Claims Operations Technician

Essential Duties & Responsibilities

• Completes regulatory forms timely in accordance with regulations by evaluating claim information.
• Provides information to claim adjusting staff from regulatory websites.
• Completes data or makes data corrections based on set requirements or procedures within claim file information utilizing multiple claim systems that support P&C Claim.
• Performs various financial transactions such as paying bills, payment transfer, cashier processing, etc. utilizing set procedures and guidelines.
• Collaborates with underwriting, insureds, claimants, providers, vendors or claim adjusters utilizing various methods to obtain and provide information related to claim support activities.
• Completes form letters or documents based on procedures or set requirements.
• May receive new claim notices, confirm coverage, and/or verify applicability of coverage to the claim.
• Serves as Day to day resource for procedural or process questions.
• Accountable for reviewing and reconciling reports for data or financial transactions related to claims.
• May perform routine processing within designated authority on medical only claims, following jurisdictional parameters.
• May complete special projects as necessary.

Qualifications

• High school diploma, GED or equivalent experience.
• Some college preferred.
• Typically a minimum of one to three years experience in office operations and one to two years experience in Property and Casualty line of business preferred.

Skills, Knowledge And Abilities

• Ability to navigate multiple system applications.
• Knowledge of P&C insurance products and services.
• Ability to produce high quality outcomes in a highly productive environment.
• Ability to evaluate information within a claim file to execute upon various tasks.
• Strong data entry skills and attention to detail.
• Good verbal and written communication skills.
• Good organizational and follow-up skills.
• Good listening and customer service skills.
• Ability to work independently.
• Ability to make sound judgments based on available information.
• Knowledge of Microsoft Office Suite and other business related software.

Benefits

CNA seeks to offer a comprehensive and competitive benefits package to our employees that helps them — and their family members — achieve their physical, financial, emotional and social wellbeing goals. For a detailed look at CNA’s benefits, check out our Candidate Guide.