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Complex Claims Consultant – Professional Liability, Architects & Engineers
CNA Insurance. Manage an inventory of highly complex commercial claims with large exposures .
About the role
Key responsibilities & impact- Manage an inventory of highly complex commercial claims with large exposures
- 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 reserves by reviewing and 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 litigation with counsel, and authorize payments
- Establish and manage claim budgets and oversee appropriate resources
- Evaluate subrogation, salvage, and potential fraud opportunities and make referrals for further investigation
- Ensure claim files are accurate, timely, properly documented, and compliant with company protocols
- Prepare loss summaries, oversight/watch-list recommendations, and 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
Requirements
What you’ll need- Bachelor's Degree or equivalent experience
- Typically a minimum six years of relevant experience, preferably in claim handling
- Must have or be able to obtain and maintain an Insurance Adjuster License within 90 days of hire, where applicable
- Prior negotiation experience
- 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
- Strong work ethic, 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 commercial insurance policies and coverage
- Ability to manage multiple and shifting priorities
- Knowledge of Microsoft Office Suite and ability to learn business-related software
- Professional designations preferred, such as CPCU
Benefits
Comp & perks- Comprehensive and competitive benefits package
- Benefits for employees and their family members supporting physical, financial, emotional and social wellbeing goals
- Reasonable accommodations for qualified individuals with disabilities