Complex Claims Consultant, Medical Malpractice and Dental

CNA Insurance

Complex Claims Consultant handling high complexity claims for the commercial insurance industry at CNA. Providing exceptional customer service and collaborating with internal and external partners to resolve claims efficiently.

Posted 7/18/2026full-timeChicago • California, Illinois, New Jersey, New York • 🇺🇸 United StatesMid-LevelSenior💰 $72,000 - $141,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in managing complex commercial claims, ensuring compliance with regulatory requirements, and delivering exceptional customer service. Proficient in negotiation, budget management, and mentoring less experienced claim professionals.

Highest-signal resume keywords

Claims ManagementInsurance Adjuster LicenseNegotiation ExperienceRegulatory ComplianceSubrogation Opportunities

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Claim HandlingCoverage VerificationBudget ManagementInvestigation TechniquesFraud Detection

Soft Skills

Customer ServiceCollaborationMentoringTraining Delivery

Certifications & Qualifications

Bachelor's DegreeCPCU

Industry Keywords

Commercial ClaimsCompensabilityLiabilityDamagesSalvage

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 investigation to determine compensability, liability and covered damages
Resolves claims by collaborating with internal and external business partners
Establishes and manages claim budgets by achieving timely claim resolution
Realizes and addresses subrogation/salvage opportunities or potential fraud occurrences
Maintains subject matter expertise and ensures compliance with state/local regulatory requirements
Mentors, guides, develops and delivers training to less experienced Claim Professionals

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