- Customer Contacts/Experience:
- Delivers consistent service quality throughout the claim life cycle, including but not limited to prompt contact, explaining the process, setting expectations, on-going communication, follow-through and meeting commitments to achieve optimal outcome on every file. Fulfills specific service commitments made to certain accounts, as outlined in Special Account Communication (SAC).
- Coverage Analysis:
- Reviews and analyzes coverage and applies policy conditions, provisions, exclusions and endorsements for assigned jurisdictions. Verifies the benefits available, the injured party's eligibility and the applicable limits. Addresses proper application of any deductibles, co-insurance, coverage limits, etc. Confirms priority of coverage ( primary, secondary, concurrent) and takes into consideration other issues such as Social Security, Workers Compensation or others relevant to the jurisdiction.
- Investigation/Evaluation:
- Investigates each claim to obtain relevant facts necessary to determine coverage, causation/damages, medical necessity, treatment plan, damages, and exposure with respect to the various coverages provided through prompt contact with appropriate parties ( policyholders, medical providers and technical experts). This may also include investigation of wage loss and essential services claims. Takes recorded statements as necessary.
- Proactively manages medical treatment based on the nature and extent of injury, mechanism of injury, type of treatment received or anticipated, and wage loss through case management and use of medical resources as needed. Proactively manages the process to ensure proper payment, ( review medical bills and medical records for appropriateness of billing/fees and the services rendered ensuring that all records have a determination of medical necessity and causal relationship to the loss).
- Reserving:
- Establishes timely and maintains appropriate claim and expense reserves to reflect the overall claim exposure. Manages file inventory and expense reserves by utilizing an effective diary system, documenting claim file activities to resolve claim in a timely manner.
- Negotiation/Resolution:
- Determines settlement amounts, negotiates and conveys claim settlements within authority limits to insureds and claimants. As appropriate, writes denial letters, Reservation of Rights and other necessary correspondence to insureds and claimants.
- May handle litigated files on appropriately assigned cases. Develops resolution plan with staff or panel counsel, and track and control legal expenses; Reviews conciliations and prepares submissions for arbitration and/or mediation hearings. May also attend arbitrations as Company witness.
- Insurance License:
- In order to perform the essential functions of this job, acquisition and maintenance of Insurance License(s) may be required to comply with state and Travelers requirements. Generally, license(s) must be obtained within three months of starting the job and obtain ongoing continuing education credits as mandated.
- Perform other duties as assigned.
- Prior Auto First Party Medical experience preferred.
- Knowledge of medical terminology preferred.
- Demonstrated ownership attitude and customer centric response to all assigned tasks.
- Attention to detail ensuring accuracy.
- Ability to work in a high volume, fast paced environment managing multiple priorities.
- Keyboard skills and Windows proficiency, including Excel and Word - Intermediate
- Verbal and written communication skills - Intermediate
- Analytical Thinking: Intermediate.
- Judgment/Decision Making: Intermediate.
- Negotiation: Intermediate.
- Insurance Contract Knowledge: Intermediate.
- Principles of Investigation: Intermediate.
- Value Determination: Intermediate.
- Settlement Techniques: Intermediate.
- Legal Knowledge: Basic.
- Medical Knowledge: Intermediate.
- High School Degree or GED with a minimum of one year auto claim handling experience or successful completion of Travelers Claim Representative training program required.
- 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 and resources that empower you to achieve your wellness goals. In addition, our Life Balance program provides access to professional counseling services, life coaching and other resources to support your daily life needs. Through Life Balance, you're eligible for five free counseling sessions with a licensed therapist.
- 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.
-
Claim Representative Auto, FPM Investigator
2 weeks ago
020 Travelers Indemnity Co Melville, United States Full timeWho Are We? · Taking care of our customers, our communities and each other. That's the Travelers Promise. By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 160 years. Join us to discover a cultu ...
-
Inside Property Claim Representative
3 days ago
VetJobs Melville, United StatesJob Description · ATTENTION MILITARY AFFILIATED JOB SEEKERS - Our organization works with partner companies to source qualified talent for their open roles. The following position is available to Veterans, Transitioning Military, National Guard and Reserve Members, Military Spou ...
-
Claim Representative Trainee, Auto
2 weeks ago
The Travelers Companies Inc. Melville, NY, United StatesWho Are We?Taking care of our customers, our communities and each other. Thats the Travelers Promise. By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 160 years. Join us to discover a culture tha ...
-
Claims- Field Claims Representative
2 weeks ago
The Cincinnati Insurance Companies Fairfield, United States-() Description Refer a friend for this job · Refer a friend Refer a candidate · Submit a candidate's profile ...
-
Claims- Field Claims Representative
1 week ago
Cincinnati Insurance Company, Inc. Stamford, United States: · Make a difference with a career in insuranceAt The Cincinnati Insurance Companies, we put people first and apply the Golden Rule to our daily operations. To put this into action, we're looking for extraordinary people to join our talented team. Our service-oriented, ethical, ...
-
The Travelers Companies Inc. Melville, United StatesWho Are We? · Taking care of our customers, our communities and each other. Thats the Travelers Promise. By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 160 years. Join us to discover a culture ...
-
THE TRAVELERS INDEMNITY COMPANY Melville, United StatesWho Are We? · Taking care of our customers, our communities and each other. That's the Travelers Promise. By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 160 years. Join us to discover a cultur ...
-
Claim Representative Auto FPM Investigator
2 weeks ago
Travelers Insurance Melville, United States OTHERWho Are We? · Taking care of our customers, our communities and each other. That's the Travelers Promise. By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 160 years. Join us to discover a culture ...
-
Claim Representative Auto, Fpm Investigator
3 weeks ago
The Travelers Companies, Inc. Melville, United StatesWho Are We? · - Taking care of our customers, our communities and each other. That's the Travelers Promise. By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 160 years. Join us to discover a cultu ...
-
The Travelers Companies, Inc. Melville, United StatesWho Are We? · Taking care of our customers, our communities and each other. Thats the Travelers Promise. By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 160 years. Join us to discover a culture ...
-
Travelers Insurance Melville, United States OTHERWho Are We? · Taking care of our customers, our communities and each other. That's the Travelers Promise. By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 160 years. Join us to discover a culture ...
-
Recovery Claims Representative
3 weeks ago
Alacrity Solutions Bohemia, United StatesAlacrity Solutions · SUBROGATION RECOVERY REPRESENTATIVE · About Alacrity Solutions: · Alacrity Solutions is a full end-to-end provider delivering streamlined insurance claims, repair, and recovery solutions. As one of the largest independent providers of insurance claims ser ...
-
Auto Field Claim Representative I,II, SR
2 weeks ago
National General Insurance Brooklyn, United StatesJob Description · Job Summary: · This role utilizes analytical skills to create a comprehensive estimate of damages for 1st and 3rd party material damage claims leading to the proper disposition. · Location: · Positions will primarily services Brooklyn/Bronx/Queens markets and ...
-
Major Case Specialist, GL
2 weeks ago
020 Travelers Indemnity Co Melville, United States Full timeWho Are We? · Taking care of our customers, our communities and each other. That's the Travelers Promise. By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 160 years. Join us to discover a cultu ...
-
Field Training Manager
3 days ago
020 Travelers Indemnity Co Melville, United States Full timeWho Are We? · Taking care of our customers, our communities and each other. That's the Travelers Promise. By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 160 years. Join us to discover a cultu ...
-
Accounts Receivable Representative II
3 weeks ago
North American Partners In Anesthesia Melville, United StatesMelville,NY - USA · Position Requirements · Under the direct supervision of the Collections Supervisor or Manger, the Accounts Receivable Representative II is responsible for effective and efficient accounts receivable management of assigned payers. Collections efforts on outst ...
-
A/R Specialist
1 week ago
LHH Recruitment Solutions Huntington Station, United StatesThe AR Insurance Follow-up Specialist is responsible for managing and resolving outstanding insurance balances for physician billing. · This role involves: · Ensuring timely and accurate follow-up with insurance companies, · Analyzing and appealing denied claims, and · Maintain ...
-
Revenue Cycle Customer Service Representative
3 weeks ago
Professional Physical Therapy Melville, United StatesJob Description · Job DescriptionThe Revenue Cycle Customer Service Representative is responsible for providing support to staff within the RCO in Customer Service, Billing, AR follow up and more The Special Project Specialist must be able to identify and rectify potential proble ...
-
Insurance Follow Up Representative
1 day ago
Medix Melville, United StatesSchedule/Shift · Monday - Friday: either 8-4/830-430/9-5 , open to candidates taking any shift but wants them to stick with it (occasional one offs of taking a different shift for appts, ect. is fine) · Overview: · -Performs follow up on all outstanding accounts assigned in ac ...
-
Senior Accountant
3 weeks ago
MDD Forensic Accountants Melville, United StatesSENIOR ACCOUNTANT · Matson, Driscoll & Damico LLP · Status: Full Time, Salary · Reports to: Partners · Location: Melville, New York · About the Company · Tracing its roots back to 1933, MDD is one of the world's top forensic accounting firms specializing in economic damage quanti ...
Auto FPM Claim Representative - Melville, United States - Travelers
Description
Who Are We?
Taking care of our customers, our communities and each other. That's the Travelers Promise. By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 160 years. Join us to discover a culture that is rooted in innovation and thrives on collaboration. Imagine loving what you do and where you do it.
Job Category
ClaimCompensation Overview
The annual base salary range provided for this position is a nationwide market range and represents a broad range of salaries for this role across the country. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment. As part of our comprehensive compensation and benefits program, employees are also eligible for performance-based cash incentive awards.
Salary Range
$57, - $94,Target Openings
2What Is the Opportunity?
This position is responsible for handling Personal and Business Insurance First Party Medical claims from the first notice of loss through resolution/settlement and payment process. This may include applying laws and statutes for multiple state jurisdictions. Provides quality claim handling throughout the claim life cycle (customer contacts, coverage, investigation, evaluation, reserving, negotiation and resolution) including maintaining full compliance with internal and external quality standards and state specific regulations.What Will You Do?
What Will Our Ideal Candidate Have?
What is a Must Have?
What Is in It for You?
Employment Practices
Travelers is an equal opportunity employer. We believe that we can deliver the very best products and services when our workforce reflects the diverse customers and communities we serve. We are committed to recruiting, retaining and developing the diverse talent of all of our employees and fostering an inclusive workplace, where we celebrate differences, promote belonging, and work together to deliver extraordinary results.
