Workers Compensation Large Loss Claims Director at CNA Insurance | Brea, CA, US | Rezi

Workers Compensation Large Loss Claims Director at CNA Insurance

Workers Compensation Large Loss Claims Director

CNA Insurance · Brea, CA, US

1 months ago

Workers Compensation Large Loss Claims Director

CNA Insurance · Brea, CA, US

a month ago
Resume preview

Impress employers and recruiters.
Choose from hundreds of resume examples.

Target Resume Now

About the Role

The Large Loss Director is a technical individual contributor responsible for the oversight, consultation, and resolution of the most complex and catastrophic workers' compensation claims. This role provides company-wide influence and leadership in the interpretation of complex policy coverages, litigation management, reserving, claim resolution strategies, regulatory compliance, and large loss methodologies.

Responsibilities

  • Oversees 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.
  • Effectively manages loss costs and claim expenses on major claims.
  • Develops and executes resolution strategies balancing customer needs, claim outcomes, and cost management.
  • Directs complex investigations, litigation activities, discovery strategies, and settlement negotiations.
  • Collaborates with staff and panel counsel to develop effective litigation and resolution strategies.
  • Provides expert guidance on Medicare Set-Asides, Independent Medical Examinations, rated age evaluations, catastrophic injury claims, and other specialized claim issues.
  • Reviews and provides direction on large loss claims across the organization.
  • Ensures timely review and approval of reserve analyses and Large Loss Summary Reports.
  • Identifies emerging severity exposures and recommends claim transfers, disposition involvement, or specialized resources.
  • Leads and participates in formal claim roundtables focused on large loss claims, reserving accuracy, and resolution planning.
  • Analyzes complex claim trends and communicates 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.
  • Stays current on state/territory regulations and industry activity and trends.
  • May represent the company in industry trade groups or other important events involving external business partners and clients.
  • Serves 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.

Requirements

  • The highest level of technical and product specific expertise, claims resolution skill and knowledge of insurance and claims principles, practices and procedures.
  • Ability to effectively interact with all levels of CNA's internal and external business partners.
  • 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.
  • Ability to achieve results by taking a proactive long-term view of business goals and objectives.
  • 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.

Skills

  • Excellent communication skills
  • Excellent negotiation skills
  • Excellent presentation skills
  • Excellent analytical skills
  • Excellent problem solving skills
  • Creativity in resolving unique and challenging business problems
  • Knowledge of Microsoft Office Suite
  • Knowledge of other business-related software
  • Knowledge of company systems

Location

  • Remote
  • Hybrid

Work Type

  • Full-time

Experience Level

  • Minimum 10 years claims experience with proven track record of success

Education Level

  • Bachelor's degree or equivalent experience
  • Professional designations preferred

Salary/Compensations

  • $97,000 to $189,000 annually

Benefits

  • Comprehensive and competitive benefits package to help employees and their family members achieve their physical, financial, emotional and social wellbeing goals.

About the Company

  • 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 utilizes AI-enabled technology during the recruiting process.
  • CNA is committed to providing reasonable accommodations to qualified individuals with disabilities in the recruitment process.

Equal Opportunity

  • CNA is committed to providing reasonable accommodations to qualified individuals with disabilities in the recruitment process.