Complex Claims Specialist - Cyber, Technology, Media, Fidelity & Miscellaneous Professional Liability
CNA Insurance · Boston, MA, US
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About the Role
CNA is seeking a talented Complex Claims Specialist to manage Cyber, Technology, Media, and Miscellaneous Professional Liability (MPL) claims. This individual contributor role focuses on claims with low to moderate complexity and exposure, requiring strong customer service, organization, and communication skills.
Responsibilities
- Manage an inventory of low to moderate complexity and exposure claims by verifying policy coverage, conducting investigations, developing resolution strategies, and authorizing disbursements within authority limits.
- Provide exceptional customer service by interacting professionally with insureds, claimants, and business partners, meeting quality and cycle time standards, and responding promptly to inquiries.
- Verify coverage and establish timely reserves by reviewing policy language, partnering with coverage counsel, estimating claim valuation, and following company protocols.
- Conduct investigations to determine compensability, liability, and damages by gathering information and working with experts.
- Establish and maintain working relationships with internal and external partners, suppliers, and experts.
- Authorize claim disbursements within authority limits by determining liability, negotiating settlements, and escalating as appropriate.
- Contribute to expense management by resolving claims timely and accurately and overseeing appropriate resources.
- Identify and address subrogation or potential fraud occurrences by evaluating claim facts and making referrals.
- Achieve quality standards by following company guidelines, meeting targets, ensuring proper documentation, and issuing appropriate disbursements.
- Maintain compliance with state and local regulatory requirements by staying current on commercial insurance laws and trends.
- May serve as a mentor or coach to less experienced claim professionals.
- May perform additional duties as assigned.
Requirements
- Solid working knowledge of the commercial insurance industry, products, policy language, coverage, and claim practices.
- Solid verbal and written communication skills, with the ability to develop positive working relationships and summarize and present information.
- Demonstrated ability to develop collaborative business relationships with internal and external work partners.
- Ability to exercise independent judgment, solve moderately complex problems, and make sound business decisions.
- Demonstrated investigative experience with an analytical mindset and critical-thinking skills.
- Strong work ethic, with demonstrated time-management and organizational skills.
- Demonstrated ability to manage multiple priorities in a fast-paced, collaborative environment while maintaining high productivity.
- Developing ability to negotiate low to moderately complex settlements.
- Adaptability in a changing environment.
- Knowledge of Microsoft Office Suite and the ability to learn business-related software.
- Demonstrated ability to value diverse opinions and ideas.
- Must have, or be able to obtain and maintain, an Insurance Adjuster License within 90 days of hire where applicable.
Skills
- Cyber claims handling
- Technology claims handling
- Media claims handling
- MPL claims handling
- Claim investigation
- Policy interpretation
- Reserve setting
- Settlement negotiation
- Customer service
- Communication (verbal and written)
- Time management
- Organization
- Problem-solving
- Critical thinking
- Adaptability
- Microsoft Office Suite
Location
- Remote
- Hybrid
Work Type
- Full-time
Experience Level
- Mid-level
Education Level
- Bachelor's degree or equivalent experience
- Juris Doctor (JD) preferred
Salary/Compensations
- $54,000 to $103,000 annually
Benefits
- Comprehensive and competitive benefits package
About the Company
- At CNA, we strive to create a culture in which people know they matter and are part of something important, ensuring the abilities of all employees are used to their fullest potential.
- 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.