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About the role
- Complex Claims Consultant at CNA managing Allied Healthcare Providers/Medical Malpractice claims. Leading investigations, ensuring customer service, and collaborating with internal partners.
Responsibilities
- Manages an inventory of highly complex commercial claims, with large exposures that require a high degree of specialized technical expertise and coordination.
- Ensures exceptional customer service by managing all aspects of the claim, interacting professionally and effectively, achieving quality and cycle time standards.
- Verifies coverage and establishes timely and adequate reserves by reviewing and interpreting policy language.
- Leads focused investigation to determine compensability, liability and covered damages.
- Resolves claims by collaborating with internal and external business partners to develop and execute a claim resolution strategy.
- Establishes and manages claim budgets by achieving timely claim resolution, selecting and overseeing appropriate resources.
Requirements
- Bachelor's Degree or equivalent experience.
- JD a plus.
- Typically a minimum six years of relevant experience, preferably in claim handling or medical malpractice litigation.
- 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
- 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.
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