Senior Workers' Comp Claims Strategy & Oversight Consultant

CNA Insurance; Boston (MA); On-site; USD 72,000 - 141,000; Full time

Job summary

CNA Insurance in Boston seeks an experienced Senior Claims Specialist to oversee complex Workers' Compensation claims handled by TPAs. You will guide strategies, reserves, and resolutions, influencing outcomes through collaboration with TPAs, clients, and internal teams.

The role emphasizes leadership through influence, strong analytical skills, and a deep understanding of regulatory requirements to ensure quality, compliance, and timely settlements across designated accounts.

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 and damages.
• Determines settlement vs. litigation approach and allocates reserves.
• Negotiates complex settlement packages and authorizes payments within authority.
• Coordinates third-party recovery with subrogation/salvage units.
• Provides guidance on claims processes and resolution strategies to management.
• Prepares and presents reports to management and clients.

Skills

Advanced claims expertise

Communication skills

Analytical skills

Project prioritization

Influence and leadership

Education

Bachelor's degree

Professional designation preferred

Job description

CNA Insurance in Boston seeks an experienced Senior Claims Specialist to oversee complex Workers' Compensation claims handled by TPAs. You will guide strategies, reserves, and resolutions, influencing outcomes through collaboration with TPAs, clients, and internal teams.

The role emphasizes leadership through influence, strong analytical skills, and a deep understanding of regulatory requirements to ensure quality, compliance, and timely settlements across designated accounts.