Senior Workers' Compensation Claims Specialist

CNA Insurance; Town of De Witt (NY); On-site; USD 54,000 - 103,000; Full time

Benefits offered by this job

Benefits package

Training opportunities

Job summary

CNA Insurance is seeking an experienced individual contributor to manage and handle commercial workers' compensation claims of moderate to high complexity. You will investigate, verify coverage, reserve appropriately and communicate updates to insureds and partners.

The role requires collaboration with experts, maintaining relationships, and ensuring adherence to company protocols while aiming for efficient settlement opportunities. A CNA Claim Training background is valued.

Qualifications

• Solid knowledge of the commercial insurance industry, products, coverage and claim practices.
• Strong verbal and written communication skills with ability to build relationships and present information.
• Demonstrated ability to build collaborative relationships with internal and external partners.
• Ability to exercise independent judgment and solve moderately complex problems.
• Demonstrated investigative experience with analytical thinking.
• Strong time management and organizational skills.
• Ability to manage multiple priorities in a fast-paced environment.
• Developing ability to negotiate settlements.
• Adaptable to changing environment.

Responsibilities

• Manage an inventory of moderate to high complexity commercial claims by following protocols to verify coverage, conduct investigations, develop resolution strategies, and authorize disbursements within authority.
• Provide exceptional customer service with insureds, claimants and partners, meeting quality and cycle-time standards and updating inquiries.
• Verify coverage and establish reserves by interpreting policy language and partnering with coverage counsel.
• Investigate to determine compensability, liability and damages by gathering documents, taking statements, and consulting with experts.
• Build relationships with internal/external partners to resolve claims efficiently.
• Authorize disbursements within authority by determining liability and negotiating settlements.
• Contribute to expense management by timely resolution and resource oversight.
• Identify subrogation/fraud opportunities and refer to Recovery/SIU teams.
• Meet quality standards and maintain proper documentation and disbursements.
• Maintain regulatory compliance with state/local requirements and trends; mentor others as needed.

Skills

Commercial claims handling

Communication skills

Analytical mindset

Independent judgment

Investigative experience

Time management

Multi-priority management

Negotiation

MS Office

Diversity awareness

Education

Bachelor's Degree or equivalent

CPCU designation (plus)

Tools

Claim management software

MS Office Suite

Job description

CNA Insurance is seeking an experienced individual contributor to manage and handle commercial workers' compensation claims of moderate to high complexity. You will investigate, verify coverage, reserve appropriately and communicate updates to insureds and partners.

The role requires collaboration with experts, maintaining relationships, and ensuring adherence to company protocols while aiming for efficient settlement opportunities. A CNA Claim Training background is valued.