Complex Claims Specialist – EPL, Private & NFP D&O

CNA • Los Angeles, NY

3d • Hybrid

About The Position

CNA Specialty Financial Lines is hiring a Complex Claims Specialist to handle Private and Not-For-Profit Directors & Officers (D&O) and Employment Practices Liability (EPL) claims. The role manages a dynamic, multi-state caseload of litigated, low- to mid-complexity and exposure claims. The specialist works with insureds, attorneys, brokers, claimants, and business partners to investigate claims, verify coverage, coordinate discovery, develop litigation and resolution strategies, and negotiate and settle claims within designated authority limits.

The position requires insurance litigation and coverage analysis experience, sound judgment, strong written work, and a commitment to responsive customer service. The specialist evaluates liability and damages, establishes reserves, oversees appropriate resources, documents claim decisions, and escalates matters as appropriate. The role may include account-specific assignments, participation in mediations, and mentoring less experienced claim professionals. The position is hybrid at a CNA location; Chicago, Glastonbury, Lake Mary, Wyomissing, or the New York area is preferred, though candidates near any CNA location will be considered.

Requirements

• Insurance litigation and coverage analysis experience.
• Bachelor's degree or equivalent experience.
• Typically at least three years of relevant experience, preferably in specialty claim handling; candidates who completed the CNA Claim Training Program may be considered with two years of claim-handling experience.
• Must have or be able to obtain and maintain an Insurance Adjuster License within 90 days of hire, where applicable.
• Solid working knowledge of the specialty insurance industry, products, policy language, coverage, and claim practices.
• Strong verbal and written communication skills, including the ability to build positive relationships and present or summarize information for customers, claimants, and senior management.
• Ability to develop collaborative relationships with internal and external work partners.
• Ability to exercise independent judgment, solve moderately complex problems, and make sound business decisions.
• Investigative experience, analytical mindset, and critical-thinking skills applied to everyday claim handling.
• Strong work ethic, time-management skills, and organizational skills.
• Ability to manage multiple priorities productively in a fast-paced, collaborative environment.
• Developing ability to negotiate low- to moderately complex settlements.
• Adaptability to a changing environment.
• Knowledge of Microsoft Office Suite and ability to learn business-related software, including Tymetrix.
• Ability to value diverse opinions and ideas.

Nice To Haves

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

Responsibilities

• Manage an inventory of low- to mid-complexity Private and Not-for-Profit D&O and EPL claims in accordance with company protocols.
• Investigate claims, verify policy coverage, develop resolution strategies, and authorize disbursements within authority limits.
• Provide timely updates and respond to inquiries from insureds, brokers, claimants, and business partners.
• Review and interpret policy language, estimate claim value, establish timely and adequate reserves, and partner with coverage counsel on complex matters.
• Develop and maintain working relationships with internal and external partners, suppliers, and experts needed to resolve claims.
• Determine liability and compensability, negotiate settlements, and escalate matters to management when appropriate.
• Manage expenses through timely claim resolution, appropriate resource selection and oversight, and quality service.
• Identify potential subrogation or salvage opportunities and possible fraud, making referrals to Recovery or SIU resources as appropriate.
• Meet quality and cycle-time standards, maintain proper documentation, and issue appropriate claim disbursements.
• Maintain compliance with state and local regulatory requirements and stay current on specialty insurance laws, regulations, and trends.
• Attend and actively participate in mediations as necessary.
• Present claims to leadership as needed and collaborate with business partners on claim and policy-wording questions.
• May mentor or coach less experienced claim professionals and perform additional assigned duties.

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: Mid Level