CNA Insurance
Complex Claims Consultant - Dental Healthcare
CNA Insurance, San Antonio, Texas, United States, 78208
Overview
Start the next chapter of your career as a Complex Claims Consultant in Healthcare for CNA Insurance. CNA is a market leader in insuring healthcare providers and facilities, including dentists, physicians, nurses, nurse practitioners, physical therapists, counselors, pharmacists, massage therapists and more than 100 other categories of medical service providers, along with the facilities and practices in which they work. This role will support the Healthcare business and interact with these key customers. You will be responsible for the overall investigation, management and resolution of Healthcare professional liability claims in multiple states, and you will be recognized as a technical expert in the interpretation of complex or unusual policy coverages. Under general management direction, you will work within defined authority limits to manage professional liability healthcare claims with moderate to high complexity and exposure in accordance with company protocols, quality and customer service standards. You will also partner with internal business partners such as Underwriting and Risk Control to share claim insights that aid in good underwriting and risk management decisions. The individual will work with insureds, attorneys, other insurers and account representatives regarding the handling and/or disposition of complex litigated and non-litigated claims in multi-state jurisdictions. The role involves investigating and resolving claims, coordinating discovery and collaborating with defense counsel on litigation strategy. This position offers a flexible, hybrid work schedule and is available in any location near a CNA office. Responsibilities
Manages an inventory of highly complex healthcare professional liability claims, with large exposures that require specialized technical expertise and coordination, by following company protocols to verify policy coverage, conduct investigations, develop and employ resolution strategies, and authorize disbursements within authority limits. Ensures exceptional customer service by managing all aspects of the claim, interacting professionally and effectively, achieving quality and cycle time standards, providing timely updates and responding promptly to inquiries and requests for information. Verifies coverage and establishes timely and adequate reserves by reviewing and interpreting policy language, estimating potential claim valuation, working with counsel and following the company\'s claim handling protocols. Leads focused investigation to determine compensability, liability and covered damages by gathering pertinent information, such as contracts or other documents, taking recorded statements from customers, claimants, witnesses, and working with experts or other parties as necessary to verify the facts of the claim. Resolves claims by collaborating with internal and external business partners to develop, own and execute a claim resolution strategy, including management of timely and adequate reserves, collaborating with coverage experts where necessary, negotiating complex settlements, partnering with counsel to manage complex litigation and authorizing payments within scope of authority. Establishes and manages claim budgets by achieving timely claim resolution, selecting and actively overseeing appropriate resources, authorizing expense payments and delivering high quality service in an efficient manner. Addresses subrogation/salvage opportunities or potential fraud occurrences by evaluating the facts of the claim and making referrals to appropriate Claim, Recovery or SIU resources for further investigation. Maintains quality standards by ensuring claims are handled in accordance with company protocols, with accurate, timely work and proper documentation to support resolution and payment. Keeps leadership informed of significant risks and losses by completing loss summaries, identifying claims for oversight, and preparing and presenting succinct summaries to senior management. Maintains subject matter expertise and 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. Mentors, guides, develops and delivers training to less experienced Claim Professionals. Skills, Knowledge & Abilities
Thorough knowledge of the professional liability insurance industry, products, policy language, coverage, and claim practices. Understanding of dental malpractice claims and policies is strongly favored. Strong communication and presentation skills both verbal and written, including the ability to communicate business and technical information clearly. Analytical and investigative mindset with critical thinking skills and ability to make sound business decisions and to resolve ambiguous, complex problems. Strong work ethic with demonstrated time management and organizational skills. Ability to work in a fast-paced environment at high levels of productivity. Demonstrated ability to negotiate complex settlements. Experience interpreting complex insurance policies and coverage. Ability to manage multiple and shifting priorities in a fast-paced and challenging environment. Knowledge of Microsoft Office Suite and ability to learn business-related software. Commitment to collaboration and the ability to value diverse opinions and ideas. Education & Experience
Bachelor\'s Degree or equivalent experience. JD a plus. Typically a minimum six years of relevant experience, preferably in claim handling or medical malpractice litigation. 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). In Chicago/New York/California, the average base pay range for the Complex Claims Consultant role is $113,000 to $160,000. Salary determinations are based on various factors, including but not limited to, relevant work experience, skills, certifications and location. In certain jurisdictions, CNA is legally required to include a reasonable estimate of the compensation for this role. In 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 to support physical, financial, emotional and social wellbeing. For a detailed look at CNA\’s benefits, 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. Equal Employment Opportunity
CNA is an equal opportunity employer. Referrals increase your chances of interviewing at CNA Insurance. Get notified about new Claims Consultant jobs in San Antonio, TX.
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Start the next chapter of your career as a Complex Claims Consultant in Healthcare for CNA Insurance. CNA is a market leader in insuring healthcare providers and facilities, including dentists, physicians, nurses, nurse practitioners, physical therapists, counselors, pharmacists, massage therapists and more than 100 other categories of medical service providers, along with the facilities and practices in which they work. This role will support the Healthcare business and interact with these key customers. You will be responsible for the overall investigation, management and resolution of Healthcare professional liability claims in multiple states, and you will be recognized as a technical expert in the interpretation of complex or unusual policy coverages. Under general management direction, you will work within defined authority limits to manage professional liability healthcare claims with moderate to high complexity and exposure in accordance with company protocols, quality and customer service standards. You will also partner with internal business partners such as Underwriting and Risk Control to share claim insights that aid in good underwriting and risk management decisions. The individual will work with insureds, attorneys, other insurers and account representatives regarding the handling and/or disposition of complex litigated and non-litigated claims in multi-state jurisdictions. The role involves investigating and resolving claims, coordinating discovery and collaborating with defense counsel on litigation strategy. This position offers a flexible, hybrid work schedule and is available in any location near a CNA office. Responsibilities
Manages an inventory of highly complex healthcare professional liability claims, with large exposures that require specialized technical expertise and coordination, by following company protocols to verify policy coverage, conduct investigations, develop and employ resolution strategies, and authorize disbursements within authority limits. Ensures exceptional customer service by managing all aspects of the claim, interacting professionally and effectively, achieving quality and cycle time standards, providing timely updates and responding promptly to inquiries and requests for information. Verifies coverage and establishes timely and adequate reserves by reviewing and interpreting policy language, estimating potential claim valuation, working with counsel and following the company\'s claim handling protocols. Leads focused investigation to determine compensability, liability and covered damages by gathering pertinent information, such as contracts or other documents, taking recorded statements from customers, claimants, witnesses, and working with experts or other parties as necessary to verify the facts of the claim. Resolves claims by collaborating with internal and external business partners to develop, own and execute a claim resolution strategy, including management of timely and adequate reserves, collaborating with coverage experts where necessary, negotiating complex settlements, partnering with counsel to manage complex litigation and authorizing payments within scope of authority. Establishes and manages claim budgets by achieving timely claim resolution, selecting and actively overseeing appropriate resources, authorizing expense payments and delivering high quality service in an efficient manner. Addresses subrogation/salvage opportunities or potential fraud occurrences by evaluating the facts of the claim and making referrals to appropriate Claim, Recovery or SIU resources for further investigation. Maintains quality standards by ensuring claims are handled in accordance with company protocols, with accurate, timely work and proper documentation to support resolution and payment. Keeps leadership informed of significant risks and losses by completing loss summaries, identifying claims for oversight, and preparing and presenting succinct summaries to senior management. Maintains subject matter expertise and 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. Mentors, guides, develops and delivers training to less experienced Claim Professionals. Skills, Knowledge & Abilities
Thorough knowledge of the professional liability insurance industry, products, policy language, coverage, and claim practices. Understanding of dental malpractice claims and policies is strongly favored. Strong communication and presentation skills both verbal and written, including the ability to communicate business and technical information clearly. Analytical and investigative mindset with critical thinking skills and ability to make sound business decisions and to resolve ambiguous, complex problems. Strong work ethic with demonstrated time management and organizational skills. Ability to work in a fast-paced environment at high levels of productivity. Demonstrated ability to negotiate complex settlements. Experience interpreting complex insurance policies and coverage. Ability to manage multiple and shifting priorities in a fast-paced and challenging environment. Knowledge of Microsoft Office Suite and ability to learn business-related software. Commitment to collaboration and the ability to value diverse opinions and ideas. Education & Experience
Bachelor\'s Degree or equivalent experience. JD a plus. Typically a minimum six years of relevant experience, preferably in claim handling or medical malpractice litigation. 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). In Chicago/New York/California, the average base pay range for the Complex Claims Consultant role is $113,000 to $160,000. Salary determinations are based on various factors, including but not limited to, relevant work experience, skills, certifications and location. In certain jurisdictions, CNA is legally required to include a reasonable estimate of the compensation for this role. In 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 to support physical, financial, emotional and social wellbeing. For a detailed look at CNA\’s benefits, 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. Equal Employment Opportunity
CNA is an equal opportunity employer. Referrals increase your chances of interviewing at CNA Insurance. Get notified about new Claims Consultant jobs in San Antonio, TX.
#J-18808-Ljbffr