Workers Compensation Claims Technician

Claims Technician

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Under general supervision, performs standard duties utilizing routine claims handling procedures on assignments of low complexity or of a repetitive nature.

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

Education and Experience

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