CNA Insurance
CNA Insurance
CNA Insurance qurilish, sog‘liqni saqlash, ishlab chiqarish, moliyaviy xizmatlar va ko‘chmas mulk kabi turli sohalardagi bizneslarga xizmat ko‘rsatuvchi global tijoriy sug‘urta kompaniyasidir. 1897-yilda tashkil etilgan kompaniya tijoriy sug‘urtani risklarni boshqarish va zararlarning oldini olish bo‘yicha tajriba bilan birlashtiradi. Uning sug‘urta qamrovi mulk, baxtsiz hodisalar, tijoriy avtomobillar, kiberjavobgarlik, umumiy javobgarlik, xodimlarni ishlab chiqarishdagi baxtsiz hodisalardan sug‘urtalash, boshqaruv va professional javobgarlik, uskunalarning buzilishi hamda boshqa maxsus yechimlarni o‘z ichiga oladi. Kompaniya tashkilotlarga xavflarni aniqlash, operatsion risklarni boshqarish va biznes ehtiyojlariga moslashtirilgan sug‘urta dasturlari orqali yo‘qotishlardan himoyalanishda yordam berishga e’tibor qaratadi.

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.

Tavsif

  • 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

Talablar

  • 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

Imtiyozlar

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

O‘xshash ish o‘rinlari