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Complex Claims Consulting Director - Financial Lines D&O / E&O

Complex Claims Consulting Director - Financial Lines D&O / E&O

CNA InsurancePrinceton, NJ, United States
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Overview

Join to apply for the Complex Claims Consulting Director - Financial Lines D&O / E&O role at CNA Insurance. This individual contributor position works closely with senior level leaders and within broad authority limits to manage the most complex, high exposure Specialty claims. Responsibilities include the management of all claim resolution activities 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. The role is nationally scoped and requires regular communication with customers and insureds.

We are seeking an individual who has attended mediations and participated in negotiating settlements involving insurance claims. The average caseload for this claim professional will be approximately 100-115 claim files.

Essential Duties & Responsibilities

  • Manages an inventory of the most complex Public D&O and Financial Institutions E&O claims, generally multi-year with significant loss exposure, following company protocols to manage all aspects of claim handling including coverage determinations, investigations, and resolution strategies which may include 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 claim handling protocols.
  • Leads all activities involved with focused investigations to determine compensability, liability and covered damages by gathering pertinent information, documenting statements, and coordinating 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 partners to develop, own and execute a claim resolution strategy, including management of reserves, collaboration 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 and actively managing resources, delivering high quality services, and coordinating all efforts leading to timely resolution of claims.
  • Identifies subrogation / salvage opportunities or potential fraud occurrences by evaluating the facts of the claim and referring to appropriate Claim, Recovery or SIU resources for further investigation.
  • Maintains quality standards by ensuring all company protocols are followed, work is accurate and timely, 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 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; may represent the company in industry groups or 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 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 and in developing and implementing resolution strategies.
  • Strong work ethic with time management, organizational skills, and the 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 environment.
  • Knowledge of Microsoft Office Suite and ability to learn business-related software.
  • Demonstrated ability to value diverse opinions.
  • Education & Experience

  • Bachelor\'s degree, Master\'s degree or equivalent experience; JD preferred.
  • Typically a minimum of 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).
  • 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. 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\u2019s 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 leaveadministration@cna.com.

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