Workers Compensation Claims Specialist

CNA Insurance

. Manage an inventory of moderate to high complexity and exposure commercial claims .

Posted 11/6/2026full-timeUnited StatesMid-LevelSenior💰 $54,000 - $103,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in managing complex commercial claims, including verifying policy coverage, conducting investigations, and negotiating settlements. Possesses strong analytical and communication skills to foster collaborative relationships and ensure compliance with industry standards.

Highest-signal resume keywords

Commercial Claims ManagementInsurance Adjuster LicenseInvestigative ExperienceNegotiation SkillsCustomer Service Excellence

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Claims HandlingPolicy Language InterpretationCompensability DeterminationSettlement NegotiationFraud IdentificationExpense ManagementFile Quality MaintenanceAnalytical MindsetProblem SolvingTime Management

Soft Skills

Verbal CommunicationWritten CommunicationCollaborationAdaptabilityOrganizational Skills

Tools & Technologies

Microsoft Office SuiteBusiness-Related Software

Certifications & Qualifications

Bachelor's DegreeCNA Claim Training ProgramCPCU (Preferred)

Industry Keywords

Commercial InsuranceClaims PracticesCoverageRegulationsSubrogationSalvage Opportunities

About the role

Key responsibilities & impact

Manage an inventory of moderate to high complexity and exposure commercial claims
Verify policy coverage, conduct investigations, develop and employ resolution strategies, and authorize disbursements within authority limits
Provide exceptional customer service to insureds, claimants and business partners
Achieve quality and cycle time standards, provide timely updates, and respond to inquiries and information requests
Verify coverage and establish timely and adequate reserves by reviewing and interpreting policy language
Partner with coverage counsel on complex matters and estimate potential claim valuation
Conduct focused investigations to determine compensability, liability and covered damages
Gather contracts and other documents, take recorded statements, and work with experts and other parties to verify claim facts
Establish and maintain relationships with internal and external work partners, suppliers and experts
Authorize claim disbursements, determine liability and compensability, negotiate settlements, and escalate matters as appropriate
Contribute to expense management by resolving claims accurately and overseeing appropriate resources
Identify subrogation/salvage opportunities and potential fraud, making referrals to Recovery or SIU resources
Maintain file quality, documentation, claim disbursements, and compliance with company guidelines
Stay current on commercial insurance laws, regulations and trends
May mentor or coach less experienced claim professionals
Perform additional duties as assigned
Report typically to a Manager or above

Requirements

What you’ll need

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
Solid working knowledge of the commercial insurance industry, products, policy language, coverage, and claim practices
Solid verbal and written communication skills
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, time management and organizational skills
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
Adaptability to a changing environment
Knowledge of Microsoft Office Suite and ability to learn business-related software
Demonstrated ability to value diverse opinions and ideas
Professional designations are a plus (e.g. CPCU)

Benefits

Comp & perks

Comprehensive and competitive benefits package
Benefits supporting physical, financial, emotional and social wellbeing goals
Reasonable accommodations for qualified individuals with disabilities in the recruitment process