Current jobs related to Complex Claims Consultant - Walnut Creek - CNA Financial Corp.
-
Medical Malpractice Claims Specialist
13 hours ago
Walnut Creek, California, United States GB - Global Full timeAbout the RoleWe are seeking a highly skilled Medical Malpractice Lead Claims Specialist to join our team at GB - Global. As a key member of our Claims Adjuster team, you will play a critical role in investigating, evaluating, and resolving complex Medical Malpractice claims.Key ResponsibilitiesInvestigate and evaluate Medical Malpractice claims, applying...
-
Medical Malpractice Claims Specialist
2 weeks ago
Walnut Creek, California, United States GB - Global Full timeAbout the RoleWe are seeking a highly skilled Medical Malpractice Claims Specialist to join our team at GB - Global. As a key member of our claims management team, you will be responsible for investigating, evaluating, and resolving complex Medical Malpractice claims.Key ResponsibilitiesInvestigate and evaluate Medical Malpractice claims, applying your...
-
Field Property Claims Adjuster
2 weeks ago
Walnut Creek, California, United States Liberty Mutual Group Full timeJoin Liberty Mutual Group as a Field Property Claims AdjusterWe are seeking a skilled Field Property Claims Adjuster to join our Property Claims Team. As a member of our team, you will play a vital role in providing an outstanding customer experience by using your investigative and negotiation skills to resolve a variety of homeowner claims in a fast-paced,...
-
Actuarial Consulting Director, Reserving
2 days ago
Walnut Creek, United States CNA Insurance Full timeYou 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.As a member of CNA’s Actuarial organization, you will be part of a...
-
Senior Associate Attorney
2 weeks ago
Walnut Creek, California, United States Jobot Full timeAbout the RoleWe are seeking a highly motivated and experienced Associate Attorney to join our dynamic and growing legal team. As a Senior Associate Attorney, you will play a key role in managing and resolving complex civil litigation cases related to environmental liabilities.Key ResponsibilitiesManage and oversee a diverse range of complex civil litigation...
-
Senior Claims Examiner
2 days ago
Pipe Creek, Texas, United States Optum Full timeSenior Claims Examiner Job DescriptionOptum is a global organization that delivers care, aided by technology to help millions of people live healthier lives.The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data, and resources they need to feel their best.Here, you will find a culture...
-
Senior Claims Examiner
2 days ago
Pipe Creek, Texas, United States Optum Full timeJob Title: Senior Claims ExaminerOptum is a global organization that delivers care, aided by technology to help millions of people live healthier lives.The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data, and resources they need to feel their best.Here, you will find a culture guided...
-
Senior Geologist Consultant
4 weeks ago
Walnut Creek, California, United States ERM Full timeAbout ERMERM is a leading environmental consulting firm seeking a highly skilled Senior Geologist Consultant to join our team in California. As a senior-level professional, you will provide technical expertise and project management support on site investigation, remediation, and environmental construction projects for clients locally and nationally.Key...
-
Senior Geologist Consultant
6 days ago
Walnut Creek, California, United States ERM Full timeSenior Geologist ConsultantWe are seeking a highly skilled Senior Geologist Consultant to join our Site Investigation & Remediation technical team in Walnut Creek or Sacramento, CA. As a Senior Geologist Consultant, you will provide project management and technical assistance on site investigation, remediation, and environmental construction projects for...
-
Senior Geologist Consultant
2 weeks ago
Walnut Creek, California, United States Environmental Resources Management (ERM) Full timeJob DescriptionJob Title: Senior Geologist ConsultantJob Summary:Environmental Resources Management (ERM) is seeking a highly skilled Senior Geologist Consultant to join our team. As a Senior Geologist Consultant, you will provide technical expertise and project management on site investigation and remediation projects for a variety of clients with complex...
-
Air Quality Consultant
2 weeks ago
Walnut Creek, California, United States Environmental Resources Management (ERM) Full timeJob SummaryEnvironmental Resources Management (ERM) is seeking a highly motivated and experienced Air Quality Consultant to join our team in a partner-track opportunity. As a senior leader, you will be responsible for successfully selling and consulting for air quality and compliance projects to build a sustainable business locally, while networking with our...
-
Senior Geologist Consultant
2 weeks ago
Walnut Creek, California, United States ERM Full timeSenior Geologist ConsultantWe are seeking a highly skilled Senior Geologist Consultant to join our Site Investigation & Remediation technical team in California. As a senior-level professional, you will provide project management and technical expertise on site investigation, remediation, and environmental construction projects for clients locally and...
-
Consultant Engineer I
2 weeks ago
Walnut Creek, United States FM Global Full timeFM is one of the world’s largest risk management and industrial property insurance organizations. With 76 office locations in over 60 countries worldwide, FM provides specialized property protection to over one third of the FORTUNE 1000 companies as well as leading international corporations. A new Field Engineer at FM will learn to engineer risk...
-
Consultant Engineer I
1 month ago
Walnut Creek, United States FM Global Full timeFM is one of the world’s largest risk management and industrial property insurance organizations. With 76 office locations in over 60 countries worldwide, FM provides specialized property protection to over one third of the FORTUNE 1000 companies as well as leading international corporations. A new Field Engineer at FM will learn to engineer risk...
-
Consultant Engineer I
1 week ago
WALNUT CREEK, United States FM Global Full timeFM is one of the world’s largest risk management and industrial property insurance organizations. With 76 office locations in over 60 countries worldwide, FM provides specialized property protection to over one third of the FORTUNE 1000 companies as well as leading international corporations. A new Field Engineer at FM will learn to engineer risk...
-
Consultant Engineer I
1 month ago
WALNUT CREEK, United States FM Global Full timeFM is one of the world’s largest risk management and industrial property insurance organizations. With 76 office locations in over 60 countries worldwide, FM provides specialized property protection to over one third of the FORTUNE 1000 companies as well as leading international corporations. A new Field Engineer at FM will learn to engineer risk...
-
Workday HCM Techno-functional consultant
2 days ago
Walnut Creek, United States PTR Global Full timeKey Responsibilities:Act as a bridge between technical and functional teams, delivering effective solutions to HRIS business partners.Utilize your deep knowledge of time and absence tracking and benefits to address complex issues and ensure compliance, especially with California-specific requirements.Support and enhance our existing Workday modules,...
-
Workday HCM Techno-functional consultant
3 days ago
Walnut Creek, United States PTR Global Full timeKey Responsibilities:Act as a bridge between technical and functional teams, delivering effective solutions to HRIS business partners.Utilize your deep knowledge of time and absence tracking and benefits to address complex issues and ensure compliance, especially with California-specific requirements.Support and enhance our existing Workday modules,...
-
Consultant Engineering Intern
2 months ago
Walnut Creek, United States FM Global Full timeOverview FM is a leading property insurer of the world's largest businesses, providing more than one-third of FORTUNE 1000-size companies with engineering-based risk management and property insurance solutions. FM helps clients maintain continuity in their business operations by drawing upon state-of-the-art loss-prevention engineering and research;...
-
Senior Consultant, Renewable Project Management
4 weeks ago
Walnut Creek, California, United States ERM Full timeERM is in search of a Senior Consultant, Renewable Project Management to spearhead Impact Assessment, Planning, and Permitting initiatives for renewable energy projects. This position will oversee environmental assessments and permitting processes for various energy facilities, including solar, wind, and technology infrastructure projects. The ideal...
Complex Claims Consultant
4 months ago
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.
Start the next chapter of your career as a Complex Claims Consultant focused on Allied Healthcare Providers for CNA Insurance. CNA is a market leader in insuring Allied Healthcare Providers, including nurses, nurse practitioners, physical therapists, counselors, pharmacists, massage therapists and more than 100 other categories of medical service providers. This role will support the business and interact with these key customers.
You will be responsible for the overall investigation, management and resolution of Allied Healthcare Providers claims in multiple states. You will be recognized as a technical expert in the interpretation of complex or unusual policy coverages. Under general management direction, you will work within defined authority limits, to manage professional liability healthcare claims with moderate to high complexity and exposure in accordance with company protocols, quality and customer service standards. You will also partner with internal business partners such as Underwriting, to share claim insights that aid in good underwriting decisions.
The individual will work with insureds, attorneys, other insurers and account representatives regarding the handling and/or disposition of complex claims. Duties typically include managing a pending of 115-125 litigated and non-litigated claims in multi-state jurisdictions. The individual will investigate and resolve claims, coordinate discovery and team with defense counsel on litigation strategy. They should be able to utilize claims policies and guidelines, review coverage, determine liability and damages, set financial reserves, secure information to negotiate and settle claims.
This position enjoys a flexible, hybrid work schedule and is available in any location near a CNA office.
JOB DESCRIPTION:
Essential Duties & Responsibilities
Performs a combination of duties in accordance with departmental guidelines:
* Manages an inventory of highly complex healthcare professional liability 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, estimating potential claim valuation, working with counsel and following the 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, 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 where necessary, 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 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 professional liability 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 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.
* A commitment to collaboration and demonstrated ability to value diverse opinions and ideas.
Education & Experience:
* Bachelor's Degree or equivalent experience. JD a plus.
* Typically a minimum six years of relevant experience, preferably in claim handling or medical malpractice litigation.
* 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-MM1
#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.
#J-18808-Ljbffr
