Complex Claims Consultant

4 weeks ago

Lisle, 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.

This individual contributor position works under general direction, and within broad authority limits, to manage commercial claims with high complexity and exposure for a specialized line of business. Responsibilities include the coordination of all claim resolution activities in accordance with company protocols, while achieving quality and customer service standards. Position requires regular communication with customers and insureds and may have regional, industry segment or company-wide scope of responsibility.

JOB DESCRIPTION:

Essential Duties & Responsibilities

Performs a combination of duties in accordance with departmental guidelines:

  • Manages an inventory of highly complex commercial claims, with large exposures that require a high degree of specialized technical expertise and coordination, by following company protocols to verify policy coverage, conduct investigations, develop and employ resolution strategies, and authorize disbursements within authority limits.
  • Ensures exceptional customer service by managing all aspects of the claim, interacting professionally and effectively, achieving quality and cycle time standards, providing 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.
  • Leads focused investigation to determine compensability, liability and covered damages by gathering pertinent information, such as contracts or other documents, taking recorded statements from customers, claimants, injured workers, witnesses, and working with experts, or other parties, as necessary to verify the facts of the claim.
  • Resolves claims by collaborating with internal and external business partners to develop, own and execute a claim resolution strategy, that includes management of timely and adequate reserves, collaborating with coverage experts, negotiating complex settlements, partnering with counsel to manage complex litigation and authorizing payments within scope of authority.
  • Establishes and manages claim budgets by achieving timely claim resolution, selecting and actively overseeing appropriate resources, authorizing expense payments and delivering high quality service in an efficient manner.
  • Realizes and addresses subrogation/salvage opportunities or potential fraud occurrences by evaluating the facts of the claim and making referrals to appropriate Claim, Recovery or SIU resources for further investigation.
  • Achieves quality standards by appropriately managing each claim to ensure that all company protocols are followed, work is accurate and timely, all files are properly documented and claims are resolved and paid timely.
  • Keeps senior leadership informed of significant risks and losses by completing loss summaries, identifying claims to include on oversight/watch lists, and preparing and presenting succinct summaries to senior management.
  • Maintains subject matter expertise and ensures compliance with state/local regulatory requirements by following company guidelines, and staying current on commercial insurance laws, regulations or trends for line of business.
  • Mentors, guides, develops and delivers training to less experienced Claim Professionals.
May perform additional duties as assigned.

Reporting Relationship

Typically Director or above

Skills, Knowledge & Abilities
  • Thorough knowledge of the commercial insurance industry, products, policy language, coverage, and claim practices.
  • Strong communication and presentation skills both verbal and written, including the ability to communicate business and technical information clearly.
  • Demonstrated analytical and investigative mindset with critical thinking skills and ability to make sound business decisions, and to effectively evaluate and resolve ambiguous, complex and challenging business problems.
  • Strong work ethic, with demonstrated 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 in a fast-paced and challenging environment.
  • Knowledge of Microsoft Office Suite and ability to learn business-related software.
  • Demonstrated ability to value diverse opinions and ideas.
Education & Experience
  • 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
  • Professional designations preferred (e.g. CPCU)


#LI-CP1

#LI-Hybrid

In certain jurisdictions, CNA is legally required to include a reasonable estimate of the compensation for this role. In California, Colorado, Connecticut, New York and Washington, the national base pay range for this job level is $71,000 to $133,000 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 cnabenefits.com.

CNA is committed to providing reasonable accommodations to qualified individuals with disabilities in the recruitment process. To request an accommodation, please contact leaveadministration@cna.com.

  • Complex Claims Specialist

    2 weeks ago

    Lisle, United States CNA Financial Corporation Full time

    Include 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). This position enjoys a Claims Specialist, Real Estate, Claims, Specialist, Customer Service, Estate, Business Services

  • Workers Compensation Claims Specialist

    4 weeks ago

    Lisle, United States CNA Insurance 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. This individual contributor position works under moderate direction,...

  • Workers Compensation Claims Specialist

    3 weeks ago

    Lisle, 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. This individual contributor position works under moderate direction,...

  • General Liability Claims Representative

    4 weeks ago

    Lisle, United States CNA Insurance 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. This individual contributor position works under direct supervision,...

  • Workers Compensation Claims Representative, Dba

    1 day ago

    Lisle, United States CNA Insurance 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 seeks to offer a comprehensive and competitive benefits package to...

  • Medical Only Claims Examiner I

    4 days ago

    Lisle, United States ICW Group Full time

    Are you looking for more than just a job? Do you want to have a voice and feel a sense of belonging? At ICW Group, we hire innovative people who consistently adapt, grow and deliver. We believe in hard work, a fun work environment, and embracing creativity that only comes about when talented people collaborate to develop solutions. Our mission is to create...

  • IoT - Development - Principal Engineer

    3 days ago

    Lisle, United States Pyramid Consulting Full time

    Immediate need for a talented Payroll Analyst . This is a 06+ Months contract opportunity with long-term potential and is located in Knoxville, Tennessee(Onsite) . Please review the job description below and contact me ASAP if you are interested. Job ID: 22-14646 Pay Range: $30 - $35/hour. Employee benefits include, but are not limited to, health insurance...

  • Business Analyst

    2 weeks ago

    Lisle, United States Ageatia Global Solutions Full time

    Requires specialized comprehensive knowledge in commercial vehicle diagnostics and SAE standard CAN communication protocols, with depth and/or breadth of expertise.? We really do need this and are not looking to train a person we need someone that has this experience. 1. Analytical skills: able to quickly grasp software functionality, business &...

  • Sr. Enterprise Solutions Architect

    5 days ago

    Lisle, United States Navistar Full time

    Position Overview Navistar is on a mission to redefine transportation. Embracing a bold digital transformation, Navistar is ushering in a new era of complete and sustainable transport solutions. We have a great opportunity for a Senior Enterprise Solutions Architect to support our Digital Transformation journey. The Senior Enterprise Solutions Architect...

  • Senior Business Analyst I

    3 days ago

    Lisle, United States Heartland Business Systems Inc Full time

    Job Type Full-time Description Position Summary: A Senior Business Analyst provides strategic business analysis services to HBS business partners. A Senior Business Analyst utilizes a combination of business acumen and analytical skills to provide consultative support and a great customer experience. The Senior Business Analyst will lead teams on managing...

  • Azure Architect

    4 days ago

    Lisle, United States LTIMindtree Full time

    About Us:LTIMindtree is a global technology consulting and digital solutions company that enables enterprises across industries to reimagine business models, accelerate innovation, and maximize growth by harnessing digital technologies. As a digital transformation partner to more than 700+ clients, LTIMindtree brings extensive domain and technology expertise...

  • Commercial General Manager, Intermodal

    2 days ago

    Lisle, United States North America Trans Full time

    C.H. Robinson is seeking a General Manager to lead a dynamic team overseeing the customer portfolio within the Intermodal Service Line. In this position, you will play a pivotal role in driving customer strategies, fostering team development, and achieving business goals. Our ideal candidate is a strategic, results-driven leader ready to make a significant...

  • Conversion Rate Optimization Manager, Marketing

    3 days ago

    Lisle, United States DeVry University Full time

    Conversion Rate Optimization Manager, Marketing Thursday, April 25, 2024 DeVry University strives to close our society’s opportunity gap and address emerging talent needs by preparing learners to thrive in careers shaped by continuous technological change. Through innovative programs, relevant partnerships, and exceptional care, we empower students to...

  • Procurement Manager

    3 days ago

    Lisle, United States Navistar Full time

    Position Overview Navistar has an exciting new opportunity for a Procurement Manager – Professional Services to join our team at our headquarters in Lisle, IL. This role reports to the Senior Procurement Manager of Services. The Procurement Manager role will lead professional consulting services working cross functionally with key stakeholders and the...

  • Commercial General Manager, Intermodal

    4 days ago

    Lisle, United States North America Trans Full time

    C.H. Robinson is seeking a General Manager to lead a dynamic team overseeing the customer portfolio within the Intermodal Service Line. In this position, you will play a pivotal role in driving customer strategies, fostering team development, and achieving business goals. Our ideal candidate is a strategic, results-driven leader ready to make a significant...

  • Inside Sales Account Manager

    4 days ago

    Lisle, United States Zink Foodservice Full time

    JOB SUMMARY: The Inside Sales Account Manager plays a strategic role in our company, primarily responsible for managing and overseeing key aspects of our sales operations. This position requires a high level of discretion, independent judgment, and strategic decision-making impacting the business. The Inside Sales Account Manager is responsible for building...

  • Azure Data Architect

    5 days ago

    Lisle, United States LTIMindtree Full time

    About Us:LTIMindtree is a global technology consulting and digital solutions company that enables enterprises across industries to reimagine business models, accelerate innovation, and maximize growth by harnessing digital technologies. As a digital transformation partner to more than 700+ clients, LTIMindtree brings extensive domain and technology expertise...

  • Azure Data Architect

    4 days ago

    Lisle, United States LTIMindtree Full time

    About Us:LTIMindtree is a global technology consulting and digital solutions company that enables enterprises across industries to reimagine business models, accelerate innovation, and maximize growth by harnessing digital technologies. As a digital transformation partner to more than 700+ clients, LTIMindtree brings extensive domain and technology expertise...

  • Inside Sales Account Manager

    4 days ago

    Lisle, United States Zink Foodservice Full time

    JOB SUMMARY: The Inside Sales Account Manager plays a strategic role in our company, primarily responsible for managing and overseeing key aspects of our sales operations. This position requires a high level of discretion, independent judgment, and strategic decision-making impacting the business. The Inside Sales Account Manager is responsible for building...

  • Azure Data Architect

    6 hours ago

    Lisle, United States LTIMindtree Full time

    About Us:LTIMindtree is a global technology consulting and digital solutions company that enables enterprises across industries to reimagine business models, accelerate innovation, and maximize growth by harnessing digital technologies. As a digital transformation partner to more than 700+ clients, LTIMindtree brings extensive domain and technology expertise...