Work Comp TPA Oversight Claims Consultant

You have a clear vision of where your career can go. And we have the leadership to help you get there.At CNA we strive to create a culture in which people know they matter and are part of something important ensuring the abilities of all employees are used to their fullest potential.

JOB DESCRIPTION:

Essential Duties & Responsibilities
Performs a combination of duties in accordance with departmental guidelines:

• Manages highly complex investigations of claims including coverage issues liability compensability and damages. Determines if a major claim should be settled or litigated and implements an appropriate resolution strategy accordingly. Effectively manages loss costs and claim expenses.
• Manages all types of investigative activity or litigation on major claims including the posting of appropriate reserves in a timely manner. Coordinates discovery and litigation strategy with staff counsel or panel attorneys.
• Negotiates highly complex settlement packages and authorizes payment within scope of authority settling claims in most cost effective manner and ensuring timely issuance of disbursements.
• Coordinates third party recovery with subrogation/salvage unit.
• Makes recommendations on claims processes and resolution strategies to management.
• Analyzes claims activities; prepares and presents reports to management and other internal business partners and clients.
• Works with attorneys account representatives agents doctors and insureds regarding the handling and/or disposition of highly complex claims.
• Keeps current on state/territory regulations and issues industry activity and trends. May participate in industry trade groups.
• Provides guidance and assistance to less experienced claims staff and other functional areas.
• Responsible for input of data that accurately reflects claim circumstances and other information important to our business outcomes.

Reporting Relationship
Manager or above.

Skills Knowledge and Abilities

• Advanced technical and product specific expertise claims resolution skill and knowledge of insurance and claims principles practices and procedures.
• Strong communication negotiation and presentation skills. Ability to effectively interact with all levels of CNAs internal and external business partners.
• Advanced analytical and problem solving skills with the ability to manage and prioritize multiple projects.
• Ability to deal with ambiguous situations and issues.
• Creativity in resolving unique and challenging business problems.
• Knowledge of Microsoft Office Suite and other business-related software.
• Ability to adapt to change and value diverse opinions and ideas.
• Ability to manage and prioritize multiple projects.
• Ability to evaluate claims based on a cost benefit analysis.
• Ability to fully comprehend complex claim facts and issues; and to further articulate analyses of claims in presentations to business partners and management as well as in internal reports.
• Ability to implement strategies with a proactive long-term view of business goals and objectives.

Education and Experience

• Bachelors degree or equivalent experience.
• Professional designation preferred.
• Typically a minimum eight years claims experience.

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In certain jurisdictions CNA is legally required to include a reasonable estimate of the compensation for this District of Columbia California Colorado Connecticut Illinois Maryland Massachusetts New York and Washington the national base pay range for this job level is $72000 to $141000 determinations are based on various factors including but not limited to relevant work experience skills certifications and location. 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. For a detailed look at CNAs benefits please visit.

CNA is committed to providing reasonable accommodations to qualified individuals with disabilities in the recruitment process. To request an accommodation please contact.