Claims Specialist, Workers Compensation
3 days ago
You have a clear vision of where your career can go. And we have the leadership to help you get there. At CNA, we strive to create a culture in which people know they matter and are part of something important, ensuring the abilities of all employees are used to their fullest potential.
This individual contributor position works under moderate direction, and within defined authority limits, to manage commercial claims with moderate to high complexity and exposure for a specific line of business. Responsibilities include investigating and resolving claims according to company protocols, quality and customer service standards. Position requires regular communication with customers and insureds and may be dedicated to specific account(s).
JOB DESCRIPTION:
Essential Duties & Responsibilities:
Performs a combination of duties in accordance with departmental guidelines:
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, achieving quality and cycle time standards, providing regular, timely updates and responding promptly to inquiries and requests for information.
Verifies coverage and establishes timely and adequate reserves by reviewing and interpreting policy language and partnering with coverage counsel on more complex matters , estimating potential claim valuation, and following company's claim handling protocols.
Conducts focused investigation to determine compensability, liability and covered damages by gathering pertinent information, such as contracts or other documents, taking recorded statements from customers, claimants, injured workers, witnesses, and working with experts, or other parties, as necessary to verify the facts of the claim.
Establishes and maintains working relationships with appropriate internal and external work partners, suppliers and experts by identifying and collaborating with resources that are needed to effectively resolve claims.
Authorizes and ensures claim disbursements within authority limit by determining liability and compensability of the claim, negotiating settlements and escalating to manager as appropriate.
Contributes to expense management by timely and accurately resolving claims, selecting and actively overseeing appropriate resources, and delivering high quality service.
Identifies and addresses subrogation/salvage opportunities or potential fraud occurrences by evaluating the facts of the claim and making referrals to appropriate Recovery or SIU resources for further investigation.
Achieves quality standards on every file by following all company guidelines, achieving quality and cycle time targets, ensuring proper documentation and issuing appropriate claim disbursements.
Maintains compliance with state/local regulatory requirements by following company guidelines, and staying current on commercial insurance laws, regulations or trends for line of business.
May serve as a mentor/coach to less experienced claim professionals
May perform additional duties as assigned.
Reporting Relationship
Typically Manager or above
Skills, Knowledge & Abilities
Solid working knowledge of the commercial insurance industry, products, policy language, coverage, and claim practices.
Solid verbal and written communication skills with the ability to develop positive working relationships, summarize and present information to customers, claimants and senior management as needed.
Demonstrated ability to develop collaborative business relationships with internal and external work 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 demonstrated time management and organizational skills.
Demonstrated ability to manage multiple priorities in a fast-paced, collaborative environment at high levels of productivity.
Developing ability to negotiate low to moderately complex settlements.
Adaptable to a changing environment.
Knowledge of Microsoft Office Suite and ability to learn business-related software.
Demonstrated ability to value diverse opinions and ideas
Education & Experience:
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)
#LI-AR1
#LI-Hybrid
In certain jurisdictions, CNA is legally required to include a reasonable estimate of the compensation for this role. In District of Columbia, California, Colorado, Connecticut, Maryland, New York and Washington, the national base pay range for this job level is $49,000 to $98,000 annually. Salary determinations are based on various factors, including but not limited to, relevant work experience, skills, certifications and location. 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. For a detailed look at CNA's benefits, please visit cnabenefits.com.
CNA is committed to providing reasonable accommodations to qualified individuals with disabilities in the recruitment process. To request an accommodation, please contact leaveadministration@cna.com.
-
Workers Compensation Claims Adjuster
5 days ago
Las Vegas, NV, United States TheBest Claims Solutions Full timeOur client, one of the Leading Workers' Compensation Claims Organizations, is seeking to add a remote Senior Workers' Compensation Claims Specialist to their Nevada team. This person would be responsible for handling lost time workers' compensation claims from inception to close. Required Qualifications: 2+ years of Workers' Compensation Claims...
-
Workers Compensation Claims Adjuster
5 days ago
Las Vegas, NV, United States TheBest Claims Solutions Full timeOur client, one of the Leading Workers' Compensation Claims Organizations, is seeking to add a remote Senior Workers' Compensation Claims Specialist to their Nevada team. This person would be responsible for handling lost time workers' compensation claims from inception to close. If you are considering sending an application, make sure to hit the apply...
-
Workers Compensation Claims Adjuster
3 weeks ago
Las Vegas, NV, United States TheBest Claims Solutions Full timeOur client, one of the Leading Workers' Compensation Claims Organizations, is seeking to add a remote Senior Workers' Compensation Claims Specialist to their Nevada team. This person would be responsible for handling lost time workers' compensation claims from inception to close.If you are considering sending an application, make sure to hit the apply button...
-
Claims Specialist, Workers Compensation
4 weeks ago
De Witt, United States CNA Insurance Full timeYou have a clear vision of where your career can go. And we have the leadership to help you get there. At CNA, we strive to create a culture in which people know they matter and are part of something important, ensuring the abilities of all employees are used to their fullest potential.This individual contributor position works under moderate direction, and...
-
Workers Compensation Claims Adjuster
3 weeks ago
Irvine, CA, United States TheBest Claims Solutions Full timeOur client, is in need of a Temporary Workers' Compensation Claims Examiner for their Irvine Office to work on a hybrid basis. The ideal candidate will have 3+ years of California Workers Compensation Experience.Any additional information you require for this job can be found in the below text Make sure to read thoroughly, then apply.Required...
-
Workers Compensation Claims Adjuster
3 weeks ago
Coral Gables, FL, United States Ascendant Insurance Solutions Full timeAscendant Commercial Insurance is a full-service Florida based insurance company, seeking Workers' Compensation Adjusters to join the Claims team. We are a fast growing, diverse company, offering a complete suite of benefits and competitive compensation package.Ascendant is looking for the next generation of industry professionals! If you’re looking for a...
-
Workers Compensation Claims Examiner
3 weeks ago
Las Vegas, NV, United States Flex Employee Services Full timeTITLE: Workers Compensation Claims Examiner IIITERM: Contract/possible Contract-to-Hire LOCATION: Las Vegas, NV | Salt Lake, UT OR Denver, CO (REMOTE)HOURS: Mon - Fri- 8:00 AM-5:00 PMHOURLY RATE: $33.65-36.06 (depending on experience)SummaryThe caseload will be between 130 worker comp files - It claims and administers benefits for medical treatment and...
-
Claims Advocate
4 weeks ago
Des Moines, IA, United States SFM Companies (SFM Mutual Insurance) Full timeJoin the top Workers Compensation insurance provider and experience an environment where you'll enjoy great work/life balance and the satisfaction of helping others. This position is on our Third Party Administrator team and candidates with MN claims handling experience are preferred. Working as a Claims Advocate, you will handle lost time claims and complex...
-
Claims Advocate
4 weeks ago
Des Moines, IA, United States SFM Companies (SFM Mutual Insurance) Full timeJoin the top Workers Compensation insurance provider and experience an environment where you'll enjoy great work/life balance and the satisfaction of helping others. This position is on our Third Party Administrator team and candidates with MN claims handling experience are preferred. Working as a Claims Advocate, you will handle lost time claims and complex...
-
Workers' Compensation Claims Team Lead
3 weeks ago
Timonium, MD, United States King's Insurance Staffing Full timeOur client is seeking to add a Workers’ Compensation Claims Team Lead to their Maryland office. This person would be responsible for overseeing a team of 3-4 Claims Examiners handling moderate to complex Maryland Workers’ Compensation claims including medical only and lost time claims. Responsibilities of this position include assigning new losses,...
-
Workers' Compensation Specialist
2 weeks ago
Scottsdale, AZ, United States The Jonus Group Full timeAt The Jonus Group, we provide specialized insurance staffing solutions, focusing on delivering the highest level of service to both our clients and employees. We are seeking a highly skilled Arizona Workers Compensation Claims Adjuster to join our client's team. This role involves handling workers compensation claims efficiently and in compliance with...
-
Claims Examiner
2 weeks ago
Syracuse, NY, United States Sedgwick Full timeTaking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It's an opportunity to do something meaningful, each and every day. It's having support for your...
-
Workers Compensation Claims Adjuster II
3 weeks ago
Chicago, IL, United States AmTrust Financial Services, Inc. Full timeOverview:AmTrust Financial Services, a fast-growing commercial insurance company, has an immediate need for a Claims Adjuster II - WC. The adjuster is responsible for the prompt and efficient examination, investigation, settlement or declination of worker’s compensation insurance claims through effective research, negotiation and interaction with insures,...
-
Claims Examiner
4 weeks ago
Syracuse, NY, United States Sedgwick Full timeTaking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It’s an opportunity to do something meaningful, each and every day. It’s having support for...
-
Claims Representative
4 weeks ago
Syracuse, NY, United States Sedgwick Full timeTaking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It’s an opportunity to do something meaningful, each and every day. It’s having support for...
-
Claims Adjuster- Workers Compensation CA
20 hours ago
Pasadena, CA, United States Nesco Resource Full timeDescription:PRIMARY PURPOSE: To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service requirements; and to identify...
-
Workers' Compensation Claim Supervisor
4 weeks ago
Salem, OR, United States CCMSI Full timeOverview:Submit your CV and any additional required information after you have read this description by clicking on the application button.At CCMSI, we look for the best and brightest talent to join our team of professionals. As a leading Third Party Administrator in self-insurance services, we are united by a common purpose of delivering exceptional service...
-
Workers' Compensation Claims Supervisor
2 weeks ago
Nashville, TN, United States CCMSI Full timeOverview:Experience, qualification, and soft skills, have you got everything required to succeed in this opportunity Find out below.Workers' Compensation Claim SupervisorLocation: Hybrid (Nashville, TN office 2 days per week after initial training period)Schedule: Monday - FridayCCMSI, a top-ranked Employee-Owned Third Party Administrator in self-insurance...
-
Syracuse, NY, United States Sedgwick Full timeTaking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It's an opportunity to do something meaningful, each and every day. It's having support for your...
-
Syracuse, NY, United States Sedgwick Full timeTaking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It's an opportunity to do something meaningful, each and every day. It's having support for your...
