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Complex Claims Consultant - Architect and Engineer Liability

Complex Claims Consultant - Architect and Engineer Liability

CNA InsuranceLouisville, Kentucky, US
22 days ago
Job type
  • Full-time
Job description

Complex Claims Consultant - Architect and Engineer Liability

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Apply locations : Chicago, IL, USA; Princeton, NJ, USA; Los Angeles, CA, USA; Louisville, KY, USA; Warren, NJ, USA

This professional liability position will be dedicated exclusively to the handling of claims against design professionals including Architects, Engineers, Surveyors, Construction Managers, contractors, and specialty contractors. New assignments require significant investigation and coordination due to their technical complexity. Utilizing corporate Claim policies and departmental guidelines, the claims consultant reviews coverage, secures and analyzes information in order to determine liability and substantiate damages, directs and controls litigation, and ultimately negotiates and settles claims.

JOB DESCRIPTION :

Essential Duties & Responsibilities

Performs a combination of duties in accordance with departmental guidelines :

  • Manages an inventory of highly complex claims, with large exposures that require a high degree of specialized technical expertise and coordination, by 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 and partnering with coverage counsel on more complex matters.
  • Leads focused investigation to determine compensability, liability, and covered damages by gathering pertinent information.
  • Resolves claims by collaborating with internal and external business partners to develop, own and execute a claim resolution strategy.
  • Establishes and manages claim budgets by achieving timely claim resolution and delivering high-quality service in an efficient manner.
  • Realizes and addresses subrogation / salvage opportunities or potential fraud occurrences.
  • Achieves quality standards by appropriately managing each claim to ensure that all company protocols are followed.
  • Keeps senior leadership informed of significant risks and losses by completing loss summaries.
  • Maintains subject matter expertise and ensures compliance with state / local regulatory requirements.
  • Mentors, guides, develops, and delivers training to less experienced Claim Professionals.

May perform additional duties as assigned.

Reporting Relationship : Typically 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.
  • Demonstrated analytical and investigative mindset with critical thinking skills.
  • 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.
  • 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)
  • CNA is committed to providing reasonable accommodations to qualified individuals with disabilities in the recruitment process. To request an accommodation, please contact [email protected].

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