Senior Hybrid Complex Claims Consultant

CNA; Chicago (IL); Hybrid; USD 72,000 - 141,000; Full time

Job summary

CNA, a leading insurer of healthcare providers, seeks a Complex Claims Consultant to support Allied Healthcare Providers, Aging Services, and Dental Malpractice segments. You will investigate, manage and resolve complex professional liability claims across multiple states, collaborating with Underwriting and defense counsel to optimize outcomes.

The role requires a strong background in complex claims, excellent negotiation skills, and the ability to work with autonomy within defined authority.

Qualifications

• Thorough knowledge of the commercial insurance industry, products, policy language and claim practices.
• Strong communication and presentation skills, verbal and written.
• Analytical and investigative mindset with critical thinking and decision-making abilities.
• Experience interpreting complex policies and coverage; licensing requirements where applicable.

Responsibilities

• Manages a portfolio of highly complex commercial claims with large exposures.
• Interacts with insureds, attorneys and other insurers to handle claims disposition.
• Investigates, reviews coverage, and negotiates settlements within authority.
• Prepares loss summaries and provides status updates to leadership.
• Collaborates with underwriting and coverage counsel on complex matters.
• Reviews and reserves claims to guide risk and budgeting decisions.
• Mentors junior claims professionals and supports training initiatives.
• Ensures compliance with state regulations and company guidelines.

Skills

Commercial insurance knowledge

Claims investigation

Litigation coordination

Negotiation

Communication skills

Regulatory compliance

Education

Bachelor's Degree or equivalent experience

Job description

CNA, a leading insurer of healthcare providers, seeks a Complex Claims Consultant to support Allied Healthcare Providers, Aging Services, and Dental Malpractice segments. You will investigate, manage and resolve complex professional liability claims across multiple states, collaborating with Underwriting and defense counsel to optimize outcomes.

The role requires a strong background in complex claims, excellent negotiation skills, and the ability to work with autonomy within defined authority.