Senior Life Sciences Claims Strategist

CNA Insurance; Glen Allen (VA); On-site; USD 72,000 - 141,000; Full time

Benefits offered by this job

Benefits package

Job summary

CNA Insurance in the United States seeks an experienced claims professional to manage a portfolio of highly complex commercial claims with large exposures. You will verify policy coverage, conduct investigations, develop resolution strategies, and authorize disbursements within authority limits.

You will lead investigations, negotiate settlements, manage reserves and budgets, mentor colleagues, and stay current on regulatory requirements.

Qualifications

• Bachelor's degree or equivalent experience.
• Typically a minimum six years of relevant experience, preferably in claim handling.
• Must have or be able to obtain and maintain an Insurance Adjuster License within 90 days of hire where applicable.
• Prior negotiation experience.
• Professional designations preferred (e.g. CPCU).

Responsibilities

• Manages an inventory of highly complex commercial claims with large exposures that require a high degree of technical expertise and coordination, by following company protocols to verify policy coverage, conduct investigations, develop and employ resolution strategies, and authorize disbursements within authority limits.
• Ensures exceptional customer service by managing all aspects of the claim, interacting professionally and effectively with insureds, claimants and business partners, achieving quality and cycle time standards, providing 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.
• Leads 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.
• Resolves claims by collaborating with internal and external business partners to develop, own and execute a claim resolution strategy, that includes management of timely and adequate reserves, collaborating with coverage experts, negotiating complex settlements, partnering with counsel to complex manage litigation and authorizing payments within scope of authority.
• Establishes and manages claim budgets by achieving timely claim resolution, selecting and actively overseeing appropriate resources, authorizing expense payments and delivering high quality service in an efficient manner.
• Mentors, guides, develops and delivers training to less experienced Claim Professionals.

Skills

Commercial claims

Investigation

Negotiation

Customer service

Communication

Analytical thinking

Time management

Budgeting

Regulatory knowledge

Mentoring

Education

Bachelor's Degree or equivalent experience

Insurance Adjuster License within 90 days

CPCU or professional designation preferred

Tools

Microsoft Office Suite

Job description

CNA Insurance in the United States seeks an experienced claims professional to manage a portfolio of highly complex commercial claims with large exposures. You will verify policy coverage, conduct investigations, develop resolution strategies, and authorize disbursements within authority limits.

You will lead investigations, negotiate settlements, manage reserves and budgets, mentor colleagues, and stay current on regulatory requirements.