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Complex Claims Consultant – Lawyers Professional Liability
CNA Insurance. Manage an inventory of highly complex professional liability claims for law firms with less than 35 attorneys .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in managing complex professional liability claims, including negotiation, investigation, and resolution strategies while ensuring compliance with regulatory requirements. Proficient in interpreting commercial insurance policies and maintaining accurate claim documentation.
Highest-signal resume keywords
Claims ManagementNegotiation ExperienceInsurance Adjuster LicenseCommercial Insurance KnowledgeAnalytical and Investigative Skills
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Claims HandlingPolicy InterpretationSettlement NegotiationBudget ManagementFraud Investigation
Soft Skills
Strong Communication SkillsCritical ThinkingTime ManagementOrganizational SkillsAbility to Work Under Pressure
Tools & Technologies
Microsoft Office SuiteBusiness-Related Software
Certifications & Qualifications
Bachelor's DegreeJD PreferredInsurance Adjuster LicenseCPCU Preferred
Industry Keywords
Professional Liability ClaimsCommercial Insurance IndustryCoverage CounselClaim PracticesRegulatory Compliance
About the role
Key responsibilities & impact- Manage an inventory of highly complex professional liability claims for law firms with less than 35 attorneys
- Handle approximately 140 pending Program Law claims nationally under primary policies
- Verify policy coverage, conduct investigations, develop resolution strategies, and authorize disbursements within authority limits
- Manage all aspects of claims while providing timely updates and responding to inquiries
- Establish timely and adequate reserves by interpreting policy language and partnering with coverage counsel
- Investigate compensability, liability, and covered damages by gathering documents, taking recorded statements, and working with experts and other parties
- Develop and execute claim resolution strategies, negotiate complex settlements, manage complex litigation, and authorize payments
- Establish and manage claim budgets and oversee appropriate resources
- Identify subrogation, salvage, or potential fraud opportunities and make referrals for further investigation
- Ensure claim files are accurate, documented, compliant, and resolved and paid timely
- Prepare loss summaries, oversight/watch lists, and succinct presentations for senior management
- Maintain subject matter expertise and compliance with state and local regulatory requirements
- Mentor, guide, develop, and deliver training to less experienced Claim Professionals
- Perform additional duties as assigned
Requirements
What you’ll need- Bachelor's Degree or equivalent experience
- JD preferred
- Typically a minimum six years of relevant experience, preferably in claim handling or litigation
- Prior negotiation experience
- Must have or be able to obtain and maintain an Insurance Adjuster License within 90 days of hire, where applicable
- Professional designations preferred (e.g. CPCU)
- Thorough knowledge of the commercial insurance industry, products, policy language, coverage, and claim practices
- Strong verbal and written communication and presentation skills
- Analytical and investigative mindset with critical thinking skills
- Ability to make sound business decisions and resolve ambiguous, complex and challenging business problems
- Strong work ethic, time management and organizational skills
- Ability to work in a fast-paced environment at high productivity
- Demonstrated ability to negotiate complex settlements
- Experience interpreting complex commercial insurance policies and coverage
- Ability to manage multiple and shifting priorities
- Knowledge of Microsoft Office Suite and ability to learn business-related software
- Demonstrated ability to value diverse opinions and ideas
Benefits
Comp & perks- Comprehensive and competitive benefits package
- Benefits supporting employees’ and family members’ physical, financial, emotional and social wellbeing goals
- Reasonable accommodations for qualified individuals with disabilities in the recruitment process