Claims Operations Technician

01460 Continental Casualty Company; Wyomissing (Berks County); On-site; USD 40,000 - 55,000; Full time

Job summary

01460 Continental Casualty Company is seeking a Claims Processing Associate responsible for timely and accurate processing of non-technical claims. This role involves evaluating claim information, completing regulatory forms, and performing financial transactions.

The candidate should have a high school diploma, with some college preferred, and ideally 1-3 years of office operations experience, along with knowledge of Property and Casualty insurance products. The position offers opportunities to work independently while achieving high-quality outcomes.

Qualifications

• Minimum one to three years of experience in office operations.
• One to two years of experience in Property and Casualty line of business preferred.

Responsibilities

• Responsible for timely and accurate processing of non-technical claim duties.
• Completes regulatory forms and evaluates claim information.
• Performs various financial transactions utilizing set procedures.

Skills

Ability to navigate multiple system applications

Knowledge of P&C insurance products and services

Strong data entry skills and attention to detail

Good verbal and written communication skills

Good organizational and follow‑up skills

Ability to evaluate information within a claim file

Ability to work independently

Education

High school diploma, GED or equivalent experience

Some college preferred

Tools

Microsoft Office Suite

Job description

Essential Duties & Responsibilities

Under general supervision, responsible for timely and accurate processing of non-technical claim duties, utilizing procedures and processes to perform routine activities. Analyzes and troubleshoots to resolve complex activities.

• 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.

Reporting Relationship

Typically Supervisor or above.

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.

Education and Experience

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.

Accommodations

CNA is committed to providing reasonable accommodations to qualified individuals with disabilities in the recruitment process. To request an accommodation, please contact [e-mail].