Senior Consultant driving AI - enabled analytics solutions in life sciences at Trinity. Leading client engagements, training junior staff, and scaling analytics capabilities in an entrepreneurial environment.
CI
Hybrid Complex Claims Consultant – Aging Services, Medical Malpractice
Posted 4 months ago
About the role
- Complex Claims Consultant managing complex Aging Services claims for CNA. Supporting business operations by collaborating with Underwriting and internal partners for effective claim resolutions.
Responsibilities
- manages an inventory of highly complex commercial claims
- ensures exceptional customer service by managing all aspects of the claim
- verifies coverage and establishes timely and adequate reserves
- leads focused investigation to determine compensability, liability and covered damages
- resolves claims by collaborating with internal and external business partners
- establishes and manages claim budgets
- realizes and addresses subrogation/salvage opportunities
- achieves quality standards by appropriately managing each claim
- keeps senior leadership informed of significant risks and losses
- maintains subject matter expertise and ensures compliance with state/local regulatory requirements
- mentors, guides, develops and delivers training to less experienced Claim Professionals
Requirements
- 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
- comprehensive and competitive benefits package
- health insurance
Job title
Job type
Experience level
Salary
Degree requirement
Location requirements
Senior Consultant leading analysis and strategy in life sciences consulting at Trinity. Supporting project teams and mentoring junior staff to deliver impactful insights.
Storytelling Consultant at WUSC creating communication products for the GRIT Project. Focus on women's entrepreneurship and fostering inclusive growth in Sri Lanka.
Senior Consultant leading client engagements for digital transformation in financial services. Focus on architecting CRM solutions and managing stakeholder relationships in a hybrid environment.
Advanced Surgical Consultant supporting clients and patients with cardiac solutions in Dallas/Fort Worth, Texas. Collaborating with medical professionals in heart recovery and device expertise.
Consultant in Personal Banking contributing to transformational projects and analyses. Requires strong analytical skills and team collaboration in a dynamic environment.
Principal Consultant leading Human Factors projects across high - hazard industries. Shaping client engagements and managing project delivery while collaborating with international teams.
Onboarding Consultant optimizing the post - sale journey for customers at Semrush. Facilitating adoption of marketing solutions, establishing relationships, and tracking performance metrics.
Consultant Obstetrics Gynecologist providing expert clinical care in women's health at a private healthcare group. Collaborating with multidisciplinary teams in a state - of - the - art clinical environment.
Consultant Hand Surgeon providing specialized surgical services in a Government Hospital in the UAE. Joining a dedicated team focused on high - quality patient care and medical excellence.