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Claims Representative (Surety)

Claims Representative (Surety)

CNASioux Falls, SD, US
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Surety Role

A Surety role, who under broad supervision, investigates and maintains workers' compensation, specialty, property and / or casualty claims. Works within limited authority on assignments of moderate technical complexity. Reviews coverages, determines liability and compensability, secures information, arranges property damage appraisals and settles claims utilizing claims policies and guidelines.

Essential Duties & Responsibilities Performs a combination of duties in accordance with departmental guidelines :

  • Interprets basic policy coverages and determines if coverages apply to claims submitted, escalating issues as needed.
  • Sets activities, reserves and authorizes payment within scope of authority, settling claims in most cost effective and timely manner. Ensures prompt issuance of disbursements while effectively managing loss costs and claim expenses.
  • Participates in performing investigations and evaluating claims through contact with insureds, claimants, witnesses and experts.
  • Identifies and escalates serious claim developments to management efficiently and effectively.
  • Partners with attorneys, account representatives, agents, underwriters, doctors and insureds to develop a focused strategy for timely and cost effective resolution of claims.
  • Recognizes need for negotiation, participates in planning strategy and negotiates within scope of authority.
  • Identifies claims with third party recovery potential and coordinates with subrogation / salvage unit.
  • Analyzes claims activity and prepares reports for management review.
  • Responsible for input of data that accurately reflects claim circumstances and other information important to our business outcomes.
  • Keeps current on state / territory issues, regulations and trends.

Reporting Relationship Manager or Director

Skills, Knowledge and Abilities 1. Knowledge of claims and insurance industry theory and practices. 2. Developing technical expertise, product specific knowledge and negotiation skills. 3. Ability to negotiate and settle claims effectively. 4. Good interpersonal and communication skills. Ability to effectively interact with all levels of CNA's internal and external business partners. 5. Ability to work independently. Good time management skills. 6. Good analytical and problem solving skills. Demonstrates attention to detail. 7. The ability to exercise independent judgement and make sound business decisions effectively. 8. Knowledge of Microsoft Office Suite as well as other business-related software. 9. Ability to adapt to change and value diverse opinions and ideas.

Education and Experience 1. Bachelor's degree or equivalent experience.

2. Completion of a formal claims training program or minimum six months of claims experience.

CNA is committed to providing reasonable accommodations to qualified individuals with disabilities in the recruitment process. To request an accommodation, please contact leaveadministration@cna.com.

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Claim Representative • Sioux Falls, SD, US

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