Claims Consultant - Unsupported Excess

Job Description

Essential Duties & Responsibilities:

• Manages highly complex investigations of claims, including coverage issues, liability, compensability and damages.
• Determines if a major claim should be settled or litigated and implements an appropriate resolution strategy accordingly.
• Effectively manages loss costs and claim expenses.
• Manages all types of investigative activity or litigation on major claims, including the posting of appropriate reserves in a timely manner.
• Captures and coordinates discovery and litigation strategy with staff counsel or panel attorneys.
• Negotiates highly complex settlement packages, and authorizes payment within scope of authority, settling claims in most cost-effective manner and ensuring timely issuance of disbursements.
• Captures and coordinates third party recovery with subrogation/salvage unit.
• Makes recommendations on claims processes and resolution strategies to management.
• Analyzes claims activities; prepares and presents reports to management and other internal business partners and clients.
• Works with attorneys, account representatives, agents, doctors and insureds regarding the handling and/or disposition of highly complex claims.
• Keeps current on state/territory regulations and issues, industry activity and trends.
• May participate in industry trade groups.
• Provides guidance and assistance to less experienced claims staff and other functional areas.
• Responsible for input of data that accurately reflects claim circumstances and other information important to our business outcomes.

Skills, Knowledge And Abilities

• Advanced technical and product specific expertise, claims resolution skill and knowledge of insurance and claims principles, practices and procedures.
• Strong communication, negotiation and presentation skills.
• Ability to effectively interact with all levels of CNA's internal and external business partners.
• Advanced analytical and problem solving skills, with the ability to manage and prioritize multiple projects.
• Ability to deal with ambiguous situations and issues.
• Creativity in resolving unique and challenging business problems.
• Knowledge of Microsoft Office Suite and other business-related software.
• Ability to adapt to change and value diverse opinions and ideas.
• Ability to manage and prioritize multiple projects.
• Ability to evaluate claims based on a cost benefit analysis.
• Ability to fully comprehend complex claim facts and issues; and to further articulate analyses of claims in presentations to business partners and management as well as in internal reports.
• Ability to implement strategies with a proactive long-term view of business goals and objectives.

Education And Experience

• Bachelor's degree or equivalent experience.
• Professional designation preferred.
• Typically a minimum eight years claims experience.

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. For a detailed look at CNA’s benefits, please visit cnabenefits.com.