Complex Claims Specialist
3 weeks ago
Job Summary:
CNA is seeking a skilled Complex Claims Specialist to join our team. As a key member of our Financial Institutions /Public D&O claims group, you will be responsible for handling D&O and E&O claims under policies issued to Public Companies as well as Financial Institutions such as banks, insurance companies, and investment advisors.
Key Responsibilities:
- Investigate and maintain complex professional liability claims, review coverage(s), determine liability and compensability, secure information, and negotiate and settle claims.
- Manage an inventory of moderate to high complexity and exposure claims by following company protocols to verify policy coverage, conduct investigations, develop and employ resolution strategies, and authorize disbursements within authority limits.
- Provide exceptional customer service by interacting professionally and effectively with insureds, claimants and business partners, achieving quality and cycle time standards, providing regular, timely updates and responding promptly to inquiries and requests for information.
- Verify coverage and establish 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.
- Conduct focused investigation to determine compensability, liability and covered damages by gathering pertinent information, such as contracts or other documents, and working with experts, or other parties, as necessary to verify the facts of the claim.
- Establish and maintain 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.
- Authorize and ensure claim disbursements within authority limit by determining liability and compensability of the claim, negotiating settlements and escalating to manager as appropriate.
- Contribute to expense management by timely and accurately resolving claims, selecting and actively overseeing appropriate resources, and delivering high quality service.
- Identify and address 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.
- Achieve quality standards on every file by following all company guidelines, achieving quality and cycle time targets, ensuring proper documentation and issuing appropriate claim disbursements.
- Maintain compliance with state/local regulatory requirements by following company guidelines, and staying current on commercial insurance laws, regulations or trends for line of business.
Requirements:
- Solid working knowledge of the 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.
- 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.
- Demonstrated ability to value diverse opinions and ideas.
Education & Experience:
- Bachelor's Degree or equivalent experience. Juris Doctorate strongly preferred.
- Typically a minimum of four years of claim handling experience or a minimum of 2 years in a law firm handling professional liability matters involving banks, insurance companies and/or asset managers.
- 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.
What We Offer:
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's website.
-
Claims Specialist
3 weeks ago
New York, New York, United States CNA Full timeJob SummaryWe are seeking a skilled Claims Specialist to join our team at CNA. This role involves handling complex professional liability claims, reviewing coverage, and negotiating settlements.Key ResponsibilitiesInvestigate and maintain complex professional liability claimsReview coverage and determine liability and compensabilityNegotiate and settle...
-
Complex Claims Specialist
4 weeks ago
New York, New York, United States CNA Full timeJob SummaryCNA is seeking a skilled Complex Claims Specialist to join our Financial Institutions /Public D&O claims group. As a key member of our team, you will be responsible for handling D&O and E&O claims under policies issued to Public Companies as well as Financial Institutions such as banks, insurance companies, and investment advisors.Key...
-
Complex Claims Specialist
4 weeks ago
New York, New York, United States Mediabistro Full timeJob Title: Complex Claims ConsultantWe are seeking a highly skilled Complex Claims Consultant to join our dynamic Cyber, Technology, Media, Miscellaneous Professional Liability (MPL) team. This role will focus on managing complex commercial claims with high exposure for our specialized line of business.Key Responsibilities:Manage an inventory of highly...
-
Senior Claims Specialist/Counsel, Complex
3 weeks ago
New York, New York, United States Sompo International Holdings Ltd Full timeAt Sompo International Holdings Ltd, we're seeking a highly skilled Senior Claims Specialist/Counsel, Complex to join our US Casualty Claims team. As a leading provider of insurance and reinsurance with worldwide operations, our values of integrity, collaboration, agility, execution, and excellence underpin our culture and commitment to providing an...
-
Senior Claim Director
3 weeks ago
New York, New York, United States Axis Full timeSenior Claim Director - Specialty Complex ClaimsThis is a unique opportunity to lead a team of claims professionals in managing complex claims for AXIS Capital. As a Senior Claim Director, you will be responsible for overseeing the investigation, analysis, and evaluation of coverage, liability, and damages for claims involving significant potential severity...
-
Claims Specialist
4 weeks ago
New York, New York, United States AXA XL Ltd Full timeJob Title: Claims Specialist - Design ProfessionalWe are seeking a highly skilled Claims Specialist - Design Professional to join our team at AXA XL Ltd. As a key member of our claims team, you will play a critical role in managing and resolving professional liability claims for architects and engineers.Key Responsibilities:Proactively manage Design...
-
Litigation Claims Specialist
4 weeks ago
New York, New York, United States PMA Companies Full timeJob Title: Litigation Claims SpecialistPMA Companies is seeking a highly skilled Litigation Claims Specialist to join our team. As a key member of our claims team, you will be responsible for investigating, evaluating, and resolving complex and litigated Automobile, General Liability, and Property claims for large self-insured clients.Key...
-
Senior Claims Specialist
4 weeks ago
New York, New York, United States AXIS Capital Full timeJob Title: Senior Claims SpecialistWe are seeking a highly skilled Senior Claims Specialist to join our team at AXIS Capital. As a key member of our claims team, you will be responsible for reviewing and resolving complex claims in a timely and efficient manner.Key Responsibilities:Conduct thorough investigations of claims to determine the nature of the loss...
-
Claims Resolution Specialist
3 weeks ago
New York, New York, United States CNA Full timeJob DescriptionWe are seeking a skilled Complex Claims Specialist to join our team at CNA. As a key member of our Financial Institutions /Public D&O claims group, you will be responsible for handling D&O and E&O claims under policies issued to Public Companies as well as Financial Institutions such as banks, insurance companies, and investment advisors.Your...
-
Senior Claims Specialist
4 weeks ago
New York, New York, United States Axis Full timeJob Title: Senior Claims Specialist - Management Liability ClaimsThis is an exciting opportunity to join Axis Services, a trusted global provider of specialty lines insurance and reinsurance, as a Senior Claims Specialist - Management Liability Claims. We are seeking a highly skilled and experienced professional to join our North America Claims team and...
-
Claims Specialist
4 weeks ago
New York, New York, United States Insure National, LLC Full timeJob OverviewWe are seeking a highly skilled Claims Specialist to join our team at Insure National, LLC.The ideal candidate will have a strong background in casualty claims and experience with GL/AL claims.The successful candidate will possess excellent organizational and communication skills, with a Bachelor's Degree in a relevant field.Key...
-
Claims Specialist
4 weeks ago
New York, New York, United States AXA XL Ltd Full timeJob Title: Claims Specialist - Risk ManagerAXA XL Ltd is seeking a highly skilled Claims Specialist - Risk Manager to join our team. As a key member of our claims team, you will be responsible for managing and resolving professional liability claims for architects and engineers.Key Responsibilities:Proactively manage Design Professional liability claims...
-
New York, New York, United States AIG Full timeUnlock New Possibilities in Risk ManagementAIG offers a unique opportunity for a seasoned claims professional to lead our Complex Liability Claims team. As a Risk Management Leader, you will oversee the handling of complex directors & officers claims, securities class actions, and high exposure employment practices liability matters.Key ResponsibilitiesThe...
-
Claims Specialist
4 weeks ago
New York, New York, United States AXIS Capital Full timeClaims Specialist Opportunity at AXIS CapitalWe are seeking a highly skilled Claims Specialist to join our team at AXIS Capital, a leading global provider of specialty lines insurance and reinsurance. As a Claims Specialist, you will play a critical role in analyzing claim exposures, determining the proper course of action, and pursuing claims to...
-
Claim Specialist
4 weeks ago
New York, New York, United States City of New York Full timeJob Title: Claim SpecialistJob Summary:The City of New York is seeking a highly skilled Claim Specialist to join our team in the Litigation Support Unit. As a Claim Specialist, you will be responsible for providing critical litigation support to the Law Department attorneys representing the agency and responding to requests for records and information from...
-
Claims Specialist
3 weeks ago
New York, New York, United States AXA XL Ltd Full timeDesign Professional Claims SpecialistAxalta is seeking a highly skilled and experienced Design Professional Claims Specialist to join our team. As a key member of our claims team, you will play a critical role in managing and resolving professional liability claims for architects and engineers.Key Responsibilities:Proactively manage Design Professional...
-
Claim Specialist, Level II
4 weeks ago
New York, New York, United States City of New York Full timeJob SummaryThe City of New York is seeking a skilled Claim Specialist, Level II to join the Property Damage Division. As a key member of the team, you will be responsible for investigating and resolving tort claims filed against the City.Under the direction of the division supervisor, you will work independently to complete investigations, analyze liability...
-
Claims Specialist
3 weeks ago
New York, New York, United States CenterLight Health System Full timeJob Title: Claims SpecialistAt CenterLight Health System, we are seeking a skilled Claims Specialist to support our department operations related to provider communication, pended claim review, reporting, auditing, and oversight activities to ensure compliance with all applicable State, Federal, and contractual guidelines.Key Responsibilities: Review claims...
-
Claim Specialist
3 weeks ago
New York, New York, United States City of New York Full timeThe City of New York is seeking a skilled Claim Specialist to join the Litigation Support Unit in the Bureau of Legal Affairs. This role involves providing critical litigation support to the Law Department attorneys representing the agency and responding to requests for records and information from the New York City Comptroller's Office.The successful...
-
Construction Defect Claims Specialist Lead
4 weeks ago
New York, New York, United States Gallagher Full timeAbout the Role:Gallagher is seeking a highly skilled Construction Defect Claims Specialist to join our team. As a key member of our claims team, you will investigate, evaluate, and resolve complex liability claims in the construction defect specialty area.You will work closely with our clients to provide expert guidance and support, leveraging your...
