Complex Claims Consulting Director

1 month ago

Chicago, Illinois, United States CNA 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.
CNA seeks to offer a comprehensive and competitive benefits package to our employees that helps them - and their family members - achieve their physical, financial, emotional and social wellbeing goals.
For a detailed look at CNA's benefits, check out our Candidate Guide .
This individual contributor position works closely with senior level leaders and within the broadest authority limits, to manage the most complex, high exposure Specialty claims. Responsibilities include the management of all claim resolution activities in accordance with company protocols for a diverse range of high severity D&O and E&O claims arising out of policies issued to public companies as well as financial institutions including investment advisers, insurance companies and banks, while achieving quality and customer service standards. Individuals in this role are recognized as the most senior technical expert in area of expertise. Position requires regular communication with customers and insureds and has national or company-wide scope of responsibility.
We are seeking an individual who has attended mediations and been involved in negotiating settlements involving insurance claims. The average caseload for this claim professional will be approximately claim files
JOB DESCRIPTION:
Essential Duties & Responsibilities:
Performs a combination of duties in accordance with departmental guidelines:

  • Manages an inventory of the most complex Public D&O and Financial Institutions E&O claims, which are generally multi-year and have very significant loss exposure, by following company protocols to manage and oversee all aspects of the claim handling, including coverage determinations, investigations, and resolution strategies which may include pursuit of risk transfer, extensive negotiations and complex litigation management.
  • Ensures exceptional customer service by driving continuous improvements for all aspects of the claim/account, providing professional and timely claims services, and achieving quality and cycle time standards.
  • Verifies coverage, sets and manages timely and adequate reserves by reviewing and interpreting policy language and partnering with coverage counsel as needed, estimating potential claim valuation, and following company's claim handling protocols.
  • Leads all activities involved with a focused investigation to determine compensability, liability and covered damages by gathering pertinent information, documenting statements from customers/ claimants, and working with experts, or other parties, as necessary to verify the facts of the claim.
  • Drives the resolution of 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.
  • Establishes and manages significant claim budgets by identifying, selecting and actively managing appropriate resources, delivering high quality services, and coordinating all efforts leading to timely resolution of the claim/accounts.
  • Discovers and addresses subrogation/salvage opportunities or potential fraud occurrences by evaluating the facts of the claim and making appropriate referrals to appropriate Claim, Recovery or SIU resources for further investigation.
  • Achieves quality standards by effectively 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.
  • Prepares and presents high profile, complex information to senior leadership, customers, counsel, and others by effectively identifying high profile matters, developing executive loss summaries, coordinating and communicating resolution strategies and sharing relevant current events and case law.
  • Maintains subject matter expertise and ensures compliance with state/local regulatory requirements by following company guidelines, and staying current on insurance laws, regulations or trends for the specialized line of business, and may represent company in industry trade groups or other important events.
  • Mentors, guides, develops and delivers training to less experienced Claim Professionals and may assist with special projects as needed.

May perform additional duties as assigned.
Reporting Relationship

  • Typically Director or above

Skills, Knowledge & Abilities

  • Expert knowledge of specialty 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 D&O and E&O 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, Master's degree or equivalent experience. JD preferred.
  • Typically a minimum ten years of relevant experience.
  • 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)

#LI-CP1
#LI-Hybrid
CNA is committed to providing reasonable accommodations to qualified individuals with disabilities in the recruitment process. To request an accommodation, please contact .

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