Complex Workers’ Comp Claims Specialist

CNA Insurance; Wyomissing (Berks County); Presencial; USD 54.000 - 103.000; Jornada completa

Descripción de la vacante

CNA Insurance seeks an experienced claims professional to manage commercial workers’ compensation claims of moderate to high complexity. You’ll investigate, reserve, and resolve claims per policy, while communicating with insureds, claimants and partners to meet quality and cycle-time standards.

You will conduct focused investigations, establish settlements within authority, and collaborate with defense counsel, vendors, and recovery teams.

Formación

• Bachelor's degree or equivalent experience required.
• Typically a minimum four years of relevant experience in claims.
• CNA Claim Training Program may qualify after 2 years of claim handling.
• Must obtain Insurance Adjuster License within 90 days if applicable.
• Professional designations (e.g., CPCU) are a plus.

Responsabilidades

• Manage an inventory of moderate to high complexity commercial claims following company protocols.
• Provide exceptional customer service to insureds, claimants and partners.
• Verify coverage and establish timely reserves per policy language.
• Conduct focused investigations to determine compensability and damages.
• Establish relationships with internal and external partners to resolve claims.
• Authorize and ensure claim disbursements within authority and negotiate settlements.
• Identify subrogation/salvage opportunities or potential fraud referrals.
• Maintain compliance with state/local regulatory requirements.
• May mentor less experienced claim professionals.

Conocimientos

Commercial insurance knowledge

Communication skills

Investigative skills

Independent judgment

Time management

Multi-priority management

Negotiation

Microsoft Office

Valuing diverse opinions

Educación

Bachelor's degree or equivalent

4+ years claims experience

CNA Claim Training Program

Insurance Adjuster License within 90 days

CPCU designation a plus

Herramientas

Microsoft Office

Descripción del empleo

CNA Insurance seeks an experienced claims professional to manage commercial workers’ compensation claims of moderate to high complexity. You’ll investigate, reserve, and resolve claims per policy, while communicating with insureds, claimants and partners to meet quality and cycle-time standards.

You will conduct focused investigations, establish settlements within authority, and collaborate with defense counsel, vendors, and recovery teams.