Claims Quality Review Consultant

CNA Insurance - Downers Grove, IL

Hiring: Claims Quality Review Consultant Company: CNA Insurance Location: Downers Grove, IL Job Posted Time: 2026-09-10 11:50:41 Employment Type: On-site Target Skills & Keywords : Microsoft Office, Quality Assurance About the job Experience: •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 •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 Required Skills: •Decision accuracy, consistency, and timeliness •Adherence to guidelines and operating procedures •Supports senior leadership in the identification of claim trends and opportunities for continuous process improvement. Conducts pre-review of Claim decisions which may include high dollar claim payments and proposed denials. •Participate as needed in response to appeals, escalations, and complaints. Drafts guidelines and implements changes to business processes, workflows, and practices to ensure alignment with CNA expectations. •Supports regulatory changes and impact to operations. •Supports market conduct exams and DOI audits. •Supports local training needs in conjunction with overall Claim objectives; facilitate and conduct common training as needed. •Drafts Claim reporting and dashboards as needed. Qualifications: •Bachelor's Degree or equivalent work experience, typically a minimum of five years of related work experience. Compensation: •$54,000 - $103,000 / year •Competitive benefits and rewards package Interested candidates, please apply directly through the job posting on company's career page or try via AI auto apply on this platform. Don't miss this opportunity to join a forward-thinking team!