Analyze reported lower - level general liability claims for Sedgwick. Ensure ongoing adjudication of claims within company standards and industry best practices while working in a hybrid schedule.
About the role
- Workers Compensation Claims Specialist managing moderate to high complexity claims at CNA. Providing exceptional customer service and ensuring compliance with industry practices.
Responsibilities
- Manages an inventory of moderate to high complexity and exposure commercial claims
- Provides exceptional customer service by interacting professionally and effectively with insureds, claimants, and business partners
- Verifies coverage and establishes timely and adequate reserves
- Conducts focused investigation to determine compensability, liability and covered damages
- Establishes and maintains working relationships with appropriate internal and external work partners
- Achieves quality standards on every file by following all company guidelines
Requirements
- Bachelor's Degree or equivalent experience
- Typically a minimum four years of relevant experience, preferably in claim handling
- 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
- Demonstrated ability to develop collaborative business relationships with internal and external work partners
- Knowledge of Microsoft Office Suite and ability to learn business-related software
Benefits
- Comprehensive and competitive benefits package
- Health insurance
- Retirement plans
- Professional development opportunities
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