Complex Claims Consulting Director Healthcare Severity & Excess team

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CNA is a market leader in insuring Healthcare providers and entities including Allied Healthcare Facilities Aging Services and Allied Healthcare Providers including nurses nurse practitioners physical therapists counselors pharmacists massage therapists and more than 100 other categories of medical service this position you will direct handle and serve as a lead strategist on complex and high-exposure Allied Healthcare Provider professional liability claims. This role is responsible for analyzing complex coverage matters driving claim resolution managing complex litigation including risk transfer opportunities advising leadership on legal and claim risks and partnering with Underwriting and other business units on emerging trends and portfolio management. The individual must be capable of stepping into a claim at any point in its lifecycle independently evaluating exposure and proactively advancing matters toward optimal resolution.
The Healthcare Claims Severity & Excess Team manages the most severe of our Healthcare claims across all segments. While this role will be focused on Allied Health Providers there may be opportunities to expand into other segments as the business grows and evolves

JOB DESCRIPTION:

Claims & Litigation Strategy

• Handle and oversee the most complex and severe Allied Healthcare Provider claims.
• Evaluate coverage liability causation damages and settlement opportunities.
• Support and mentor AHP claim professionals with complex coverage analysis and communication.
• Identify and assist with risk transfer opportunities including evaluating potential tenders contractual indemnity additional insured status and other avenues to shift or share exposure where appropriate.
• Develop and direct litigation management strategies.
• Lead negotiations in high-value claims and alternative dispute resolution efforts.
• Ensure appropriate reserving and exposure management.
• Provide strategic guidance during trials mediations and critical litigation events.
• Other duties as assigned

Skills & Competencies

• Advanced Healthcare claims coverage and litigation expertise.
• Strategic thinking and executive-level decision-making.
• Excellent negotiation verbal and written communication and presentation skills.
• Ability to influence stakeholders across multiple functions.
• Strong analytical and problem-solving capabilities.
• Ability to thrive in ambiguous high-pressure situations.

Leadership & Consultation

• Serve as the subject matter expert and strategic resource for Allied Healthcare Provider matters.
• Counsel claim leadership regarding legal risks litigation strategy and emerging claim trends.
• Mentor claim professionals and provide technical training on complex healthcare exposures.
• Participate in large-loss reviews escalation discussions and portfolio strategy initiatives.
• Create and present financials claim trends loss drivers and other key portfolio insights for business partners claim reviews and association meetings.

Business Partnership

• Partner closely with Underwriting Actuarial Risk Control and Operations to identify claim trends and severity drivers.
• Communicate significant claim developments and emerging legal issues impacting the healthcare portfolio.
• Support underwriting strategy through claim trend analysis and lessons learned from large-loss matters.

Regulatory & Industry Expertise

• Monitor legal regulatory and healthcare industry developments.
• Provide guidance on evolving exposures involving allied healthcare providers hospitals aging services physicians allied facilities and other healthcare providers.
• Assist in the development of claim handling best practices and operational initiatives.

Qualifications

Required Experience

• Minimum 10 years of healthcare professional liability medical malpractice insurance claims or litigation experience.
• Demonstrated expertise handling high-severity and high-exposure claims.
• Strong background in litigation management and settlement negotiations.
• Proven ability to analyze complex coverage liability damages and business issues.

Education and Experience

• Bachelors degree; Juris Doctor (J.D.) preferred.
• Prior medical malpractice defense healthcare litigation or complex coverage claims experience strongly preferred.
• Demonstrate leadership and mentoring skills.
• Innovative and adaptive to the evolving Claims environment including incorporating the use of AI as appropriate.
• Insurance designations a plus (AIC CPCU)

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In certain jurisdictions CNA is legally required to include a reasonable estimate of the compensation for this District of Columbia California Colorado Connecticut Illinois Maryland Massachusetts New York and Washington the national base pay range for this job level is $97000 to $189000 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 CNAs benefits please visit.

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