Senior Commercial Claims Specialist

CNA Insurance; New Jersey; On-site; USD 54,000 - 103,000; Full time

Job summary

CNA Insurance in the United States is seeking an experienced individual contributor to manage moderate to high complexity commercial claims. You will investigate, determine compensability and liability, and authorize disbursements within authority limits while maintaining excellent customer service.

The role emphasizes regulatory compliance, collaboration with internal/external partners, and potential mentoring of junior staff.

Qualifications

• Bachelor's degree or equivalent experience required.
• Typically at least four years of relevant claims handling experience.
• Must obtain an Insurance Adjuster License within 90 days where applicable.
• Professional designations such as CPCU are a plus.

Responsibilities

• Manage an inventory of moderate to high complexity commercial claims by following company protocols to verify policy coverage, conduct investigations, develop and employ resolution strategies, and authorize disbursements within authority limits.
• Provide 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

Commercial insurance

Customer service

Investigation & analysis

Communication skills

Negotiation skills

Independent judgement

Time management

Microsoft Office

Education

Bachelor's degree or equivalent experience

4 years of relevant experience

Insurance Adjuster License within 90 days

CPCU designation (plus)

Tools

Microsoft Office Suite

Job description

CNA Insurance in the United States is seeking an experienced individual contributor to manage moderate to high complexity commercial claims. You will investigate, determine compensability and liability, and authorize disbursements within authority limits while maintaining excellent customer service.

The role emphasizes regulatory compliance, collaboration with internal/external partners, and potential mentoring of junior staff.