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Senior Claims Associate Jobs in Minnesota (NOW HIRING)

Claims Examiner

Saint Paul, MN · On-site

$18.80 - $32.69/hr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

This role may be filled at the Sr Rep or Specialist level, depending on the candidate's background ... Within that area, the role may be performed remotely or in a hybrid environment based on associate ...

Claims Examiner

Saint Paul, MN

$18.80 - $32.69/hr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

This role may be filled at the Sr Rep or Specialist level, depending on the candidate's background ... Within that area, the role may be performed remotely or in a hybrid environment based on associate ...

Senior Life Claims Analyst

Minneapolis, MN · On-site

$58K - $80K/yr

  • Medical

  • Dental

  • Life

  • Retirement

  • PTO

Associate degree or equivalent. * Experience: 3-5 years of Life Claims Experience. * *Post-secondary education and relevant work experience may be interchanged to meet the combined total years of ...

Sr Reimbursement Spec

Shoreview, MN · On-site

$22.51 - $31.78/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Ensure accurate and timely billing, collections, appeal of home infusion claims. Perform collection ... Associate Degree or Certified Medical Billing * 5+ years of Medicare billing and collections ...

Sr Reimbursement Spec

Shoreview, MN

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Ensure accurate and timely billing, collections, appeal of home infusion claims. Perform collection ... Associate Degree or Certified Medical Billing * 5+ years of Medicare billing and collections ...

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Showing results 1-20

Senior Claims Associate information

What is the difference between Senior Claims Associate vs Claims Examiner?

AspectSenior Claims AssociateClaims Examiner
Required CredentialsHigh school diploma or equivalent; some roles prefer insurance certificationsHigh school diploma; insurance licensing or certifications often preferred
Work EnvironmentInsurance companies, claims departments, often team-basedInsurance carriers, third-party administrators, claims offices
Industry UsageCommonly used in insurance claims processingWidely used in insurance industry for claims review
Job FocusAssisting with claims, customer service, supporting claims processingReviewing claims for accuracy, compliance, and validity

The main difference is that Senior Claims Associates often handle customer interactions and support claims processing, while Claims Examiners focus on reviewing and validating claims for accuracy and compliance. Both roles require similar credentials and are integral to insurance claims operations.

What are the most commonly searched types of Senior Claims jobs in Minnesota?

The most popular types of Senior Claims jobs in Minnesota are:

What cities in Minnesota are hiring for Senior Claims Associate jobs?

Cities in Minnesota with the most Senior Claims Associate job openings:

Complex Claims Consultant - EPL, Private & NFP D&O

Cna

Bloomington, MN

$17.75 - $24/hr

Full-time

Re-posted 28 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.

CNA is one of the premier providers of professional liability insurance. CNA Financial Lines has an opening for a Complex Claims Consultant handling Employment Practice Liability, Private and NFP D&O claims. This individual will work with insureds, attorneys and brokers regarding the handling and/or disposition of mid to high severity claims.
This individual will investigate claims, coordinate discovery, and team with defense counsel on litigation strategy. This individual will be able to utilize claims policies and guidelines, review coverage, determine liability and damages, set financial reserves, secure information to negotiate and settle claims, and present claims to leadership, as needed. Critical to success in this role is the ability to be highly organized, independently motivated and responsive/communicative.
CNA offers a hybrid work environment in one of the following locations: Chicago, Glastonbury, Lake Mary, Wyomissing, NYC area preferred, but candidates near any CNA location will be considered.

JOB DESCRIPTION:

Essential Duties & Responsibilities

Performs a combination of duties in accordance with departmental guidelines:

  • Manages an inventory of highly complex Financial Lines claims, with large exposures that require a high degree of specialized technical expertise and coordination, by following company protocols to verify policy coverage, conduct investigations, develop and employ resolution strategies, and authorize disbursements within authority limits.

  • Ensures exceptional customer service by managing all aspects of the claim, interacting professionally and effectively, achieving quality and cycle time standards, providing timely updates and responding promptly to inquiries and requests for information.

  • Verifies coverage and establishes timely and adequate reserves by reviewing and interpreting policy language and partnering with coverage counsel on more complex matters, estimating potential claim valuation, and following company's claim handling protocols.

  • Leads focused investigation to determine compensability, liability and covered damages by gathering pertinent information, such as contracts or other documents, taking recorded statements from customers, claimants, injured workers, witnesses, and working with experts, or other parties, as necessary to verify the facts of the claim.

  • Resolves claims by collaborating with internal and external business partners to develop, own and execute a claim resolution strategy, that includes management of timely and adequate reserves, collaborating with coverage experts, negotiating complex settlements, partnering with counsel to manage complex litigation and authorizing payments within scope of authority.

  • Establishes and manages claim budgets by achieving timely claim resolution, selecting and actively overseeing appropriate resources, authorizing expense payments and delivering high quality service in an efficient manner.

  • Realizes and addresses subrogation/salvage opportunities or potential fraud occurrences by evaluating the facts of the claim and making referrals to appropriate Claim, Recovery or SIU resources for further investigation.

  • Achieves quality standards by appropriately managing each claim to ensure that all company protocols are followed, work is accurate and timely, all files are properly documented and claims are resolved and paid timely.

  • Keeps senior leadership informed of significant risks and losses by completing loss summaries, identifying claims to include on oversight/watch lists, and preparing and presenting succinct summaries to senior management.

  • Maintains subject matter expertise and ensures compliance with state/local regulatory requirements by following company guidelines, and staying current on commercial insurance laws, regulations or trends for line of business.

  • Mentors, guides, develops and delivers training to less experienced Claim Professionals.

May perform additional duties as assigned.

Reporting Relationship

  • Typically Director or above


Skills, Knowledge & Abilities

  • Thorough knowledge of the commercial insurance industry, products, policy language, coverage, and claim practices.

  • Strong communication and presentation skills both verbal and written, including the ability to communicate business and technical information clearly.

  • Demonstrated analytical and investigative mindset with critical thinking skills and ability to make sound business decisions, and to effectively evaluate and resolve ambiguous, complex and challenging business problems.

  • Strong work ethic, with demonstrated time management and organizational skills.

  • Ability to work in a fast-paced environment at high levels of productivity.

  • Demonstrated ability to negotiate complex settlements.

  • Experience interpreting complex specialty insurance policies and coverage.

  • Ability to manage multiple and shifting priorities in a fast-paced and challenging environment.

  • Knowledge of Microsoft Office Suite and ability to learn business-related software.

  • Demonstrated ability to value diverse opinions and ideas.

Education & Experience

  • Bachelor's Degree or equivalent experience; JD preferred.

  • Typically a minimum of five to seven years of relevant experience, preferably in claim handling

#LI-CP1

#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