Customer-Centric Claims Operations Specialist

Travelers; Lake Oswego (OR); Sur place; USD 45 000 - 75 000; Plein temps

Avantages offerts par ce poste

Health Insurance

401(k) matching

Pension Plan

Paid Time Off

Wellness Program

Volunteer Rewards

Résumé du poste

Travelers is offering a claims-support role in the United States. Under moderate supervision you will assist customers, engage with claim professionals, and help manage financial transactions and documentation.

The role does not supervise others and involves processing payments, managing files, and supporting data reporting. The ideal candidate has basic MS Office skills, strong accountability and analytical thinking, and the ability to adapt to change.

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.

Responsabilités

• 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. Assess 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.

Description du poste

Travelers is offering a claims-support role in the United States. Under moderate supervision you will assist customers, engage with claim professionals, and help manage financial transactions and documentation.

The role does not supervise others and involves processing payments, managing files, and supporting data reporting. The ideal candidate has basic MS Office skills, strong accountability and analytical thinking, and the ability to adapt to change.