Senior Workers' Comp Claims Oversight Consultant

CNA Insurance; Brea (CA); On-site; USD 72,000 - 141,000; Full time

Job summary

CNA Insurance is seeking an individual contributor to provide technical oversight of complex, high-exposure workers' compensation claims handled by Third-Party Administrators (TPAs). Under general direction, you will guide claim strategies, reserves and resolution plans, influencing outcomes through collaboration with TPAs, clients and internal partners.

You will lead through influence, ensuring compliance with regulatory requirements and company protocols while delivering accurate data, timely

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.
• Coordinates discovery and litigation strategy with staff counsel or panel attorneys.
• Negotiates highly complex settlement packages, and authorizes payment within scope of authority.
• Coordinates third party recovery with subrogation/salvage unit.
• Makes recommendations on claims processes and resolution strategies to management.

Skills

Advanced claims expertise

Strong communication

Analytical skills

Negotiation

Microsoft Office

Education

Bachelor's degree or equivalent

Professional designation preferred

Tools

Microsoft Office

Job description

CNA Insurance is seeking an individual contributor to provide technical oversight of complex, high-exposure workers' compensation claims handled by Third-Party Administrators (TPAs). Under general direction, you will guide claim strategies, reserves and resolution plans, influencing outcomes through collaboration with TPAs, clients and internal partners.

You will lead through influence, ensuring compliance with regulatory requirements and company protocols while delivering accurate data, timely