Workers Compensation Claims Specialist job from Insurance Claims ...

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Workers Compensation Claims Specialist

Job ID: 9942732 Position Title: Workers Compensation Claims Specialist Location(s): Albuquerque, New Mexico, 87101, United States ?

Posted: April 8, 2012 Company Name: CNA Entry Level: No

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Our Albuquerque , New Mexico Claims Office for CNA Insurance has an immediate opening for an experienced Workers Compensation Claims Specialist. ? Individual will investigate and maintain workers' compensation claims primarily for the state of New Mexico with other states including Colorado and Utah . ? Individual will work within specific limits of authority on assignments requiring significant technical complexity and coordination. Will utilize claims policies and guidelines, review coverages, determine liability and compensability, secure information, and negotiate and settle claims.

Job Responsibilities:
1. Interprets more complex or unusual policy coverages and determines if coverages apply to claims submitted, escalating issues as needed.
2. Sets reserves and authorizes payment within scope of authority, effectively settling claims in most cost effective manner and ensuring timely issuance of disbursements.
3. Coordinates and performs investigations and evaluates claims and suits through contact with insureds, claimants, witnesses and experts.
4. Utilizes negotiation skills to develop complex settlement packages.
5. Identifies claims with third party recovery potential and coordinates with subrogation/salvage unit.
6. Works with attorneys, account representatives, agents, doctors and insureds regarding the handling and/or disposition of more complex claims.
7. Analyzes claims activities and prepares reports for management.
8. May update the claims systems.
9. May provide guidance and assistance to other claims staff and functional areas.
10. Keeps current on state/territory regulations and issues as well as industry activity and trends.

Knowledge, Skills and Abilities Required:
1. Solid knowledge of claims and insurance industry theory and practices.
2. Demonstrated technical expertise and product specific knowledge.
3. Strong interpersonal, communication and negotiation skills. Must have the ability to effectively interact with all levels of CNA's internal and external business partners.
4. Ability to work independently.
5. Strong analytical and problem solving skills.
6. Ability to exercise independent judgment and make critical business decisions effectively.
7. Knowledge of Microsoft Office Suite as well as other business-related software.

Education and Experience Required:
1. Bachelor's degree or equivalent experience. Professional designations preferred.
2. Minimum three years workers compensation claims handling experience.
3. Jurisdictional knowledge of New Mexico workers compensation statutes required.
4. Jurisdictional knowledge of Colorado and Utah preferred but not required.

Requisition #: CLA0000TL

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