Claims Quality Review Sr Consltant

CNA

Littleton, Colorado

JOB DETAILS
SKILLS
Accounts Receivable, Analysis Skills, Best Practices, Business Solutions, Communication Skills, Computer Skills, Data Analysis, Data Collection, Establish Priorities, Industry/Trade Analysis, Insurance, Interpersonal Skills, Leadership, Market Surveys, Microsoft Office, Multitasking, Problem Solving Skills, Project/Program Management, Quality Management, Technical Analysis, Technical Leadership, Trend Analysis
LOCATION
Littleton, Colorado
POSTED
3 days ago

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. 

You have a clear vision for where your career can go – and at CNA, we’re committed to helping you get there. We foster a culture where people know they matter, feel connected to meaningful work, and are supported in using their talents to their fullest potential.

Technical expert for assigned line of business, reports to Claim Quality Review Director and works closely with the Claim Quality Technical Lead. Responsible for reviewing and evaluating Claim files for the assigned line of business to determine whether the desired behaviors that result in quality Claim outcomes are present. Calibrates completed reviews with Claim Quality Technical Lead to identify best practice and opportunity areas. Role may include those on a 12 – 24 month rotational assignment, offering a development opportunity for Claim professionals to gain clear insight on quality and behaviors that impact results.

This position offers a flexible, hybrid work schedule, requiring 2 days in a CNA office per week.

JOB DESCRIPTION:

Essential Duties & Responsibilities

Performs a combination of duties in accordance with departmental guidelines:

  • Completes technical file reviews for assigned line of business; gathers and interprets data, evaluating both technical and operational behaviors associated with functional roles.
  • Works with the Claim Quality Review Director and the Claim Quality Technical Lead for assigned line of business to aggregate and analyze results from quality and manager reviews to identify trending of best practice and opportunity areas for assigned line of business and across the Claim organization.
  • Periodically serves as support for the Claim Quality Technical Lead in the assigned line of business.
  • Participates in Compliance related reviews, as necessary.
  • Reviews Claim customer survey results to identify trends, best practices and improvement opportunities for assigned line of business.
  • Stays current on industry trends and developments.

May perform additional duties as assigned.

Reporting Relationship

Typically Director or above

Skills, Knowledge & Abilities

  • A solid understanding of the insurance industry, its practices and operations.
  • Technical knowledge in assigned line of business. 
  • Advanced analytical and problem solving skills with ability to manage and prioritize multiple projects. 
  • Strong project management skills. 
  • Excellent communication, presentation and interpersonal skills with the ability to work effectively with internal business partners. 
  • Ability to influence others in accepting ideas that will lead to increased business results. 
  • Strong computer skills including Microsoft Office Suite and other business related software systems.

Education & Experience

  • Bachelor's degree or its equivalent.  Applicable professional designations preferred. 
  • Typically a minimum of eight years of related work experience in the insurance industry with strong line of business technical expertise.

#LI-AR1

#LI-Hybrid

In certain jurisdictions, CNA is legally required to include a reasonable estimate of the compensation for this role. In District of Columbia,California, Colorado, Connecticut, Illinois,Maryland, Massachusetts, New York and Washington,the national base pay range for this job level is $72,000 to $141,000 annually. Salary 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 CNA’s benefits, please visit cnabenefits.com.


CNA utilizes AI-enabled technology during the recruiting process. For more information, please visit our careers page.


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

About the Company

C

CNA

CNA's approach to research is a modern iteration of the Newtonian principle that complex, dynamic processes are best understood through direct observation of events and people. That was the methodology CNA analysts first applied in the 1940s when they pioneered the field of operations research by helping the Navy address the German U-boat threat. Not content to study the problem from afar, this small group of MIT scientists insisted on deploying with Navy forces in order to observe operations and collect the data needed for meaningful analyses. Their groundbreaking work, and the anti-submarine warfare equations it produced, set a standard for operations research methods that CNA has maintained for 75 years. Today, with more than 500 professionals at our headquarters and 50 researchers in the field, CNA still takes a multi-disciplinary, real-world approach to our work. On-site analysts carefully observe all aspects of a process—people, decisions, actions, consequences—and then collaborate with a headquarters-based research team to assess data and arrive at findings. CNA's objective, empirical research and analysis helps decision makers develop sound policies, make better-informed decisions, and manage programs more effectively. Our work, which in its early decades focused solely on defense-related matters, has grown to include investigation and analysis of a broad range of national security, defense, and public interest issues including education, homeland security and air traffic management. Through our Center for Naval Analyses and Institute for Public Research, we provide public-sector organizations with the tools they need to tackle the complex challenges of making government more efficient and keeping our country safe and strong.
COMPANY SIZE
100 to 499 employees
INDUSTRY
Other/Not Classified
FOUNDED
1940
WEBSITE
https://www.cna.org/