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CNA Insurance · 2 hours ago

Claims Regulatory Sr Consultant

Chicago, IL

Full-time

Onsite

Senior Level, Lead/Staff

$72K/yr - $141K/yr

8+ years exp

CNA Insurance is committed to fostering a culture where employees feel valued and empowered. The Claims Regulatory Sr Consultant will act as a subject matter expert, ensuring compliance with state and federal regulations applicable to claim handling across all lines of business.

FinanceFinancial ServicesInformation ServicesInformation TechnologyInsuranceProperty ManagementReal EstateRisk Management

Responsibilities

Acts as the subject matter expert for the Claim organization to ensure understanding and compliance with applicable state, federal and other regulatory requirements

Identifies research, analyzes and understands existing, new and revised regulatory requirements that are applicable to claim handling for all lines of business

Develops and maintains a library of regulatory and compliance information and resources to assist the Claim Regulatory Compliance team and Claim professionals that is easily accessible and up to date

Monitors and stays current on proposed / pending changes in law and regulations, industry activity and trends that impact the Claim organization

Provides subject matter expertise and direction to the Claim Quality Technical Directors and field Claim teams regarding regulatory requirements

Communicates new requirements and changes to existing requirements that trigger corresponding changes to business processes, procedures or behaviors in the Claim organization

Partners with the lines of business to ensure necessary changes are enacted promptly and accurately

Partners with the Law department and the Internal Investigation/Audit team to manage and coordinate responses to regulator and consumer inquiries

Reviews responses to determine if any follow-up actions are necessary to modify processes, procedures or behaviors in the Claim organization

Partners with the lines of business to ensure necessary changes are enacted promptly and accurately

Assists the EDI Data Management team and the Compliance Data Governance team in understanding regulations related to data gathering and reporting

Acts as subject matter expert to assist in regulatory compliance related training for all Claim lines of business

Qualification

Regulatory compliance expertiseInsurance industry knowledgeAnalytical skillsCommunication skillsProject managementMicrosoft Office SuiteOrganizational skillsCollaborative workContinuous learning

Required

A solid understanding of the insurance industry, its practices and operations

In-depth knowledge and application of regulatory requirements applicable to the Claim organization, particularly related to workers compensation claims

Excellent interpersonal, verbal and written communication skills, with the ability to effectively interact with internal and external business partners

Advanced analytical and problem solving skills with ability to manage and prioritize multiple projects

Ability to weigh alternatives, select an appropriate course of action and act with a sense of urgency

Excellent organizational skills including ability to prioritize and coordinate multiple tasks. Exceptional attention to detail

Ability to work in a collaborative environment

Committed to continuous learning culture

Strong computer skills including Microsoft Office Suite and other business related software systems

Bachelor's degree or equivalent experience required

Typically a minimum eight years related work experience, with significant exposure to insurance claim regulations

Preferred

Paralegal certificate or training as a lawyer preferred

Experience working with Departments of Insurance and other regulatory bodies preferred

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.