Claim Operations Specialist

Claim Representative

Under moderate supervision, this position is responsible for partnering with claim professionals to assist customers. Responsibilities within the team include building customer relationships, completing financial transactions, updating and managing important business information, and handling numerous other duties and projects. This position does not manage others. As part of the hiring process, this position requires the completion of an online pre-employment assessment. Further information regarding the assessment including an accommodation process, if needed, will be provided at such time as your candidacy is deemed appropriate for further consideration.

What Will You Do?

• CUSTOMER ENGAGEMENT : Serves as a customer service representative for the claim department by promptly and professionally addressing customer questions and concerns, which may include : Triage and route callers to the appropriate department; Answers claim status and payment questions.
• CLAIM OPERATIONAL SERVICE AND PARTNERSHIPS : Partners with claim professionals in multiple departments to assist with the timely resolution of claims, which may include : Properly documents claim files, including notes and diaries, Requests reports and records, and reviews medical bills, mail and wage statements. Prints and prepares claim documents for legal and medical reviews. Reports and assigns claims, and transitions closed files to and from off-site storage. Receives, sorts, scans, and uploads incoming mail, and processes out-going mail. Orders, receives and distributes supplies and / or equipment.
• CLAIM PAYMENTS AND EXPENSE PROCESSING : Ensures the proper handling of financial transactions to include : Processes and issues claim payments including outside vendor invoices, attorney expenses, and medical processing fees. Processes and documents returned checks, voided checks and credits. Ensures timeliness and accuracy of all check processing.
• DATA AND INFORMATION MANAGEMENT : Maintains accurate records and information management, such as : Prepares, generates and reviews reports using the most effective technology. Updates data discrepancies identified in reports and systems. Uses management information data to prepare line of business or financial reports. Prepares operational reports for claim professionals and managers. Accurately documents pending and completed work activities using appropriate systems.
• FINANCIAL CONTROLS AND ASSESSMENTS : Assists with claim center financial standards, including : Performs underlying controls and effectively communicates findings. Assesses the reasonableness of data as well as identifying discrepancies, including reconciliations. Assesses the effectiveness of financial controls. Prepares data entries in accordance with established standards.
• May require lifting items up to 20 pounds (occasionally).
• Perform other duties as assigned.

What Will Our Ideal Candidate Have?

What Is a Must Have?

What Is in It for You?

Employment Practices

Travelers is an equal opportunity employer. We value the unique abilities and talents each individual brings to our organization and recognize that we benefit in numerous ways from our differences.

In accordance with local law, candidates seeking employment in Colorado are not required to disclose dates of attendance at or graduation from educational institutions.

If you are a candidate and have specific questions regarding the physical requirements of this role, please send an email so we may assist you.

Travelers reserves the right to fill this position at a level above or below the level included in this posting.