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About the Role

CNA is seeking a Complex Claims Consultant to handle Architect and Engineer liability claims. These claims are highly complex, can be valued in the multi-million dollar range, and require significant investigation and coordination due to their technical complexity. The role involves reviewing coverage, determining liability and damages, directing litigation, and negotiating settlements.

Responsibilities

Manages an inventory of highly complex commercial claims with large exposures, requiring specialized technical expertise and coordination.
Reviews policy coverage, conducts investigations, develops resolution strategies, and authorizes disbursements within authority limits.
Ensures exceptional customer service by managing all aspects of the claim, providing timely updates, and responding promptly to inquiries.
Verifies coverage and establishes timely and adequate reserves by reviewing and interpreting policy language and partnering with coverage counsel.
Leads focused investigation to determine compensability, liability, and covered damages by gathering pertinent information and working with experts.
Resolves claims by developing and executing a claim resolution strategy, including managing reserves, negotiating settlements, and partnering with counsel.
Establishes and manages claim budgets by achieving timely claim resolution and overseeing appropriate resources.
Evaluates claim facts to identify subrogation/salvage opportunities or potential fraud and makes referrals to appropriate resources.
Ensures all company protocols are followed, work is accurate and timely, and claims are resolved and paid promptly.
Keeps senior leadership informed of significant risks and losses by completing loss summaries and preparing succinct summaries.
Maintains subject matter expertise and ensures compliance with state/local regulatory requirements.
Mentors, guides, develops, and delivers training to less experienced Claim Professionals.

Requirements

Insurance litigation and coverage interpretation/analysis experience strongly desired.
Attended mediations and negotiated settlements involving insurance claims.
Must have or be able to obtain and maintain an Insurance Adjuster License within 90 days of hire, where applicable.
Prior negotiation experience.

Skills

Thorough knowledge of the commercial insurance industry, products, policy language, coverage, and claim practices.
Strong communication and presentation skills both verbal and written.
Demonstrated analytical and investigative mindset with critical thinking skills.
Ability to make sound business decisions and effectively evaluate and resolve ambiguous, complex, and challenging business 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 commercial 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.
Demonstrated ability to value diverse opinions and ideas.

Location

Office locations

Work Type

Hybrid

Experience Level

Typically a minimum six years of relevant experience, preferably in claim handling.

Education Level

Bachelor's Degree or equivalent experience.
Professional designations preferred (e.g. CPCU).

Salary/Compensations

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.

Benefits

CNA offers a comprehensive and competitive benefits package to help our employees – and their family members – achieve their physical, financial, emotional and social wellbeing goals.

About the Company

CNA is one of the premier providers of professional liability insurance.
CNA utilizes AI-enabled technology during the recruiting process.
CNA is committed to providing reasonable accommodations to qualified individuals with disabilities in the recruitment process.