Complex Claims Consulting Director - Healthcare

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CNA is one of the premier providers of professional liability insurance. We currently have an opening for a Complex Claims Consulting Director focused on Healthcare Professional Liability for CNA Insurance. CNA is a market leader in insuring healthcare providers and facilities. This individual contributor role will work on the largest exposure claims across all Healthcare segments. This individual must have the ability to step into a claim at various points, evaluate next steps and proactively move the claim toward resolution. The claim professional will handle approximately 65 high exposure claims. 25% travel.

This position enjoys a flexible, hybrid work schedule and is available in any location near a CNA office.

JOB DESCRIPTION:

Essential Duties & Responsibilities:

Performs a combination of duties in accordance with departmental guidelines:

• Oversees the most complex investigations of claims, liability and damages and determines claim strategy, including if a claim should be settled or litigated.
• Develops and directs the execution of the litigation management strategy.
• Counsels management on legal risks, claim and litigation strategy and obligations in complex matters.
• Manages litigation by staff, coverage or outside counsel. Monitors trials, tracks legal and regulatory developments. Advises management and claim professionals regarding issues, approaches and impact of changes.
• Directs the negotiation of the most complex settlement packages, ensuring adequate reserves and cost effective settlements.
• Provides research, legal analysis, counsel and guidance on legal or claim handling questions or issues.
• May participate with senior management in the development and implementation of claims policy and business strategy.
• Mentors, guides, develops and delivers training to less experienced Claim Professionals.

May perform additional duties as assigned.

Reporting Relationship

Director or above

Skills, Knowledge & Abilities

• Expert knowledge of commercial insurance industry, products, policy language, coverage, and claim practices.
• Excellent verbal and written communication skills with the ability to develop collaborative working relationships, articulate very complex claim facts, analysis and recommendations in a concise manner to senior management, as well as with external business partners and customers.
• 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.
• Extensive experience in leading complex negotiations, as well as developing and implementing resolution strategies.
• Strong work ethic, with demonstrated time management, organizational skills, and an ability to work independently in a fast-paced environment.
• Ability to drive results by taking a proactive long-term view of business goals and objectives.
• Extensive experience interpreting commercial insurance policies and coverage.
• Ability to partner with internal resources, oversee/manage outside counsel, and collaborate with other carriers.
• Ability to lead multiple and shifting priorities in a fast-paced and challenging environment.
• Knowledge of Microsoft Office Suite and ability to learn business-related software.
• Demonstrated ability to value diverse opinions and ideas.

Education & Experience:

• Bachelor's degree with JD preferred in a related discipline or equivalent.
• Typically a minimum ten years of relevant experience. Medical malpractice experience preferred.
• Must have or be able to obtain and maintain an Insurance Adjuster License within 90 days of hire, where applicable.
• Advanced negotiation experience
• Professional designations are highly encouraged (e.g. CPCU)

In Chicago/New York/California, the average base pay range for the Complex Claims Consulting Director role is $144,500 to $205,000. Salary determinations are based on various factors, including but not limited to, relevant work experience, skills, certifications and location.

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 $97,000 to $189,000 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 is committed to providing reasonable accommodations to qualified individuals with disabilities in the recruitment process. To request an accommodation, please contact [email protected].