Claims Ops Specialist – Customer-Focused & Data-Driven

Wells Media Group; Hartford (CT); On-site; USD 45,000 - 75,000; Full time

Benefits offered by this job

Health Insurance

Retirement: 401(k) matching

Paid Time Off

Wellness Program

Volunteer Encouragement

Job summary

Travelers in Hartford, CT is seeking a claims customer service representative under moderate supervision. You will engage with customers, triage inquiries, and support claim professionals across departments.

Your work includes documenting files, processing payments, managing data, and ensuring accuracy in financial transactions; no supervisory duties. Ideal candidate has a High School Diploma or GED, 1 year of related experience or a Bachelor's, and proficiency with Microsoft Office.

Qualifications

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

Responsibilities

• Serve as a customer service representative for the claim department by addressing customer questions and concerns, triaging and routing callers to the appropriate department, and answering claim status and payment questions.
• Document claim files, including notes and diaries; review and process reports and records; prepare claim documents for reviews; manage file transitions and mail handling.
• Process claim payments and related expenses; document checks and credits; ensure timeliness and accuracy of payments.
• Maintain accurate data and prepare operational and financial reports; update data discrepancies in reports and systems.
• Assist with financial controls and reconciliations; identify data discrepancies and communicate findings.

Skills

Microsoft Office

Analytical thinking

Communication skills

Accountability

Change management/resilience

Judgment/decision making

Relationship management

Education

High School Diploma or GED

Bachelor’s Degree

Tools

Database software

Job description

Travelers in Hartford, CT is seeking a claims customer service representative under moderate supervision. You will engage with customers, triage inquiries, and support claim professionals across departments.

Your work includes documenting files, processing payments, managing data, and ensuring accuracy in financial transactions; no supervisory duties. Ideal candidate has a High School Diploma or GED, 1 year of related experience or a Bachelor's, and proficiency with Microsoft Office.