Claim Operations Specialist

Travelers • Atlanta, GA

1d • $46,600 - $76,800

About The Position

Under moderate supervision, the Claim Operations Specialist partners with claim professionals to assist customers. The role builds customer relationships, completes financial transactions, updates and manages business information, and handles additional duties and projects. This position does not manage others.

Requirements

• High school diploma or GED.
• At least 1 year of service-related work experience, or a bachelor's degree.
• Ability to use computer technology such as Microsoft Office, email, web-enabled applications, and database software.
• Accountability and ownership of actions, outcomes, performance, and results.
• Analytical thinking, including the ability to 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.
• Sound judgment and decision-making ability.
• Ability to build and maintain productive working relationships to meet goals and achieve results.

Nice To Haves

• Experience using Microsoft Office, email, web-enabled applications, and database software.

Responsibilities

• Promptly and professionally address customer questions and concerns; triage and route callers to the appropriate department and answer claim status and payment questions.
• Partner with claim professionals across departments to help resolve claims in a timely manner.
• 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.
• Order, receive, and distribute supplies and/or 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 identified 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 in appropriate systems.
• Assist with claim center financial standards by performing underlying controls, communicating findings, assessing data reasonableness and discrepancies, including reconciliations, assessing financial-control effectiveness, and preparing data entries in accordance with established standards.
• Perform other duties as assigned.

Benefits

• Health insurance for employees and eligible family members, including spouses, domestic partners, and children, beginning on the first day of employment.
• Dollar-for-dollar 401(k) matching 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 support for wellness goals and caregiving needs.
• Free professional counseling services, health coaching, and other mental health 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