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Workers Compensation Claims Specialist
CNA Insurance. Manage an inventory of low to moderate complexity commercial claims .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in managing commercial claims, including verifying policy coverage, negotiating settlements, and ensuring compliance with insurance regulations. Possesses strong analytical and communication skills to effectively collaborate with internal and external partners.
Highest-signal resume keywords
Insurance Adjuster LicenseClaim Handling ExperienceCommercial Insurance KnowledgeAnalytical MindsetTime Management Skills
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Claims ManagementPolicy Coverage VerificationClaim Valuation EstimationNegotiationSubrogation IdentificationFraud DetectionDocumentation MaintenanceRegulatory ComplianceProblem SolvingCritical Thinking
Soft Skills
Verbal CommunicationWritten CommunicationEmpathyCollaborationAdaptability
Tools & Technologies
Microsoft Office SuiteBusiness-Related Software
Certifications & Qualifications
Insurance Adjuster License
Industry Keywords
Commercial ClaimsInsurance IndustryCustomer ServiceClaim PracticesRegulatory Standards
About the role
Key responsibilities & impact- Manage an inventory of low to moderate complexity commercial claims
- Verify policy coverage, gather information, maintain file documentation and authorize disbursements within authority limits
- Interact with insureds, claimants and business partners to provide updates and respond to inquiries
- Establish reserves and estimate potential claim valuation by reviewing policy language
- Investigate claims, take recorded statements and work with experts to verify facts
- Collaborate with internal and external partners, suppliers and experts
- Negotiate settlements and escalate matters to management as appropriate
- Manage expenses and oversee appropriate claim resources
- Identify subrogation, salvage and potential fraud opportunities and make referrals
- Meet quality, cycle time, documentation and regulatory compliance standards
- Stay current on commercial insurance laws, regulations and trends
- Perform additional duties as assigned
Requirements
What you’ll need- High school Diploma required
- Associates or Bachelor's Degree preferred
- Must have or be able to obtain and maintain an Insurance Adjuster License within 90 days of hire, where applicable
- Prior claim handling, business experience in the insurance industry and/or customer service preferred
- Developing basic knowledge of the commercial insurance industry, products and claim practices
- Good verbal and written communication skills with ability to demonstrate empathy
- Ability to develop collaborative business relationships with internal and external work partners
- Ability to exercise independent judgement, solve basic problems and make sound business decisions
- Analytical mindset with critical thinking skills
- Strong time management and organizational skills
- Ability to manage multiple priorities in a fast-paced, collaborative environment
- Knowledge of Microsoft Office Suite and ability to learn business-related software
- Adaptability to a changing environment
- Ability to value diverse opinions and ideas
Benefits
Comp & perks- Comprehensive and competitive benefits package
- Benefits supporting physical, financial, emotional and social wellbeing goals
- Reasonable accommodations for qualified individuals with disabilities