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CNA Insurance
CNA Insurance
5,001 – 10,000 Employees
Skilled Worker Visa SponsorConstructionHealthcareManufacturing
CNA Insurance is a global commercial insurer serving businesses across industries such as construction, healthcare, manufacturing, financial services, and real estate. Founded in 1897, the company combines business insurance with risk management and loss-control expertise, offering coverage that includes property, casualty, commercial auto, cyber liability, general liability, workers’ compensation, management and professional liability, equipment breakdown, and other specialized solutions. Its work is focused on helping organizations identify exposures, manage operational risks, and protect against losses through insurance programs tailored to their business needs.
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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.

USUnited StatesCACaliforniaILIllinois
$54,000 – $103,000 / year
HybridFull-timeMiddleSeniorEnglish RequiredClaims Specialist

Description

  • 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

Requirements

  • 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

Benefits

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

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