Claims Operations Technician, Statistical Coding

CNA Insurance•Lake Mary, FL

About The Position

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: The working hours for this role are 8AM to 4 PM Eastern

Requirements

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.
Technical Proficiency: Ability to efficiently work across multiple platforms including Microsoft Office Suite and other business related software. Must also have the capability to use multiple applications simultaneously without losing accuracy.
Insurance Knowledge: Basic understanding of Property & Casualty (P&C) insurance products.
Attention to Detail: Ability to produce highly accurate, error-free work with a strong focus on precision and consistency.
Analytical Thinking: Ability to evaluate claim information, apply critical thinking, and solve problems logically.
Communication Skills: Clear verbal and written communication; strong listening and customer service orientation.
Organizational Skills: Ability to manage tasks, follow up effectively, and work independently.
Numerical Aptitude: Comfort working with numbers, codes, and data analysis.

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.