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About the Role

The Managing Director Strategic Claim Oversight leads the Severity & Excess Accounts team, overseeing the highest exposure claims in Healthcare. This role ensures effective claims handling practices, drives operational initiatives, and maintains overall quality, customer service, and productivity.

Responsibilities

• Leads and directs the work activities and has full management responsibility for the performance of the Severity Team.
• Exercises full management authority, including performance reviews, pay decisions, recruitment, discipline, termination and other personnel actions.
• Oversees the most complex investigations of claims, liability and damages and determines claim strategy, including if claim should be settled or litigated.
• Develops and directs the execution of the litigation management strategy.
• Develops and maintains collaborative working relationships with internal and external business partners including Operations, Underwriting, Actuary and Risk Control.
• Regularly shares claims outcomes, trends, legal developments and other relevant business updates.
• Responsible for the ongoing management of staff by attracting talent, setting clear direction, providing appropriate guidance, managing performance, recognizing contributions, and developing capabilities.
• Ensures quality by assuring compliance with best practices, and developing and delivering training as needed.
• May perform additional duties as assigned.

Requirements

• Senior level knowledge of the theories, principles, practices and procedures of claim and litigation management within an insurance organization.
• Excellent technical and product specific expertise, claims resolution skill and knowledge of insurance and claims principles, practices and procedures.
• Excellent verbal and written communication and presentation skills.
• Excellent negotiation, consultative and facilitation skills with the ability to effectively interact with all internal and external business partners.
• Ability to exercise independent judgment, and to work with and maintain confidential and sensitive information.
• Excellent analytical and problem solving skills, and senior level skill in managing ambiguous situations and issues.
• Creativity in resolving unique and challenging business problems.
• Proven ability to take a proactive long-term view of business goals and objectives in order to achieve strategic business results.
• Knowledge of Microsoft Office Suite and other business-related software.
• Value driven to provide superior solutions to internal and/or external customers.
• Acts with a sense of urgency to advance priorities of the organization.
• Helps other to excel through collaboration and building strong relationships.
• Raises expectations of itself and others by continuously learning and broadening industry and technical skills.
• Strong management skills with the ability to coach, mentor and develop subordinate staff.
• Independent judgment and ability to effectively manage internal and external business relationships.

Skills

• Claim and litigation management
• Technical and product specific expertise
• Claims resolution
• Insurance and claims principles, practices and procedures
• Verbal and written communication
• Presentation skills
• Negotiation
• Consultative skills
• Facilitation skills
• Independent judgment
• Confidential and sensitive information management
• Analytical skills
• Problem solving
• Managing ambiguous situations
• Microsoft Office Suite

Location

• Remote
• Hybrid

Work Type

• Hybrid

Experience Level

• Senior level
• Minimum of ten years of claims or legal experience

Education Level

• Bachelor's degree
• JD preferred
• Admission to the bar of at least one state preferred

Salary/Compensations

• $97,000 to $189,000 annually

Benefits

• Comprehensive and competitive benefits package

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.