Claim Operations Specialist

Travelers

. Serve as a customer service representative for the claim department .

Posted 11/10/2026full-timeAlpharetta • Georgia • United StatesJunior💰 $46,600 - $76,800 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates strong customer service skills in claims processing, with a focus on accurate documentation, financial controls, and effective communication. Proficient in utilizing Microsoft Office and database software to manage and analyze claim-related information.

Highest-signal resume keywords

Claims ProcessingCustomer ServiceMicrosoft OfficeFinancial ReportingData Analysis

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Claims DocumentationData EntryFinancial ControlsRecord ManagementReconciliation

Soft Skills

Verbal CommunicationWritten CommunicationJudgmentRelationship BuildingDecision Making

Tools & Technologies

Database SoftwareWeb-Enabled ApplicationsEmail

Certifications & Qualifications

High School DiplomaGED

Industry Keywords

Claims DepartmentOperational ReportsMedical BillsVendor InvoicesClaim Payments

About the role

Key responsibilities & impact

Serve as a customer service representative for the claim department
Triage and route callers to the appropriate department
Answer claim status and payment questions
Partner with claim professionals to assist with timely claim resolution
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
Report and assign claims, and transition closed files to and from off-site storage
Receive, sort, scan, and upload incoming mail; process outgoing mail
Order, receive, and distribute supplies and equipment
Process and issue claim payments, vendor invoices, attorney expenses, and medical processing fees
Process and document returned checks, voided checks, and credits
Maintain accurate records and information management
Prepare, generate, and review operational, line-of-business, and financial reports
Update data discrepancies in reports and systems
Document pending and completed work activities using appropriate systems
Perform underlying financial controls and communicate findings
Assess data reasonableness, identify discrepancies, and perform reconciliations
Assess financial control effectiveness
Prepare data entries according to established standards
Perform other duties as assigned

Requirements

What you’ll need

High School Diploma or GED
1 year of service-related work experience OR Bachelor’s Degree
Experience utilizing Microsoft Office, e-mail, Web-enabled applications, and database software
Ability to analyze and compare information to understand issues and explore alternative solutions
Verbal and written communication skills
Ability to exercise sound judgment and make decisions
Ability to build and maintain productive working relationships
May require lifting items up to 20 pounds occasionally

Benefits

Comp & perks

Health insurance from the first day of employment for employees and eligible family members
401(k) dollar-for-dollar matching up to the first 5% of eligible pay
Paying it Forward Savings Program with annual 401(k) contributions for eligible student loan payments
Pension Plan 100% funded by Travelers
Minimum of 20 days Paid Time Off annually
Nine paid company Holidays
Wellness program with tools, discounts, resources, caregiving support, free professional counseling, and health coaching
Matching Gift and Volunteer Rewards program