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Claims Specialist
CNA Financial Corporation
Atlanta, GA, United States
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Description
CNA is one of the premier providers of professional liability insurance. We currently have an opening for a claim professional to handle Architect, Engineer and Construction Design Liability claims. Our preferred locations are our Atlanta or Lake Mary offices, however other locations will be considered. The qualified candidate will have three plus years of experience working for an insurance carrier or a defense firm handling construction liability and/or professional liability claims. These claims can be highly complex in nature and can be valued in the multi-million dollar range. Insurance litigation and coverage interpretation/analysis experience strongly desired. We seek an individual who has attended mediations and negotiated settlements involving insurance claims. The average caseload for this claim professional will be approximately 140 files.
Job Summary:
Professional liability claims specialist position dedicated exclusively to the handling of claims against construction design professionals including Architects, Engineers, Surveyors, Construction Managers, and Contractors. New assignments require significant investigation and coordination due to their technical complexity. Utilizing corporate Claim policies and departmental guidelines, the claims specialist reviews coverage, secures and analyzes information in order to determine liability and substantiate damages, directs and controls litigation, and ultimately negotiates and settles claims.
Essential Duties & Responsibilities
1. Interprets more complex or unusual policy coverages and determines if coverages apply to claims submitted, escalating issues as needed.
2. Sets activities, reserves and authorizes payments within scope of authority. Ensures issuance of disbursements while managing loss costs and expenses.
3. Coordinates and performs investigations and evaluates claims and suits through contact with insureds, claimants, business partners, witnesses and experts. Seeks early resolution opportunities. Identifies files that have potential fraud and refers to SIU.
4. Utilizes negotiation skills to develop complex settlement packages.
5. Identifies claims with third party recovery potential and coordinates with subrogation/salvage unit.
6. Partners with attorneys, account representatives, agents, underwriters, doctors, nurse case managers and insureds to develop a focused strategy for timely and cost effective resolution of more complex claims.
7. Analyzes claims activities. Prepares and presents reports for management. May be responsible for special projects and presentations.
8. Responsible for input of data that accurately reflects claim circumstances and other information important to our business outcomes.
9. May provide guidance and assistance to other claims staff and functional areas.
10. Keeps current on state/territory regulations and issues as well as industry activity and trends.
May perform additional duties as assigned.
Reporting Relationship
Manager or Director
Skills, Knowledge & Abilities
1. Solid knowledge of claims and insurance industry theory and practices.
2. Demonstrated technical expertise and product specific knowledge.
3. Strong interpersonal, communication and negotiation skills. Ability to effectively interact with all levels of CNA's internal and external business partners.
4. Ability to work independently, managing time and resources to accomplish multiple tasks and meet deadlines.
5. Strong analytical and problem solving skills enabling viable alternative solutions.
6. Ability to exercise independent judgement and make critical business decisions effectively assessing the merits of claims as well as evaluating claims based on a cost benefit analysis.
7. Solid knowledge of Microsoft Office Suite as well as other business-related software.
8. Ability to adapt to change and value diverse opinions and ideas.
9. Ability to fully comprehend claim information; and to further articulate analyses of claims in internal reports.
10. Ability to handle claims with a proactive long-term view of business goals and objectives.
Education & Experience
1. Bachelor's degree or equivalent experience. Professional designations preferred.
2. Typically a minimum three to five years claims experience.