Senior Consultant analyzing healthcare payer strategies at Guidehouse. Leading engagements in healthcare strategy and transformation for commercial and federal health sectors.
About the role
- Complex Claims Consultant at CNA handling Private D&O, Fiduciary and EPL Claims. Investigating claims and collaborating with legal teams on litigation strategies.
Responsibilities
- Manages an inventory of highly complex Financial Lines 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
Requirements
- Bachelor's Degree or equivalent experience; JD preferred
- Typically a minimum of five to seven years of relevant experience, preferably in claim handling
- Thorough knowledge of the commercial insurance industry, products, policy language, coverage, and claim practices
- Strong analytical and investigative mindset with critical thinking skills
- Demonstrated ability to negotiate complex settlements
- Ability to manage multiple and shifting priorities
Benefits
- Comprehensive and competitive benefits package
- Health insurance
- Retirement plans
- Professional development opportunities
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Location requirements
Consultant in Healthcare Strategy & Transformation at Guidehouse, focusing on healthcare payer organizations and reimbursement structures. Collaborating on data analysis and client deliverables to drive strategic decisions.
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