Claim Operations Specialist

Travelers • Phoenix, AZ

11d • $45,400 - $74,900

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.

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.
• May occasionally need to lift items weighing up to 20 pounds.

Nice To Haves

• Accountability and ownership of actions, outcomes, performance, and results.
• Analytical thinking and 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.

Responsibilities

• Promptly and professionally address customer questions and concerns, triage and route callers to appropriate departments, 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, and preparing documents for legal and medical review.
• Report and assign claims, transition closed files to and from off-site storage, process incoming and 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 accurate and timely check processing.
• Maintain accurate records and information, prepare and review reports, correct data discrepancies, 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 control effectiveness, 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.
• Dollar-for-dollar 401(k) matching 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.
• 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 caregiving support.
• Access to free professional counseling, 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