Hybrid Claims Operations Technician, Statistical Coding

at CNA Insurance

• Job title: Claims Operations Technician, Statistical Coding
• Job type: Full Time
• Experience level: Junior
• Salary: Not specified
• Degree requirement: High School Diploma
• Location requirements: Hybrid, United States

About the role

• Claims Operations Technician responsible for timely processing of claims at CNA. Collaborating with various stakeholders and performing financial transactions related to insurance claims.

Responsibilities

• Responsible for timely and accurate processing of non-technical claim duties
• 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.

Requirements

• High school diploma, GED or equivalent experience
• Some college preferred
• Typically a minimum of one to three years experience in office operations
• 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
• 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.

Benefits

• Comprehensive and competitive benefits package to help employees and their families achieve physical, financial, emotional and social wellbeing goals