality throughout the claim life cycle, including customer communication, coverage explanation, and follow-through.
Analyze coverage and apply policy conditions, verifying eligibility and limits.
Investigate claims to gather necessary facts regarding coverage, causation, damages, and medical necessity.
Establish and maintain appropriate claim reserves, managing file inventory effectively.
Negotiate settlements within authority limits and manage medical treatment and expenses related to claims.
Acquire and maintain necessary insurance licenses as required by state and Travelers regulations, typically within three months of starting the role.
Perform other duties as assigned.

What Will Our Ideal Candidate Have?

A Bachelor’s Degree preferred, or a minimum of 2 years of customer service experience.
A customer-centric attitude and ownership of tasks.
Strong organizational skills and the ability to work independently.
Attention to detail and accuracy.
Proficiency in keyboard skills and Windows applications, including Excel and Word (intermediate level).
Intermediate verbal and written communication skills.
Basic analytical thinking and 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: Eligible from day one for employees and their families.
Retirement: 401(k) match of dollar-for-dollar up to 5% of eligible pay, along with a fully funded pension plan. Options for student loan debt contributions are also available.
Paid Time Off: Start with a minimum of 20 days off annually, plus nine paid holidays.
Wellness Program: Access to tools and resources to support your wellness goals, including mental health services.
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 key to delivering exceptional 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.

If you have specific questions regarding the physical requirements of this role, please reach out to us 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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