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claims analyst

PMA Companies

<div><p>This is a senior level role focusing on claims brought against lawyers and law firms involving Lawyers Professional Liability (LPL) policies, from first notice to conclusion, with a range of severity and complexity from low to high.</p>
<p>
Job Responsibilities</p>
<ul>
<li>Review and document activity for assigned claims, including coverage evaluation, investigation, and consideration of multiple factors to assess potential liability and exposure</li>
<li>Develop working knowledge of policy forms, industry trends, and issues common to lawyers professional liability insurance and claims</li>
<li>Regularly identify and appropriately address relevant coverage issues</li>
<li>Draft insurance coverage correspondence and reports</li>
<li>Maintain professional relationships with internal and external audiences</li>
<li>Identify and refer files necessitating escalated review as appropriate to claims management</li>
<li>Develop action plans on assigned files to secure appropriate and timely resolution</li>
<li>Negotiate and settle claims with appropriate oversight by the claims management</li>
<li>Review, evaluate, request, and assign timely and appropriate reserves from file inception to resolution with appropriate oversight by claims management</li>
<li>Assign, coordinate, and manage outside counsel and vendors with appropriate claims management oversight</li>
<li>Review and audit attorney and vendor invoices consistent with Company guidelines</li>
<li>Independently conduct prompt and thorough investigation of low to high severity claims and evaluate coverage, liability, and damages throughout the life of a claim</li>
<li>Independent drafting of coverage related correspondence, internal reports, and reports to reinsurers</li>
<li>Participate in mediations and settlement negotiations to resolve claims, including higherseverity claims, with minimal oversight</li>
<li>Thoughtful, concise, and effective written and verbal communication with claims management and underwriting partners regarding significant claims, reserve recommendations, claim related trends, and industry developments with minimal oversight</li>
<li>Demonstrate leadership visibility and engagement with employees, claims management, underwriting partners through regular and meaningful interactions or meetings</li>
<li>May work with claims management and other internal and external partners to develop and implement procedures to improve claim workflow efficiency while preserving process controls</li>
<li>Demonstrate commitment to Company's Code of Business Conduct and Ethics, and apply knowledge of compliance policies and procedures, standards and laws applicable to job responsibilities in the performance of work.</li>
</ul>Requirements:
<ul><li>Juris Doctor degree from an accredited law school</li>
<li>Minimum 10 years of relevant insurance, claims-related, or law firm experience preferred</li>
<li>Obtain adjuster license(s) or agree to obtain adjuster license(s) and additional training as necessary or required to complete claims handling responsibilities with moderate training, mentorship, and oversight by claims management</li>
<li>Exemplary analytical, interpretive, problem-solving, and critical thinking skills with ability to make sound decisions and effectively evaluate and resolve complex or challenging business problems</li>
<li>Strong situational awareness, understanding the context and implications of a decision</li>
<li>Exemplary writing and presentation skills with ability to convey complex technical information</li></ul></div>

Corporate Claims Consultant

Hiscox

<div><p><b>Job Type:</b></p>
Permanent<p></p><p><b>
Build a brilliant future with Hiscox</b></p><p><br>
Bring your Passion and Enthusiasm to our Team! We are a fun, innovative and growing Claims team where you&rsquo;ll get the opportunity to learn multiple insurance products and interact with business leaders across the organization.</p><p><b><br>
</b></p><p>Please note this position is hybrid and requires working in office a minimum of two (2) days per week. Position can be based in the following locations:</p><ul><li><p>
Atlanta, GA</p></li><li><p>
Boston, MA</p></li><li><p>
Chicago, IL</p></li><li><p>
Manhattan, NY</p></li><li><p>
Scottsdale, AZ</p></li><li><p>
West Hartford, CT</p></li></ul><p><b><br>
</b></p><p></p><p><b>The Role:</b></p><p>
The Senior Claims Examiner adjudicates assigned claims within given authority and provides operational support to the claims team. This person also:</p><ul><li><p>
Adjusts and resolves moderate to complex claims that includes all phases of litigation</p></li><li><p>
Accurately documents claim files with all relevant claim documentation, correspondence and notes in compliance with company policies and applicable regulatory authorities</p></li><li><p>
With minimal supervision, drafts coverage letters, including reservation of rights and denial letters</p></li><li><p>
Reviews and analyses claim documentation and legal filings to set timely and accurate a reserves and notify the manager if upward segmentation is needed</p></li><li><p>
Identifies emerging exposures and claims trends</p></li><li><p>
Drives litigation best practices to manage deployment and utilization of defense counsel</p></li><li><p>
Identifies suspected fraudulent claims and tracks with special investigations unit</p></li><li><p>
Participates in Claims Projects as needed</p></li></ul><p></p><p><b>
The Team:</b></p><p>
The US Claims team at Hiscox is a growing group of professionals working together to provide superior customer service and claims handling expertise. The claims staff are empowered to manage their claims within given authority to provide fair and fast resolution of claims for our insured and broker partners. With strong growth across the US business, the Claims team is focused on delivering profitability while reinforcing Hiscox&rsquo;s strong brand built on a long history of outstanding claims handling.</p><p></p><p><b>
Requirements:</b></p><ul><li><p>
3-5 years of claims handling experience in the area of commercial general liability with an insurance carrier</p></li><li><p>
Advanced knowledge of claims analysis and adjusting practices In depth knowledge of standards for claims documentation and legal filings</p></li><li><p>
Proven ability to actively and effectively negotiate settlement of moderate to complex claims</p></li><li><p>
Experience in mentoring and training other claims examiners</p></li><li><p>
Advanced analytical skills Strong verbal and written communication skills Active insurance adjuster&rsquo;s license</p></li><li><p>
B.A./B.S degree from an accredited College or University preferred</p></li></ul><p></p><p>
 <b>What Hiscox USA Offers:</b></p><ul><li><p>
401(k) with competitive company matching</p></li><li><p>
Comprehensive health insurance, vision, dental and FSA plans (medical, limited purpose, and dependent care)
</p></li><li><p>Company paid group term life, short- term disability and long-term disability coverage</p></li><li><p>
24 Paid time off days plus 2 Hiscox days,10 paid holidays plus 1 paid floating holiday, and ability to purchase up to 5 PTO days</p></li><li><p>
Paid parental leave</p></li><li><p>
4-week paid sabbatical after every 5 years of service</p></li><li><p>
Financial Adoption Assistance and Medical Travel Reimbursement Programs</p></li><li><p>
Annual reimbursement up to $600 for health club membership or fees associated with any fitness program</p></li><li><p>
Company paid subscription to Headspace to support employees&rsquo; mental health and wellbeing</p></li><li><p>
2024 Gold level recipient of Cigna&rsquo;s Healthy Workforce Designation for having a best-in-class health and wellness program</p></li><li><p>
Dynamic, creative and values-driven culture</p></li><li><p>
Modern and open office spaces, complimentary drinks</p></li><li><p>
Spirit of volunteerism, social responsibility and community involvement, including matching charitable donations for qualifying non-profits via our sister non-profit company, the Hiscox USA Foundation</p></li></ul><p></p><p><b>
About Hiscox USA:</b></p><p>
Hiscox USA was established in 2006 to focus primarily on the needs of small and middle market commercial clients, via both the broker and direct distribution channels and is today the fastest-growing business unit within the Hiscox Group.</p><p></p><p>
Today, Hiscox USA has a talent force of over 400 employees operating out of several major cities - New York, Atlanta, Chicago, Scottsdale, and West Hartford. Hiscox USA offers a broad portfolio of commercial products, including technology, cyber &amp; data risk, multiple professional liability lines, media, entertainment, management liability, crime, kidnap &amp; ransom, commercial property and terrorism.</p><p></p><p><b>
Salary Range: $80,000-$110,000</b></p><p><i>
The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment.</i></p><p></p><p><b>
#LI-RM1</b></p><p><i><br>
Work with amazing people and be part of a unique culture</i></p></div>

Senior Claims Examiner

First Chicago Insurance Company

<div>
 <strong>
  Attention Recent and Upcoming College Grads!
  <br/>
  <br/>
 </strong>
 Are you ready to rev up your career? Join First Chicago Insurance Company as a Full-Time Auto Claims Adjuster Trainee! This is your opportunity to dive headfirst into the dynamic world of insurance, surrounded by an energetic team that thrives on innovation and excellence. As you embark on this exciting journey, you'll develop invaluable skills in claims resolution while embracing a customer-centric approach. Experience the thrill of being onsite, where collaboration and fun are at the heart of everything we do.
 <br/>
 <br/>
 Be part of a culture that encourages high performance and celebrates your achievements. Your future starts here, and we can't wait to see the impact you'll make! You will be provided great benefits such as Medical, Dental, Vision Reimbursement, 401(k), Flexible Spending Account, Competitive Salary, Paid Time Off and Holidays, Tuition Reimbursement, Wellness Program, Commitment to your Training and Development, Work Hard Play Hard Days, and Fun events. Don't miss out-apply today!
 <br/>
 <br/>
 <strong>
  First Chicago Insurance Company (FCIC): What drives us
  <br/>
  <br/>
 </strong>
 Are you preparing for your upcoming graduation and starting your career? Are you a recent college grad looking for that perfect opportunity? If you are looking for a rewarding career in the insurance industry, and not just a job, we have the perfect opportunity for YOU! We offer the training and support to start your career in the insurance industry!
 <br/>
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 <strong>
  Are you excited about this Auto Claims Adjuster Trainee job?
  <br/>
  <br/>
 </strong>
 As a Full-Time Auto Claims Adjuster Trainee at First Chicago Insurance Company, your day-to-day activities will be both engaging and rewarding! We will provide you with a top-notch training program, diving into training sessions designed to enhance your understanding of the claims process. Each day, you'll handle incoming claims by investigating details, corresponding with customers, and evaluating damages-all while maintaining a customer-first mindset. Your schedule will typically run Monday through Friday, allowing for a balanced work-life rhythm.
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 You'll have the chance to shadow experienced professionals, learn the ropes, and gradually take on more responsibilities as you grow in your role. Get ready to challenge yourself and thrive in an environment where every day is a new adventure!
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 <strong>
  Are you the Auto Claims Adjuster Trainee we're looking for?
  <br/>
  <br/>
 </strong>
 To excel as a Full-Time Auto Claims Adjuster Trainee at First Chicago Insurance Company, you'll need a dynamic skill set that empowers you to navigate the fast-paced insurance landscape effectively. Excellent analytical abilities are essential, as you'll be evaluating claims details and making informed decisions. Organizational skills will be your best friend, helping you manage multiple cases while staying on top of deadlines. Interpersonal skills are crucial for building rapport with clients, ensuring you can communicate effectively and empathically. Your verbal and written communication skills will shine as you engage in meaningful conversations over the phone and through documentation.
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 Familiarity with software tools for claims processing will be beneficial as you dive into the systems used for managing and analyzing claims data. With these skills in your arsenal, you'll be set for success in this thrilling new career path!
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 <strong>
  Knowledge And Skills Required For The Position Are
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  <br/>
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 <ul>
  <li>
   Excellent analytical, organizational, interpersonal and communication (verbal, written, and phone) skills
  </li>
  <li>
   Previous customer service experience
  </li>
  <li>
   In-Office and Hands-On Training!
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  </li>
 </ul>
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  Ready to join our team?
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  <br/>
 </strong>
 So, what do you think? If you feel this is the right job for you, go ahead and apply! We look forward to meeting you!
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 <br/>
 Estimated Compensation Range: $20/hr.-$30/hr.*
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 <ul>
  <li>
   Published ranges are estimates
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  </li>
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 <strong>
  <em>
   Job Posted by ApplicantPro
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</div>


Auto Claims Adjuster Trainee

CNA Insurance

<div><p>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.</p><p></p>
CNA is one of the premier providers of professional liability insurance. CNA Financial Lines has an opening for a Complex Claims Consultant handling Private D&amp;O, Fiduciary and Employment Practice Liability (EPL) Claims. This individual will work with insureds, attorneys and brokers regarding the handling and/or disposition of mid to high severity claims.
<br>
<br>
This individual will investigate claims, coordinate discovery, and team with defense counsel on litigation strategy. This individual will be able to utilize claims policies and guidelines, review coverage, determine liability and damages, set financial reserves, secure information to negotiate and settle claims, and present claims to leadership, as needed. Critical to success in this role is the ability to be highly organized, independently motivated and responsive/communicative.
<br>
<br>
CNA offers a hybrid work environment in one of the following locations: Chicago, Glastonbury, Lake Mary, Wyomissing, NYC area preferred, but candidates near any CNA location will be considered.<p></p><p><b>
JOB DESCRIPTION:</b></p><p></p><p><b>
Essential Duties &amp; Responsibilities</b></p><p><i>
Performs a combination of duties in accordance with departmental guidelines:</i></p><ul><li>
Manages an inventory of highly complex Financial Lines claims, with large exposures that require a high degree of specialized technical expertise and coordination, by following company protocols to verify policy coverage, conduct investigations, develop and employ resolution strategies, and authorize disbursements within authority limits.
</li><li>Ensures exceptional customer service by managing all aspects of the claim, interacting professionally and effectively, achieving quality and cycle time standards, providing timely updates and responding promptly to inquiries and requests for information.</li><li>
Verifies coverage and establishes timely and adequate reserves by reviewing and interpreting policy language and partnering with coverage counsel on more complex matters, estimating potential claim valuation, and following company's claim handling protocols.</li><li>
Leads focused investigation to determine compensability, liability and covered damages by gathering pertinent information, such as contracts or other documents, taking recorded statements from customers, claimants, injured workers, witnesses, and working with experts, or other parties, as necessary to verify the facts of the claim.</li><li>
Resolves claims by collaborating with internal and external business partners to develop, own and execute a claim resolution strategy, that includes management of timely and adequate reserves, collaborating with coverage experts, negotiating complex settlements, partnering with counsel to manage complex litigation and authorizing payments within scope of authority.</li><li>
Establishes and manages claim budgets by achieving timely claim resolution, selecting and actively overseeing appropriate resources, authorizing expense payments and delivering high quality service in an efficient manner.</li><li>
Realizes and addresses subrogation/salvage opportunities or potential fraud occurrences by evaluating the facts of the claim and making referrals to appropriate Claim, Recovery or SIU resources for further investigation.</li><li>
Achieves quality standards by appropriately managing each claim to ensure that all company protocols are followed, work is accurate and timely, all files are properly documented and claims are resolved and paid timely.</li><li>
Keeps senior leadership informed of significant risks and losses by completing loss summaries, identifying claims to include on oversight/watch lists, and preparing and presenting succinct summaries to senior management.</li><li>
Maintains subject matter expertise and ensures compliance with state/local regulatory requirements by following company guidelines, and staying current on commercial insurance laws, regulations or trends for line of business.</li><li>
Mentors, guides, develops and delivers training to less experienced Claim Professionals.</li></ul><p><i>
May perform additional duties as assigned.</i></p><p></p><p><b>
Reporting Relationship</b></p><p>
Typically Director or above<br>
<br>
<b>Skills, Knowledge &amp; Abilities</b></p><ul><li>
Thorough knowledge of the commercial insurance industry, products, policy language, coverage, and claim practices.</li><li>
Strong communication and presentation skills both verbal and written, including the ability to communicate business and technical information clearly.</li><li>
Demonstrated analytical and investigative mindset with critical thinking skills and ability to make sound business decisions, and to effectively evaluate and resolve ambiguous, complex and challenging business problems.
</li><li>Strong work ethic, with demonstrated time management and organizational skills.</li><li>
Ability to work in a fast-paced environment at high levels of productivity.</li><li>
Demonstrated ability to negotiate complex settlements.</li><li>
Experience interpreting complex specialty insurance policies and coverage.</li><li>
Ability to manage multiple and shifting priorities in a fast-paced and challenging environment.</li><li>
Knowledge of Microsoft Office Suite and ability to learn business-related software.</li><li>
Demonstrated ability to value diverse opinions and ideas.</li></ul><p></p><p><b>
Education &amp; Experience</b></p><ul><li>
Bachelor's Degree or equivalent experience; JD preferred.</li><li>
Typically a minimum of five to seven years of relevant experience, preferably in claim handling</li></ul><p></p><p>
#LI-CP1</p><p>
#LI-Hybrid</p><p></p><p><i>
I</i><i>n certain jurisdictions, CNA is legally required to include a reasonable estimate of the compensation for this role. In </i><i>District of Columbia</i><i>,</i><i> </i><i>California, Colorado, Connecticut, </i><i>Illinois</i>, <i>Maryland</i><i>, </i><i>Massachusetts</i>,<i> New York and Washington,</i> <i>the national base pay range for this job level is</i><i> $72,000 to $141,000 </i><i>annually. Salary</i><i> 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 &ndash; and their family members &ndash; achieve their physical, financial, emotional and social wellbeing goals. For a detailed look at CNA&rsquo;s benefits, please visit </i><i>cnabenefits.com</i><i>.</i></p><p></p><p>
CNA is committed to providing reasonable accommodations to qualified individuals with disabilities in the recruitment process. To request an accommodation, please contact leaveadministration@cna.com.</p></div>

Complex Claims Consultant - EPL, Private & NFP D&O

CCMSI

<div>Overview:<div></div><div><b><br>
Multi Line Claim Consultant &ndash; Municipal Claims</b></div><div></div><div><div><b><br>
Location: </b>Chicago, IL (Hybrid or Remote)</div><div>
(Position may be performed anywhere within the state of Illinois)</div><div>
(This posting states a location requirement for business needs.)</div><div><b>
Salary Range: </b>$65,000-$80,000 annually (Exempt)</div><div></div><div><b><br>
Build Your Career With Purpose at CCMSI</b></div><div></div><div><br>
At CCMSI, we partner with global clients to solve their most complex risk management challenges, delivering measurable results through advanced technology, collaborative problem-solving, and an unwavering commitment to their success.</div><div></div><div><br>
We don&rsquo;t just process claims&mdash;we support people. As the largest privately-owned Third Party Administrator (TPA), CCMSI delivers customized claim solutions that help our clients protect their employees, assets, and reputations. We are a certified <i>Great Place to Work&reg;</i>, and our employee-owners are empowered to grow, collaborate, and make meaningful contributions every day.</div><div></div><div><b><br>
Job Summary</b></div><div></div><div><div><br>
The <b>Multi-Line Liability Claim Consultant</b> is responsible for the full investigation, evaluation, and resolution of assigned <b>first- and third-party liability claims</b>, including <b>attorney-represented matters and claims with potential litigation exposure</b>. This role requires sound <b>coverage analysis</b>, professional judgment, and consistent application of corporate claim handling standards.</div><div></div><div><br>
The position is accountable for delivering high-quality claim outcomes that meet client expectations, regulatory requirements, and CCMSI performance standards. This role may also serve as an advanced training position for future progression into more senior claim roles.</div><div></div><div><br>
Limited travel may be required for approximately <b>15% of claims annually</b>, based on claim needs.</div><div></div><div><b><br>
This is a true adjusting role.</b> It is not an HR, consulting, or administrative position. The Representative is accountable for end-to-end claim handling, decision-making, and results.</div></div></div>
Responsibilities:
<div>
When we hire adjusters at CCMSI, we look for professionals who understand that every claim represents a real person&rsquo;s livelihood, take ownership of outcomes, and see challenges as opportunities to solve problems.</div><ul><li><div>
Investigate and adjust multi-line liability claims in accordance with established claims handling procedures using CCMSI guidelines and direct supervision.</div></li><li>
Review medical, legal and miscellaneous invoices to determine if reasonable and related to the ongoing liability claims. Negotiate any disputed bills for resolution.</li><li>
Authorize and make payment of liability claims utilizing a claim payment program in accordance with industry standards and within settlement authority.</li><li>
Negotiate settlements with claimants and attorneys in accordance with client's authorization.</li><li>
Assist in selection and supervision of defense attorneys.</li><li>
Assess and monitor subrogation claims for resolution.</li><li>
Prepare reports detailing claims, payments and reserves.</li><li>
Provide reports and monitor files, as required by excess insurers.</li><li>
Compliance with Service Commitments as established by team.</li><li>
Delivery of quality claim service to clients.</li></ul><br>
<div></div>
Qualifications:
<div>
What You'll Bring...</div><div></div><div><b><br>
Required</b></div><ul><li><b>
5 - 10 years of auto liability claim handling experience</b></li><li><b>
Litigation experience</b></li><li><b>
Experience drafting coverage letters</b><br>
</li><li>
Strong analytical, negotiation, and decision-making skills</li><li>
Ability to manage workload independently in a fast-paced, multi-jurisdiction environment</li><li>
Excellent written and verbal communication skills</li><li>
Strong organizational skills with consistent attention to detail</li><li>
Reliable, predictable attendance during core client service hours</li></ul><div><b>
Nice to Have</b></div><ul><li><b>
Experience with public entity claims is preferred</b></li><li><b>
Bilingual (Spanish) proficiency</b> &mdash; This role may involve communicating with injured workers, employers, or vendors where Spanish-language skills are beneficial but not required.</li></ul><div><div><div><b>
Why You&rsquo;ll Love Working Here</b></div><div></div><ul><li><b><br>
4 weeks </b><b><i>(Paid time off that accrues throughout the year in accordance with company policy)</i></b><b> + 10 paid holidays in your first year</b></li><li><b>
Comprehensive benefits</b>: Medical, Dental, Vision, Life, and Disability Insurance</li><li><b>
Retirement plans</b>: 401(k) and Employee Stock Ownership Plan (ESOP)</li><li><b>
Career growth</b>: Internal training and advancement opportunities</li><li><b>
Culture</b>: A supportive, team-based work environment</li></ul><div><b>
How We Measure Success</b></div><div></div><div><div><br>
At CCMSI, great adjusters stand out through ownership, accuracy, and impact. We measure success by:</div><ul><li><b>
Quality claim handling</b> &ndash; strategic litigation management, strong documentation, and well‑supported decisions rooted in coverage, damages evaluation, and legal analysis</li><li><b>
Compliance &amp; audit performance</b> &ndash; adherence to corporate standards, client directives, Illinois jurisdictional requirements, and reinsurance reporting expectations</li><li><b>
Timeliness &amp; accuracy</b> &ndash; purposeful file movement, timely litigation responses, proactive diary management, and dependable execution of litigation strategy</li><li><b>
Client partnership</b> &ndash; proactive, professional communication with municipal clients, defense counsel, reinsurance partners, and stakeholders</li><li><b>
Professional judgment</b> &ndash; applying legal insight, negotiation skills, and sound discretion to drive fair, defensible outcomes</li><li><b>
Cultural alignment</b> &ndash; believing that every claim represents a real person, a real municipality, and a real community impact, and acting accordingly</li></ul><div>
This is where we shine, and we hire adjusters who want to shine with us.</div></div><div></div><div><b><i><br>
Compensation &amp; Compliance</i></b></div><div></div><div><i><br>
The posted salary reflects CCMSI&rsquo;s good-faith estimate in accordance with applicable pay transparency laws. </i><i>Actual compensation will be based on qualifications, experience, geographic location, and internal equity. This role may also qualify for bonuses or additional forms of pay.</i></div><div></div><div><i><br>
CCMSI offers comprehensive benefits including medical, dental, vision, life, and disability insurance. Paid time off accrues throughout the year in accordance with company policy, with paid holidays and eligibility for retirement programs in accordance with plan documents.</i></div><div></div><div><b><i><br>
Visa Sponsorship:</i></b><i> CCMSI does not provide visa sponsorship for this position.</i><br>
<b><i>ADA Accommodations:</i></b><i> CCMSI is committed to providing reasonable accommodations throughout the application and hiring process.</i><br>
<b><i>Equal Opportunity Employer:</i></b><i> CCMSI complies with all applicable employment laws, including pay transparency and fair chance hiring regulations.</i></div><div></div><div><i><br>
Background checks, if required for the role, are conducted only after a conditional offer and in accordance with applicable fair chance hiring laws.</i></div><div></div><div><b><br>
Our Core Values</b></div><div></div><div><br>
At CCMSI, we believe in doing what&rsquo;s right&mdash;for our clients, our coworkers, and ourselves. We look for team members who:</div><ul><li><b>
Lead with transparency </b>We build trust by being open and listening intently in every interaction.
</li><li><b>Perform with integrity </b>We choose the right path, even when it is hard.
</li><li><b>Chase excellence </b>We set the bar high and measure our success. What gets measured gets done.
</li><li><b>Own the outcome </b>Every employee is an owner, treating every claim, every decision, and every result as our own.
</li><li><b>Win together </b>Our greatest victories come when our clients succeed.</li></ul><p></p><div><b><br>
We don&rsquo;t just work together&mdash;we grow together. If that sounds like your kind of workplace, we&rsquo;d love to meet you.</b></div><div></div><div><br>
#EmployeeOwned #GreatPlaceToWorkCertified #CCMSICareers</div><div>
#LitigationClaims #LiabilitySpecialist #IllinoisJobs #MunicipalClaims #InsuranceCareers #HybridJobs #RemoteJobsIL #IND123 #LI-Remote</div></div></div></div><div></div>

Multi-Line Claim Consultant

<div><p>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.</p><p></p>
CNA is one of the premier providers of professional liability insurance. We are currently seeking a claim professional to handle professional liability claims for our Financial Lines claim group. The individual in this position will handle a mix of primary and excess E&amp;O claims in our Financial Lines group arising under policies issued to our life agent, broker-dealer, and investment advisor, banking and insurance customers. These claims can be complex in nature and valued in the multimillion dollar range. Insurance litigation and/or coverage analysis experience is preferred. The qualified candidate must be able to produce high quality written work product and meaningfully collaborate with and provide insight to our business partners on claims and policy wording questions. The individual in this role will operate within specific limits of authority to negotiate and settle claims and attend mediations. Critical to success in this role is the ability to be highly organized, independently motivated and responsive/communicative.
<br>
<br>
This individual contributor position works under moderate direction, and within defined authority limits, to manage Financial Lines claims with moderate to high complexity and exposure for a specialized line of business. Responsibilities include investigating and resolving claims according to company protocols, quality and customer service standards. Position requires regular communication with customers and insureds and may be dedicated to specific account(s).<br>
<br>
Location: Chicago, IL or New York City, NY preferred, but candidates near any CNA location will be considered.<p></p><p><b>
JOB DESCRIPTION:</b></p><p></p><p><b>
Essential Duties &amp; Responsibilities</b></p><p><i>
Performs a combination of duties in accordance with departmental guidelines:</i></p><ul><li>
Manages an inventory of high complexity and exposure Financial Lines claims by following company protocols to verify policy coverage, conduct investigations, develop and employ resolution strategies, and authorize disbursements within authority limits.</li><li>
Ensures exceptional customer service by managing all aspects of the claim, interacting professionally and effectively with insureds, claimants and business partners, achieving quality and cycle time standards, providing timely updates and responding promptly to inquiries and requests for information.</li><li>
Verifies coverage and establishes timely and adequate reserves by reviewing and interpreting policy language and partnering with coverage counsel on more complex matters, estimating potential claim valuation, and following company's claim handling protocols.</li><li>
Conducts focused investigation to determine compensability, liability and covered damages by gathering pertinent information, such as financial records, contracts or other documents, and working with defense counsel, experts, or other parties, as necessary to verify the facts of the claim.</li><li>
Establishes and maintains working relationships with appropriate internal and external work partners, suppliers and experts by identifying and collaborating with resources that are needed to effectively resolve claims.</li><li>
Resolves claims by collaborating with internal and external business partners to develop, own and execute a claim resolution strategy, that includes management of timely and adequate reserves, collaborating with coverage experts, negotiating complex settlements, partnering with counsel to manage complex litigation and authorizing payments within scope of authority.</li><li>
Establishes and manages claim budgets by achieving timely claim resolution, selecting and actively overseeing appropriate resources, authorizing expense payments and delivering high quality service in an efficient manner.</li><li>
Realizes and addresses subrogation/salvage opportunities or potential fraud occurrences by evaluating the facts of the claim and making referrals to appropriate Claim, Recovery or SIU resources for further investigation.</li><li>
Achieves quality standards on every file by following all company guidelines, achieving quality and cycle time targets, ensuring proper documentation and issuing appropriate claim disbursements.</li><li>
Keeps senior leadership informed of significant risks and losses by completing loss summaries, identifying claims to include on oversight/watch lists, and preparing and presenting succinct summaries to senior management.</li><li>
Maintains subject matter expertise and ensures compliance with state/local regulatory requirements by following company guidelines, and staying current on commercial insurance laws, regulations or trends for line of business.</li><li>
Mentors, guides, develops and delivers training to less experienced Claim Professionals.</li></ul><p><i>
May perform additional duties as assigned.</i></p><p></p><p><b>
Reporting Relationship</b></p><ul><li>
Typically Director or above</li></ul><p></p><p><b><br>
Skills, Knowledge &amp; Abilities</b></p><ul><li>
Advanced technical and product specific expertise, claims resolution skill and knowledge of insurance and claims principles, practices and procedures. This position requires demonstrated ability to handle litigated matters, including selection and direction of counsel, and formulation and execution of resolution strategies and strategic coordination with counsel, insureds, brokers and other insurers under duty to defend and reimbursement policies.</li><li>
Thorough knowledge of the commercial insurance industry, products, policy language, coverage, and claim practices.</li><li>
Strong communication, negotiation and presentation skills both verbal and written, including the ability to communicate business and technical information clearly.</li><li>
Demonstrated analytical and investigative mindset with critical thinking skills and ability to make sound business decisions, and to effectively evaluate and resolve ambiguous, complex and challenging business problems.
</li><li>Strong work ethic, with demonstrated time management and organizational skills.</li><li>
Ability to work in a fast-paced environment at high levels of productivity.</li><li>
Demonstrated ability to negotiate complex settlements.</li><li>
Experience interpreting complex commercial insurance policies and coverage.</li><li>
Ability to manage multiple and shifting priorities in a fast-paced and challenging environment.</li><li>
Knowledge of Microsoft Office Suite and ability to learn business-related software.</li><li>
Demonstrated ability to value diverse opinions and ideas.</li></ul><p></p><p><b>
Education &amp; Experience</b></p><ul><li>
Bachelor's Degree or equivalent experience. Juris Doctorate is preferred.</li><li>
Typically a minimum six years of relevant experience, preferably in Professional Liability claim handling or a minimum of six years in a law firm handling Professional Liability matters</li><li>
Must have or be able to obtain and maintain an Insurance Adjuster License within 90 days of hire, where applicable</li><li>
Prior negotiation experience</li><li>
Professional designations preferred (e.g. CPCU)</li></ul><p></p><p>
#LI-Hybrid #LI-CP1</p><p></p><p><i>
I</i><i>n certain jurisdictions, CNA is legally required to include a reasonable estimate of the compensation for this role. In </i><i>District of Columbia</i><i>,</i><i> </i><i>California, Colorado, Connecticut, </i><i>Illinois</i>, <i>Maryland</i><i>, </i><i>Massachusetts</i>,<i> New York and Washington,</i> <i>the national base pay range for this job level is</i><i> $72,000 to $141,000 </i><i>annually. Salary</i><i> 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 &ndash; and their family members &ndash; achieve their physical, financial, emotional and social wellbeing goals. For a detailed look at CNA&rsquo;s benefits, please visit </i><i>cnabenefits.com</i><i>.</i></p><p></p><p>
CNA is committed to providing reasonable accommodations to qualified individuals with disabilities in the recruitment process. To request an accommodation, please contact leaveadministration@cna.com.</p></div>

Complex Claims Consultant - Life Insurance Agent / Broker Dealer

<div>
 Aon is looking for a Data Scientist Analyst to join the Health Commercial Analytics team.
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 <br/>
 As part of an industry-leading team, you will help empower results for our clients by delivering innovative and effective solutions as part of the Commercial Analytics team within Aon.
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 This is a hybrid role with the flexibility to work both virtually and from our Atlanta, GA or Chicago, IL offices
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 <strong>
  Aon is in the business of better decisions
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 </strong>
 At Aon, we shape decisions for the better to protect and enrich the lives of people around the world.
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 As an organization, we are united through trust as one inclusive team and we are passionate about helping our colleagues and clients succeed.
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 <strong>
  What The Day Will Look Like
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 </strong>
 <ul>
  <li>
   Work with large health claims and risk datasets such as eligibility data, medical claims, and prescription drug claims data.
  </li>
  <li>
   Build statistical models on large health claims and risk datasets such as eligibility data, medical claims, and prescription drug claims data.
  </li>
  <li>
   Evaluate healthcare costs, outcomes, utilization and major drivers.
  </li>
  <li>
   Collaborate with data engineering and innovation teams
  </li>
  <li>
   Translate and simplify results for presentation to clients
  </li>
  <li>
   Work in collaboration with external healthcare carriers, data vendors and startups
  </li>
  <li>
   Be up to date on upcoming vendors and startups in the healthcare space in areas such as healthcare navigation, digital health and care delivery
  </li>
  <li>
   Support client teams and actuaries with data related requests
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   <br/>
  </li>
 </ul>
 <strong>
  How This Opportunity Is Different
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  <br/>
 </strong>
 A competitive total rewards package, continuing education &amp; training, and tremendous potential with a growing worldwide organization.
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 <strong>
  Skills And Experience That Will Lead To Success
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  <br/>
 </strong>
 <ul>
  <li>
   2+ years&rsquo; experience in health data analytics, statistics or related area
  </li>
  <li>
   Experience in data cleaning, exploratory analysis, predictive analytics
  </li>
  <li>
   Have familiarity with medical claims reporting and billing
  </li>
  <li>
   Experience working with large datasets
  </li>
  <li>
   Strong applied statistics skills such as model training and validation, statistical testing
  </li>
  <li>
   Knowledge of Python, SQL, R or other coding languages
  </li>
  <li>
   Experience with data visualisation tools: Power BI/plotly/ Rshiny
  </li>
  <li>
   Good communication skills, both oral and in writing
  </li>
  <li>
   Good organization and time management skills; ability to work independently
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   <br/>
  </li>
 </ul>
 <strong>
  Education
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   Bachelor&rsquo;s degree in actuarial science, data science, economics, mathematics, statistics or other related fields
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   <br/>
  </li>
 </ul>
 <strong>
  Pay Transparency
  <br/>
  <br/>
 </strong>
 The salary range for this position (intended for U.S. applicants) is $90,000 - $109,000 annually. The actual salary will vary based on applicant&rsquo;s education, experience, skills, and abilities, as well as internal equity and alignment with market data. The salary may also be adjusted based on applicant&rsquo;s geographic location.
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 This position is eligible to participate in one of Aon&rsquo;s annual incentive plans to receive an annual discretionary bonus in addition to base salary. The amount of any bonus varies and is subject to the terms and conditions of the applicable incentive plan.
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 <strong>
  How We Support Our Colleagues
  <br/>
  <br/>
 </strong>
 Aon offers a comprehensive package of benefits for full-time and regular part-time colleagues, including, but not limited to: a 401(k) savings plan with employer contributions; an employee stock purchase plan; consideration for long-term incentive awards at Aon&rsquo;s discretion; medical, dental and vision insurance, various types of leaves of absence, paid time off, including 12 paid holidays throughout the calendar year, 15 days of paid vacation per year, paid sick leave as provided under state and local paid sick leave laws, short-term disability and optional long-term disability, health savings account, health care and dependent care reimbursement accounts, employee and dependent life insurance and supplemental life and AD&amp;D insurance; optional personal insurance policies, adoption assistance, tuition assistance, commuter benefits, and an employee assistance program that includes free counseling sessions. Eligibility for benefits is governed by the applicable plan documents and policies.
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 <br/>
 In addition to our comprehensive benefits package, we encourage an inclusive workforce. Plus, our agile environment allows you to manage your wellbeing and work/life balance, ensuring you can be your best self at Aon. Furthermore, all colleagues enjoy two &ldquo;Global Wellbeing Days&rdquo; each year, encouraging you to take time to focus on yourself. We offer a variety of working style solutions for our colleagues as well.
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 Our continuous learning culture inspires and equips you to learn, share and grow, helping you achieve your fullest potential. As a result, at Aon, you are more connected, more relevant, and more valued.
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 <br/>
 Aon values an innovative and inclusive workplace where all colleagues feel empowered to be their authentic selves. Aon is proud to be an equal opportunity workplace.
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 Aon provides equal employment opportunities to all employees and applicants for employment without regard to race, color, religion, creed, sex, sexual orientation, gender identity, national origin, age, disability, veteran, marital, domestic partner status, or other legally protected status. People with criminal histories are encouraged to apply.
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 <br/>
 We welcome applications from all and provide individuals with disabilities with reasonable adjustments to participate in the job application, interview process and to perform essential job functions once onboard. If you would like to learn more about the reasonable accommodations we provide, email ReasonableAccommodations@Aon.com
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 <br/>
 For positions in San Francisco and Los Angeles, we will consider for employment qualified applicants with arrest and conviction record in accordance with local Fair Chance ordinances.
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 <strong>
  Aon is not accepting unsolicited resumes from search firms for this position. If you are a search firm, you will not be compensated in any way for your submission of a candidate, even if Aon hires that candidate.
  <br/>
  <br/>
 </strong>
 Nothing in this job description restricts management's right to assign or reassign duties and responsibilities to this job at any time.
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 <br/>
 2575501
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</div>


Health Analytics - Data Science Analyst

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