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Claims Resolution Jobs in Georgia (NOW HIRING)

The position is responsible for coordinating all aspects of the claim resolution process in ... Manages highly complex investigations of claims, including coverage issues, liability ...

... claims resolution documents * Maintain a working knowledge of regulatory and jurisdictional requirements * Provides direction to and management of defense counsel, independent adjusters and other ...

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Claims Resolution information

What is the difference between Claims Resolution vs Claims Adjuster?

AspectClaims ResolutionClaims Adjuster
Required CredentialsHigh school diploma or equivalent; certifications varyHigh school diploma; licensing or certification often required
Work EnvironmentOffice settings, customer service interactionsField work and office settings, inspecting damages
Industry UsageInsurance companies, claims processingInsurance companies, claims assessment
Job FocusResolving claims, customer communicationEvaluating damages, determining claim validity

Claims Resolution professionals primarily focus on processing and resolving insurance claims through customer communication, often working in office settings. Claims Adjusters evaluate damages and determine claim validity, frequently conducting field inspections. While both roles are integral to insurance claims, Claims Resolution emphasizes customer interaction and claim processing, whereas Claims Adjusters focus on damage assessment and validation.

What are the key skills and qualifications needed to thrive as a claims resolution specialist?

To thrive as a Claims Resolution Specialist, you need strong analytical abilities, attention to detail, and a background in insurance or finance, often supported by a relevant degree or equivalent experience. Familiarity with claims management systems, customer relationship management (CRM) software, and sometimes industry certifications like AIC (Associate in Claims) is advantageous. Excellent communication, negotiation, and problem-solving skills help you resolve disputes efficiently and maintain positive client relationships. These skills are crucial for ensuring accurate claims processing, minimizing errors, and delivering high-quality customer service.

How does a claims resolution specialist typically collaborate with other departments to resolve complex claims?

Claims Resolution Specialists regularly work with teams such as customer service, underwriting, and legal to gather necessary information and ensure claims are processed accurately. Collaboration often involves reviewing documentation, clarifying policy details, and communicating updates to all stakeholders. This multidisciplinary approach helps resolve issues efficiently and ensures compliance with company standards and regulations. Effective communication and teamwork are key to successfully managing and closing complex claims.

Is claims resolution processing a stressful job?

Claims resolution processing can be stressful due to tight deadlines, high workload, and the need for accuracy in evaluating claims. It often requires strong attention to detail, communication skills, and the ability to handle difficult situations with claimants. Managing stress levels may involve organizational skills and support from team resources.

What is claims resolution?

Claims resolution is the process of reviewing, investigating, and settling insurance claims filed by policyholders or third parties. Professionals in claims resolution evaluate the details of each claim, determine coverage eligibility, negotiate settlements, and ensure that all parties receive a fair outcome according to the policy terms. The goal is to resolve claims efficiently, accurately, and in compliance with legal and regulatory standards, while minimizing disputes and maintaining customer satisfaction.

General Liability Claims Consultant

Cna

Atlanta, GA โ€ข Hybrid

$72K - $141K/yr

Full-time

Posted 11 days ago


Job description

You have a clear vision of where your career can go. And we have the leadership to help you get there.At CNA, we strive to create a culture in which people know they matter and are part of something important, ensuring the abilities of all employees are used to their fullest potential.

You have a clear vision for where your career can go - and at CNA, we're committed to helping you get there. We foster a culture where people know they matter, feel connected to meaningful work, and are supported in using their talents to their fullest potential.
This individual contributor role operates under broad authority to manage commercial claims of high complexity and exposure within the Commercial Auto/General Liability/ Construction Auto and General Liability line(s) of business. The position is responsible for coordinating all aspects of the claim resolution process in accordance with company guidelines, while consistently delivering high-quality outcomes and strong customer service. Regular communication with customers, insureds, and other stakeholders is required, and the role may support designated accounts. This position offers a flexible, hybrid work schedule, requiring 2 days in a CNA office per week.

JOB DESCRIPTION:

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

  • Manages highly complex investigations of claims, including coverage issues, liability, compensability and damages. Determines if a major claim should be settled or litigated and implements an appropriate resolution strategy accordingly. Effectively manages loss costs and claim expenses.
  • Manages all types of investigative activity or litigation on major claims, including the posting of appropriate reserves in a timely manner. Coordinates discovery and litigation strategy with staff counsel or panel attorneys.
  • Negotiates highly complex settlement packages, and authorizes payment within scope of authority, settling claims in most cost effective manner and ensuring timely issuance of disbursements.
  • Coordinates third party recovery with subrogation/salvage unit.
  • Makes recommendations on claims processes and resolution strategies to management.
  • Analyzes claims activities; prepares and presents reports to management and other internal business partners and clients.
  • Works with attorneys, account representatives, agents, doctors and insureds regarding the handling and/or disposition of highly complex claims.
  • Keeps current on state/territory regulations and issues, industry activity and trends. May participate in industry trade groups.
  • Provides guidance and assistance to less experienced claims staff and other functional areas.
  • Responsible for input of data that accurately reflects claim circumstances and other information important to our business outcomes.

Reporting Relationship
Manager or above.

Skills, Knowledge and Abilities

  • Advanced technical and product specific expertise, claims resolution skill and knowledge of insurance and claims principles, practices and procedures.
  • Strong communication, negotiation and presentation skills. Ability to effectively interact with all levels of CNA's internal and external business partners.
  • Advanced analytical and problem solving skills, with the ability to manage and prioritize multiple projects.
  • Ability to deal with ambiguous situations and issues.
  • Creativity in resolving unique and challenging business problems.
  • Knowledge of Microsoft Office Suite and other business-related software.
  • Ability to adapt to change and value diverse opinions and ideas.
  • Ability to manage and prioritize multiple projects.
  • Ability to evaluate claims based on a cost benefit analysis.
  • Ability to fully comprehend complex claim facts and issues; and to further articulate analyses of claims in presentations to business partners and management as well as in internal reports.
  • Ability to implement strategies with a proactive long-term view of business goals and objectives.


Education and Experience

  • Bachelor's degree or equivalent experience.
  • Professional designation preferred.
  • Typically a minimum eight years claims experience.

#LI-AR1

#LI-Hybrid

In certain jurisdictions, CNA is legally required to include a reasonable estimate of the compensation for this role. In District of Columbia, California, Colorado, Connecticut, Illinois, Maryland, Massachusetts, New York and Washington, the national base pay range for this job level is $72,000 to $141,000 annually.Salary determinations are based on various factors, including but not limited to, relevant work experience, skills, certifications and location. CNA offers a comprehensive and competitive benefits package to help our employees - and their family members - achieve their physical, financial, emotional and social wellbeing goals. For a detailed look at CNA's benefits, please visitcnabenefits.com.


CNAutilizesAI-enabled technology during the recruiting process. For more information, please visitourcareers page.


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