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Complex Claim Consultant
3 months ago
CNA is the market leader in providing Lawyers liability coverage and provides best-in-class claim service. We are seeking a dynamic self-starter to join our team as a Complex Claims Consultant handling claims for law firms with 34 or more attorneys. At CNA, Claim Professionals use their specialized expertise to handle claims efficiently and seamlessly in a collaborative environment focused on continuous improvement. The Claims Consultant plays a critical role in managing and resolving complex legal malpractice claims by evaluating coverage, assessing liability and damages, setting timely reserves, negotiating and settling claims, and directing litigation. The Complex Claims Consultant will collaborate in a rich team environment including claim leadership and business partners to ensure the best possible outcome on every claim.
Claims are handled on an account basis and involve primary, excess and quota share policies. Recognized as a technical expert in the interpretation of complex or unusual policy coverages in area of expertise. Under general management direction, works within assigned limits of broad authority on assignments requiring a high degree of technical complexity and coordination. May have regional, industry segment or company-wide scope of responsibility within specialty area. The claim professional will handle approximately 150 pending Large Law claims.
JOB DESCRIPTION:
Essential Duties & Responsibilities
- Manages highly complex investigations of claims, including coverage issues, liability, compensability and damages. Determines if a major claim should be settled or litigated and implements an appropriate resolution strategy accordingly. Effectively manages loss costs and claim expenses.
- Manages all types of investigative activity or litigation on major claims, including the posting of appropriate reserves in a timely manner. Coordinates discovery and litigation strategy with staff counsel or panel attorneys.
- Negotiates highly complex settlement packages, and authorizes payment within scope of authority, settling claims in most cost effective manner and ensuring timely issuance of disbursements.
- Makes recommendations on claims processes and resolution strategies to management.
- Analyzes claims activities; prepares and presents reports to management and other internal business partners and clients.
- Works with attorneys, account representatives, agents, quota share partners and insureds regarding the handling and/or disposition of highly complex claims.
- Keeps current on state/territory regulations and issues, industry activity and trends. May participate in industry trade groups.
- Provides guidance and assistance to less experienced claims staff and other functional areas.
- Responsible for input of data that accurately reflects claim circumstances and other information important to our business outcomes.
Reporting Relationship: Director or above.
Skills, Knowledge & Abilities
- Advanced technical and product specific expertise, claims resolution skill and knowledge of insurance and claims principles, practices and procedures for primary and excess policies.
- Experience with quota share polices is preferred but not required.
- Strong communication, negotiation and presentation skills. Ability to effectively interact with all levels of CNA's internal and external business partners.
- Advanced analytical and problem solving skills, with the ability to manage and prioritize multiple projects.
- Ability to deal with ambiguous situations and issues.
- Creativity in resolving unique and challenging business problems.
- Knowledge of Microsoft Office Suite and other business-related software.
- Ability to adapt to change and value diverse opinions and ideas.
- Ability to manage and prioritize multiple projects.
- Ability to evaluate claims based on a cost benefit analysis.
- Ability to fully comprehend complex claim facts and issues; and to further articulate analyses of claims in presentations to business partners and management as well as in internal reports.
- Ability to implement strategies with a proactive long-term view of business goals and objectives.
- Bachelor's degree or equivalent experience. Juris Doctorate is strongly preferred
- Typically a minimum eight years claims experience.
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In 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 $44,000 to $74,000 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 [redacted].
