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Complex Claims Specialist – Cyber, Technology, Media, Fidelity, Miscellaneous Professional Liability
CNA Insurance. Manage an inventory of low to moderate complexity and exposure claims .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in managing claims with a solid understanding of commercial insurance policies, coverage, and regulatory requirements. Capable of developing resolution strategies, negotiating settlements, and providing exceptional customer service while maintaining compliance with industry standards.
Highest-signal resume keywords
Claims ManagementInsurance Adjuster LicenseCommercial Insurance KnowledgeNegotiation SkillsAnalytical Problem Solving
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 Coverage VerificationInvestigation TechniquesClaim ValuationDocumentation ManagementSubrogation IdentificationFraud DetectionRegulatory ComplianceMicrosoft Office SuiteBusiness Software Proficiency
Soft Skills
Verbal CommunicationWritten CommunicationCollaborationTime ManagementOrganizational Skills
Certifications & Qualifications
Insurance Adjuster LicenseCPCU
Industry Keywords
Commercial InsuranceClaims PracticesCoverage CounselCyber InsuranceTechnology InsuranceMedia InsuranceMPL InsuranceInvestigative ExperienceIndependent JudgmentCustomer Service
About the role
Key responsibilities & impact- Manage an inventory of low to moderate complexity and exposure claims
- Verify policy coverage, conduct investigations, develop resolution strategies, and authorize disbursements within authority limits
- Provide customer service to insureds, claimants, and business partners
- Meet quality and cycle time standards and provide timely updates
- Review and interpret policy language and establish timely, adequate reserves
- Partner with coverage counsel on complex matters
- Estimate potential claim valuation
- Gather contracts and other documents to investigate compensability, liability, and covered damages
- Collaborate with internal and external partners, suppliers, experts, Recovery resources, and Special Investigations Unit resources
- Determine liability and compensability, negotiate settlements, and escalate matters as appropriate
- Manage claim expenses and oversee appropriate resources
- Identify and address subrogation or potential fraud
- Maintain proper documentation and comply with state and local regulatory requirements
- Stay current on commercial insurance laws, regulations, and trends
- Mentor or coach less experienced claim professionals as needed
- Report typically to a Manager or above
Requirements
What you’ll need- Bachelor’s degree or equivalent experience; Juris Doctor (JD) preferred
- Typically a minimum of four years of relevant experience, preferably in claim handling or at a law firm
- Candidates who completed the CNA Claim Training Program may be considered after two years of claim-handling experience
- Must have, or be able to obtain and maintain, an Insurance Adjuster License within 90 days of hire where applicable
- Solid working knowledge of the commercial insurance industry, products, policy language, coverage, and claim practices
- Solid verbal and written communication skills
- Ability to develop collaborative relationships with internal and external work partners
- Ability to exercise independent judgment, solve moderately complex problems, and make sound business decisions
- Investigative experience with an analytical mindset and critical-thinking skills
- Strong time-management and organizational skills
- Ability to manage multiple priorities in a fast-paced, collaborative environment
- Developing ability to negotiate low to moderately complex settlements
- Adaptability in a changing environment
- Knowledge of Microsoft Office Suite and ability to learn business-related software
- Ability to value diverse opinions and ideas
- Professional designations such as CPCU are a plus
- Experience handling claims or legal matters involving Cyber, Technology, Media, or MPL is a plus
Benefits
Comp & perks- Comprehensive and competitive benefits package
- Benefits supporting physical, financial, emotional and social wellbeing goals
- Reasonable accommodations for qualified individuals with disabilities in the recruitment process