Commercial Claims Specialist — Complex & High-Exposure

CNA Insurance; Wyomissing (Berks County); On-site; USD 54,000 - 103,000; Full time

Job summary

CNA Insurance is seeking an individual contributor to manage commercial claims with moderate to high complexity, under moderate direction. You will verify policy coverage, conduct investigations, and authorize disbursements within authority limits while maintaining quality and customer service standards.

This role requires strong analytical and investigative skills, excellent communication with insureds and partners, and the ability to work with internal/external resources to resolve claims

Qualifications

• Bachelor's degree or equivalent experience.
• Typically four years of relevant experience in claims.
• CNA Claim Training graduates may be considered after 2 years of claim handling experience.
• Must obtain and maintain an Insurance Adjuster License within 90 days of hire, where applicable.
• Professional designations are a plus (e.g. CPCU).

Responsibilities

• Manages an inventory of moderate to high complexity and exposure commercial claims by following company protocols to verify policy coverage, conduct investigations, develop and employ resolution strategies, and authorize disbursements within authority limits.
• Provides exceptional customer service by interacting professionally and effectively with insureds, claimants and business partners, achieving quality and cycle time standards, providing regular, timely updates and responding promptly to inquiries and requests for information.
• Verifies coverage and establishes timely and adequate reserves by reviewing and interpreting policy language and partnering with coverage counsel on more complex matters, estimating potential claim valuation, and following company's claim handling protocols.
• Conducts focused investigation to determine compensability, liability and covered damages by gathering pertinent information, such as contracts or other documents, taking recorded statements from customers, claimants, injured workers, witnesses, and working with experts, or other parties, as necessary to verify the facts of the claim.
• Establishes and maintains working relationships with appropriate internal and external work partners, suppliers and experts by identifying and collaborating with resources that are needed to effectively resolve claims.
• Authorizes and ensures claim disbursements within authority limit by determining liability and compensability of the claim, negotiating settlements and escalating to manager as appropriate.
• Contributes to expense management by timely and accurately resolving claims, selecting and actively overseeing appropriate resources, and delivering high quality service.
• Identifies and addresses subrogation/salvage opportunities or potential fraud occurrences by evaluating the facts of the claim and making referrals to appropriate Recovery or SIU resources for further investigation.
• Achieves quality standards on every file by following all company guidelines, achieving quality and cycle time targets, ensuring proper documentation and issuing appropriate claim disbursements.
• Maintains compliance with state/local regulatory requirements by following company guidelines, and staying current on commercial insurance laws, regulations or trends for line of business.
• May serve as a mentor/coach to less experienced claim professionals.

Skills

Claims handling

Investigative skills

Communication

Analytical thinking

Time management

Negotiation

MS Office

Policy knowledge

Education

Bachelor's Degree or equivalent

Insurance Adjuster License

CNA Claim Training

Tools

Microsoft Office

Job description

CNA Insurance is seeking an individual contributor to manage commercial claims with moderate to high complexity, under moderate direction. You will verify policy coverage, conduct investigations, and authorize disbursements within authority limits while maintaining quality and customer service standards.

This role requires strong analytical and investigative skills, excellent communication with insureds and partners, and the ability to work with internal/external resources to resolve claims