Claim Processor Jobs in California (NOW HIRING)

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Job Category
Claim
Compensation 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
$52,600.00 - $86,800.00
Target Openings
2
What Is the Opportunity?
As an Associate Claim Rep, Workers Compensation, 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 workers compensation claims. This program can typically last up to 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 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.
Additional Qualifications/Responsibilities
What Will Our Ideal Candidate Have?
Bachelor's Degree.
Previous internship or work experience in customer service or insurance.
Willingness to obtain an active adjuster license where required by state law.
Proficient in Microsoft Office (Word, Excel, Outlook); willingness to learn claims management.
Strong verbal and written communication skills with the ability to convey information clearly and professionally.
Ability to exercise sound judgement and make effective decisions within established authority.
Exceptional customer service skills and commitment to providing a positive experience for insureds and claimants.
Attention to detail and organizational skills; ability to manage multiple tasks and prioritize effectively.
Basic conflict resolution skills; willingness to learn techniques for facilitating productive discussions and negotiations.
Demonstrated openness to continuous learning.
What is a Must Have?
High School Diploma or GED and one year of customer service experience.