Complex Claims Consultant - Architect and Engineer Liability

Complex Claims Consultant - Architect and Engineer Liability

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Complex Claims Consultant - Architect and Engineer Liability

Apply locations Chicago, IL, USA Princeton, NJ, USA US- CA73 - Los Angeles-633 West 5th Street Louisville, KY, USA Warren, NJ, USA time type Full time posted on Posted 3 Days Ago job requisition id R-5111

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 one of the premier providers of professional liability insurance. We currently have an opening for a Complex Claims Consultant to handle Architect and Engineer liability claims. These claims can be highly complex in nature, and can be valued in the multi-million dollar range. Insurance litigation and coverage interpretation / analysis experience strongly desired. We seek an individual who has attended mediations and negotiated settlements involving insurance claims. The average caseload for this claim professional will be approximately 140 files.

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, 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, such as contracts or other documents, 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, that includes 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 in an efficient manner.
• 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 line of business.
• 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

Education & Experience

CNA is committed to providing reasonable accommodations to qualified individuals with disabilities in the recruitment process. To request an accommodation, please contact leaveadministration@cna.com.

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