Senior Complex Healthcare Claims Consultant

CNA Insurance; New York (NY); Hybrid; USD 72,000 - 141,000; Full time

Job summary

CNA Insurance in New York is seeking a Complex Claims Consultant to support Allied Healthcare Providers, Aging Services and Dental Malpractice. You will investigate, manage, and resolve high-exposure professional liability claims across multiple states, using policy language interpretation and collaboration with Underwriting and defense counsel.

The role requires extensive claims experience, strong negotiation skills, and ability to work with autonomy in a hybrid work model.

Qualifications

• Bachelor's degree or equivalent required.
• Minimum six years in claim handling or medical malpractice litigation.
• Insurance adjuster license within 90 days of hire where applicable.
• Professional designations preferred (e.g. CPCU).

Responsibilities

• Manages an inventory of highly complex commercial claims with large exposures following company protocols.
• Interacts with insureds, attorneys, other insurers and account representatives regarding complex litigated and non-litigated claims.
• Investigates and resolves claims, coordinates discovery, and works with defense counsel on litigation strategy.
• Reviews coverage, determines liability and damages, and sets reserves.
• Negotiates complex settlements and partners with counsel to manage complex litigation.

Skills

Commercial insurance knowledge

Negotiation experience

Analytical mindset

Communication skills

Microsoft Office proficiency

Education

Bachelor's degree

Six years experience

Tools

Claims software

Job description

CNA Insurance in New York is seeking a Complex Claims Consultant to support Allied Healthcare Providers, Aging Services and Dental Malpractice. You will investigate, manage, and resolve high-exposure professional liability claims across multiple states, using policy language interpretation and collaboration with Underwriting and defense counsel.

The role requires extensive claims experience, strong negotiation skills, and ability to work with autonomy in a hybrid work model.