Hybrid Complex Claims Consultant – Healthcare Medical Malpractice

Posted last week

Apply now

About the role

  • Complex Claims Consultant at CNA managing Allied Healthcare Providers/Medical Malpractice claims. Leading investigations, ensuring customer service, and collaborating with internal partners.

Responsibilities

  • Manages an inventory of highly complex commercial claims, with large exposures that require a high degree of specialized technical expertise and coordination.
  • Ensures exceptional customer service by managing all aspects of the claim, interacting professionally and effectively, achieving quality and cycle time standards.
  • Verifies coverage and establishes timely and adequate reserves by reviewing and interpreting policy language.
  • Leads focused investigation to determine compensability, liability and covered damages.
  • Resolves claims by collaborating with internal and external business partners to develop and execute a claim resolution strategy.
  • Establishes and manages claim budgets by achieving timely claim resolution, selecting and overseeing appropriate resources.

Requirements

  • Bachelor's Degree or equivalent experience.
  • JD a plus.
  • Typically a minimum six years of relevant experience, preferably in claim handling or medical malpractice litigation.
  • Must have or be able to obtain and maintain an Insurance Adjuster License within 90 days of hire, where applicable.
  • Prior negotiation experience.
  • 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.

Job title

Complex Claims Consultant – Healthcare Medical Malpractice

Job type

Experience level

Mid levelSenior

Salary

$113,000 - $160,000 per year

Degree requirement

Bachelor's Degree

Location requirements

Report this job

See something inaccurate? Let us know and we'll update the listing.

Report job