Complex Claims Consultant - Accountants

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Complex Claims Consultant - Accountants
The candidate manages an inventory of highly complex specialty claims with large exposures that require a high degree of specialized technical expertise and coordination. Ensures exceptional customer service to internal and external business partners 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 by reviewing and interpreting policy language and partnering with coverage counsel on more complex matters. Establish timely and adequate reserves, including estimating potential claim valuation, while following company's claim handling guidelines. Manages all types of investigative activity and/or litigation on major claims. Coordinates discovery and litigation strategy with counsel. Determines if a claim should be settled or litigated and implements an appropriate resolution strategy accordingly. Effectively manages loss and claim expenses. Negotiates highly complex settlement packages within authority, settling claims in the most cost effective manner and ensures timely issuance of disbursements. Establishes and manages claim budgets by achieving timely claim resolution, selecting and actively overseeing appropriate resources, authorizing expense payments and delivering high quality service in an efficient manner. 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 and recommendations to management. Maintains subject matter expertise and keeps current on state/territory regulations and issues, industry activity, and trends. Responsible for input of data and file documentation that accurately reflects claim circumstances and other information important to our business outcomes. Mentors, guides, develops, and delivers training to less experienced Claim Professionals. May perform additional duties as assigned. Advanced technical and product specific expertise, claims resolution skill and knowledge of specialty insurance and claims principles, practices and procedures for primary and excess policies. Strong communication, presentation, and writing 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 and shifting priorities in a fast-paced and challenging environment. Strong work ethic and ability to appropriately deal with ambiguous situations and issues. Creativity in resolving unique and challenging business problems. Demonstrated ability to negotiate complex settlements. Knowledge of Microsoft Office Suite and other business-related software. Ability to adapt to change and value diverse opinions and ideas. Ability to evaluate claims based on a cost benefit analysis. Ability to implement strategies with a proactive long-term view of business goals and objectives. Bachelor's degree or equivalent experience. Juris Doctorate is strongly preferred. Typically a minimum eight years claims experience.

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