Strategic Workers' Comp Claims Oversight Specialist

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

Job summary

CNA Insurance is seeking an experienced Senior Claims Professional to provide technical oversight of high-exposure workers’ compensation claims managed by TPAs. This individual contributor role leads claim strategies, reserves, and resolution plans, influencing outcomes through collaboration with TPAs, clients, and internal partners.

The position requires advanced claims expertise, strong communication, and the ability to drive quality and compliance while navigating complex regulatory

Qualifications

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

Responsibilities

• Reviews and guides claim strategies, reserves, and resolution plans.
• Lead through influence with TPAs, clients, and internal stakeholders.
• Oversee investigations of complex claims, including liability and damages.
• Negotiate settlement packages and authorize payments within authority.
• Provide guidance to less experienced claims staff and coordinate with attorneys and other partners.

Skills

Complex claims analysis

Negotiation

Communication

Problem solving

Project prioritization

Adaptability

Cost-benefit evaluation

Presentation skills

Education

Bachelor’s degree or equivalent experience

Professional designation preferred

Eight years claims experience

Tools

Microsoft Office

Job description

CNA Insurance is seeking an experienced Senior Claims Professional to provide technical oversight of high-exposure workers’ compensation claims managed by TPAs. This individual contributor role leads claim strategies, reserves, and resolution plans, influencing outcomes through collaboration with TPAs, clients, and internal partners.

The position requires advanced claims expertise, strong communication, and the ability to drive quality and compliance while navigating complex regulatory