ChicagoRecruiter
the smart solution for Chicago jobs

Senior Financial Analyst - TPA Claim Financial/Accounting Audit

Company: CNA
Location: Chicago
Posted on: May 19, 2019

Job Description:

Job Summary

Under technical direction, performs economic/financial research and analysis of claim payments made by Third Party Administrators for use in the development of business strategies and in subsequent appraisals of results. Conducts and documents moderately complex financial analysis projects. Prepares economic forecasts of business conditions and trends, which may include statistical studies and draws relevant conclusions. Handles technical issues/tasks, and participated in assigned financial oversight projects with focus on financial audit.



Essential Duties & Responsibilities

Performs a combination of duties in accordance with departmental guidelines:



1. Assists with the reviews and approval of monthly aggregate claim invoice funding requests for claims being managed and paid by TPAs on a CNA policy.



2. Coordinates all aspects of unbundled claim processing issues from identification through resolution.



3. Working within the TPA Claim systems and CNA Financial systems, analyzes detailed accounting data related to claim payments from a forensic audit approach to ensure CNAs funds are distributed appropriately within policy terms and TPA contract terms and prepares reconciliations as needed.



4. Assists management in the development and/or revisions of financial policies and procedures based on results of claim oversight reviews, claim quality reviews, compliance exams and any other function that may have identified an issue with our TPA business partners.



5. Manages special projects related to the team, might include review of a new TPA relationship or Analysis of claim financial data and management report-out on a new hot topic in the industry.



6. Analyzes operations and other activities, prepares and presents reports to management, including recommendations on policies and procedures, and operational improvements or corrective action plans.



7. Participates in implementation of new TPA programs or Insured account transfers including all planning, pre-work and collaboration with other business areas.



8. Performs follow-up activities including monitoring the program/initiative success, managing post implementation and performing overall claim program financial analysis.



9. Supports management as an agent of change, building collaboration and commitment using innovative ideas and business acumen.



May perform additional duties as assigned.



REPORTING RELATIONSHIP

Director TPA Administration



SKILLS, KNOWLEDGE & ABILITIES

1. Strong knowledge of corporate and departmental accounting/finance practices, procedures and principles as well as a base line understanding of the claim organization including the claim adjudication process and how it effects the financial statements of the company.



2. Solid knowledge of GAAP and/or statutory accounting principles.



3. Strong interpersonal and communication skills for interacting with all levels of CNA's internal and external business partners leadership, as well as the ability to self-manage.



4. Analytical, financial and audit acumen.



5. Results oriented with the ability to work independently as well as in a team environment.



6. Detail-oriented with strong organizational skills and the ability to manage multiple projects effectively.



7. Ability to deal with ambiguous situations and issues and creativity solve unique and challenging problems.



8. Proficient Knowledge of Microsoft Office Suite with emphasis on Excel as well as other business-related software such as Tableau, Business Objects and Workday.



EDUCATION & EXPERIENCE



1. Bachelor's Degree, preferably in accounting or finance, or equivalent.


2. Typically a minimum three to four years of related financial analysis experience with work toward CPA professional designation preferred.



*LI-KK1









Job Summary

Under technical direction, performs economic/financial research and analysis of claim payments made by Third Party Administrators for use in the development of business strategies and in subsequent appraisals of results. Conducts and documents moderately complex financial analysis projects. Prepares economic forecasts of business conditions and trends, which may include statistical studies and draws relevant conclusions. Handles technical issues/tasks, and participated in assigned financial oversight projects with focus on financial audit.



Essential Duties & Responsibilities

Performs a combination of duties in accordance with departmental guidelines:



1. Assists with the reviews and approval of monthly aggregate claim invoice funding requests for claims being managed and paid by TPAs on a CNA policy.



2. Coordinates all aspects of unbundled claim processing issues from identification through resolution.



3. Working within the TPA Claim systems and CNA Financial systems, analyzes detailed accounting data related to claim payments from a forensic audit approach to ensure CNAs funds are distributed appropriately within policy terms and TPA contract terms and prepares reconciliations as needed.



4. Assists management in the development and/or revisions of financial policies and procedures based on results of claim oversight reviews, claim quality reviews, compliance exams and any other function that may have identified an issue with our TPA business partners.



5. Manages special projects related to the team, might include review of a new TPA relationship or Analysis of claim financial data and management report-out on a new hot topic in the industry.



6. Analyzes operations and other activities, prepares and presents reports to management, including recommendations on policies and procedures, and operational improvements or corrective action plans.



7. Participates in implementation of new TPA programs or Insured account transfers including all planning, pre-work and collaboration with other business areas.



8. Performs follow-up activities including monitoring the program/initiative success, managing post implementation and performing overall claim program financial analysis.



9. Supports management as an agent of change, building collaboration and commitment using innovative ideas and business acumen.



May perform additional duties as assigned.



REPORTING RELATIONSHIP

Director TPA Administration



SKILLS, KNOWLEDGE & ABILITIES

1. Strong knowledge of corporate and departmental accounting/finance practices, procedures and principles as well as a base line understanding of the claim organization including the claim adjudication process and how it effects the financial statements of the company.



2. Solid knowledge of GAAP and/or statutory accounting principles.



3. Strong interpersonal and communication skills for interacting with all levels of CNA's internal and external business partners leadership, as well as the ability to self-manage.



4. Analytical, financial and audit acumen.



5. Results oriented with the ability to work independently as well as in a team environment.



6. Detail-oriented with strong organizational skills and the ability to manage multiple projects effectively.



7. Ability to deal with ambiguous situations and issues and creativity solve unique and challenging problems.



8.

CNA is an Equal Opportunity Employer committed to a diverse work culture. M/F/D/V.

Keywords: CNA, Chicago , Senior Financial Analyst - TPA Claim Financial/Accounting Audit, Accounting, Auditing , Chicago, Illinois

Click here to apply!

Didn't find what you're looking for? Search again!

I'm looking for
in category
within


Other Accounting, Auditing Jobs


Drive with Lyft - Set your own hours and cash out when you want.
Description: What is Lyft br Lyft matches drivers with passengers who request rides through the Lyft smartphone app. Signing up to br be a Lyft driver is the perfect opportunity for you to set your own schedule (more...)
Company: Lyft
Location: Palos Hills
Posted on: 05/22/2019

Financial Advisor
Description: Financial Advisor With your extraordinary knowledge and incomparable integrity, we know that clients invest their trust in you. Join a team that also invests in you with key product and service offerings, (more...)
Company: Fidelity Investments
Location: Orland Park
Posted on: 05/22/2019

Drive with Lyft - Set your own hours and cash out when you want.
Description: What is Lyft br Lyft matches drivers with passengers who request rides through the Lyft smartphone app. Signing up to br be a Lyft driver is the perfect opportunity for you to set your own schedule (more...)
Company: Lyft
Location: Hazel Crest
Posted on: 05/22/2019


Financial Analyst (IT Financial Planning/Budgeting PMO)
Description: Needed Financial Analyst IT Financial PlanningBudgeting 12-months Chicago, IL 60603 50hr W2 ONLY skirkwoodhtpartners.com Local Candidates only, face-to-face interviews only, MUST work on W2 Horizon (more...)
Company: Horizon Technology Partners, Inc
Location: Chicago
Posted on: 05/22/2019

Drive with Lyft - Set your own hours and cash out when you want.
Description: What is Lyft br Lyft matches drivers with passengers who request rides through the Lyft smartphone app. Signing up to br be a Lyft driver is the perfect opportunity for you to set your own schedule (more...)
Company: Lyft
Location: Hillside
Posted on: 05/22/2019

Regional Sales Representative
Description: Our client is a global F1000 company. Due to expansion they are seeking multiple Regional Sales Representatives to join its growing team within our clients financial services team. Experience in equipment (more...)
Company: Cameron Craig Group
Location: Chicago
Posted on: 05/22/2019

Physical Premium Auditor
Description: Physical Premium Auditor br br As a result of continued growth and expansion, York Premium Audit Services has a need for Independent Contractor Premium Auditors. As a Premium Auditor, you will work (more...)
Company: York Risk Services Group
Location: Chicago
Posted on: 05/22/2019

Drive with Lyft - Set your own hours and cash out when you want.
Description: What is Lyft br Lyft matches drivers with passengers who request rides through the Lyft smartphone app. Signing up to br be a Lyft driver is the perfect opportunity for you to set your own schedule (more...)
Company: Lyft
Location: Frankfort
Posted on: 05/22/2019

Mid-Level Accountant - Cost Policy Analyst
Description: Chicago,Illinois,United States br br 9AHCP3The Boeing Finance team is looking for a Mid-Level Accountant - Cost Policy Analyst in either Chicago or Saint Louis. br br The Cost Policy staff position (more...)
Company: Boeing
Location: Chicago
Posted on: 05/22/2019

Financial Planning
Description: Financial Planning We believe that as a Financial Representative, you make a key impact on the branch culture and sales, as the official face of Fidelity. Through honesty and integrity, we know you will (more...)
Company: Fidelity Investments
Location: Oak Brook
Posted on: 05/22/2019

Log In or Create An Account

Get the latest Illinois jobs by following @recnetIL on Twitter!

Chicago RSS job feeds