Complex Claims Consultant – Medical Malpractice
CNA Insurance
full-time
Posted on:
Location Type: Hybrid
Location: Chicago • California • Illinois • United States
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Salary
💰 $116,000 - $165,000 per year
About the role
- Manages an inventory of highly complex commercial claims
- Ensures exceptional customer service by managing all aspects of the claim
- Verifies coverage and establishes timely and adequate reserves
- Leads focused investigation to determine compensability, liability and covered damages
- Resolves claims by collaborating with internal and external business partners
- Establishes and manages claim budgets
- Realizes and addresses subrogation/salvage opportunities or potential fraud occurrences
- Achieves quality standards by appropriately managing each claim
- Keeps senior leadership informed of significant risks and losses
- Maintains subject matter expertise and ensures compliance with state/local regulatory requirements
- Mentors, guides, develops and delivers training to less experienced Claim Professionals.
Requirements
- Bachelor's Degree or equivalent experience
- JD a plus
- Typically a minimum six years of relevant experience, preferably in claim handling or medical malpractice litigation
- Must have or be able to obtain and maintain an Insurance Adjuster License within 90 days of hire, where applicable
- Prior negotiation experience
- Professional designations preferred (e.g. CPCU)
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.
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
claim handlinginvestigationnegotiationsubrogationsalvagefraud detectionbudget managementcoverage verificationliability assessmentdamage evaluation
Soft Skills
customer servicecollaborationmentoringtrainingcommunicationleadershipproblem-solvingorganizational skillsrisk managementquality assurance
Certifications
Insurance Adjuster LicenseCPCU