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CNA Insurance · 1 month ago

Workers Compensation Claims Representative, West

Plano, TX, USA

Full-time

Hybrid

New Grad, Entry Level

$47K/yr - $78K/yr

CNA Insurance is a company that values the potential of its employees and strives to create a supportive work environment. The Workers Compensation Claims Representative is responsible for managing low to moderate complexity commercial claims, ensuring compliance with company protocols, and maintaining customer satisfaction through effective communication and timely updates.

FinanceFinancial ServicesInformation ServicesInformation TechnologyInsuranceProperty ManagementReal EstateRisk Management

Responsibilities

Manages an inventory of low to moderate complexity and exposure commercial claims by following company protocols to verify policy coverage, gather necessary information, maintain appropriate file documentation and authorize disbursements within authority limit

Contributes 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

Verifies coverage and establishes timely and adequate reserves by reviewing and interpreting policy language, estimating potential claim valuation, and following company's claim handling protocols

Exercises judgement to determine liability and compensability by conducting investigations to gather pertinent information, taking recorded statements from insureds, witnesses and working with experts to verify the facts of the claim

Works with appropriate internal and external partners, suppliers and experts by identifying and effectively collaborating with necessary resources to facilitate best claim outcomes

Authorizes and ensures claim disbursements within authority limit by determining liability and compensability of the claim, negotiating settlements and escalating to manager as appropriate

Developing ability to manage expenses 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 Claim, 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

Qualification

Insurance Adjuster LicenseCommercial insurance knowledgeAnalytical mindsetMicrosoft Office SuiteCustomer service skillsCommunication skillsProblem-solving skillsTime managementCollaboration skillsAdaptability

Required

High school Diploma required

Must have or be able to obtain and maintain an Insurance Adjuster License within 90 days of hire, where applicable

Developing basic knowledge of the commercial insurance industry, products and claim 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 work partners

Able to exercise independent judgement, solve basic problems and make sound business decisions

Analytical mindset with critical thinking skills

Strong work ethic, with demonstrated time management and organizational skills

Ability to manage multiple priorities in a fast-paced, collaborative environment at high levels of productivity

Knowledge of Microsoft Office Suite and ability to learn business-related software

Adaptable to a changing environment

Ability to value diverse opinions and ideas

Preferred

Associates or Bachelor's Degree preferred

Prior claim handling, or business experience in the insurance industry and/or customer service is preferred

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.