Workers Compensation Large Loss Claims Director

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.

JOB DESCRIPTION:

Essential Duties & Responsibilities
Performs a combination of duties in accordance with departmental guidelines:

• Oversees the most complex high-exposure catastrophic and litigated workers compensation claims. Serves as the technical authority on claim coverage liability compensability exposure evaluation reserving and settlement strategy. Determines if a major claim should be settled or litigated and implements an appropriate resolution strategy accordingly. Effectively manages loss costs and claim expenses on major claims.
• Develop and execute resolution strategies that balance customer needs claim outcomes and cost management objectives. Direct complex investigations litigation activities discovery strategies and settlement negotiations. Collaborate with staff and panel counsel to develop effective litigation and resolution strategies.
• Provide expert guidance regarding Medicare Set-Asides Independent Medical Examinations rated age evaluations catastrophic injury claims and other specialized claim issues.
• Review and provide direction on large loss claims across the organization.
• Ensure timely review and approval of reserve analyses and Large Loss Summary Reports.
• Identify emerging severity exposures and recommend claim transfers disposition involvement or specialized resources when appropriate.
• Lead and participate in formal claim roundtables focused on large loss claims reserving accuracy and resolution planning.
• Analyze complex claim trends and communicate actionable recommendations to senior leadership.
• Actively pursues and identifies ways to reduce inefficiencies in claims processes.
• Utilizes oral presentation and writing skills to escalate or efficiently communicate appropriate exposures to senior claims management and other internal business partners as needed.
• Keeps current on state/territory regulations and issues industry activity and trends. May represent company in industry trade groups or other important events involving external business partners and clients.
• Serve as a mentor coach and technical resource for claims professionals managers and business partners.
• Responsible for special claims projects and presentations.
• Identifies trends in complex claims and settlement strategies and communicates to senior management.

Reporting Relationship
Director or above

Skills Knowledge and Abilities

• The highest level of technical and product specific expertise claims resolution skill and knowledge of insurance and claims principles practices and procedures.
• Excellent communication negotiation and presentation skills. Ability to effectively interact with all levels of CNAs internal and external business partners.
• Excellent analytical and problem solving skills with the ability to manage multiple projects.
• Ability to exercise independent judgment to effectively evaluate and handle ambiguous situations and issues as well as analyze distill and communicate important aspects of them succinctly.
• Creativity in resolving unique and challenging business problems.
• Ability to achieve results by taking a proactive long-term view of business goals and objectives.
• Knowledge of Microsoft Office Suite and other business-related software and company systems.
• Ability to embrace change and value diverse opinions and ideas.
• Effectively manages multiple projects.
• Ability to articulate complex claim facts issues and analyses in concise presentations to business partners and management as well as in internal reports.

Education and Experience

• Bachelors degree or equivalent experience. Professional designations preferred.
• Typically a minimum 10 years claims experience with proven track record of success.

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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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