CNA Insurance
CNA Insurance
CNA Insurance एक वैश्विक वाणिज्यिक बीमा कंपनी है, जो निर्माण, स्वास्थ्य सेवा, विनिर्माण, वित्तीय सेवाओं और रियल एस्टेट जैसे विभिन्न क्षेत्रों के व्यवसायों को सेवाएँ प्रदान करती है। 1897 में स्थापित यह कंपनी व्यवसाय बीमा को जोखिम प्रबंधन और नुकसान नियंत्रण विशेषज्ञता के साथ जोड़ती है। इसके कवरेज में संपत्ति, दुर्घटना, वाणिज्यिक वाहन, साइबर देयता, सामान्य देयता, श्रमिक मुआवजा, प्रबंधन और पेशेवर देयता, उपकरण खराबी तथा अन्य विशेषीकृत समाधान शामिल हैं। इसका उद्देश्य संगठनों को अपने जोखिमों की पहचान करने, परिचालन जोखिमों का प्रबंधन करने और उनकी व्यावसायिक आवश्यकताओं के अनुरूप बीमा कार्यक्रमों के माध्यम से नुकसान से सुरक्षा प्राप्त करने में सहायता करना है।

Workers' Compensation Claims Specialist - CNA Insurance Hybrid

Manage complex long-term care workers’ compensation claims for CNA Insurance, from coverage and liability analysis through settlement and recovery. The role includes fraud identification, stakeholder coordination, and regulatory compliance.

विवरण

  • Investigate and manage long-term care claims throughout their lifecycle
  • Assess coverage, liability, and compensability; gather documentation; and negotiate claim resolutions
  • Interpret complex or unusual policy provisions and escalate issues when appropriate
  • Establish claim activities and reserves and approve payments within delegated authority
  • Lead investigations and assess claims and litigation by working with insureds, claimants, partners, witnesses, and experts
  • Flag suspected fraud and refer appropriate cases to the Special Investigations Unit
  • Build and negotiate settlement packages for complex claims
  • Identify third-party recovery opportunities and coordinate subrogation and salvage efforts
  • Collaborate with attorneys, account representatives, agents, underwriters, physicians, nurse case managers, and insureds to resolve complex claims
  • Review claim activity and prepare and deliver reports for management
  • Maintain complete and accurate claim records and data
  • Support claims personnel and other functional teams with guidance and expertise
  • Monitor applicable state and territorial regulations, industry developments, issues, and trends
  • Complete special projects, presentations, and other assigned responsibilities

आवश्यकताएँ

  • Bachelor’s degree or equivalent professional experience
  • Typically three to five years of experience in claims
  • Strong understanding of claims operations and insurance industry principles
  • Demonstrated technical capability and knowledge of relevant products
  • Strong interpersonal, communication, and negotiation abilities
  • Ability to work independently, manage time and resources, handle multiple priorities, and meet deadlines
  • Strong analytical and problem-solving skills
  • Sound independent judgment and the ability to make important business decisions
  • Working knowledge of Microsoft Office and other business software
  • Ability to understand and clearly communicate claim analyses in internal reports
  • California claims experience and certification preferred
  • Willingness to obtain certification within the first month if not already certified

लाभ

  • Comprehensive benefits package designed to be competitive
  • Programs supporting employees and their families across physical, financial, emotional, and social wellbeing

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