Claim Operations Specialist

- Who Are We?


- Solid reputation, passionate people and endless opportunities. That’s Travelers. Our superior financial strength and consistent record of strong operating returns mean security for our customers - and opportunities for our employees. You will find Travelers to be full of energy and a workplace in which you truly can make a difference.

- Job Category
Claim

- Target Openings
1


- What Is the Opportunity?


- Under direct supervision this position is responsible for working in a team environment providing front line administrative and general office assistance on a daily basis to both internal and external customers supporting proper claim handling practices, including telephone customer service, financial transactions, collecting, inputting, reviewing and updating critical claim and financial information as well as other administrative duties and projects as assigned.

What Will You Do?
- Customer Service:

- Serving as a customer service representative for the Claim department by promptly and professionally addressing customer questions and concerns, which may include rental status calls, CAT support and appraisal contacts and providing additional administrative support as required.
- Financial Self Assessment (FSA) Services:

- Assessing reasonableness of data as well as identifying discrepancies, including reconciliations.
- Assessing the effectiveness of financial controls.
- Performing underlying controls and effectively communicating findings.
- Preparing data entries in accordance with established standards.
- Supporting statutory reporting requirements.
- Multi-line Claim Operational Service:

- Entering data, typing and copying forms and documents including claim diaries and notes.
- Correcting wage statements.
- Setting up new claims using Claim Platform.
- Requesting police reports and medical records.
- Printing documents from the Claim Platform electronic File Cabinet.
- Reviewing medical bills for proper billing and coding.
- Sending certified mail and overnight packages.
- Maintaining paper and/or electronic documents in claim file folders or electronic file cabinet, ensuring accuracy and tidiness. Using proper software, consistently move closed files to and from off-site storage.
- Reporting Services:

- Preparing, generating and reviewing monthly, quarterly, annual, and ad hoc reports, documents and presentations using the most effective technology.
- May include updating basic data discrepancies identified in reports.
- Using management information data to prepare line of business or financial reporting including: daily reports for claim professions from Claim Platform, escalation duty workflow reports and tracking tasks using Access.
- Claim payments and expense processing:

- Processing and issuing invoice, outside expense, attorney expense and centralized expense payments.
- Processing cancelled checks, voided checks and credits, input outside manual checks, report inside manual checks and document activity on systems note screens, as required.
- Ensure timeliness and accuracy of all check processing.
- Enterprise Contributions:

- Performing quality contacts to assist as a result of catastrophic claim events.
- Creating efficiencies by recommending alternative workflows.
- General Operations Functions:

- Receiving, sorting, processing and distributing incoming mail. Researching for the appropriate recipient may be required.
- Sorting checks, opening, date-stamping and securing.
- Collecting and processing out-going mail including Fed Ex.
- Photocopying, scanning and uploading to the virtual file cabinet.
- Ordering, receiving and distributing supplies and/or equipment.
- Perform other duties as assigned.
- College degree preferred and/or equivalent work experience.
- Claim handling or customer service experience a plus but not required.
- Ability to work independently or function as a team member with increasingly limited supervision.
- Excellent telephone, customer service and communication skills.
- .Strong time management skills and ability to prioritize daily assignments.
- Must be highly organized with ability to handle multiple tasks simultaneously to meet deadlines.
- Strong attention to detail is a must.
- Excellent verbal and written communication skills required to manage customer service requests, provide information to Claim professionals and to respond to oral and written instructions.
- Proficiency in Microsoft Office (Excel, Word and PowerPoint).
- Working knowledge of Access a plus.
- Comfortable with newer and emerging technology and tools.
- Highly proficient at data entry.
- Competencies/Skills:

- Accountability: Takes ownership and responsibility for actions and outcomes, performance and results.
- Analytical Thinking: Identifies current or future problems or opportunities, analyzes, synthesize and compares information to understand issues, identifies cause/effect relationships and explores alternative solutions to support sound decision-makin