Claim Operations Specialist

Travelers•Centennial, CO
•$46,600 - $76,800

About The Position

Under moderate supervision, the Claim Operations Specialist partners with claim professionals to assist customers. The role supports customer relationships, financial transactions, business information management, and other duties and projects. This position does not manage others. The position serves as a customer service representative for the claim department, supports timely claim resolution across multiple departments, processes claim payments and expenses, maintains accurate records and reports, and assists with claim center financial controls. The posting states that Travelers anticipates it will remain open until 11/20/2026.

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

Responsibilities

  • Promptly and professionally address customer questions and concerns, route callers to appropriate departments, 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; process outgoing mail; and 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, ensuring check processing is timely and accurate.
  • Prepare, generate, and review reports using appropriate technology; update data discrepancies; and use management information data to prepare line-of-business or financial reports.
  • Prepare operational reports for claim professionals and managers and accurately document pending and completed work in appropriate systems.
  • Perform underlying financial controls, communicate findings, assess data reasonableness and discrepancies, including reconciliations, assess financial control effectiveness, and prepare data entries according to 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, through which Travelers makes an annual 401(k) contribution when an employee makes a student loan payment.
  • 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, resources, and access to caregiving support.
  • Free professional counseling services, health coaching, and other mental health resources.
  • Matching Gift and Volunteer Rewards program.
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