Complex Claims Consultant, Healthcare

Cna Employees' Health Plan Trust

Multiple Locations, ,
Base: $72,000 to $141,000 annually; bonus/equity: ...
Hybrid
Commercial claims management
Policy coverage verification
Investigation and resolution
This individual contributor position works under general direction, and within broad authority limits, to manage commercial claims with high complexity and exposure for a specialized line of business

Job Summary

  • This individual contributor position works under general direction, and within broad authority limits, to manage commercial claims with high complexity and exposure for a specialized line of business.
  • Ensures exceptional customer service by managing all aspects of the claim, interacting professionally and effectively, achieving quality and cycle time standards, providing timely updates and responding promptly to inquiries and requests for information.
  • 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.

Matching Summary

This individual contributor position works under general direction, and within broad authority limits, to manage commercial claims with high complexity and exposure for a specialized line of business.

Salary

Base: $72,000 to $141,000 annually; Bonus/Equity: Not specified; Benefits: Comprehensive and competitive benefits package

Skills & Requirements

Must-have

  • commercial claims management
  • policy coverage verification
  • investigation and resolution
  • customer service standards
  • claim resolution strategy

Nice-to-have

  • subject matter expertise
  • mentoring and training
  • diverse opinions and ideas
  • fast-paced environment

Key Requirements

  • minimum six years relevant experience
  • Insurance Adjuster License
  • negotiation experience
  • Bachelor's Degree or equivalent experience

Work Rights

Not specified

Tailored Resume

Cover Letter