Claim Operations Specialist

Travelers • Buffalo, NY

3d • $46,600 - $76,800

About The Position

Under moderate supervision, the Claim Operations Specialist partners with claim professionals to assist customers. The position supports customer relationships, financial transactions, business information management, and other duties and projects. It does not manage others.

Requirements

• High school diploma or GED.
• At least 1 year of service-related work experience, or a bachelor's degree.
• Experience using computer technology such as Microsoft Office, email, web-enabled applications and database software.
• Accountability and ownership of actions, performance and results.
• Ability to analyze and compare information, understand issues and explore alternative solutions.
• Ability to remain focused amid ambiguity, change or strenuous demands.
• Verbal and written communication skills.
• Sound judgment and decision-making ability.
• Ability to build and maintain productive working relationships.

Nice To Haves

• Not specified.

Responsibilities

• Promptly and professionally address customer questions and concerns; triage and route callers and answer claim status and payment questions.
• Partner with claim professionals across departments to support timely claim resolution, including documenting claim files, requesting reports and records, reviewing medical bills, mail and wage statements, preparing documents for legal and medical reviews, reporting and assigning claims, and transitioning closed files to and from off-site storage.
• Receive, sort, scan and upload incoming mail; process outgoing mail; and order, receive and distribute supplies or equipment.
• Process and issue claim payments, including vendor invoices, attorney expenses and medical processing fees; document returned and voided checks and credits; and ensure check processing is timely and accurate.
• Maintain accurate records and information, prepare and review reports, update data discrepancies, use management information to prepare business or financial reports, and document pending and completed work in appropriate systems.
• Support claim center financial standards by performing controls, communicating findings, assessing data reasonableness and discrepancies, evaluating financial controls, and preparing data entries according to established standards.
• Perform other duties as assigned.

Benefits

• Health insurance coverage for eligible employees and family members from the first day of employment.
• 401(k) matching dollar-for-dollar on contributions up to the first 5% of eligible pay, subject to an annual maximum.
• Paying it Forward Savings Program contributions to an employee's 401(k) when the employee makes student loan payments.
• A pension plan funded 100% by Travelers.
• At least 20 days of paid time off annually and nine paid company holidays.
• Wellness program with tools, discounts and resources, including free professional counseling and health coaching.
• Matching Gift and Volunteer Rewards program.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED