Complex Claims Specialist

2 months ago

Chicago, Illinois, United States CNA Full time

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.
CNA is one of the premier providers of professional liability insurance. CNA Specialty Financial Lines has an opening for a Complex Claim Specialist handling Private D&O and Employment Professional Liability. This individual will work with insureds, attorneys, and brokers regarding the handling and/or disposition of low to mid severity Private D&O and EPL claims. Primary duties include managing a dynamic caseload of litigated files in multi-state jurisdictions. The individual will investigate claims, determine coverage, coordinate discovery, and team with defense counsel on litigation strategy. The successful candidate will be able to utilize claims policies and guidelines, review and communicate coverage, determine liability and damages, set financial reserves, secure information to negotiate and settle claims, and present claims to leadership, as needed.
Insurance litigation and coverage analysis experience is required. The qualified candidate must be able to provide the highest level of customer service, produce quality written work product, and meaningfully collaborate with and provide insight to our business partners on claims and policy wording questions. The individual in this role will operate within specific limits of authority to negotiate and settle claims, and attend and actively participate in mediations, as necessary. Critical to success in this role is the ability to be highly organized, independently motivated, open to feedback, and responsive/communicative.
Responsibilities include independently investigating and resolving claims according to company protocols, quality, and customer service standards. Position requires regular communication with customers and insureds and may be dedicated to specific account(s).
CNA offers a hybrid work environment in one of the following locations: Chicago, Glastonbury, Lake Mary, Wyomissing, NY area preferred, but candidates near any CNA location will be considered.
JOB DESCRIPTION:
Essential Duties & Responsibilities:
Performs a combination of duties in accordance with departmental guidelines:

  • Manages an inventory of low to mid complexity and exposure Private D&O and EPL claims by following company protocols to verify policy coverage, conduct investigations, develop and employ resolution strategies, and authorize disbursements within authority limits.
  • Provides exceptional customer service by interacting professionally and effectively with insureds and brokers, claimants, and business partners, achieving quality and cycle time standards, providing regular, timely updates and responding promptly to inquiries and requests for information.
  • Verifies coverage and establishes timely and adequate reserves by reviewing and interpreting policy language and partnering with coverage counsel on more complex matters, estimating potential claim valuation, and following company's claim handling protocols.
  • Establishes and maintains working relationships with appropriate internal and external work partners, suppliers and experts by identifying and collaborating with resources that are needed to effectively resolve claims.
  • Authorizes and ensures claim disbursements within authority limit by determining liability and compensability of the claim, negotiating settlements and escalating to manager as appropriate.
  • Contributes to expense management by timely and accurately resolving claims, selecting and actively overseeing appropriate resources, and delivering high quality service.
  • Identifies and addresses subrogation/salvage opportunities or potential fraud occurrences by evaluating the facts of the claim and making referrals to appropriate Recovery or SIU resources for further investigation.
  • Achieves quality standards on every file by following all company guidelines, achieving quality and cycle time targets, ensuring proper documentation and issuing appropriate claim disbursements.
  • Maintains compliance with state/local regulatory requirements by following company guidelines, and staying current on specialty insurance laws, regulations or trends for line of business.
  • May serve as a mentor/coach to less experienced claim professionals.

May perform additional duties as assigned.
Reporting Relationship

  • Typically Manager or above

Skills, Knowledge & Abilities

  • Solid working knowledge of the specialty insurance industry, products, policy language, coverage, and claim practices.
  • Solid verbal and written communication skills with the ability to develop positive working relationships, summarize and present information to customers, claimants and senior management, as needed.
  • Demonstrated ability to develop collaborative business relationships with internal and external work partners.
  • Ability to exercise independent judgement, solve moderately complex problems and make sound business decisions.
  • Demonstrated investigative experience with an analytical mindset and critical thinking skills. Ability to apply these skills to every day claim handling.
  • Strong work ethic with demonstrated time management and organizational skills.
  • Demonstrated ability to manage multiple priorities in a fast-paced, collaborative environment at high levels of productivity.
  • Developing ability to negotiate low to moderately complex settlements.
  • Adaptable to a changing environment.
  • Knowledge of Microsoft Office Suite and ability to learn business-related software, including Tymetrix.
  • Demonstrated ability to value diverse opinions and ideas

Education & Experience:

  • Bachelor's Degree or equivalent experience; JD preferred.
  • Typically a minimum three years of relevant experience, preferably in Specialty claim handling.
  • Candidates who have successfully completed the CNA Claim Training Program may be considered after 2 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.
  • Professional designations are a plus (e.g. CPCU)

#LI-CP1
#LI-Hybrid
I n certain jurisdictions, CNA is legally required to include a reasonable estimate of the compensation for this role. In District of Columbia , California, Colorado, Connecticut, Maryland , New York and Washington, the national base pay range for this job level is $49,000 to $98,000 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 .
CNA is committed to providing reasonable accommodations to qualified individuals with disabilities in the recruitment process. To request an accommodation, please contact .

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