Complex Claims Representative - Employment Practices Liability

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CNA's Management Liability- Initial Solutions Team is currently recruiting for a Complex Claim Representative to handle Employment Practices Liability and Employee Benefits claims. Under technical direction, the Complex Claim Representative will handle administrative charges filed with state and federal agencies such as the Equal Employment Opportunity Commission; demand letters; notices of circumstances as well as non-complex litigated matters. The Complex Claim Representative will handle primarily Employment Practices Liability matters with opportunity to work on Directors & Officers and Fiduciary Liability matters.
JOB DESCRIPTION:
This individual will work with specified limits of authority and will work on investigations and coverage evaluations of matters tendered, and direct and manage outside defense counsel. The Complex Claim Representative will utilize claims policies and guidelines, provide direct coverage information to insureds, draft coverage letters, investigate incidents, retain and periodically direct defense counsel to assist with investigations as warranted. This role will present the opportunity to determine liability, damages, evaluate potential exposure, and directly negotiate and settle claims with a claimant and/or opposing counsel.
Essential Duties & Responsibilities

• Interprets policy coverages and determines if coverages apply to claims submitted, escalating issues as needed.
• Sets reserves and authorizes payment within scope of authority.
• Coordinates and performs investigations and evaluates claims through contact with insureds, claimants, witnesses and experts. Participates in resolution of claims.
• Utilizes negotiation skills.
• Works with attorneys, agents, brokers and insureds regarding the handling and/or disposition of claims.
• Analyzes claim activities and documents files in accordance with claim handling guidelines.
• Effectively use claims systems for file integrity.
• May provide guidance and assistance to other claims staff and functional areas.
• Keeps current on state/territory regulations issues, claims licensing and industry activity and trends.

Skills, Knowledge & Abilities Required

• Solid knowledge of claims and insurance industry theory and practices.
• Demonstrates technical knowledge.
• Strong interpersonal, written and oral communication and negotiation skills. Must have the ability to effectively interact with CNA's internal and external business partners.
• Ability to work independently.
• Strong analytical and problem solving skills.
• Ability to exercise independent judgment and make critical business decisions effectively.

Education and Experience

• Bachelor's degree or equivalent experience.
• Completion of a formal claims training program or minimum six months of claims experience. One to two years of claim experience preferred.
• Must have or be able to obtain and maintain an Insurance Adjuster License within 90 days of hire, where applicable.

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