Claims Specialist

3 days ago

Toronto, Canada CNA Insurance Full time

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.

Individual contributor responsible for the overall management of complex Casualty claims (both Property and Bodily injury) and Auto Liability Bodily Injury claims. Recognized as the most senior technical expert in the interpretation of complex policy coverages in area of expertise. In conjunction with senior level management, works within assigned limits of the broadest authority on assignments requiring the highest degree of technical complexity and coordination. Has national or company-wide scope of responsibility within area.

JOB DESCRIPTION:
Performs a combination of duties in accordance with departmental guidelines:

- Manages the most complex investigations of Casualty (both Property and Bodily injury) and Auto Liability Bodily Injury claims, including coverage defenses, liability and damages exposures with Canada and the US.
- Determines if a major claim should be settled or litigated and implements an appropriate resolution strategy accordingly. Effectively manages loss costs and claim expenses on major claims.
- Directs all types of investigative activity or litigation on major claims and ensures adequate and timely reserves are set. Consults and collaborates with panel counsel regarding discovery and litigation strategy.
- Directs and engages in the negotiation of the most complex settlement packages within approved authority to drive cost effective and timely settlements.
- Makes recommendations to and participates with senior management and business leaders in the development and implementation of claims policy and business strategy.
- Actively pursues and identifies ways to reduce inefficiencies in claims processes.
- Utilizes oral presentation and writing skills to escalate or efficiently communicate appropriate exposures to senior claims management and other internal business partners, as needed.
- Keeps current on provincial and national regulations and issues industry activity and trends. May represent company in industry trade groups or other important events involving external business partners and clients.
- Mentors and guides less experienced claims staff and other functional areas. Contributes to the development of claim training.
- Responsible for special claims projects and presentations.
- Assist with the development of policy language
- Attend regular underwriting account meetings with internal team, brokers and insureds
- Conduct quarterly quality file reviews and assist with quality improvement plans
- Identifies trends in complex claims and settlement strategies and communicates to senior management.
- May perform additional duties as assigned._

In all responsibilities and interactions, all employees are expected to adopt and align with CNA’s Winning Behaviours to be inclusive, externally focused, accountable, collaborative, innovative, and continuously learning.

QUALIFICATIONS:

- The highest level of technical and product specific expertise, claims resolution skill and knowledge of insurance and claims principles, practices and procedures.
- Excellent communication, negotiation and presentation skills. Ability to effectively interact with all levels of CNA's internal and external business partners.
- Excellent analytical and problem solving skills, with the ability to manage multiple projects.
- Ability to exercise independent judgment to effectively evaluate and handle ambiguous situations and issues as well as analyze, distill and communicate important aspects of them succinctly.
- Creativity in resolving unique and challenging business problems.
- Ability to achieve results by taking a proactive long-term view of business goals and objectives.
- Knowledge of Microsoft Office Suite and other business-related software and company systems.
- Ability to embrace change and value diverse opinions and ideas.
- Effectively manages multiple projects.
- Ability to articulate complex claim facts, issues and analyses in concise presentations to business partners and management as well as in internal reports.

EDUCATION & EXPERIENCE
- Bachelor's degree and relevant claims experience with a minimum of 8-10 years of commercial property and casualty claims handling experience
- Professional designations preferred.

At CNA, we are committed to providing equal employment opportunities to all employees and applicants. It is our policy to provide equal employment opportunities to employees and applicants based on job-related qualifications and ability to perform a job. If you require an accommodation during the hiring process or upon hire, please inform Human Resources. If a selected applicant requests accommodation during the recruitment process, CNA will consult with the applicant in order to provide sui

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