Claim Operations Analyst

TravelersCharlotte, NC
Hybrid

About The Position

Under moderate supervision, this position, in partnership with claim professionals and leadership, is responsible for ensuring accurate financial controls and ensuring compliance with financial standards. Performs underlying financial controls, and assisting with validations or audits. Serves as subject matter expert to Claim Centers on operational services, processes and logistics/workflows. Reviews operational workflows, documents findings, and provides recommended solutions for improvement. Responsible for analyzing financial information and drawing conclusions to assist business with making decisions. Facilitate training and learning for team members. Mentor peers and assist with new hire selection through peer interviewing. Travelers offers a hybrid work location model that is designed to support flexibility.

Requirements

  • High School Diploma or GED.
  • 2 years of business experience, with a customer service focus.
  • Experience performing data analysis.

Nice To Haves

  • Bachelor's Degree.
  • Two years of business experience, with a customer service focus.
  • Demonstrated ability to partner with others.
  • Experience gathering, interpreting and analyzing data.
  • Experience utilizing computer technology such as Microsoft Office, e-mail, Web-enabled applications, and database software.
  • Travelers claim handling experience preferred.

Responsibilities

  • Performs underlying financial controls, and assisting with validations or audits.
  • Performs and analyzes compliance reviews to validate the effectiveness of financial controls, identifies trends and communicates findings to business partners (finance, product, field leadership).
  • Interprets and applies product workflow changes to financial reviews that they are completing.
  • Participates in, presents and explains reviews and trending analyses (that they have completed) during various types of audits and reviews with business and potentially external auditors.
  • Assesses the reasonableness of audited data as well as identifying discrepancies.
  • Validates data against regulatory standards.
  • Reviews controls against state regulatory requirements.
  • Researches state regulatory requirements.
  • Compiles accurate records from multiple sources and information management.
  • Uses management information data to create and analyze periodic ad hoc reports based on business needs.
  • Updates data discrepancies identified in reports and systems.
  • Completes budget analysis to identify trends in allocated and unallocated expenses.
  • Reviews operational workflows, documents findings, and provides recommended solutions for improvement.
  • Serves as subject matter expert to Claim Centers on operational services, processes and logistics/workflows.
  • May lead short-term and long-term projects related to Claim Center operations.
  • Leads operational and workflow projects.
  • Collaborates with peers locally and nationally to share knowledge on financial control processes and operational workflows.
  • Serves as a peer coach and mentor to Operations Specialists and provides feedback to management on developmental skill gaps and makes recommendations on training needs.
  • Provides input on hiring of Operations Specialists and Analysts.
  • Assists the Operations management team with the onboarding and orientation of new staff.
  • May help with developing workflow resources and training materials/guides.
  • Serves as a resource on new processes for Operations Specialists.
  • May serve as a member of the Enterprise Response Team or Immediate Response Team programs and may hold applicable state adjuster licenses.
  • Ensures the proper handling of financial transactions (including claim payments, outside vendor invoices, attorney expenses, and medical processing fees.
  • Processes and documents returned/voided checks and credits, ensuring timeliness and accuracy.
  • Perform other duties as assigned.

Benefits

  • Health Insurance
  • 401(k) matching
  • Pension Plan
  • Paid Time Off
  • Paid company Holidays
  • Wellness Program
  • Matching Gift and Volunteer Rewards program
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