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Claims Specialist - Liability
CNA Financial Corporation
Lake Mary, FL, United States
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Description
CNA Insurance is hiring an experienced General Liability Claim Specialist to work in the Lake Mary, Florida office.
This is an inside claim position which will handle Commercial Lines Auto and General Liability claims. We are seeking individuals who have three to five years of General Liability and Commercial Auto experience. Individuals will investigate and maintain property and casualty claims. Individuals will work within authority granted on assignments of moderate technical complexity. Will be responsible for reviewing coverage, determine liability and compensability, secures information, and settles claims utilizing established claims policies and guidelines. Utilizing claims policies and guidelines, reviews coverages, determines liability and compensability, secures information, arranges property damage appraisals, retains experts, handles litigated cases with the assistance of defense counsel and negotiates and settles claims.
Essential Duties & Responsibilities
1. Interprets more complex Auto and General Liability (GL) losses including UM/UIM losses, unusual policy coverages and determines if coverages apply to claims submitted, escalating issues as needed. Claim Specialist will draft appropriate coverage letters.
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. Maintains appropriate state adjuster licenses.
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 judgment 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.
11. Has extensive knowledge on reviewing litigation and addressing possible coverage issues related to those lawsuits and handles overall litigated cases. Ability to analyze coverage and draft the appropriate letters (disclaimers, ROR’s).
Education & Experience
1. Bachelor's degree or equivalent experience. Professional designations preferred.
2. Typically a minimum three to five years of claims experience.
3. Multinational/International experience desirable, but not required.