CNA Insurance
Complex Claims Consultant - NFP (Community Association D&O Liability)
CNA Insurance, Austin, Texas, us, 78716
Overview
CNA is the market leader in providing Community Association Directors & Officers liability coverage and provides best-in-class claim service. We are seeking a dynamic self-starter to join our team as a Complex Claims Consultant handling Directors & Officers claims for Community Associations. The Complex Claims Consultant plays a critical role in managing and resolving D&O Community Association claims by evaluating coverage, assessing liability and damages, setting timely reserves, negotiating and settling claims, and directing litigation. The Claims Consultant will collaborate in a team environment including claim leadership and business partners to ensure the best possible outcome on every claim. This is an individual contributor role that works under general direction and broad authority limits to manage claims with high complexity and exposure for a specialized line of business. Regular communication with insureds is required. This position offers a flexible, hybrid work schedule and is available in locations near a CNA office. JOB DESCRIPTION: Essential Duties & Responsibilities Manages an inventory of highly complex commercial claims with large exposures, verifying policy coverage, conducting investigations, developing and employing resolution strategies, and authorizing disbursements within authority limits. Ensures exceptional customer service by managing all aspects of the claim, communicating professionally, achieving quality and cycle time standards, providing timely updates, and responding promptly to inquiries. Verifies coverage and establishes timely and adequate reserves by interpreting policy language and partnering with coverage counsel on complex matters, estimating potential claim valuation, and following company protocols. Leads focused investigations to determine compensability, liability and covered damages by gathering pertinent information, taking statements from customers, claimants, witnesses, and working with experts as needed. Resolves claims by collaborating with internal and external partners to develop and execute a claim resolution strategy, managing reserves, negotiating settlements, partnering with counsel to manage complex litigation, and authorizing payments within authority. Establishes and manages claim budgets by achieving timely resolution, overseeing resources, authorizing expenses, and delivering high-quality service efficiently. Identifies subrogation, salvage opportunities or potential fraud by evaluating facts and referring to appropriate resources for further investigation. Maintains quality standards by following company protocols, ensuring accuracy and timeliness, proper file documentation, and timely resolution and payment of claims. Keeps senior leadership informed of significant risks and losses by completing loss summaries, identifying claims for oversight, and presenting succinct summaries to management. Maintains subject matter expertise and compliance with state/local regulatory requirements by staying current on commercial insurance laws, regulations, and trends for the line of business. Mentors and develops less experienced Claim Professionals through training and guidance. Reporting Relationship Typically Manager or above Skills, Knowledge & Abilities Thorough knowledge of the commercial insurance industry, products, policy language, coverage, and claim practices. Expertise in effectively communicating with policyholders, explaining coverage issues, the litigation process, and benefits of early resolution. Ability to develop and execute negotiation strategies with a track record of resolving complex disputes creatively. Strong verbal and written communication and presentation skills. Analytical and investigative mindset with critical thinking, able to evaluate and resolve complex problems. Strong work ethic, time management, and organizational skills. Ability to work in a fast-paced environment with high productivity. Experience interpreting complex commercial insurance policies and coverage. Ability to manage multiple and shifting priorities in a fast-paced environment. Knowledge of Microsoft Office and ability to learn related software. Respect for diverse opinions and ideas. Education & Experience Bachelor's Degree or equivalent experience; Juris Doctor preferred. Typically a minimum six years of relevant experience, preferably with Professional Liability or Directors & Officers claims handling. Must have or be able to obtain and maintain an Insurance Adjuster License within 90 days of hire, where applicable. Prior negotiation experience. Professional designations are a plus (e.g. CPCU). In certain jurisdictions, CNA is legally required to include a reasonable estimate of the compensation for this role. The national base pay range for this job level in specified states is $72,000 to $141,000 annually. Salary determinations are based on factors including experience, skills, certifications and location. CNA offers a comprehensive benefits package. For details, 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
Not Applicable Employment type
Full-time Job function
General Business, Other, and Customer Service Industries Financial Services and Insurance
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CNA is the market leader in providing Community Association Directors & Officers liability coverage and provides best-in-class claim service. We are seeking a dynamic self-starter to join our team as a Complex Claims Consultant handling Directors & Officers claims for Community Associations. The Complex Claims Consultant plays a critical role in managing and resolving D&O Community Association claims by evaluating coverage, assessing liability and damages, setting timely reserves, negotiating and settling claims, and directing litigation. The Claims Consultant will collaborate in a team environment including claim leadership and business partners to ensure the best possible outcome on every claim. This is an individual contributor role that works under general direction and broad authority limits to manage claims with high complexity and exposure for a specialized line of business. Regular communication with insureds is required. This position offers a flexible, hybrid work schedule and is available in locations near a CNA office. JOB DESCRIPTION: Essential Duties & Responsibilities Manages an inventory of highly complex commercial claims with large exposures, verifying policy coverage, conducting investigations, developing and employing resolution strategies, and authorizing disbursements within authority limits. Ensures exceptional customer service by managing all aspects of the claim, communicating professionally, achieving quality and cycle time standards, providing timely updates, and responding promptly to inquiries. Verifies coverage and establishes timely and adequate reserves by interpreting policy language and partnering with coverage counsel on complex matters, estimating potential claim valuation, and following company protocols. Leads focused investigations to determine compensability, liability and covered damages by gathering pertinent information, taking statements from customers, claimants, witnesses, and working with experts as needed. Resolves claims by collaborating with internal and external partners to develop and execute a claim resolution strategy, managing reserves, negotiating settlements, partnering with counsel to manage complex litigation, and authorizing payments within authority. Establishes and manages claim budgets by achieving timely resolution, overseeing resources, authorizing expenses, and delivering high-quality service efficiently. Identifies subrogation, salvage opportunities or potential fraud by evaluating facts and referring to appropriate resources for further investigation. Maintains quality standards by following company protocols, ensuring accuracy and timeliness, proper file documentation, and timely resolution and payment of claims. Keeps senior leadership informed of significant risks and losses by completing loss summaries, identifying claims for oversight, and presenting succinct summaries to management. Maintains subject matter expertise and compliance with state/local regulatory requirements by staying current on commercial insurance laws, regulations, and trends for the line of business. Mentors and develops less experienced Claim Professionals through training and guidance. Reporting Relationship Typically Manager or above Skills, Knowledge & Abilities Thorough knowledge of the commercial insurance industry, products, policy language, coverage, and claim practices. Expertise in effectively communicating with policyholders, explaining coverage issues, the litigation process, and benefits of early resolution. Ability to develop and execute negotiation strategies with a track record of resolving complex disputes creatively. Strong verbal and written communication and presentation skills. Analytical and investigative mindset with critical thinking, able to evaluate and resolve complex problems. Strong work ethic, time management, and organizational skills. Ability to work in a fast-paced environment with high productivity. Experience interpreting complex commercial insurance policies and coverage. Ability to manage multiple and shifting priorities in a fast-paced environment. Knowledge of Microsoft Office and ability to learn related software. Respect for diverse opinions and ideas. Education & Experience Bachelor's Degree or equivalent experience; Juris Doctor preferred. Typically a minimum six years of relevant experience, preferably with Professional Liability or Directors & Officers claims handling. Must have or be able to obtain and maintain an Insurance Adjuster License within 90 days of hire, where applicable. Prior negotiation experience. Professional designations are a plus (e.g. CPCU). In certain jurisdictions, CNA is legally required to include a reasonable estimate of the compensation for this role. The national base pay range for this job level in specified states is $72,000 to $141,000 annually. Salary determinations are based on factors including experience, skills, certifications and location. CNA offers a comprehensive benefits package. For details, 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
Not Applicable Employment type
Full-time Job function
General Business, Other, and Customer Service Industries Financial Services and Insurance
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