CNA Insurance · 23 hours ago
Complex Claims Consultant- EPL, Private D&O, Fiduciary
Wauwatosa, WI
Full-time
Hybrid
Senior Level
$72K/yr - $141K/yr
5+ years expCNA Insurance is one of the premier providers of professional liability insurance, currently seeking a Complex Claims Consultant to handle Private D&O, Fiduciary, and Employment Practice Liability (EPL) Claims. The role involves investigating claims, coordinating discovery, and collaborating with defense counsel on litigation strategy while ensuring exceptional customer service and adherence to company protocols.
FinanceFinancial ServicesInformation ServicesInformation TechnologyInsuranceProperty ManagementReal EstateRisk Management
Responsibilities
Performs a combination of duties in accordance with departmental guidelines: Manages an inventory of highly complex Financial Lines 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
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 specialty 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; JD preferred
Typically a minimum of five to seven years of relevant experience, preferably in claim handling
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.
Company
CNA Insurance
CNA is one of the largest U.S. commercial property and casualty insurance companies.
5001-10000 employees
H1B Sponsorship
CNA Insurance has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (30)
2024 (32)
2023 (25)
2022 (43)
2021 (32)
2020 (14)
Funding
Current Stage
Public CompanyTotal Funding
$0.88M2016-09-12Post Ipo Equity· $0.88M
1978-01-13IPO
Leadership Team
Luke Mellors
Vice President, Technology
Daniel Franzetti
EVP of Worldwide Claim
Recent News
2025-11-03
MarketScreener
2025-11-03
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