Claim Operations Specialist

Travelers Canada; Mather (CA); On-site; USD 45,000 - 75,000; Full time

Benefits offered by this job

Health Insurance

401(k) Matching

Paid Time Off

Job summary

Travelers in the United States is seeking a claims support specialist to assist customer service professionals in the claims department. You will engage customers, answer questions, and support timely resolution of claims.

The role emphasizes data accuracy, document handling, and coordination across multiple teams, with emphasis on building relationships and maintaining records.

Qualifications

• Experience utilizing computer technology such as Microsoft Office, e-mail, Web-enabled applications, and database software.
• Accountability: Takes ownership and responsibility for actions and outcomes, performance and results.
• Analytical thinking: Ability to analyze and compare information to understand issues and explore alternative solutions.
• Change management/resilience: Ability to remain energized and focused in the face of ambiguity, change or strenuous demands.
• Communication skills: Verbal and written communication skills.
• Judgment/decision making: Ability to exercise sound judgment and make decisions.

Responsibilities

• Triage and route callers to the appropriate department.
• Answers claim status and payment questions.
• Properly documents claim files, including notes and diaries, Requests reports and records, and reviews medical bills.

Skills

Accountability

Analytical thinking

Change management

Communication skills

Judgment/Decision making

Relationship management

Education

High School Diploma or GED

Bachelor’s Degree

Tools

Microsoft Office

E-mail

Web-enabled applications

Database software

Job description

Who Are We?

Taking care of our customers, our communities and each other. That’s the Travelers Promise. By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 170 years. Join us to discover a culture that is rooted in innovation and thrives on collaboration. Imagine loving what you do and where you do it.

Job Category Claim Compensation Overview

The annual base salary range provided for this position is a nationwide market range and represents a broad range of salaries for this role across the country. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment. As part of our comprehensive compensation and benefits program, employees are also eligible for performance-based cash incentive awards.

Salary Range $45,400.00 - $74,900.00

Target Openings 1

What Is the Opportunity?

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.

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?

• Experience utilizing computer technology such as Microsoft Office, e-mail, Web-enabled applications, and database software
• Accountability: Takes ownership and responsibility for actions and outcomes, performance and results
• Analytical Thinking: Ability to analyze and compare information to understand issues and explore alternative solutions
• Change Management/Resilience: Ability to remain energized and focused in the face of ambiguity, change or strenuous demands
• Communication Skills: Verbal and written communication skills
• Judgment/Decision Making: Ability to exercise sound judgment and make decisions
• Relationship Management: Ability to seek out, build, foster and maintain productive working relationships to meet goals and achieve results

What is a Must Have?

• High School Diploma or GED
• 1 year of service-related work experience OR Bachelor’s Degree

What is in It for You?

• Health Insurance: Employees and their eligible family members – including spouses, domestic partners, and children – are eligible for coverage from the first day of employment
• Retirement: Travelers matches your 401(k) contributions dollar-for-dollar up to your first 5% of eligible pay, subject to an annual maximum
• If you have student loan debt, you can enroll in the Paying it Forward Savings Program. When you make a payment toward your student loan, Travelers will make an annual contribution into your 401(k) account. You are also eligible for a Pension Plan that is 100% funded by Travelers
• Paid Time Off: Start your career at Travelers with a minimum of 20 days Paid Time Off annually, plus nine paid company Holidays
• Wellness Program: The Travelers wellness program is comprised of tools, discounts and resources that empower you to achieve your wellness goals and caregiving needs
• In addition, our mental health program provides access to free professional counseling services, health coaching and other resources to support your daily life needs
• Volunteer Encouragement: We have a deep commitment to the communities we serve and encourage your employees to get involved. Travelers has a Matching Gift and Volunteer Rewards program that enables you to give back to the charity of your choice

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 us 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.

To learn more about our comprehensive benefit programs please visit http://careers.travelers.com/life-at-travelers/benefits/.

Travelers has more than 30,000 employees in the United States, Canada, the United Kingdom, and Ireland.

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