Claims Operations Technician

CNA; Wyomissing, Northern (Berks County, KY); Hybrid; USD 42,000 - 64,000; Full time

Job summary

CNA is seeking a detail-oriented claims processor to support non-technical claim duties under general supervision. You will evaluate information, complete forms, and perform data corrections across multiple claim systems to ensure accurate processing.

Responsibilities include processing financial transactions, coordinating with underwriting and providers, and confirming coverage applicability. A strong understanding of P&C products and excellent communication are essential.

Qualifications

• High school diploma or equivalent; some college preferred.
• Typically 1–3 years in office operations and 1–2 years in P&C line of business.

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 within claim file information using multiple claim systems.
• Performs financial transactions such as paying bills and cashier processing following procedures.
• Collaborates with underwriting, insureds, claimants, providers, vendors or adjusters to obtain and provide information related to claim support.
• May verify coverage and applicability of coverage to the claim.
• Reviews and reconciles reports for data or financial transactions related to claims.
• May perform routine processing on medical only claims within jurisdictional parameters.

Skills

System navigation

P&C insurance

Data entry

Attention to detail

Verbal & written communication

Independent work

Judgment & decision making

Microsoft Office

Education

High school diploma

Some college preferred

Tools

Microsoft Office Suite

Claim systems

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]

At CNA, we are committed to advancing a culture of inclusion – one that attracts talent from all walks of life, fosters respect and collaboration, and enables all of our colleagues to do their best work.

At CNA, we have a long standing commitment to the diverse communities in which we live and work.

We actively make a difference for the greater good through partnerships, sustainability, initiatives, and working together for a better tomorrow.

Corporate Social Responsibility is not one person, or one department, it's the entire enterprise coming together to make the world a better place.