Claim Operations Specialist

Travelers • Buffalo, NY

2d

About The Position

Under moderate supervision, the Claim Operations Specialist partners with claim professionals to assist customers. The role includes building customer relationships, completing financial transactions, updating and managing business information, and handling other duties and projects. This position does not manage others.

The specialist supports customer service, claim operations, payments and expense processing, data and information management, and financial controls. This may involve answering customer questions, assisting claim professionals with timely claim resolution, processing payments, preparing reports, maintaining accurate records, and assessing financial controls. The role may require occasionally lifting items up to 20 pounds.

Requirements

• High school diploma or GED.
• One 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.
• Verbal and written communication skills.
• Ability to analyze and compare information to understand issues and explore alternative solutions.
• Ability to exercise sound judgment and make decisions.
• Ability to build and maintain productive working relationships.
• Ability to take ownership and responsibility for actions, outcomes, performance, and results.
• Ability to remain energized and focused amid ambiguity, change, or strenuous demands.

Responsibilities

• Promptly and professionally address customer questions and concerns, triage and route callers, and answer claim status and payment questions.
• Partner with claim professionals in multiple departments to support timely claim resolution.
• Document claim files, including notes and diaries; request reports and records; and review medical bills, mail, and wage statements.
• Print and prepare claim documents for legal and medical reviews.
• Report and assign claims, and transition closed files to and from off-site storage.
• Receive, sort, scan, and upload incoming mail, and process outgoing mail.
• Order, receive, and distribute supplies and equipment.
• Process and issue claim payments, including outside vendor invoices, attorney expenses, and medical processing fees.
• Process and document returned checks, voided checks, and credits; ensure check processing is timely and accurate.
• Prepare, generate, and review reports using appropriate technology; update data discrepancies in reports and systems.
• Use management information data to prepare line-of-business or financial reports, and prepare operational reports for claim professionals and managers.
• Accurately document pending and completed work activities using appropriate systems.
• Perform underlying controls, communicate findings, assess data reasonableness, identify discrepancies, perform reconciliations, and assess the effectiveness of financial controls.
• Prepare data entries in accordance with established standards.
• Perform other duties as assigned.

Benefits

• Health insurance coverage for employees and eligible family members from the first day of employment.
• Dollar-for-dollar 401(k) match on contributions up to the first 5% of eligible pay, subject to an annual maximum.
• Paying it Forward Savings Program, with an annual Travelers contribution to the employee's 401(k) when the employee makes a student loan payment.
• Pension Plan funded 100% by Travelers.
• Minimum of 20 days of paid time off annually.
• Nine paid company holidays.
• Wellness program with tools, discounts, and resources for wellness and caregiving needs.
• Mental health program offering free professional counseling, health coaching, and other resources.
• Matching Gift and Volunteer Rewards program.

What This Job Offers

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