Workers Compensation Claims Specialist
CNA Insurance
full-time
Posted on:
Location Type: Hybrid
Location: Brea • California • United States
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Salary
💰 $54,000 - $103,000 per year
About the role
- Manages an inventory of moderate to high complexity and exposure commercial claims by following company protocols to verify policy coverage, conduct investigations, develop and employ resolution strategies, and authorize disbursements within authority limits.
- Provides exceptional customer service by interacting professionally and effectively with insureds, claimants and business partners.
- Verifies coverage and establishes timely and adequate reserves by reviewing and interpreting policy language.
- Conducts focused investigation to determine compensability, liability and covered damages.
- Establishes and maintains working relationships with appropriate internal and external work partners, suppliers and experts.
- Authorizes and ensures claim disbursements within authority limit by determining liability and compensability of the claim.
- Identifies and addresses subrogation/salvage opportunities or potential fraud occurrences.
Requirements
- Bachelor's Degree or equivalent experience.
- Typically a minimum four years of relevant experience, preferably in claim handling.
- Candidates who have successfully completed the CNA Claim Training Program may be considered after 2 years of claim handling experience.
- 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).
- Solid working knowledge of the commercial insurance industry, products, policy language, coverage, and claim practices.
- Demonstrated ability to develop collaborative business relationships with internal and external work partners.
- Demonstrated investigative experience with an analytical mindset and critical thinking skills.
- Strong work ethic, with demonstrated time management and organizational skills.
Benefits
- CNA offers a comprehensive and competitive benefits package to help our employees – and their family members – achieve their physical, financial, emotional and social wellbeing goals.
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
claim handlinginvestigative experienceanalytical mindsetcritical thinkingpolicy language interpretationcoverage verificationliability determinationcompensability assessmentsubrogation identificationfraud detection
Soft Skills
customer serviceprofessional interactioncollaborative business relationshipstime managementorganizational skillsstrong work ethic
Certifications
Insurance Adjuster LicenseCPCU