Claims Representative

Continental Casualty Company • Plano, TX

3d

About The Position

This individual contributor position works under direct supervision and within defined authority limits to manage commercial claims with low to moderate complexity and exposure for a specific line of business. The role involves investigating and resolving claims according to company protocols, quality standards, and customer service standards. It requires regular communication with customers and insureds and may be dedicated to specific accounts.

The Claims Representative manages an inventory of claims, verifies policy coverage, gathers information, maintains file documentation, establishes reserves, investigates liability and compensability, and authorizes claim disbursements within assigned authority. The role also works with internal and external partners, suppliers, and experts to support appropriate claim outcomes; negotiates settlements; identifies recovery or potential fraud opportunities; and maintains compliance with applicable regulatory requirements.

The position reports typically to a Manager or above. A high school diploma is required; an associate or bachelor's degree is preferred. The employee must have or be able to obtain and maintain an Insurance Adjuster License within 90 days of hire, where applicable. Prior claims handling, insurance industry business experience, and/or customer service experience is preferred.

Requirements

• High school diploma required.
• Must have or be able to obtain and maintain an Insurance Adjuster License within 90 days of hire, where applicable.
• Good verbal and written communication skills, including the ability to demonstrate empathy and provide exceptional customer service.
• Ability to develop collaborative business relationships with internal and external work partners.
• Ability to exercise independent judgment, solve basic problems, and make sound business decisions.
• Analytical mindset and critical-thinking skills.
• Strong work ethic and demonstrated time-management and organizational skills.
• Ability to manage multiple priorities in a fast-paced, collaborative environment while maintaining high productivity.
• Knowledge of Microsoft Office Suite and ability to learn business-related software.
• Adaptability to a changing environment.
• Ability to value diverse opinions and ideas.

Nice To Haves

• Associate or bachelor's degree preferred.
• Prior claims handling, business experience in the insurance industry, and/or customer service experience preferred.
• Developing basic knowledge of the commercial insurance industry, products, and claim practices.

Responsibilities

• Manage an inventory of low-to-moderate-complexity commercial claims, following company protocols to verify coverage, gather information, maintain file documentation, and authorize disbursements within assigned authority limits.
• Interact professionally and effectively with insureds, claimants, and business partners; provide timely updates and responses; and meet quality and cycle-time standards.
• Review and interpret policy language, estimate potential claim valuation, verify coverage, and establish timely and adequate reserves.
• Investigate claims to determine liability and compensability, including gathering relevant information, taking recorded statements, and working with experts to verify facts.
• Identify and collaborate with appropriate internal and external partners, suppliers, and experts to facilitate effective claim outcomes.
• Determine liability and compensability, negotiate settlements, authorize disbursements within authority limits, and escalate matters to a manager as appropriate.
• Develop the ability to manage expenses through timely and accurate claim resolution, appropriate resource selection and oversight, and high-quality service.
• Evaluate claims for subrogation or salvage opportunities and potential fraud, and refer matters to appropriate Claim, Recovery, or SIU resources for further investigation.
• Follow company guidelines, meet quality and cycle-time targets, maintain proper documentation, and issue appropriate claim disbursements.
• Maintain compliance with state and local regulatory requirements and stay current on commercial insurance laws, regulations, and trends for the line of business.
• Perform additional duties as assigned.

Benefits

• CNA offers a comprehensive and competitive benefits package intended to support employees' and their family members' physical, financial, emotional, and social wellbeing. Details are available in the CNA Candidate Guide.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED