Claims Operations Technician

CNAMeridian, PA
Hybrid

About The Position

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.

Requirements

  • 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.
  • High school diploma, GED or equivalent experience.

Nice To Haves

  • 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.

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.

Benefits

  • Comprehensive and competitive benefits package
  • Health insurance
  • Dental insurance
  • Vision insurance

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What This Job Offers

Job Type

Full-time

Career Level

Mid Level

Education Level

High school or GED

Number of Employees

1,001-5,000 employees

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