Senior WC Claims Strategy & TPA Oversight

CNA Insurance

Glastonbury (CT)

On-site

USD 72,000 - 141,000

Full time

6 days ago
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Job summary

CNA Insurance in Glastonbury, CT seeks an experienced claims leader to oversee highly complex Workers' Compensation investigations and settlements with TPAs. You will guide strategies, reserves, and resolution plans, coordinating with clients and internal partners to maintain quality, compliance and performance.

The role emphasizes influence over outcomes, data-driven decision making, and clear communication across stakeholders to ensure optimal claim handling and service standards.

Qualifications

  • Bachelor's degree or equivalent experience.
  • Professional designation preferred.
  • Typically a minimum eight years claims experience.

Responsibilities

  • Manages highly complex investigations of claims, including coverage issues, liability, compensability and damages.
  • Determines if a major claim should be settled or litigated and implements an appropriate resolution strategy accordingly.
  • Effectively manages loss costs and claim expenses.
  • Coordinates discovery and litigation strategy with staff counsel or panel attorneys.
  • Negotiates highly complex settlement packages, and authorizes payment within scope of authority, settling claims in most cost effective manner and ensuring timely issuance of disbursements.
  • Coordinates third party recovery with subrogation/salvage unit.
  • Makes recommendations on claims processes and resolution strategies to management.
  • Analyzes claims activities; prepares and presents reports to management and other internal business partners and clients.
  • Works with attorneys, account representatives, agents, doctors and insureds regarding the handling and/or disposition of highly complex claims.
  • Keeps current on state/territory regulations and issues, industry activity and trends.
  • May participate in industry trade groups.
  • Provides guidance and assistance to less experienced claims staff and other functional areas.
  • Responsible for input of data that accurately reflects claim circumstances and other information important to our business outcomes.

Skills

Advanced technical & product knowledge
Strong communication & negotiation
Analytical problem solving
Influence through collaboration
Microsoft Office Suite

Education

Bachelor's degree or equivalent experience
Professional designation preferred

Job description

CNA Insurance in Glastonbury, CT seeks an experienced claims leader to oversee highly complex Workers' Compensation investigations and settlements with TPAs. You will guide strategies, reserves, and resolution plans, coordinating with clients and internal partners to maintain quality, compliance and performance.

The role emphasizes influence over outcomes, data-driven decision making, and clear communication across stakeholders to ensure optimal claim handling and service standards.

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