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Claim Operations Specialist Jobs (NOW HIRING)

... claim prevention, and DSY productivity. This position plans, supervises, and manages available ... The Operations Specialist occasionally travels to service centers to evaluate operational and ...

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... claim prevention, and DSY productivity. This position plans, supervises, and manages available ... The Operations Specialist occasionally travels to service centers to evaluate operational and ...

New

Warehouse Operations Specialist Company: GoKeyless Location: Miamisburg, OH Reports To: Warehouse ... Report open claim status to the Warehouse Operations Manager weekly, with aged and denied claims ...

Warehouse Operations Specialist Company: GoKeyless Location: Miamisburg, OH Reports To: Warehouse ... Report open claim status to the Warehouse Operations Manager weekly, with aged and denied claims ...

RCM Operations Specialist Job Title: RCM Operations Specialist Position Type: Full Time Work ... You are contacting insurance companies daily to get claim status and sending back claims for ...

SENIOR PEOPLE OPERATIONS SPECIALIST Job Title: Senior People Operations Specialist Department ... Prepare and track EDD claim information, gather separation details, draft responses, and support ...

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Claim Operations Specialist information

See salary details

$30.5K

$68.4K

$111K

How much do claim operations specialist jobs pay per year?

As of Aug 21, 2026, the average yearly pay for claim operations specialist in the United States is $68,426.00, according to ZipRecruiter salary data. Most workers in this role earn between $48,000.00 and $81,500.00 per year, depending on experience, location, and employer.

What is a claim operations specialist?

Claim Operations Specialists are professionals who handle the administrative and procedural aspects of insurance claims. They review incoming claims for accuracy, process documentation, ensure compliance with company policies, and support the claims team by communicating with clients and other departments. Their role is crucial in ensuring that claims are managed efficiently and resolved in a timely manner. They often use specialized software and must pay close attention to detail to avoid errors. Additionally, they may assist in fraud detection and quality assurance within the claims process.

What are the key skills and qualifications needed to thrive as a claim operations specialist?

To thrive as a Claim Operations Specialist, you need attention to detail, strong organizational abilities, and a solid understanding of insurance policies and claims processes, typically supported by a bachelor's degree or relevant experience. Familiarity with claims management software, data entry systems, and sometimes industry certifications like AIC (Associate in Claims) are commonly required. Excellent communication, problem-solving skills, and the ability to manage multiple tasks efficiently make someone stand out in this position. These competencies are crucial for ensuring accurate claim processing, effective customer service, and maintaining compliance with regulatory standards.

What are some common challenges faced by claim operations specialists, and how can they be managed effectively?

Claim Operations Specialists often encounter challenges such as handling high volumes of claims, ensuring accuracy under tight deadlines, and navigating complex insurance policies. Successfully managing these challenges requires strong organizational skills, attention to detail, and effective communication with both internal teams and external parties. Utilizing workflow management tools and collaborating closely with adjusters and customer service representatives can help streamline processes and reduce errors, making the work both manageable and rewarding.

What is the difference between Claim Operations Specialist vs Claims Analyst?

Claim Operations SpecialistClaims Analyst
Focuses on managing claim processes, ensuring compliance, and coordinating between departmentsAnalyzes claim data, investigates claims, and assesses claim validity
Requires knowledge of claims procedures, customer service skills, and insurance policiesRequires analytical skills, attention to detail, and understanding of insurance policies
Works primarily in claims processing departments within insurance companiesWorks in data analysis, underwriting, or claims review teams

While both roles involve claims, the Claim Operations Specialist manages the overall claim process and ensures smooth operations, whereas the Claims Analyst focuses on analyzing claim data and making determinations about claim validity. Both roles require insurance knowledge and attention to detail but serve different functions within the claims lifecycle.

More about Claim Operations Specialist jobs

What cities are hiring for Claim Operations Specialist jobs?

Cities with the most Claim Operations Specialist job openings:

Infographic showing various Claim Operations Specialist job openings in the United States as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% In-person job distribution, with an average salary of $68,426 per year, or $32.9 per hour.

Claim Operations Specialist

Travelers Companies (Import)

Diamond Bar, CA • On-site

$45K - $74K/yr

Full-time

Medical, Life, Retirement, PTO

Posted 23 days ago


Travelers Insurance rating

8.9

Company rating: 8.9 out of 10

Based on 176 frontline employees who took The Breakroom Quiz

46th of 311 rated insurance


Job description

Who Are We?

Taking care of our customers, our communities and each other. That's the Travelers Promise. By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 170 years. Join us to discover a culture that is rooted in innovation and thrives on collaboration. Imagine loving what you do and where you do it.

Compensation Overview

The annual base salary range provided for this position is a nationwide market range and represents a broad range of salaries for this role across the country. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment. As part of our comprehensive compensation and benefits program, employees are also eligible for performance-based cash incentive awards.

Salary Range

$45,400.00 - $74,900.00

Target Openings

2

What Is the Opportunity?

The Claim Operations Specialist plays a foundational role in supporting the day-to-day functions of the claim center. This position is responsible for administrative and clerical support across claim operations, helping ensure accuracy, efficiency, and continuity in a fast-paced environment.
Designed as an entry point into the claims organization, this role gives individuals direct exposure to how claims are managed across multiple lines of business, including Auto, Property, General Liability, Construction, and Workers' Compensation. For those who demonstrate strong performance and a desire to grow, the Claim Operations Specialist serves as a pathway toward a Claim Representative role in one of these lines.
Under moderate supervision, this position is responsible for partnering with claim professionals to assist customers. Responsibilities within the team include building customer relationships, completing financial transactions, updating and managing important business information, and handling numerous other duties and projects. This position does not manage others.

What Will You Do?

  • 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. Assesses 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.

What Will Our Ideal Candidate Have?

  • 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.

What is a Must Have?

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

What Is in It for You?

  • Health Insurance:Employees and their eligible family members - including spouses, domestic partners, and children - are eligible for coverage from the first day of employment.
  • Retirement:Travelers matches your 401(k) contributions dollar-for-dollar up to your first 5% of eligible pay, subject to an annual maximum. If you have student loan debt, you can enroll in the Paying it Forward Savings Program. When you make a payment toward your student loan, Travelers will make an annual contribution into your 401(k) account. You are also eligible for a Pension Plan that is 100% funded by Travelers.
  • Paid Time Off:Start your career at Travelers with a minimum of 20 days Paid Time Off annually, plus nine paid company Holidays.
  • Wellness Program:The Travelers wellness program is comprised of tools, discounts and resources that empower you to achieve your wellness goals and caregiving needs. In addition, our mental health program provides access to free professional counseling services, health coaching and other resources to support your daily life needs.
  • Volunteer Encouragement:We have a deep commitment to the communities we serve and encourage our employees to get involved. Travelers has a Matching Gift and Volunteer Rewards program that enables you to give back to the charity of your choice.

Employment Practices

Travelers is an equal opportunity employer. We value the unique abilities and talents each individual brings to our organization and recognize that we benefit in numerous ways from our differences.

In accordance with local law, candidates seeking employment in Colorado are not required to disclose dates of attendance at or graduation from educational institutions.

If you are a candidate and have specific questions regarding the physical requirements of this role, please send us an email so we may assist you.

Travelers reserves the right to fill this position at a level above or below the level included in this posting.

To learn more about our comprehensive benefit programs please visit http://careers.travelers.com/life-at-travelers/benefits/.


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About Travelers

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We are an insurance company that cares. Travelers takes on the risk and provides the coverage you need to protect the things that are important to you — your home, your car, your valuables and your business — so you don’t have to worry. We have been around for more than 165 years and have earned a reputation as one of the best property casualty insurers in the industry because we take care of our customers. Our expertise and focus on innovation have made us a leader in personal, business and specialty insurance and the only property casualty company in the Dow Jones Industrial Average. Every day, our approximately 30,000 employees and 13,500 independent agents and brokers in the United States, Canada, the United Kingdom and Ireland help provide peace of mind to our customers.

Industry

Insurance services

Company size

10,000+ Employees

Headquarters location

New York, NY, US

Year founded

1853