Associate Claims Representative

4 weeks ago

Melville NY United States CNA Insurance Full time

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.

After successful completion of a formal training program, this individual contributor position works under close supervision, and within defined authority limits, to handle and resolve low complexity commercial claims 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.

JOB DESCRIPTION:

***This role has a targeted start date of JUNE 2025***

Essential Duties & Responsibilities:

  • Develops a working knowledge of commercial insurance and learns to manage an inventory of low complexity claims by successfully completing a formal training program, and following company protocols to verify policy coverage, gather necessary information, maintain appropriate file documentation and authorize disbursements within authority limit.
  • Develops ability to contribute to customer satisfaction 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.
  • Learns to verify coverage and establish timely and adequate reserves by reviewing and interpreting policy language, estimating potential claim valuation, and following company's claim handling protocols.
  • Develops ability to determine liability and compensability by conducting investigations to gather pertinent information, taking statements from insureds, witnesses and working with experts to verify the facts of the claim.
  • Learns to work with appropriate internal and external partners, suppliers and experts by identifying and effectively collaborating with necessary resources to facilitate best claim outcomes.
  • With manager approval, authorizes claim disbursements within authority limit by determining liability and compensability of the claim, negotiating settlements and escalating to manager as appropriate.
  • Develops ability to meet or exceed quality standards on every file by following all company guidelines, achieving quality and cycle time targets, ensuring proper documentation and issuing appropriate claim disbursements.
  • Learns to identify and address subrogation/salvage opportunities or potential fraud occurrences by evaluating the facts of the claim and making referrals to appropriate Claim, Recovery or SIU resources for further investigation.
  • Develops ability to achieve quality standards on every file by following all company guidelines, achieving quality and cycle time targets, ensuring proper documentation and issuing appropriate claim disbursements.
  • Learns and 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 perform additional duties as assigned.

Reporting Relationship:

  • Typically Supervisor or above

Skills, Knowledge & Abilities:

  • Strong desire to develop a wide breadth of knowledge and understanding of the commercial insurance industry, products and claims practices.
  • Good verbal and written communication skills with the ability to demonstrate empathy while providing exceptional customer service.
  • Ability to develop collaborative business relationships with both internal and external partners.
  • Developing ability to exercise independent judgement, solve problems, and make sound business decisions.
  • Analytical mindset with critical thinking skills. Strong work ethic, with demonstrated time management and organizational skills.
  • Ability to work in a fast-paced, collaborative environment at high levels of productivity.
  • Knowledge of Microsoft Office Suite and ability to learn business-related software.
  • Ability to manage multiple priorities and adapt to a changing environment.
  • Ability to value diverse opinions and ideas.

Education & Experience:

  • Bachelor's degree required.
  • A 3.0 or higher GPA preferred.
  • Demonstrated leadership through prior work experience or participation in extra-curricular activities is a plus.
  • Prior corporate internship(s) is preferred.
  • Ability to obtain and maintain an Insurance Adjuster License, where applicable.
#J-18808-Ljbffr

  • Personal Injury Protection Claims Examiner

    1 month ago

    Melville, NY, United States Government Employees Insurance Company Full time

    Personal Injury Protection Claims Examiner – Melville, NYSalary: $28.29 per hour / $57,000 annuallyWhat sets GEICO apart from our competition? One key factor is our ability to provide outstanding customer service during the insurance claims process. We are looking for Personal Injury Protection (PIP) Claims Examiners in our Melville, NY office to deliver...

  • Billing Claims Representative

    4 weeks ago

    San Francisco, CA, United States University of California San Francisco Full time

    The Billing/Claims Unit is responsible for billing hard copy claims, working in the Claims Edit Work queues, and following up on return mail. The unit deals regularly with complex policy and procedural issues that involve contract compliance with HMO and PPO payers. It is the unit's responsibility to communicate and coordinate throughout various UCSF Medical...

  • Sales Representative

    2 weeks ago

    Melville, New York, United States Sherwood Lumber Corporation Full time

    We are seeking a highly motivated Sales Representative to join our team at Sherwood Lumber Corporation. The estimated salary for this position is $60,000 - $80,000 per year.Job DescriptionThis role involves order entry and associated tasks, claims and credits management, inventory management, and phone handling and customer service. The ideal candidate will...

  • Personal Injury Protection Claims Examiner

    1 month ago

    Melville, United States Government Employees Insurance Company Full time

    Personal Injury Protection Claims Examiner – Melville, NYSalary: $28.29 per hour / $57,000 annuallyWhat sets GEICO apart from our competition? One key factor is our ability to provide outstanding customer service during the insurance claims process. We are looking for Personal Injury Protection (PIP) Claims Examiners in our Melville, NY office to deliver...

  • Casualty Claims Representative

    2 days ago

    Mondovi, WI, United States Marten Recruiting Dept. Full time

    Great opportunity to join a growing company! Marten Transport LTD, a leading refrigerated carrier, is currently hiring! Looking for a Casualty Claims Representative at their Terminal in Mondovi, WI. Highly competitive pay package based on experience. Great benefits offered including UMR medical, Delta Dental and 401K (starting at 90 days!). Apply...

  • Billing Claims Representative

    4 weeks ago

    San Francisco, CA, United States University of California - San Francisco Campus and Health Full time

    Billing Claims Representative Medical Group Business Services Full Time 82351BR Job Summary The Billing/Claims Unit is responsible for billing hard copy claims working in the Claims Edit Work queues and following up on return mail. The unit deals regularly with complex policy and procedural issues that involve contract compliance with HMO and PPO payers. It...

  • Customer Service Claims Representative

    1 month ago

    Phoenix, AZ, United States USAA Full time

    Why USAA? Let's do something that really matters. We have an important mission: serving the members of the military community and their families. It's both a chance to say thank you and the opportunity to put your talents to work in a meaningful way. To do it right, we need the right people. We're looking for those who share our values of honesty,...

  • Senior Claims Representative, Bodily Injury

    2 months ago

    Parsippany, NJ, United States Plymouth Rock Assurance Full time

    The Casualty Claim Representative will be responsible for the handling of First and Third Party Bodily Injury claims in a Personal Lines/Commercial environment for the Plymouth Rock Operation.Essential Functions and ResponsibilitiesInitiate prompt contact of all insureds/claimants/witnesses on all new claim assignments to conduct thorough coverage and...

  • Excess Workers Compensation Claims Associate

    2 days ago

    Chicago, IL, United States Partnership Employment Full time

    Career Opportunity Excess Workers Compensation Claims Associate, Chicago, IL Hybrid Schedule 2 Days Office / 3 Days remote Our client, a major Excess Workers Compensation Management and Insurance Services Corporation, is a premier alternative risk transfer provider, offering innovative solutions for the unique needs of public entity and education clients....

  • Complex Claims Representative

    4 weeks ago

    Wyomissing, Berks County, United States CNA Insurance Full time

    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. CNA is the market leader in providing Accountants Professional Liability...

  • Customer Service Claims Representative

    4 weeks ago

    Phoenix, AZ, United States USAA Full time

    Why USAA?Lets do something that really matters. We have an important mission: serving the members of the military community and their families. Its both a chance to say thank you and the opportunity to put your talents to work in a meaningful way. To do it right, we need the right people. Were looking for those who share our values of honesty, integrity,...

  • Claims Manager

    4 weeks ago

    Dallas, TX, United States Topgolf Payroll Services Full time

    Manages workers’ compensation and general liability (guest) claims from inception to resolution; indirectly supervising the assigned 3rd party administrator, partnering with the broker claims consultant, and oversight of outside counsel. Manages large 1st party property claims as they occur, partnering with the insurance adjuster and forensic accountants....

  • Senior Claims Data Scientist

    4 hours ago

    Melville, United States AmTrust Financial Full time

    Senior Claims Data ScientistJob Locations: US-United StatesRequisition ID: 2024-17883Category: AnalyticsPosition Type: Regular Full-TimeOverviewDo you enjoy solving difficult claims problems? Are you resourceful? Do you enjoy working with data? If so, AmTrust is looking to add a talented experienced Data Scientist to their growing Data Science & AI Team with...

  • Customer Service Claims Representative

    4 months ago

    Phoenix, AZ, United States USAA Full time

    Why USAA?Let’s do something that really matters. We have an important mission: serving the members of the military community and their families. It’s both a chance to say thank you and the opportunity to put your talents to work in a meaningful way. To do it right, we need the right people. We’re looking for those who share our values of honesty,...

  • Customer Service Claims Representative

    4 months ago

    Phoenix, AZ, United States USAA Full time

    Why USAA?Let’s do something that really matters. We have an important mission: serving the members of the military community and their families. It’s both a chance to say thank you and the opportunity to put your talents to work in a meaningful way. To do it right, we need the right people. We’re looking for those who share our values of honesty,...

  • Claims Expert with Machine Learning Expertise

    4 weeks ago

    Melville, New York, United States AmTrust Financial Full time

    Job TitleCareer Opportunity for Senior Claims Data ScientistAbout UsAmTrust Financial Services Inc. is a multinational property and casualty insurer specializing in coverage for small to mid-sized businesses. We strive to create a diverse and inclusive culture where thoughts and ideas of all employees are appreciated and respected.Salary and BenefitsThe...

  • Follow Up Representative

    2 days ago

    Melville, United States Catholic Health Service Full time

    Overview: Catholic Health is one of Long Islands finest health and human services agencies. Our health system has over 16,000 employees, six acute care hospitals, three nursing homes, a home health service, hospice and a network of physician practices across the island. At Catholic Health, our primary focus is the way we treat and serve our communities. We...

  • System Analyst

    1 month ago

    Melville, United States Catholic Health Full time

    System Analyst - ClaimsCatholic Health is one of Long Island’s finest health and human services agencies. Our health system has over 16,000 employees, six acute care hospitals, three nursing homes, a home health service, hospice and a network of physician practices across the island.OverviewUnder minimal supervision, formulates and defines Resolute...

  • System Analyst

    1 month ago

    Melville, United States Catholic Health Service Full time

    Overview Catholic Health is one of Long Island’s finest health and human services agencies. Our health system has over 16,000 employees, six acute care hospitals, three nursing homes, a home health service, hospice and a network of physician practices across the island. At Catholic Health, our primary focus is the way we treat and serve our communities. We...

  • Associate Attorney

    3 weeks ago

    Melville, United States TBG | The Bachrach Group Full time

    Overview:Our client, a well-established law firm in Melville, NY, is seeking an experienced Associate Attorney to join their growing plaintiffs’ personal injury practice. The ideal candidate will have a minimum of 4 years of hands-on experience in personal injury law, representing plaintiffs in various cases such as motor vehicle accidents, slip and falls,...