Operations Analyst, Patient Compensation Fund
CNA Insurance
full-time
Posted on:
Location Type: Hybrid
Location: Lake Mary • Florida • Illinois • United States
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Salary
💰 $47,000 - $78,000 per year
About the role
- Independently manage and process PCF filings across multiple states.
- Identify and resolve compliance gaps, discrepancies, and potential risks.
- Maintain documentation, policies, and procedures related to PCF submissions.
- Support Legal with provider appeals, state inquiries, and SOP updates associated with legislative or regulatory changes.
- Ensure adherence to filing requirements to mitigate fines, penalties, or compliance exposure.
- Analyze and reconcile differences between surcharge filings and booked amounts.
- Assist with reconciliation activities for captive and large‑account filings.
- Prepare and validate supplemental invoices and financial documentation for brokers and internal stakeholders.
- Provide financial insights to support operational decisions and ensure alignment between billed and filed amounts.
- Serve as a liaison with Legal, Underwriting, Billing & Collections, state agencies, and external partners.
- Draft formal communications, including regulatory responses and inquiries from state entities.
- Track and report outstanding PCF items, including unmatched transactions and resolution progress.
- Provide professional, concise, and executive‑ready communication to leadership as needed.
- Act as a subject‑matter expert (SME) on PCF processes, metrics, and performance baselines.
- Provide guidance and informal coaching to Processing Specialists to ensure accuracy and compliance with established procedures.
- Support operational workflow by validating that work items are properly documented and completed.
- Manage multiple state filing cycles concurrently while maintaining compliance with all deadlines.
- Support annual renewal cycles, special initiatives, and complex filing projects.
- Maintain accurate and organized documentation within SharePoint, DMF, and other internal systems.
Requirements
- Bachelor's Degree or equivalent work experience and completion of applicable professional designations.
- Minimum two years related experience including previous project experience.
- Preferred: Experience with PCF filings or comparable regulatory programs.
- Background in insurance operations, underwriting support, or financial compliance.
- Experience interpreting regulatory guidelines or legal documentation.
- Strong analytical and problem‑solving skills with demonstrated ability to exercise independent judgment.
- Experience working in a compliance‑driven, regulatory, legal, financial, or insurance environment.
- High level of accuracy and attention to detail, with the ability to identify and resolve discrepancies.
- Strong written and verbal communication skills, including experience preparing formal correspondence.
- Ability to collaborate cross‑functionally and influence outcomes without direct authority.
- Excellent organizational skills with the ability to manage multiple priorities.
- Proficiency in Microsoft Office.
Benefits
- 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.
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
PCF filingsfinancial documentationregulatory compliancereconciliationanalytical skillsproblem-solvingproject managementattention to detailformal correspondencefinancial compliance
Soft Skills
independent judgmentcross-functional collaborationinfluence outcomesorganizational skillscommunication skillscoachingprofessional communicationaccuracytime managementleadership
Certifications
Bachelor's Degreeprofessional designations