Complex Claims Specialist – Architect and Engineer Liability

2 days ago

Warren, United States CNA Full time

JOB OPPORTUNITY

Job Summary

We are seeking a highly skilled Complex Claims Specialist to join our team at CNA. As a key member of our claims organization, you will be responsible for managing a portfolio of complex commercial claims, providing exceptional customer service, and collaborating with internal and external stakeholders to resolve claims efficiently and effectively.

Key Responsibilities

  • Manage a portfolio of complex commercial claims, including verifying policy coverage, conducting investigations, developing and implementing resolution strategies, and authorizing 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, and 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, partnering with coverage counsel on more complex matters, estimating potential claim valuation, and following company's claim handling protocols.
  • Conduct focused investigations 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.
  • Establish and maintain working relationships with 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 limits 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 the line of business.
  • May serve as a mentor/coach to less experienced claim professionals.

Requirements

  • Bachelor's Degree or equivalent experience.
  • Typically a minimum four years of relevant experience, preferably in 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).

What We Offer

CNA offers a competitive compensation package, including a comprehensive benefits program, opportunities for professional growth and development, and a collaborative work environment.

How to Apply

If you are a motivated and experienced claims professional looking for a new challenge, please submit your application, including your resume and cover letter, to [insert contact information].

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