Senior Complex Healthcare Malpractice Claims Consultant

CNA Insurance; Radnor (Delaware County); Hybrid; USD 72,000 - 141,000; Full time

Job summary

CNA Insurance in the United States is seeking a Complex Claims Consultant to manage highly complex commercial claims across multiple states, including medical malpractice. You will interpret policy coverages, establish reserves, and coordinate with defense counsel to develop strategy and settlements.

The role offers a flexible, hybrid schedule and opportunities to mentor colleagues, with licensing requirements and CPCU preferred.

Qualifications

• Bachelor's degree or equivalent with 6+ years in claims handling or medical malpractice.
• Must obtain an Insurance Adjuster License within 90 days, where applicable.
• Professional designations preferred (e.g. CPCU).

Responsibilities

• Manage highly complex commercial claims with large exposures per company protocols.
• Verify coverage, set reserves, and determine liability and damages.
• Lead investigations and coordinate with defense counsel on litigation strategy.
• Negotiate settlements and authorize payments within authority.
• Collaborate with Underwriting to share claim insights for underwriting decisions.
• Mentor and train junior claim professionals.

Skills

Commercial insurance knowledge

Claims investigation

Negotiation

Analytical thinking

Communication skills

Regulatory compliance knowledge

Education

Bachelor's Degree or equivalent experience

Insurance Adjuster License (within 90 days)

Tools

Microsoft Office

Job description

CNA Insurance in the United States is seeking a Complex Claims Consultant to manage highly complex commercial claims across multiple states, including medical malpractice. You will interpret policy coverages, establish reserves, and coordinate with defense counsel to develop strategy and settlements.

The role offers a flexible, hybrid schedule and opportunities to mentor colleagues, with licensing requirements and CPCU preferred.