CNA is seeking a Claims Consultant to join our healthcare team as an individual contributor responsible for the overall investigation and management of Hospitals, Allied Facilities, and Physicians claims on a primary and excess basis, in multiple states. A qualified candidate should be recognized as a technical expert in medical malpractice claims management and the interpretation of complex or unusual policy coverages in these related segments. Under general management direction, this role works within assigned limits of broad authority on assignments requiring a high degree of technical complexity and coordination within the claim organization as well as with internal/external business partners. This role may also have regional, industry segment or company-wide scope of responsibility within specialty area.
Essential Duties & Responsibilities
Performs a combination of duties in accordance with departmental guidelines:
Manages highly complex investigations of claims including coverage issues liability compensability and damages. Determines if a major claim should be settled or litigated and implements an appropriate resolution strategy accordingly. Effectively manages loss costs and claim expenses.
Manages all types of investigative activity or litigation on major claims including the posting of appropriate reserves in a timely manner. Coordinates discovery and litigation strategy with staff counsel or panel attorneys.
Negotiates highly complex settlement packages and authorizes payment within scope of authority settling claims in most cost effective manner and ensuring timely issuance of disbursements.
Coordinates third party recovery with subrogation/salvage unit.
Makes recommendations on claims processes and resolution strategies to management.
Analyzes claims activities; prepares and presents reports to management and other internal business partners and clients.
Works with attorneys account representatives agents doctors and insureds regarding the handling and/or disposition of highly complex claims.
Keeps current on state/territory regulations and issues industry activity and trends. May participate in industry trade groups.
Provides guidance and assistance to less experienced claims staff and other functional areas.
Responsible for input of data that accurately reflects claim circumstances and other information important to our business outcomes.
Internal Number: CLA00028D
About CNA Insurance
At CNA, we focus on what we do best — providing insurance solutions that allow our customers to better manage their risks and grow profitably. We use our expertise to continually evolve our products and services to anticipate and address our customers' needs. Our broad portfolio enables us to respond to a wide range of business risks while focusing on the specialized needs of our insureds in construction, manufacturing, technology, healthcare, professional services, financial institutions and small business.