Complex Claims Consultant - Lawyers Professional Liability

Overview You have a clear vision of where your career can go, and we have the leadership to help you get there. At CNA, we strive to create a culture in which people know they matter and are part of something important, ensuring the abilities of all employees are used to their fullest potential. CNA is the market leader in providing lawyers liability coverage and best‑in‑class claim service. The Complex Claims Consultant The Complex Claims Consultant plays a critical role in managing and resolving legal malpractice claims by evaluating coverage, assessing liability and damages, setting timely reserves, negotiating and settling claims, and directing litigation. They collaborate with claim leadership and business partners to ensure the best possible outcome on every claim, handling claims nationally under primary policies and interpreting complex or unusual policy coverages. Essential Duties & Responsibilities Manages an inventory of highly complex commercial claims with large exposures, 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, 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, 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, including 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 efficiently. 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 the line of business. Mentors, guides, develops and delivers training to less experienced Claim Professionals. Reporting Relationship Typically reports to a Director or above. Skills, Knowledge & Abilities 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 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 commercial 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. Education & Experience 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). Compensation and Benefits In certain jurisdictions, CNA is legally required to include a reasonable estimate of the compensation for this role. In District of Columbia, California, Colorado, Connecticut, Illinois, Maryland, Massachusetts, New York and Washington, the national base pay range for this job level is $72,000 to $141,000 annually. Salary determinations are based on various factors, including but not limited to, relevant work experience, skills, certifications and location. CNA offers a comprehensive and competitive benefits package. Accommodations CNA is committed to providing reasonable accommodations to qualified individuals with disabilities in the recruitment process. To request an accommodation, please contact View email address on click.appcast.io. #J-18808-Ljbffr