Claims Operations Technician

CNA•Meridian, PA

About The Position

Under general supervision, the Claims Operations Technician performs routine, non-technical claim duties accurately and on time, using established procedures and processes. The role also analyzes and troubleshoots complex activities. It supports Property and Casualty (P&C) claims by handling claim-file data, regulatory forms and information, financial transactions, communications, and reports. The position may receive new claim notices, confirm or verify coverage, process routine medical-only claims within designated authority and jurisdictional parameters, and complete special projects. The role serves as a day-to-day resource for procedural or process questions and reports typically to a supervisor or above.

Requirements

  • High school diploma, GED, or equivalent experience.
  • 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 in a claim file and carry out related 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.

Nice To Haves

  • Some college preferred.
  • Typically one to three years of experience in office operations.
  • Typically one to two years of experience in a Property and Casualty line of business preferred.

Responsibilities

  • Complete regulatory forms on time by evaluating claim information and following applicable regulations.
  • Provide claim adjusting staff with information obtained from regulatory websites.
  • Enter or correct claim-file data according to established requirements and procedures using multiple claim systems supporting P&C claims.
  • Process financial transactions, including bill payments, payment transfers, and cashier processing, according to established procedures and guidelines.
  • Collaborate with underwriting, insureds, claimants, providers, vendors, and claim adjusters to obtain and provide information related to claim support activities.
  • Complete form letters and documents according to procedures or established requirements.
  • May receive new claim notices, confirm coverage, and verify whether coverage applies to a claim.
  • Serve as a day-to-day resource for procedural or process questions.
  • Review and reconcile reports concerning claim-related data or financial transactions.
  • May perform routine processing within designated authority on medical-only claims, following jurisdictional parameters.
  • Complete special projects as necessary.

Benefits

  • CNA offers a comprehensive and competitive benefits package intended to support employees’ and their family members’ physical, financial, emotional, and social wellbeing goals. Details are available in the Candidate Guide.
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