Claim Operations Specialist

Travelers • Hartford, CT

3d

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 operational duties and projects. This position does not manage others.

The specialist serves as a customer service representative for the claim department, assists claim professionals across departments with claim resolution, processes claim payments and expenses, maintains accurate records and reports, and supports claim-center financial controls. The role may require occasionally lifting items weighing up to 20 pounds.

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.
• Verbal and written communication skills.
• Ability to analyze and compare information, 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 questions about claim status and payments.
• 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 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 in reports and systems; 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 using appropriate systems.
• Perform underlying financial controls, communicate findings, assess data reasonableness, identify discrepancies, perform reconciliations, assess financial control effectiveness, and prepare data entries according to established standards.
• Perform other duties as assigned.

Benefits

• Health insurance coverage for eligible employees and family members 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, through which Travelers makes an annual 401(k) contribution when an employee makes a payment toward student loan debt.
• A pension plan funded 100% by Travelers.
• At least 20 days of paid time off annually.
• Nine paid company holidays.
• Wellness program with tools, discounts, and resources for wellness goals and caregiving needs.
• Mental health program with access to 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