Complex Claims Consultant - Lawyers Professional Liability

CNA • Princeton, NY

2d • Hybrid

About The Position

CNA is seeking a dynamic self-starter to handle Lawyers Professional Liability claims for law firms with fewer than 35 attorneys. The role manages approximately 140 pending Program Law claims nationally under primary policies. The Complex Claims Consultant evaluates coverage, assesses liability and damages, sets reserves, negotiates and settles claims, and directs litigation. The consultant is a technical expert in interpreting complex or unusual policy coverage and works under general direction within assigned authority on technically complex, coordinated assignments. This position works on a hybrid schedule from one of the listed CNA office locations and collaborates with claim leadership and business partners to achieve strong claim outcomes.

The role manages highly complex professional liability claims from investigation through resolution, ensuring policy compliance, quality service, timely communication, accurate documentation, appropriate reserves and budgets, and efficient resolution. It also includes identifying recovery or fraud opportunities, keeping senior leadership informed of significant risks and losses, maintaining subject matter expertise and regulatory compliance, and mentoring and training less experienced Claim Professionals.

Requirements

• Bachelor's degree or equivalent experience.
• Typically at least six years of relevant experience, preferably in claim handling or litigation.
• Prior negotiation experience.
• Thorough knowledge of the commercial insurance industry, products, policy language, coverage, and claim practices.
• Experience interpreting complex commercial insurance policies and coverage.
• Strong verbal and written communication and presentation skills, including the ability to explain business and technical information clearly.
• Analytical and investigative mindset, critical-thinking skills, and ability to make sound business decisions and resolve 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.
• Knowledge of Microsoft Office Suite and ability to learn business-related software.
• Demonstrated ability to value diverse opinions and ideas.
• Must have or be able to obtain and maintain an Insurance Adjuster License within 90 days of hire, where applicable.

Nice To Haves

• Juris Doctor (JD).
• Professional designations, such as CPCU.

Responsibilities

• Manage a portfolio of highly complex professional liability claims, including verifying coverage, investigating claims, developing resolution strategies, and authorizing disbursements within assigned authority.
• Provide exceptional customer service by managing claim matters professionally, meeting quality and cycle-time standards, providing timely updates, and responding promptly to inquiries.
• Review and interpret policy language, partner with coverage counsel on complex matters, estimate claim values, and establish timely and adequate reserves.
• Lead investigations into compensability, liability, and covered damages by gathering documents and other information, taking recorded statements, and working with experts and other parties.
• Develop and execute claim resolution strategies with internal and external partners, negotiate complex settlements, manage litigation with counsel, and authorize payments within authority.
• Establish and manage claim budgets, select and oversee appropriate resources, authorize expense payments, and promote timely, efficient resolution.
• Evaluate claims for subrogation, salvage, or potential fraud and refer matters to appropriate Claim, Recovery, or SIU resources.
• Ensure claim files meet company protocols and quality standards, are accurate and timely, and are properly documented and resolved.
• Inform senior leadership of significant risks and losses by preparing loss summaries, identifying claims for oversight or watch lists, and presenting concise summaries.
• Maintain subject matter expertise and comply with state and local regulatory requirements by 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