CNA Insurance
Complex Claims Consultant- Private Not-For-Profit D&O, Fiduciary and EPL
CNA Insurance, Seattle, Washington, us, 98127
Overview
Complex Claims Consultant- Private Not-For-Profit D&O, Fiduciary and EPL
at CNA Insurance. This role handles Private D&O, Fiduciary and Employment Practice Liability (EPL) Claims, working with insureds, attorneys and brokers regarding the handling and disposition of mid to high severity claims. The ideal candidate will investigate claims, coordinate discovery, and collaborate with defense counsel on litigation strategy. You will utilize claims policies and guidelines, review coverage, determine liability and damages, set financial reserves, secure information to negotiate and settle claims, and present claims to leadership as needed. Success factors include strong organization, independence, and proactive communication. CNA offers a hybrid work environment in one of the following locations: Chicago, Glastonbury, Lake Mary, Wyomissing, NYC area preferred, but candidates near any CNA location will be considered.
Essential Duties & Responsibilities
Manages an inventory of highly complex Financial Lines claims with large exposures, verifying policy coverage, conducting investigations, developing and employing resolution strategies, and authorizing disbursements within authority limits.
Provides exceptional customer service by managing all aspects of the claim, interacting professionally, meeting quality and cycle time standards, and providing timely updates.
Verifies coverage and establishes reserves by reviewing policy language, partnering with coverage counsel on complex matters, estimating potential claim valuation, and following claim handling protocols.
Leads focused investigations to determine compensability, liability and covered damages by gathering information, taking statements, and coordinating with experts or other parties as necessary.
Resolves claims by collaborating with internal and external partners to develop and execute a resolution strategy, managing reserves, negotiating settlements, and authorizing payments within authority.
Establishes and manages claim budgets by achieving timely resolution, resource management, and delivering high quality service efficiently.
Addresses subrogation/salvage opportunities or potential fraud by evaluating facts and referring to appropriate resources for investigation.
Maintains quality standards by ensuring compliance with company protocols, accurate and timely work, proper documentation, and timely resolution and payment of claims.
Informs senior leadership of significant risks and losses with loss summaries and succinct presentations.
Maintains subject matter expertise and regulatory compliance by staying current on relevant laws, regulations and trends for the line of business.
Mentors and trains less experienced claim professionals.
May perform additional duties as assigned.
Reporting Relationship Typically Director or above
Skills, Knowledge & Abilities
Thorough knowledge of the commercial insurance industry, products, policy language, coverage, and claim practices.
Strong communication and presentation skills, both verbal and written.
Analytical and investigative mindset with critical thinking and the ability to resolve complex problems.
Strong work ethic, time management and organizational skills.
Ability to work in a fast-paced environment with high productivity.
Demonstrated ability to negotiate complex settlements and interpret complex specialty policies.
Ability to manage multiple priorities in a fast-paced environment.
Proficiency with Microsoft Office Suite and ability to learn business software.
Ability to value diverse opinions and ideas.
Education & Experience
Bachelor's Degree or equivalent experience; JD preferred.
Typically a minimum of five to seven years of relevant experience, preferably in claim handling.
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.
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Complex Claims Consultant- Private Not-For-Profit D&O, Fiduciary and EPL
at CNA Insurance. This role handles Private D&O, Fiduciary and Employment Practice Liability (EPL) Claims, working with insureds, attorneys and brokers regarding the handling and disposition of mid to high severity claims. The ideal candidate will investigate claims, coordinate discovery, and collaborate with defense counsel on litigation strategy. You will utilize claims policies and guidelines, review coverage, determine liability and damages, set financial reserves, secure information to negotiate and settle claims, and present claims to leadership as needed. Success factors include strong organization, independence, and proactive communication. CNA offers a hybrid work environment in one of the following locations: Chicago, Glastonbury, Lake Mary, Wyomissing, NYC area preferred, but candidates near any CNA location will be considered.
Essential Duties & Responsibilities
Manages an inventory of highly complex Financial Lines claims with large exposures, verifying policy coverage, conducting investigations, developing and employing resolution strategies, and authorizing disbursements within authority limits.
Provides exceptional customer service by managing all aspects of the claim, interacting professionally, meeting quality and cycle time standards, and providing timely updates.
Verifies coverage and establishes reserves by reviewing policy language, partnering with coverage counsel on complex matters, estimating potential claim valuation, and following claim handling protocols.
Leads focused investigations to determine compensability, liability and covered damages by gathering information, taking statements, and coordinating with experts or other parties as necessary.
Resolves claims by collaborating with internal and external partners to develop and execute a resolution strategy, managing reserves, negotiating settlements, and authorizing payments within authority.
Establishes and manages claim budgets by achieving timely resolution, resource management, and delivering high quality service efficiently.
Addresses subrogation/salvage opportunities or potential fraud by evaluating facts and referring to appropriate resources for investigation.
Maintains quality standards by ensuring compliance with company protocols, accurate and timely work, proper documentation, and timely resolution and payment of claims.
Informs senior leadership of significant risks and losses with loss summaries and succinct presentations.
Maintains subject matter expertise and regulatory compliance by staying current on relevant laws, regulations and trends for the line of business.
Mentors and trains less experienced claim professionals.
May perform additional duties as assigned.
Reporting Relationship Typically Director or above
Skills, Knowledge & Abilities
Thorough knowledge of the commercial insurance industry, products, policy language, coverage, and claim practices.
Strong communication and presentation skills, both verbal and written.
Analytical and investigative mindset with critical thinking and the ability to resolve complex problems.
Strong work ethic, time management and organizational skills.
Ability to work in a fast-paced environment with high productivity.
Demonstrated ability to negotiate complex settlements and interpret complex specialty policies.
Ability to manage multiple priorities in a fast-paced environment.
Proficiency with Microsoft Office Suite and ability to learn business software.
Ability to value diverse opinions and ideas.
Education & Experience
Bachelor's Degree or equivalent experience; JD preferred.
Typically a minimum of five to seven years of relevant experience, preferably in claim handling.
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