Consultant Banque specializing in regulatory reporting and transformations for major banks at Primexis. Engaging in regulatory compliance, risk management, and stakeholder collaboration.
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Hybrid Complex Claims Consultant – Aging Services, Medical Malpractice
Posted 5 months ago
About the role
- Complex Claims Consultant at CNA managing Aging Services claims across various states. This role includes investigation, resolution strategies, and customer service for commercial claims.
Responsibilities
- Manages an inventory of highly complex commercial claims.
- Conducts investigations, develops resolution strategies, and authorizes disbursements.
- Ensures exceptional customer service, interacting professionally.
- Verifies coverage and establishes reserves by reviewing policy language.
- Leads investigations to determine compensability and liability by gathering pertinent information.
- Resolves claims by collaborating with business partners to develop and execute a resolution strategy.
- Achieves quality standards by ensuring company protocols are followed and claims are resolved timely.
- Keeps senior leadership informed of significant risks and losses.
Requirements
- Typically 4+ years of related experience.
- Bachelor's Degree or equivalent experience.
- JD a plus.
- Typically a minimum six years of relevant experience, preferably in claim handling and litigation.
- Prior negotiation experience.
- Must have or be able to obtain and maintain an Insurance Adjuster License within 90 days of hire, where applicable.
- Professional designations preferred (e.g. CPCU).
Benefits
- CNA offers a comprehensive and competitive benefits package to help our employees – and their family members – achieve their physical, financial, emotional and social wellbeing goals.
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