Attorney in New York City, NY

In-House

New York City, NY

Attorney in New York City, NY

Non-practicing Attorney

Min 6 yrs required

No

Job Title: Complex Claims Consultant (Healthcare)

Job Responsibilities:
- Manage an inventory of highly complex healthcare professional liability claims with large exposures, requiring specialized technical expertise and coordination.
- Ensure exceptional customer service by managing all aspects of the claim, including professional interaction, achieving quality and cycle time standards, and providing timely updates.
- Verify policy coverage, establish timely and adequate reserves, and review and interpret policy language for claim valuation.
- Lead investigations to determine compensability, liability, and covered damages by gathering pertinent information, taking recorded statements, and working with experts or other parties.
- Resolve claims by developing and executing a claim resolution strategy, negotiating complex settlements, and managing complex litigation.
- Establish and manage claim budgets by achieving timely claim resolution and authorizing expense payments.
- Identify and address subrogation/salvage opportunities or potential fraud by evaluating claim facts and making referrals for further investigation.
- Maintain subject matter expertise and ensure compliance with state/local regulatory requirements by staying current on commercial insurance laws and trends.
- Mentor, guide, develop, and deliver training to less experienced claim professionals.

Education and Experience Information:
- Bachelor’s Degree or equivalent experience required; JD is a plus.
- Minimum of six years of relevant experience, preferably in claim handling or healthcare/medical malpractice litigation.
- Must obtain and maintain an Insurance Adjuster License within 90 days of hire, where applicable.
- Professional designations such as CPCU are a plus.

Salary Information:
- In Chicago/New York/California, the average base pay range for the Complex Claims Specialist role is $113,000 to $160,000.
- In certain jurisdictions, including District of Columbia, California, Colorado, Connecticut, Illinois, Maryland, Massachusetts, New York, and Washington, the national base pay range is $72,000 to $141,000 annually.
- Salary determinations are based on factors such as relevant work experience, skills, certifications, and location.
- CNA offers a comprehensive and competitive benefits package to support employees' physical, financial, emotional, and social wellbeing goals.

CNA is committed to providing reasonable accommodations to qualified individuals with disabilities during the recruitment process.