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CNA

Workers Compensation Claims Technician

Posted Yesterday
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Hybrid
Brea, CA
35K-65K Annually
Mid level
Hybrid
Brea, CA
35K-65K Annually
Mid level
This role involves processing workers' compensation claims, verifying coverage, and collaborating with claimants, along with reporting duties and supporting other technicians.
The summary above was generated by AI
You 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.
Under general supervision, performs standard duties utilizing routine claims handling procedures on assignments of low complexity or of a repetitive nature.
JOB DESCRIPTION:
Essential Duties & Responsibilities
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.

Reporting Relationship
Typically Supervisor or Manager
Skills, Knowledge and Abilities
  • 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.

Education and Experience
  • High school diploma, GED or equivalent. experience. Some college preferred.
  • Typically a minimum three years of experience.

#LI-AR1
#LI-Hybrid
I n certain jurisdictions, CNA is legally required to include a reasonable estimate of the compensation for this role. In District of Columbia , California, Colorado, Connecticut, Illinois , Maryland , Massachusetts , New York and Washington, the national base pay range for this job level is $35,000 to $65,000 annually.Salary determinations are based on various factors, including but not limited to, relevant work experience, skills, certifications and location. CNA offers a comprehensive and competitive benefits package to help our employees - and their family members - achieve their physical, financial, emotional and social wellbeing goals. For a detailed look at CNA's benefits, please visit cnabenefits.com .
CNA is committed to providing reasonable accommodations to qualified individuals with disabilities in the recruitment process. To request an accommodation, please contact [email protected] .

Top Skills

Business-Related Software
Microsoft Office Suite

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