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Senior Complex Claims Advisor

2 months ago

Littleton, Colorado, United States CNA Full time
Senior Commercial Claims Specialist at CNA

Key Responsibilities

  • Oversees a portfolio of intricate commercial claims, characterized by significant exposures requiring specialized technical knowledge and coordination.
  • Delivers outstanding customer service by managing all facets of the claim process with professionalism and efficiency.
  • Confirms coverage and sets appropriate reserves through policy interpretation and collaboration with coverage legal counsel.
  • Directs investigations to assess compensability, liability, and damages.
  • Works in partnership with internal and external stakeholders to ensure timely and effective claim resolutions.
  • Establishes and oversees claim budgets while maintaining high service quality.
  • Identifies subrogation and salvage opportunities as well as potential fraud incidents.
  • Ensures adherence to quality standards and compliance with regulatory obligations.
  • Provides mentorship and support to junior Claims Professionals.
  • May undertake additional responsibilities as assigned.

Reporting Structure

Typically reports to a Director or higher.

Required Skills and Qualifications

  • Comprehensive understanding of the commercial insurance sector, including products, policy language, and claims procedures.
  • Excellent communication and presentation abilities.
  • Proven analytical and investigative skills with a strong critical thinking approach.
  • Demonstrated work ethic and effective time management capabilities.
  • Ability to thrive in a dynamic, fast-paced environment.
  • Experience in negotiating complex settlements and interpreting commercial insurance policies.
  • Proficient in Microsoft Office Suite and other business-related software.
  • Capable of managing multiple priorities efficiently.
  • Respect for diverse perspectives and ideas.

Education and Experience Requirements

  • Bachelor's Degree or equivalent professional experience.
  • A minimum of six years of relevant claims handling experience.
  • Must possess or acquire an Insurance Adjuster License within 90 days of employment.
  • Prior experience in negotiation is essential.
  • Preferred professional designations (e.g., CPCU).