Complex Claims Specialist - Professional Liability (Accountants)

CNA Financial; Chicago (IL); Híbrido; USD 70.000 - 100.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Hybrid work schedule

Descripción de la vacante

CNA Financial in Chicago, IL seeks a Complex Claims Specialist to manage accountants and accounting firms' professional liability claims nationwide. The role requires handling moderate to high complexity, assessing coverage, liability, and damages, and directing settlements within authority.

You will interact with insureds, claimants, and partners, maintain reserves, and collaborate with experts. The position offers a flexible hybrid schedule with 2 days in office and opportunities to mentor

Formación

• Experience handling complex commercial claims.
• Knowledge of policy language and coverage.
• Strong written and verbal communication.
• Ability to manage a high-volume workload with quality.

Responsabilidades

• Manage moderate to high complexity claims per protocol and authorize disbursements within limits.
• Provide exceptional customer service with timely updates to insureds and claimants.
• Verify coverage, establish reserves, and review policy language.
• Investigate to determine liability, damages and compensability; gather evidence.
• Mentor/coach less experienced claim professionals when needed.

Conocimientos

Complex claims handling

Insurance industry knowledge

Communication skills

Investigation & analysis

Negotiation

Descripción del empleo

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 Accountants Professional Liability coverage and provides best-in-class claim service. We are seeking a dynamic self-starter to join our team as a Complex Claims Specialist handling claims for accountants and accounting firms nationwide. At CNA, Claim Professionals use their specialized expertise to handle claims efficiently and seamlessly in a collaborative environment focused on continuous improvement, ensuring the best possible outcome on every claims. The Complex Claims Specialist plays a critical role in managing and resolving complex accountants malpractice claims by evaluating coverage, assessing liability and damages, setting timely reserves, negotiating and settling claims, and directing litigation.

Under moderate direction, works within defined authority limits, to manage commercial claims with moderate to high complexity and exposure. Responsibilities include investigating and resolving claims according to company protocols, quality and customer service standards. Position requires regular communication with customers and insureds. The Complex Claim Specialist will handle approximately 130 pending Accounting Professional Liability claims.

This position works a flexible hybrid work schedule of 2 days per week in one of the listed CNA office locations.

JOB DESCRIPTION:

Essential Duties & Responsibilities:

• Manages an inventory of moderate to high complexity and exposure commercial claims by following company protocols to verify policy coverage, conduct investigations, develop and employ resolution strategies, and authorize disbursements within authority limits.
• Provides exceptional customer service by interacting professionally and effectively with insureds, claimants and business partners, achieving quality and cycle time standards, providing regular, 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.
• Conducts 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.
• Establishes and maintains working relationships with appropriate internal and external work partners, suppliers and experts by identifying and collaborating with resources that are needed to effectively resolve claims.
• Authorizes and ensures claim disbursements within authority limit by determining liability and compensability of the claim, negotiating settlements and escalating to manager as appropriate.
• Contributes to expense management by timely and accurately resolving claims, selecting and actively overseeing appropriate resources, and delivering high quality service.
• Identifies and addresses subrogation/salvage opportunities or potential fraud occurrences by evaluating the facts of the claim and making referrals to appropriate Recovery or SIU resources for further investigation.
• Achieves quality standards on every file by following all company guidelines, achieving quality and cycle time targets, ensuring proper documentation and issuing appropriate claim disbursements.
• Maintains compliance with state/local regulatory requirements by following company guidelines, and staying current on commercial insurance laws, regulations or trends for line of business.
• May serve as a mentor/coach to less experienced claim professionals
• May perform additional duties as assigned.

Reporting Relationship

Typical Manager or above

Skills, Knowledge & Abilities

• Solid working knowledge of the commercial insurance industry, products, policy language, coverage, and claim practices.
• Solid verbal and written communication skills with the ability to develop positive working relationships, summarize and present information to customers, claimants and senior management as needed.
• Demonstrated ability to develop collaborative business relationships with internal and external work partners.
• Ability to exercise independent judgement, solve moderately complex problems and make sound business decisions.
• Demonstrated investigative experience with an analytical mindset and critical thinking skills.
• Strong work ethic, with demonstrated time management and organizational skills.
• Demonstrated abilit