- 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
- 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
- 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)
-
Claims Specialist
3 days ago
CorVel Enterprise Comp, Inc. Downers Grove, United StatesJob Description · Job DescriptionThe Liability Claims Specialist manages within company standards and best practices complex and problematic, liability claims within delegated limited authority to determine benefits due; manage subrogation and negotiate settlements to ensure spec ...
-
Workers' Compensation Claims Specialist
1 week ago
CorVel Downers Grove, United StatesCorVel is hiring a Claims Specialist for our VA office. The Claims Specialist manages lower-level, non-complex and non-problematic Medical Only workers' compensation claims along with Lost Time claims involving greater complexity - within company best practices & within delegated ...
-
Worker's Compensation Claims Specialist
6 days ago
Insight Global Downers Grove, United StatesInsight Global is looking for a Claims Specialist to join a third party workers compensation organization headquartered in Chicago, IL. The Claims Specialist manages within company standards and best practices complex and problematic, high visibility workers' compensation claims ...
-
Claims Specialist
1 week ago
Addison Group Geneva, United StatesJob Title: Medical Claims Specialist · Location: Geneva, IL · Industry: Healthcare · Pay: $23 - $26 per hour · About Our Client: · Our client is a leading healthcare provider in Geneva, IL, seeking a skilled Medical Claims Specialist to join their team. · Job Description: · As a ...
-
Unemployment Claims Specialist
5 days ago
Employco USA Westmont, United StatesOutsourcing Human Resources to Employco USA is the perfect solution for small to medium-sized businesses. Think of Employco as your own HR department, one you can turn to for advice and counsel on everything from screening potential candidates to managing a personnel crisis. Furt ...
-
Field Claims Specialist
1 week ago
Storm Guard of Naperville Naperville, United States**Benefits**: · - Bonus based on performance · - Competitive salary · - Dental insurance · - Free uniforms · - Health insurance · - Opportunity for advancement · - Paid time off · - Training & development · **Company Overview** · Storm Guard is a locally owned and nationally back ...
-
Claims Specialist
1 week ago
AXIS Capital Holdings Chicago, United StatesThis is your opportunity to join AXIS Capital a trusted global provider of specialty lines insurance and reinsurance. We stand apart for our outstanding client service, intelligent risk taking and superior risk adjusted returns for our shareholders Claims, Claims Specialist, Prog ...
-
Claims Specialist
1 week ago
Liberty Mutual Insurance Hoffman Estates, United StatesSchedule: Full-Time Salary Range: USD $ $ Job Category: Claims Pay Philosophy The typical starting salary range for this role is determined by a number of factors including skills, experience, education, certifications and location. The full salary range for this role reflects th ...
-
CNA Financial Corporation Downers Grove, United StatesPerforms 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 a Claims Specialist, Liability, ...
-
Workers' Compensation Claims Specialist
3 weeks ago
CorVel Downers Grove, United StatesCorVel is hiring a Claims Specialist for our VA office. The Claims Specialist manages lower-level, non-complex and non-problematic Medical Only workers' compensation claims along with Lost Time claims involving greater complexity - within company best practices & within delegated ...
-
Claims Specialist
2 weeks ago
midwest elite construction Chicago, United StatesJob Description · Job DescriptionMidwest elite construction, is a general contractor that specializes in homeowners insurance claims for storm related property damage to roofing, siding, gutters, interior, etc. Our primary customers are homeowners although we are experienced in c ...
-
Freight Claims Specialist
4 weeks ago
BlueGrace Logistics Chicago, United StatesThe primary focus of the Claims Specialist is to execute the filing, reconciliation, and closure of all freight claims. Please note that previous freight claims experience is required. · What you'll do: · Review submitted claims paperwork for accuracy. · Manage claims for a set ...
-
Workers Compensation Claims Specialist
3 weeks ago
CNA Insurance Lisle, United StatesYou 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 pot ...
-
Claims Specialist
1 week ago
CNA Chicago, United StatesYou 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 pot ...
-
Claims Coding Specialist
1 week ago
The University of Chicago Medicine Chicago, United States FT RegularJob Description · Join a world-class academic healthcare system, UChicago Medicine, as a Claims Coding Specialist (CCS) in our Revenue Cycle - Revenue Integrity Department. This is a hybrid/flexible remote position and may require some on site requirement as needed. The offi ...
-
Claim Readiness Specialist
1 week ago
UroPartners LLC. Westchester, United StatesJob Type · Full-time · Description · The Claim Readiness Specialist is responsible for entering and importing charges and ensuring the appropriate billing codes on used for all charges. The Claim Readiness Specialist will ensure charges are entered accurately, efficiently, and ...
-
Claims Specialist
3 weeks ago
SkinCure Oncology Burr Ridge, United StatesLarge Growth - multiple positions needed · $1,000 sign-on bonus at 6 months · SkinCure Oncology is the national leader in the delivery of superficial radiation therapy services. We are currently recruiting for a full time Claims Integrity Specialist to join our team. SkinCure's C ...
-
Claims Service Specialist
1 week ago
Captive Resources Itasca, United StatesThe Claims Service Specialist will support the Claims Services Managers (CSM's) to help ensure member claim service satisfaction and provide claims service management ensuring proper communication and follow through · ESSENTIAL EDUCATION AND EXPERIENCE: · Bachelor's Degree or e ...
-
Complex Claims Specialist
1 day ago
CNA Financial Corporation Chicago, United StatesInclude 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 Estat ...
-
wage claims specialist
5 days ago
State of Illinois Chicago, United StatesWAGE CLAIMS SPECIALIST SPANISH SPEAKING Agency : Department of Labor Closing Date/ Time: 06/28/2024 Salary: Anticipated Starting Salary $3,971.00 a month; Full Range $3, $5243.00/month Job Type: Salaried County: Cook Number of Vacancie Claims Specialist, Claims, Specialist, Proce ...
General Liability Claims Specialist - Lisle, United States - CNA
Description
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:
Reporting Relationship
Typically Manager or above
Skills, Knowledge & Abilities
CNA is committed to providing reasonable accommodations to qualified individuals with disabilities in the recruitment process. To request an accommodation, please contact
