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CNA Insurance · 1 hour ago

Complex Claims Consultant - Professional Liability (Real Estate)

New York, NY

Full-time

Hybrid

Senior Level

$72K/yr - $141K/yr

6+ years exp

CNA Insurance is dedicated to helping its employees reach their career goals while fostering a supportive culture. The Complex Claims Consultant will manage high complexity professional services claims, ensuring exceptional customer service and adherence to company protocols while collaborating with various stakeholders to achieve timely resolutions.

FinanceFinancial ServicesInformation ServicesInformation TechnologyInsuranceProperty ManagementReal EstateRisk Management

Responsibilities

Manages an inventory of highly complex professional services claims, with large exposures that require a high degree of 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 and partnering with coverage counsel on more complex matters, estimating potential claim valuation, and following 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, injured workers, 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, that includes management of timely and adequate reserves, collaborating with coverage experts, 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

Realizes and 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

Achieves quality standards by appropriately managing each claim to ensure that all company protocols are followed, work is accurate and timely, all files are properly documented and claims are resolved and paid timely

Keeps senior leadership informed of significant risks and losses by completing loss summaries, identifying claims to include on oversight/watch lists, and preparing and presenting succinct summaries to senior management

Maintains subject matter expertise and ensures compliance with state/local regulatory requirements by following company guidelines, and staying current on commercial insurance laws, regulations or trends for line of business

Mentors, guides, develops and delivers training to less experienced Claim Professionals

May perform additional duties as assigned

Qualification

Professional liability claims handlingAnalytical mindsetNegotiation skillsInsurance Adjuster LicenseCommercial insurance knowledgeMicrosoft Office SuiteCommunication skillsTime managementOrganizational skillsWork under pressureTeam collaboration

Required

Thorough knowledge of the commercial insurance industry, products, policy language, coverage, and claim practices

Strong communication and presentation skills both verbal and written, including the ability to communicate business and technical information clearly

Demonstrated analytical and investigative mindset with critical thinking skills and ability to make sound business decisions, and to 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 professional services 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

Bachelor's Degree or equivalent experience

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

Must have or be able to obtain and maintain an Insurance Adjuster License within 90 days of hire, where applicable

Prior negotiation experience