Claims Operations Technician

CNA Financial; Wyomissing (Berks County); On-site; USD 36,000 - 60,000; Full time

Job summary

CNA Financial is seeking a detail-oriented claims processor to support timely and accurate non-technical claim duties under general supervision.

Responsibilities include completing regulatory forms, data corrections, processing payments, and collaborating with underwriting, insureds, claimants, and providers to gather necessary information.

Qualifications

• High school diploma or GED required; some college preferred.
• 1–3 years of office operations experience and 1–2 years in Property & Casualty preferred.

Responsibilities

• Completes regulatory forms timely in accordance with regulations by evaluating claim information.
• Performs data corrections within claim file information using multiple claim systems.
• Handles financial transactions such as paying bills and cashier processing per procedures.
• Collaborates with underwriting, insureds, claimants, providers, vendors or adjusters to obtain and provide claim information.
• Prepares form letters or documents per procedures.
• May review new claim notices, confirm coverage, and verify applicability of coverage.
• Acts as day-to-day resource for procedural questions.
• Reviews and reconciles reports for data or financial transactions related to claims.
• May perform routine processing on medical only claims within jurisdiction parameters.
• May participate in special projects as needed.

Skills

System navigation

P&C products knowledge

High quality outcomes

Claim file evaluation

Data entry

Verbal and written communication

Organization and follow-up

Customer service

Independent work

Sound judgment

Microsoft Office Suite

Education

High school diploma / GED

Some college preferred

1–3 years office operations experience

1–2 years P&C experience preferred

Job description

You have a clear vision of where your career can go. And we have the leadership to help you get there. At CNA, we strive to create a culture in which people know they matter and are part of something important, ensuring the abilities of all employees are used to their fullest potential.

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.

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.

JOB DESCRIPTION

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.

Reporting Relationship

Typically Supervisor or above

Skills, Knowledge and Abilities

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

Education and Experience

1. High school diploma, GED or equivalent experience. Some college preferred.
2. 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.

CNA utilizes AI-enabled technology during the recruiting process. For more information, please visit our careers page.

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