Workers Compensation Claims Manager, West

CNA

Placentia, California

JOB DETAILS
SKILLS
Analysis Skills, Brokerage, Budgeting, Claims Management, Claims Processing, Coaching, Communication Skills, Continuous Improvement, Customer Escalations, Customer Relations, Customer Satisfaction, Customer Support/Service, Data Analysis, Documentation, Employee Retention, Establish Priorities, Expense Management, Fast Food, File Maintenance, Insurance, Insurance Claims, Insurance Regulations, Leadership, Maintain Compliance, Microsoft Office, Multitasking, People Management, Performance Analysis, Performance Management, Presentation/Verbal Skills, Problem Solving Skills, Process Improvement, Quality Assurance, Quality Management, Quality Monitoring, Regulatory Requirements, Reporting Dashboards, Resolve Customer Issues, Staff Development, State Laws and Regulations, Strategic Planning, Team Lead/Manager, Team Player, Technical Leadership, Time Management, Training/Teaching, Underwriting, Worker's Compensation
LOCATION
Placentia, California
POSTED
15 days ago

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. 

Under general direction manages a team of claims professionals for a specific line of business. Responsibilities include overseeing all claim resolution activities of the team to ensure accurate and timely disposition of claims in accordance with company protocols. This position works within broad authority limits and is accountable for implementing company initiatives and driving overall team results.

JOB DESCRIPTION:

Essential Duties & Responsibilities:

Performs a combination of duties in accordance with departmental guidelines:

  • Oversees the work activities of a team of claims professionals and has full management responsibility by setting and communicating expectations, providing direction and coaching, facilitating training and development, managing employee performance, and contributing to employee engagement.

  • Contributes to the achievement of business results by ensuring that claims are effectively handled according to company protocols, quality and customer service standards are achieved, and expenses are appropriately managed.

  • Contributes to achievement of customer satisfaction targets by ensuring quality, service and cycle time standards are met or exceeded by the team and handling escalated customer service issues promptly and professionally.

  • Ensures established claim handling protocols are followed by maintaining appropriate file engagement, monitoring quality dashboards and partnering with quality assurance resources to provide meaningful technical guidance that contributes to both claim resolution strategies and employee development.  

  • Recognizes trends and implements improvement opportunities by monitoring team performance, reviewing and interpreting data analytics and developing strategies to improve quality, customer satisfaction and overall claim outcomes. 

  • Contributes to achievement of department budget and effectively manages expenses associated with claims resolution by ensuring appropriate usage of vendors, and holding team accountable to productivity and timely disposition standards. 

  • Builds and maintains collaborative relationships with internal and external work partners by participating in round table discussions, working with claims operations and coverage resources,  providing insights to underwriters, partnering with SIU and Recovery Services and interacting with external customers, brokers and vendors as appropriate.

  • Communicates and shares pertinent and timely information to employees by holding team meetings, scheduling regular 1:1 employee discussions, reinforcing leadership messages and providing shared access to company process and protocol documentation. 

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

  • May participate in or lead project teams.

May perform additional duties as assigned.

Reporting Relationship

Typically Director or above

Skills, Knowledge & Abilities

  • Knowledge of the insurance industry and general knowledge of the organization's products, policies and procedures. 

  • Ability to effectively identify, lead, coach, engage, develop and retain talented claim professionals. 

  • Strong claims resolution skills and knowledge of insurance and claims principles, practices and procedures for area of responsibility.

  • Strong analytical and problem solving skills, with the ability to prioritize and effectively manage multiple priorities. 

  • Ability to effectively collaborate with internal and external business partners.

  • Excellent communication skills and customer service experience, with developing ability to succinctly present to senior management.

  • Ability to utilize data and analytics to measure business results and drive continuous improvements.

  • Ability to manage ambiguous situations and business issues.

  • Ability to embrace change and value diverse ideas and opinions.

  • Knowledge of Microsoft Office Suite and other business-related software.

  • Ability to model CNA's leadership behaviors.  

Education & Experience:

  • Bachelor's degree or equivalent experience. 

  • Typically a minimum of seven years of related work experience.

  • Previous management experience is preferred

  • Applicable certifications or professional designations preferred.

#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 visit cnabenefits.com.

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

.

About the Company

C

CNA

CNA's approach to research is a modern iteration of the Newtonian principle that complex, dynamic processes are best understood through direct observation of events and people. That was the methodology CNA analysts first applied in the 1940s when they pioneered the field of operations research by helping the Navy address the German U-boat threat. Not content to study the problem from afar, this small group of MIT scientists insisted on deploying with Navy forces in order to observe operations and collect the data needed for meaningful analyses. Their groundbreaking work, and the anti-submarine warfare equations it produced, set a standard for operations research methods that CNA has maintained for 75 years. Today, with more than 500 professionals at our headquarters and 50 researchers in the field, CNA still takes a multi-disciplinary, real-world approach to our work. On-site analysts carefully observe all aspects of a process—people, decisions, actions, consequences—and then collaborate with a headquarters-based research team to assess data and arrive at findings. CNA's objective, empirical research and analysis helps decision makers develop sound policies, make better-informed decisions, and manage programs more effectively. Our work, which in its early decades focused solely on defense-related matters, has grown to include investigation and analysis of a broad range of national security, defense, and public interest issues including education, homeland security and air traffic management. Through our Center for Naval Analyses and Institute for Public Research, we provide public-sector organizations with the tools they need to tackle the complex challenges of making government more efficient and keeping our country safe and strong.
COMPANY SIZE
100 to 499 employees
INDUSTRY
Other/Not Classified
FOUNDED
1940
WEBSITE
https://www.cna.org/