Senior Complex Healthcare Claims Consultant - Med Mal

CNA Insurance; Los Angeles (CA); Hybrid; USD 72,000 - 141,000; Full time

Job summary

CNA Insurance is seeking a Complex Claims Consultant to support multiple healthcare provider segments in a flexible, hybrid work environment in Los Angeles. You will investigate, manage, and resolve highly complex claims across states, partnering with Underwriting and defense counsel as needed.

The role requires a minimum of six years of relevant experience in claims, an Adjuster License within 90 days, and preferred CPCU designation. Competitive benefits accompany the base pay.

Qualifications

• Bachelor's Degree or equivalent experience.
• Typically 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.
• Prior negotiation experience.
• Professional designations preferred (e.g. CPCU).

Responsibilities

• Manage an inventory of highly complex commercial claims with large exposures.
• Provide exceptional customer service and timely updates.
• Verify coverage and establish reserves.
• Lead investigations to determine compensability and damages.
• Collaborate with counsel to manage complex litigation and settlements.
• Establish and manage claim budgets and resources.
• Identify subrogation or fraud opportunities.
• Maintain compliance with state/local regulatory requirements.
• Mentor less experienced Claim Professionals.

Skills

Commercial insurance knowledge

Communication skills

Analytical mindset

Negotiation

Multitasking

MS Office

Education

Bachelor's degree or equivalent experience

Tools

Microsoft Office

Job description

CNA Insurance is seeking a Complex Claims Consultant to support multiple healthcare provider segments in a flexible, hybrid work environment in Los Angeles. You will investigate, manage, and resolve highly complex claims across states, partnering with Underwriting and defense counsel as needed.

The role requires a minimum of six years of relevant experience in claims, an Adjuster License within 90 days, and preferred CPCU designation. Competitive benefits accompany the base pay.