CNA Insurance

Workers Compensation Claims Specialist

CNA Insurance

full-time

Posted on:

Origin:  • 🇺🇸 United States • Florida, New York, Pennsylvania

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Salary

💰 $54,000 - $103,000 per year

Job Level

Mid-LevelSenior

About the role

  • Manage an inventory of moderate to high complexity and exposure commercial workers' compensation claims following company protocols.
  • Verify policy coverage, conduct investigations, develop resolution strategies, and authorize disbursements within authority limits.
  • Provide exceptional customer service with timely updates and responses to insureds, claimants and business partners.
  • Verify coverage, establish reserves, estimate potential claim valuation, and partner with coverage counsel on complex matters.
  • Conduct investigations including obtaining documents, recorded statements, and working with experts to determine compensability and liability.
  • Authorize claim disbursements, negotiate settlements, and escalate to manager as appropriate.
  • Identify subrogation/salvage opportunities and potential fraud; refer to Recovery or SIU as needed.
  • Achieve quality and cycle time standards, ensure proper documentation, and maintain compliance with state/local regulatory requirements.
  • May mentor/coach less experienced claim professionals and perform additional duties as assigned.

Requirements

  • Solid working knowledge of the commercial insurance industry, products, policy language, coverage, and claim practices.
  • Solid verbal and written communication skills; ability to develop positive working relationships and present information.
  • Demonstrated ability to develop collaborative business relationships with internal and external partners.
  • Ability to exercise independent judgement, solve moderately complex problems and make sound business decisions.
  • Demonstrated investigative experience with an analytical mindset and critical thinking skills.
  • Strong work ethic with time management and organizational skills; ability to manage multiple priorities in a fast-paced environment.
  • Developing ability to negotiate low to moderately complex settlements.
  • Knowledge of Microsoft Office Suite and ability to learn business-related software.
  • Bachelor's Degree or equivalent experience.
  • Typically a minimum four years of workers compensation experience, preferably in claim handling (48 months).
  • Must have or be able to obtain and maintain an Insurance Adjuster License within 90 days of hire, where applicable.
  • Professional designations are a plus (e.g. CPCU).