Complex Claims Consulting Director - EPL, Private & NFP D&O

CNA Insurance • Full-time • Princeton, New Jersey, United States • 21h ago

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This individual contributor position works closely with senior level leaders and within the broadest authority limits, to manage the most complex, highest exposure Employment Practices Liability, Private and Not-For-Profit D&O including Community Associations. Responsibilities include the management of all claim resolution activities in accordance with company protocols, while achieving quality and customer service standards.

JOB DESCRIPTION:

Essential Duties & Responsibilities:

Performs a combination of duties in accordance with departmental guidelines:

Manages an inventory of the most complex EPL and Private and Not-For-Profit D&O, 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 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 service, 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 counsel as needed, estimating potential claim valuation, and following company's claim handling protocols.
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, negotiating complex settlements, partnering with counsel to manage complex litigation and authorizing settlements 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.
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, 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.
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 and internal business partners and stakeholders.
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 Specialty 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, JD Preferred.
Typically a ten years of relevant or related 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)

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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 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