Claims Operations Technician, Statistical Coding

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.
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* JOB DESCRIPTION:

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

Duties & 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.
** Reporting Relationship
** Typically Supervisor or above
** Skills, Knowledge and Abilities
*** 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.
** Education and Experience
*** 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.#LI-AR1#LI-Hybrid

CNA is committed to providing reasonable accommodations to qualified individuals with disabilities in the recruitment process. To request an accommodation, please contact  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 .
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