Claims Specialist managing commercial claims for CNA, ensuring quality service and compliance with protocols. Interacting with customers and resolving claims efficiently while maintaining regulatory standards.
About the role
- Senior Claims Examiner managing claims and ensuring high service levels at ICW Group. Collaborating with different stakeholders while operating within legal guidelines and best practice.
Responsibilities
- Handles moderate to complex claims with a focus on providing the highest level of service.
- Manages all aspects of a California complex claims inventory.
- Effectively communicates with policyholders, agents, attorneys, and witnesses to gather information.
- Investigates claims to determine exposure and make strategic recommendations.
- Operates within state and internal guidelines, directing defense counsel throughout litigation.
- Provides knowledge transfer and mentorship to less experienced team members.
Requirements
- Bachelor's degree from an accredited institution (or equivalent education and experience)
- 5+ years of related claims experience
- Certification that meets the minimum standards of training, experience, and skill required for Workers' Compensation (WCCA and WCCP preferred)
- State Workers Compensation License is required in some branches
- Good understanding of laws and jurisdictional restraints to manage claims.
- Excellent verbal communication skills, time management, attention to detail, and organizational skills required.
- Ability to read, analyze, and interpret technical journals, financial reports, and legal documents.
- Ability to write reports, business correspondence, and procedure manuals.
- Ability to respond to common inquiries or complaints from customers, regulatory agencies, or members of the business community.
- Ability to effectively present information at meetings, to management and clients.
- Must be adept at learning new technology and embrace change.
Benefits
- Generous medical, dental, and vision plans
- 401K retirement plans with company match
- Bonus potential for all positions
- Paid Time Off
- Paid holidays throughout the calendar year
- Support for continuing education
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