Workers Compensation Claims Technician

CNA Insurance • Downers Grove, IL

10d • $35,000 - $65,000 • Hybrid

About The Position

Under general supervision, performs standard duties utilizing routine claims handling procedures on assignments of low complexity or of a repetitive nature. Performs a combination of duties in accordance with departmental guidelines: Performs routine processing of the least complex claims, following established procedures. Receives new claim notices, confirms coverage, verifies applicability of coverage to the claim, and establishes a claim file. Within designated authority, reviews routine claims utilizing preset procedures to determine claim resolution. On a limited basis, collaborates with insureds, claimants, and repair or replacement suppliers for routine matters. Following preset procedures verifies accuracy and validity of bills and estimates. Obtains backup documentation as necessary to substantiate claims. Utilizing preset procedures, identifies depreciation or subrogation potential in first-party claims, and utilizes medical and pharmaceutical fee schedules in workers' compensation claims. Maintains files and prepares standard statistical reports as requested. May provide assistance and/or training to other Claims Technicians. May assist in special project work. May update the claims systems.

Requirements

• Knowledge of claims handling procedures and documentation.
• Knowledge of applicable insurance products.
• Good interpersonal and communication skills.
• Demonstrated ability to work at high levels of productivity and quality.
• Ability to work independently on multiple tasks.
• Detail-oriented.
• Knowledge of Microsoft Office Suite as well as other business-related software.
• Is externally focused.
• High school diploma, GED or equivalent. experience.
• Typically a minimum three years of experience.

Nice To Haves

• Some college preferred.

Responsibilities

• Performs routine processing of the least complex claims, following established procedures.
• Receives new claim notices, confirms coverage, verifies applicability of coverage to the claim, and establishes a claim file.
• Within designated authority, reviews routine claims utilizing preset procedures to determine claim resolution.
• On a limited basis, collaborates with insureds, claimants, and repair or replacement suppliers for routine matters.
• Following preset procedures verifies accuracy and validity of bills and estimates.
• Obtains backup documentation as necessary to substantiate claims.
• Utilizing preset procedures, identifies depreciation or subrogation potential in first-party claims, and utilizes medical and pharmaceutical fee schedules in workers' compensation claims.
• Maintains files and prepares standard statistical reports as requested.
• May provide assistance and/or training to other Claims Technicians.
• May assist in special project work.
• May update the claims systems.

Benefits

• Comprehensive and competitive benefits package to help our employees – and their family members – achieve their physical, financial, emotional and social wellbeing goals.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED