Claim Operations Specialist - Diamond Bar CA

$42,100 - $69,400/Yr

Travelers - Diamond Bar, CA

Full-time - Entry Level

Diamond Bar, CA

Insurance Carriers and Related Activities

About the position

The Claim Operations Specialist position at Travelers Insurance in Diamond Bar, CA, is a hybrid role that combines in-office and remote work. This position is designed for individuals who are committed to providing exceptional customer service and support within the claims department. Under moderate supervision, the specialist will partner with claim professionals to assist customers, ensuring that their inquiries and concerns are addressed promptly and professionally. The role involves building strong customer relationships, completing financial transactions, and managing important business information. The specialist will not have any direct reports but will play a crucial role in the claims process by handling various duties and projects that contribute to the overall efficiency of the department. In this role, the specialist will serve as a customer service representative for the claims department, addressing customer questions and concerns, triaging calls, and routing them to the appropriate departments. They will also document claim files, request reports and records, review medical bills, and prepare claim documents for legal and medical reviews. The specialist will be responsible for processing claim payments, including outside vendor invoices and attorney expenses, ensuring accuracy and timeliness in all financial transactions. Data management is another critical aspect of this position. The specialist will maintain accurate records, prepare reports, and update any discrepancies identified in the data. They will assist with financial controls and assessments, ensuring compliance with established standards and identifying any discrepancies in financial data. The role may require occasional lifting of items up to 20 pounds, and the specialist will perform other duties as assigned to support the claims team and enhance operational efficiency.

Responsibilities

• Serve as a customer service representative for the claims department by addressing customer questions and concerns.
• Triage and route callers to the appropriate department.
• Document claim files, including notes and diaries.
• Request reports and records, and review medical bills, mail, and wage statements.
• Prepare claim documents for legal and medical reviews.
• Receive, sort, scan, and upload incoming mail, and process outgoing mail.
• Process and issue claim payments, including outside vendor invoices and attorney expenses.
• Maintain accurate records and information management, preparing and reviewing reports using effective technology.
• Update data discrepancies identified in reports and systems.
• Assist with claim center financial standards, performing underlying controls and communicating findings.

Requirements

• High School Diploma or GED required.
• 1 year of service-related work experience OR Bachelor's Degree required.
• Experience utilizing computer technology such as Microsoft Office, email, web-enabled applications, and database software.

Nice-to-haves

• Ability to analyze and compare information to understand issues and explore alternative solutions.
• Ability to remain energized and focused in the face of ambiguity, change, or strenuous demands.
• Strong verbal and written communication skills.
• Ability to exercise sound judgment and make decisions.
• Ability to seek out, build, foster, and maintain productive working relationships.

Benefits

• Health Insurance coverage for employees and eligible family members from the first day of employment.
• 401(k) matching contributions dollar-for-dollar up to the first 5% of eligible pay, with an annual maximum.
• Pension Plan that is 100% funded by Travelers.
• Minimum of 20 days Paid Time Off annually, plus nine paid company holidays.
• Access to a wellness program that includes professional counseling services and life coaching.
• Encouragement for volunteer work with a Matching Gift and Volunteer Rewards program.