CNA Insurance
Complex Claims Consultant - Architect & Engineer Liability
CNA Insurance, California, Missouri, United States, 65018
Overview
Complex Claims Consultant - Architect & Engineer Liability role at CNA Insurance. This position handles Architect and Engineer professional liability claims, which can be highly complex and valued in the multi-million dollar range. Insurance litigation and coverage interpretation/analysis experience are strongly desired. The role involves attending mediations and negotiating settlements involving insurance claims. This professional liability position will be dedicated exclusively to the handling of claims against design professionals including Architects, Engineers, Surveyors, Construction Managers, contractors and specialty contractors. New assignments require significant investigation and coordination due to their technical complexity. Utilizing corporate claim policies and departmental guidelines, the claims consultant reviews coverage, secures and analyzes information to determine liability and substantiate damages, directs and controls litigation, and negotiates and settles claims. This position enjoys a flexible, hybrid work schedule and is available in any location near a CNA office. Job Description
Performs a range of responsibilities in alignment with departmental guidelines: Manages an inventory of highly complex claims with large exposures requiring specialized technical expertise and coordination; verifies policy coverage, conducts investigations, develops and employs resolution strategies, and authorizes disbursements within authority limits. Provides exceptional customer service by managing all aspects of the claim, interacting professionally and effectively, meeting quality and cycle time standards, delivering timely updates, and responding promptly to inquiries. Verifies coverage and establishes timely reserves by interpreting policy language and 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 contracts and documents, taking statements from relevant parties, and working with experts as needed. Resolves claims by collaborating with internal and external partners to develop and execute a claim resolution strategy, including reserve management, negotiations of complex settlements, managing litigation with counsel, and authorizing payments within scope of authority. Establishes and manages claim budgets by achieving timely resolution, overseeing resources, authorizing expenses, and delivering high-quality service efficiently. Addresses subrogation/salvage opportunities or potential fraud by evaluating claim facts and referring to appropriate resources for investigation. Maintains quality standards by ensuring adherence to company protocols, accuracy and timeliness of work, and proper documentation and timely resolution and payment of claims. Keeps senior leadership informed of significant risks and losses through loss summaries and oversight lists, presenting succinct updates to senior management. Maintains subject-matter expertise and regulatory compliance by staying current on commercial insurance laws, regulations, and trends for the line of business. Mentors and develops less experienced claim professionals through training. Performs 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 skills and the ability to evaluate and resolve complex business problems. Strong work ethic with time management and organizational skills. Ability to work in a fast-paced environment with high productivity. Demonstrated ability to negotiate complex settlements. Experience interpreting complex commercial insurance policies and coverage. Ability to manage multiple priorities in a fast-paced environment. Knowledge of Microsoft Office Suite and ability to learn business software. Ability to value diverse opinions and ideas. Education & Experience
Bachelor's Degree or equivalent experience. Typically a minimum of six years of relevant experience, preferably in claim handling. Must have or be able to obtain and maintain an Insurance Adjuster License within 90 days of hire, where applicable. In Illinois/New York/California, the average base pay range for a Complex Claims Consultant is $113,000 to $160,000. Salary determinations are based on factors including relevant work experience, skills, certifications and location. In certain jurisdictions, CNA includes a reasonable estimate of compensation: District of Columbia, California, Colorado, Connecticut, Illinois, Maryland, Massachusetts, New York and Washington; the national base pay range for this job level is $72,000 to $141,000 annually. CNA offers a comprehensive benefits package. For details, 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 leaveadministration@cna.com. Seniority level
Mid-Senior level Employment type
Full-time Job function
General Business, Finance, and Consulting Industries: Financial Services and Insurance Referrals increase your chances of interviewing at CNA Insurance by 2x #J-18808-Ljbffr
Complex Claims Consultant - Architect & Engineer Liability role at CNA Insurance. This position handles Architect and Engineer professional liability claims, which can be highly complex and valued in the multi-million dollar range. Insurance litigation and coverage interpretation/analysis experience are strongly desired. The role involves attending mediations and negotiating settlements involving insurance claims. This professional liability position will be dedicated exclusively to the handling of claims against design professionals including Architects, Engineers, Surveyors, Construction Managers, contractors and specialty contractors. New assignments require significant investigation and coordination due to their technical complexity. Utilizing corporate claim policies and departmental guidelines, the claims consultant reviews coverage, secures and analyzes information to determine liability and substantiate damages, directs and controls litigation, and negotiates and settles claims. This position enjoys a flexible, hybrid work schedule and is available in any location near a CNA office. Job Description
Performs a range of responsibilities in alignment with departmental guidelines: Manages an inventory of highly complex claims with large exposures requiring specialized technical expertise and coordination; verifies policy coverage, conducts investigations, develops and employs resolution strategies, and authorizes disbursements within authority limits. Provides exceptional customer service by managing all aspects of the claim, interacting professionally and effectively, meeting quality and cycle time standards, delivering timely updates, and responding promptly to inquiries. Verifies coverage and establishes timely reserves by interpreting policy language and 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 contracts and documents, taking statements from relevant parties, and working with experts as needed. Resolves claims by collaborating with internal and external partners to develop and execute a claim resolution strategy, including reserve management, negotiations of complex settlements, managing litigation with counsel, and authorizing payments within scope of authority. Establishes and manages claim budgets by achieving timely resolution, overseeing resources, authorizing expenses, and delivering high-quality service efficiently. Addresses subrogation/salvage opportunities or potential fraud by evaluating claim facts and referring to appropriate resources for investigation. Maintains quality standards by ensuring adherence to company protocols, accuracy and timeliness of work, and proper documentation and timely resolution and payment of claims. Keeps senior leadership informed of significant risks and losses through loss summaries and oversight lists, presenting succinct updates to senior management. Maintains subject-matter expertise and regulatory compliance by staying current on commercial insurance laws, regulations, and trends for the line of business. Mentors and develops less experienced claim professionals through training. Performs 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 skills and the ability to evaluate and resolve complex business problems. Strong work ethic with time management and organizational skills. Ability to work in a fast-paced environment with high productivity. Demonstrated ability to negotiate complex settlements. Experience interpreting complex commercial insurance policies and coverage. Ability to manage multiple priorities in a fast-paced environment. Knowledge of Microsoft Office Suite and ability to learn business software. Ability to value diverse opinions and ideas. Education & Experience
Bachelor's Degree or equivalent experience. Typically a minimum of six years of relevant experience, preferably in claim handling. Must have or be able to obtain and maintain an Insurance Adjuster License within 90 days of hire, where applicable. In Illinois/New York/California, the average base pay range for a Complex Claims Consultant is $113,000 to $160,000. Salary determinations are based on factors including relevant work experience, skills, certifications and location. In certain jurisdictions, CNA includes a reasonable estimate of compensation: District of Columbia, California, Colorado, Connecticut, Illinois, Maryland, Massachusetts, New York and Washington; the national base pay range for this job level is $72,000 to $141,000 annually. CNA offers a comprehensive benefits package. For details, 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 leaveadministration@cna.com. Seniority level
Mid-Senior level Employment type
Full-time Job function
General Business, Finance, and Consulting Industries: Financial Services and Insurance Referrals increase your chances of interviewing at CNA Insurance by 2x #J-18808-Ljbffr