Insurance Claims Manager

7 days ago


Plano, Texas, United States CNA Full time
Job Summary

CNA is seeking a highly skilled Commercial Claims Specialist to join our team. As a key member of our claims department, you will be responsible for managing commercial claims with moderate to high complexity and exposure.

Key Responsibilities
  • Claim Management: Investigate and resolve claims according to company protocols, quality and customer service standards.
  • Customer Service: Provide exceptional customer service by interacting professionally and effectively with insureds, claimants and business partners.
  • Coverage Verification: Verify coverage and establish timely and adequate reserves by reviewing and interpreting policy language and partnering with coverage counsel on more complex matters.
  • Investigation and Analysis: Conduct focused investigation to determine compensability, liability and covered damages by gathering pertinent information and working with experts as necessary.
  • Relationship Building: Establish and maintain working relationships with internal and external work partners, suppliers and experts by identifying and collaborating with resources that are needed to effectively resolve claims.
  • Disbursement Authorization: Authorize and ensure claim disbursements within authority limit by determining liability and compensability of the claim, negotiating settlements and escalating to manager as appropriate.
  • Expense Management: Contribute to expense management by timely and accurately resolving claims, selecting and actively overseeing appropriate resources, and delivering high quality service.
  • Subrogation and Fraud Detection: Identify and address 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.
  • Quality and Compliance: 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.
  • Regulatory Compliance: Maintain compliance with state/local regulatory requirements by following company guidelines, and staying current on commercial insurance laws, regulations or trends for line of business.
Requirements
  • Education: Bachelor's Degree or equivalent experience.
  • Experience: Typically a minimum four years of relevant experience, preferably in claim handling.
  • Licenses and Certifications: 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).
What We Offer

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 our website.



  • Plano, Texas, United States The LaSalle Group Full time

    Job SummaryThe Insurance Claims Resolution Specialist will be responsible for managing and resolving insurance claims denials, working closely with insurance companies and ensuring that claims are processed and paid accurately. The successful candidate will have extensive experience in denials management, a thorough understanding of denial reasons and the...


  • Plano, Texas, United States Liberty Mutual Group Full time

    Position OverviewThe Claims Specialist II plays a crucial role in overseeing a portfolio of Workers' Compensation claims, including those related to Texas Non-Subscriber cases. This position is responsible for assessing the validity and liability of claims, ensuring that all evaluations are thorough and accurate.Key ResponsibilitiesEvaluate and manage a...


  • Plano, Texas, United States Guardian Life Insurance Company Full time

    About This RoleAs a seasoned professional in the insurance industry, you will have the opportunity to lead and drive the Group Claims value stream on the Absence Comprehensive Experience project. This role requires a strong leader who can develop and manage a team, drive cross-functional collaborations, and deliver solutions to both internal and external...


  • Plano, Texas, United States CornerStone Staffing Full time

    Join a Dynamic Team in the Insurance Sector Are you an administrative professional eager to advance your career? CornerStone Staffing is seeking a Claims Assistant to support our operations in the insurance industry. Position Overview: Location: Plano, TX Compensation: $19 per hour Work Schedule: Monday to Friday, 8 AM to 5 PM (30-minute lunch break) Key...


  • Plano, Texas, United States CornerStone Staffing Full time

    Join Our Team as a Claims Assistant!Are you an administrative professional eager to advance your career within a dynamic organization? CornerStone Staffing is seeking a dedicated Claims Assistant in the Insurance sector.Position Overview:Job Title: Claims AssistantCompensation: $19 per hourWork Schedule: Monday to Friday, 8 AM - 5 PM (30-Minute Lunch...


  • Plano, Texas, United States United Auto Insurance Full time

    Job SummaryWe are seeking a highly skilled Casualty Bodily Injury Claims Adjuster to join our team at United Auto Insurance. As a key member of our claims department, you will be responsible for investigating and processing insurance claims related to bodily injury.Key ResponsibilitiesInvestigate and Process Claims: Conduct thorough investigations of bodily...


  • Plano, Texas, United States Sedgwick Full time

    Job SummaryWe are seeking a highly skilled and experienced Claims Adjuster - Workers Compensation Specialist to join our team at Sedgwick. As a key member of our claims management team, you will be responsible for analyzing and processing complex workers' compensation claims, ensuring timely and cost-effective resolution.Key ResponsibilitiesAnalyze and...


  • Plano, Texas, United States Liberty Mutual Full time

    Compensation Philosophy The starting salary range for this position is influenced by various factors such as skills, experience, education, certifications, and geographical location. The complete salary range reflects the competitive market value for all employees in similar roles across the national landscape and provides opportunities for advancement as...


  • Plano, Texas, United States Liberty Mutual Group Full time

    Position OverviewThe Claims Specialist II plays a crucial role in overseeing a portfolio of Workers' Compensation claims, including those pertaining to Texas Non-Subscriber cases. This position is essential for assessing the validity and liability of claims, ensuring that all processes align with established protocols and regulatory standards.Key...


  • Plano, Texas, United States CNA Full time

    Job SummaryCNA is seeking a highly skilled Commercial Claims Specialist to join our team. As a key member of our claims department, you will be responsible for managing commercial claims with moderate to high complexity and exposure.Key ResponsibilitiesClaim Management: Investigate and resolve claims according to company protocols, quality and customer...


  • Plano, Texas, United States Crystal Equation Corporation Full time

    Position Overview: This role demands expertise in the logistics sector to assess and manage logistics-related claims.Key Responsibilities:Draft, evaluate, and negotiate a comprehensive array of legal documents associated with various claims and logistics service agreements, including contracts for warehouse management and transportation across multiple...


  • Plano, Texas, United States Crystal Equation Corporation Full time

    Job SummaryWe are seeking a highly skilled Freight Claims Specialist to join our team at Crystal Equation Corporation. As a key member of our logistics team, you will be responsible for processing and resolving freight claims in a timely and accurate manner.Key ResponsibilitiesClaim Processing: Review and process new submissions to ensure all required...


  • Plano, Texas, United States CornerStone Staffing Full time

    Join Our Team as a Claims Assistant Are you an administrative professional eager to advance your career within a dynamic organization? CornerStone Staffing is seeking a dedicated Claims Assistant to support our operations in the insurance sector. Position Overview: Job Title: Claims Assistant Location: Plano, TX Compensation: $19 per hour Work Schedule:...


  • Plano, Texas, United States Farmers Insurance- District 53 Full time

    Farmers Insurance Agency is seeking a skilled professional to join our team in District 53. As an Insurance Agency Property Representative, you will play a crucial role in delivering exceptional customer experiences and driving business growth.Key Responsibilities:Work in a fast-paced agency office environment, Monday to Friday, 8:30 to 5:30.Cross-sell...

  • Claims Representative

    1 month ago


    Plano, Texas, United States Cigna Full time

    Claims Representative - Remote SUMMARY The claims representative is responsible for manually reviewing and processing medical, supplemental, or dental claims. Claims are processed according to benefits, eligibility, and internal processes, policies, and procedures and may be completed, held for additional information/review, or denied. New claim...


  • Plano, Texas, United States Farmers Insurance- District 53 Full time

    Job OverviewFarmers Insurance- District 53 is seeking a skilled Insurance Sales Producer to join our team. As a key member of our agency, you will be responsible for creating and presenting insurance sales quotes, handling customer follow-up, and building relationships with warm leads provided by the agency.Key ResponsibilitiesActive General or Personal...


  • Plano, Texas, United States CornerStone Staffing Full time

    Join a Growing Team in the Insurance Sector CornerStone Staffing is seeking a dedicated Claims Assistant to provide essential support within the insurance industry. Position Overview: Location: Plano, TX Compensation: $19 per hour Work Schedule: Monday to Friday, 8 AM - 5 PM (30-minute lunch break) Key Responsibilities: Assist in the filing and processing of...


  • Plano, Texas, United States Tokio Marine America Full time

    About Tokio Marine:With over a century of experience in the U.S. market, Tokio Marine is a licensed provider in all states, Puerto Rico, and the District of Columbia, offering a comprehensive range of Commercial Property and Casualty Insurance. Our dedicated team of account executives, underwriters, and loss prevention engineers deliver unique insurance and...


  • Plano, Texas, United States Tokio Marine America Full time

    About Tokio Marine:With over a century of experience in the U.S. market, Tokio Marine is a licensed provider across all states, Puerto Rico, and the District of Columbia, offering comprehensive coverage in all major lines of Commercial Property and Casualty Insurance. Our dedicated team of account executives, underwriters, and loss prevention engineers...


  • Plano, Texas, United States Farmers Insurance- District 53 Full time

    We are seeking a skilled Licensed Insurance Sales Producer to join our team at Farmers Insurance- District 53. As a key member of our agency, you will be responsible for creating and presenting insurance sales quotes, handling customer follow-up, and building relationships with warm leads provided by the agency.Key Responsibilities:Active General or Personal...