Complex Claims Consultant, Healthcare

CNA Insurance

Managing complex commercial claims for CNA, ensuring exceptional customer service and timely resolutions. Requires collaboration with various internal and external partners in a fast-paced environment.

Posted 4/11/2026full-timeCalifornia, Pennsylvania, Texas • 🇺🇸 United StatesMid-LevelSenior💰 $72,000 - $141,000 per yearWebsite

About the role

Key responsibilities & impact

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 investigations to determine compensability, liability, and covered damages
Resolves claims by collaborating with internal and external business partners

Requirements

What you’ll need

Bachelor's Degree or equivalent experience
Typically a minimum six years of relevant experience, preferably in 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
Professional designations preferred (e.g. CPCU)

Benefits

Comp & perks

Comprehensive and competitive benefits package
Health insurance
401(k) matching
Paid time off
Professional development opportunities

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

claim handlinginvestigationnegotiationcoverage verificationreserve establishment

Soft Skills

customer servicecollaborationleadership

Certifications

Insurance Adjuster LicenseCPCU