Claim Operations Specialist

About the role

Travelers is a property casualty insurer with over 170 years of history, committed to customers, communities, and employees. The role supports claim professionals by assisting customers, handling financial transactions, managing information, and performing various administrative duties.

Responsibilities

• Serve as a customer service representative for the claim department by promptly and professionally addressing customer questions and concerns, including triaging and routing callers to the appropriate department and answering claim status and payment questions.
• Partner with claim professionals in multiple departments to assist with timely resolution of claims, including properly documenting claim files (notes and diaries), requesting reports and records, reviewing medical bills, mail and wage statements, printing and preparing claim documents for legal and medical reviews, reporting and assigning claims, transitioning closed files to and from off‑site storage, receiving, sorting, scanning, and uploading incoming mail, processing outgoing mail, ordering, receiving and distributing supplies and/or equipment.
• Ensure proper handling of financial transactions: process and issue claim payments (outside vendor invoices, attorney expenses, medical processing fees), process and document returned checks, voided checks and credits, ensure timeliness and accuracy of all check processing.
• Maintain accurate records and information management: prepare, generate and review reports using effective technology, update data discrepancies identified in reports and systems, use management information data to prepare line‑of‑business or financial reports, prepare operational reports for claim professionals and managers, accurately document pending and completed work activities using appropriate systems.
• Assist with claim center financial standards: perform underlying controls and effectively communicate findings, assess the reasonableness of data and identify discrepancies (including reconciliations), assess the effectiveness of financial controls, prepare data entries in accordance with established standards.
• May require lifting items up to 20 pounds (occasionally).
• Perform other duties as assigned.

Requirements

• 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.

Qualifications

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

Benefits

• Health Insurance: coverage for employees and eligible family members (spouses, domestic partners, children) from the first day of employment.
• Retirement: Travelers matches 401(k) contributions dollar‑for‑dollar up to