Workers Compensation Claims Specialist

3 weeks ago

Lisle, 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.

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.-
- 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)
- In certain jurisdictions, CNA is legally required to include a reasonable estimate of the compensation for this role. In California, Colorado, Connecticut, New York and Was

  • Workers Compensation Claims Specialist

    2 weeks ago

    Lisle, United States CNA 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. This individual contributor position works under moderate direction, and...

  • Workers Compensation Claims Specialist

    2 weeks ago

    Lisle, United States CNA 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. This individual contributor position works under moderate direction,...

  • Workers' Compensation Claim Adjuster

    3 weeks ago

    Lisle, United States CCMSI Full time

    Overview: 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 to our clients. As an Employee-Owned Company, we focus on developing our staff through structured career development programs,...

  • Complex Claims Specialist

    5 days ago

    Lisle, United States CNA Financial Corporation Full time

    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). This position enjoys a Claims Specialist, Real Estate, Claims, Specialist, Customer Service, Estate, Business Services

  • Claim Clerk

    4 weeks ago

    Lisle, Illinois, United States Cannon Cochran Management Services, Inc. (CCMSI) Full time

    Join our team at CCMSI and become a vital part of our Illinois Public Risk Fund, the largest Public Entity Workers' Compensation pool in Illinois. We are currently seeking talented individuals for an in-office administrative support position, Monday through Friday from 8:00 AM to 4:30 PM. About Us:Illinois Public Risk Fund operates with a dedicated CCMSI...

  • Claim Clerk

    4 weeks ago

    Lisle, United States CCMSI Full time

    Overview: **Join our team at CCMSI and become a vital part of our Illinois Public Risk Fund, the largest Public Entity Workers’ Compensation pool in Illinois. We are currently seeking talented individuals for an in-office administrative support position, Monday through Friday from 8:00 AM to 4:30 PM.** **About Us**: Illinois Public Risk Fund operates with...

  • Medical Only Claims Examiner I

    2 weeks ago

    Lisle, United States ICW Group Insurance Companies Full time

    Are you looking for more than just a job? Do you want to have a voice and feel a sense of belonging? At ICW Group, we hire innovative people who consistently adapt, grow and deliver. We believe in hard work, a fun work environment, and embracing crea Medical, Claims, Examiner, Insurance, Healthcare, Worker

  • Complex Claims Consultant

    3 weeks ago

    Lisle, United States CNA 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. This individual contributor position works under general direction, and...

  • Dining Solutions Specialist

    1 week ago

    Lisle, United States Integrated Inventory Technology Inc Full time

    **Dining Solutions Specialist** SourceTech is a **fast-growing** company that provides Foodservice & Dietary solutions for the senior living industry through a unique blend of consulting expertise, integrated technologies, and customer service. Our team strives daily to enrich the lives within the healthcare communities we serve and works determinedly to...

  • Patient Care Coordinator

    24 hours ago

    Lisle, United States Insight Medical Imaging Full time

    Patient Care Coordinator **Duties**: - Greet and check-in patients as they arrive at the dental office - Schedule and confirm appointments for patients - Answer phone calls and respond to patient inquiries - Maintain patient records and update information as necessary - Assist with billing and insurance claims processing - Coordinate referrals to...

  • Mental Health Therapist

    3 weeks ago

    Lisle, United States CENTER FOR INSIGHT & CONNECTION Full time

    Job DescriptionJob DescriptionBenefits/PerksFlexible SchedulingCompetitive CompensationJob SummaryThe Center for Insight and Connection is looking to hire a full-time therapist for the Lisle, IL location. Self-driven candidates serious about their clinical development and learning how to treat trauma with EMDR are encouraged to apply. EMDR is a cutting-edge...

  • Mental Health Therapist

    3 weeks ago

    Lisle, United States CENTER FOR INSIGHT & CONNECTION Full time

    Job DescriptionJob DescriptionBenefits/PerksFlexible SchedulingCompetitive CompensationJob SummaryThe Center for Insight and Connection is looking to hire a full-time therapist for the Lisle, IL location. Self-driven candidates serious about their clinical development and learning how to treat trauma with EMDR are encouraged to apply. EMDR is a cutting-edge...

  • Mental Health Therapist

    2 weeks ago

    Lisle, United States CENTER FOR INSIGHT & CONNECTION Full time

    Benefits/Perks Flexible Scheduling Competitive Compensation Job Summary The Center for Insight and Connection is looking to hire a full-time therapist for the Lisle, IL location. Self-driven candidates serious about their clinical development and learning how to treat trauma with EMDR are encouraged to apply. EMDR is a cutting-edge approach to mental health...

  • Sales Associate

    5 days ago

    Lisle, United States O'Neal Industries Inc. Full time

    ** Sales Associate** **Job Category****:** Sales **Requisition Number****:** ADMIN03277 Showing 1 location **Job Details** **Description** Leeco Steel is a leading supplier of carbon, HSLA and alloy steels from the premier mills worldwide. Due to our continued growth we have a new entry level opening in our Sales Department. Responsibilities include, but...

  • Mental Health Therapist

    3 weeks ago

    Lisle, United States CENTER FOR INSIGHT & CONNECTION Full time

    Benefits/Perks Flexible Scheduling Competitive Compensation Job SummaryThe Center for Insight and Connection is looking to hire a full-time therapist for the Lisle, IL location. Self-driven candidates serious about their clinical development and learning how to treat trauma with EMDR are encouraged to apply. EMDR is a cutting-edge approach to mental health...

  • Enterprise Sales Executive

    6 days ago

    Lisle, United States TRUCE Software Full time

    Job Type Full-time Description About TRUCE (trucesoftware.com) At TRUCE, we believe there’s a better way for businesses to leverage everything a mobile device has to offer in the workplace, while still protecting what’s most important – their employees, assets, and IP. As a category leader with 10+ years serving enterprises, TRUCE offers a unique...