Complex Claims Consultant - Professional Liability (Architects & Engineers)

CNA Insurance • Downers Grove, IL

1d • $72,000 - $141,000 • Hybrid

About The Position

CNA is hiring a Complex Claims Consultant to handle highly complex Architects and Engineers professional liability claims, including claims against architects, engineers, surveyors, construction managers, contractors, and specialty contractors. Claims may involve multi-million-dollar exposures and require significant investigation and coordination because of their technical complexity. The role reviews coverage, gathers and analyzes information to evaluate liability and damages, directs litigation, and negotiates and settles claims.

The position manages a portfolio of complex commercial claims under company policies and departmental guidelines. It works a flexible hybrid schedule, with two days per week in one of the listed CNA office locations. The consultant collaborates with internal and external partners, coverage counsel, experts, and other resources to investigate, resolve, and document claims, while meeting quality, service, and regulatory standards. The role also keeps senior leadership informed about significant risks and losses and mentors and trains less experienced Claim Professionals.

Requirements

• Bachelor's degree or equivalent experience.
• Typically at least six years of relevant experience, preferably in claim handling.
• Must have or be able to obtain and maintain an Insurance Adjuster License within 90 days of hire, where applicable.
• Prior negotiation experience.
• Thorough knowledge of the commercial insurance industry, products, policy language, coverage, and claim practices.
• Strong verbal and written communication and presentation skills, including the ability to clearly communicate business and technical information.
• Analytical and investigative mindset, critical-thinking skills, and sound business judgment for evaluating and resolving ambiguous, complex problems.
• Strong work ethic, time-management, and organizational skills.
• Ability to work productively in a fast-paced environment and manage multiple, shifting priorities.
• Demonstrated ability to negotiate complex settlements.
• Experience interpreting complex commercial insurance policies and coverage.
• Knowledge of Microsoft Office Suite and ability to learn business-related software.
• Demonstrated ability to value diverse opinions and ideas.

Nice To Haves

• Professional designations, such as CPCU.
• Insurance litigation experience.
• Coverage interpretation and analysis experience.
• Experience attending mediations and negotiating settlements involving insurance claims.

Responsibilities

• Manage an inventory of highly complex commercial claims with large exposures, following company protocols to verify coverage, investigate, develop resolution strategies, and authorize disbursements within authority limits.
• Provide exceptional customer service by managing claims, communicating professionally, meeting quality and cycle-time standards, providing timely updates, and responding promptly to inquiries.
• Verify coverage and establish timely, adequate reserves by interpreting policy language, partnering with coverage counsel on complex matters, estimating claim value, and following claim-handling protocols.
• Lead investigations to determine compensability, liability, and covered damages by gathering relevant information, taking recorded statements, and working with experts and other parties as needed.
• Develop and execute claim resolution strategies, manage reserves, collaborate with coverage experts, negotiate complex settlements, partner with counsel on complex litigation, and authorize payments within the scope of authority.
• Establish and manage claim budgets, select and oversee resources, authorize expense payments, and pursue timely, efficient claim resolution.
• Identify subrogation and salvage opportunities or potential fraud and refer matters to appropriate Claim, Recovery, or SIU resources.
• Meet quality standards by following company protocols, maintaining accurate and timely documentation, and ensuring claims are resolved and paid promptly.
• Keep senior leadership informed of significant risks and losses by completing loss summaries, identifying claims for oversight or watch lists, and presenting summaries to senior management.
• Maintain subject matter expertise and comply with state and local regulatory requirements by following company guidelines and staying current on relevant insurance laws, regulations, and trends.
• Mentor, guide, develop, and train less experienced Claim Professionals.
• Perform additional duties as assigned.

Benefits

• Comprehensive and competitive benefits package intended to support employees’ and their family members’ physical, financial, emotional, and social wellbeing.

What This Job Offers

• Job Type: Full-time
• Career Level: Senior