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CNA Insurance

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

CNA Insurance, Florida, New York, United States

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

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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 in accordance with company protocols 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. This role is recognized as the most senior technical expert in the area of expertise, with national or company-wide scope of responsibility and regular communication with customers and insureds. We are seeking an individual who has attended mediations and been involved 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, which are multi-year with significant loss exposure, following company protocols to manage and oversee all aspects of claim handling, including coverage determinations, investigations, and resolution strategies (which may include pursuit of 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 and working with customers, claimants, experts, and 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, collaborating 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 resources, delivering high quality services, and coordinating efforts leading to timely resolution of claims. Identifies subrogation/salvage opportunities or potential fraud and makes appropriate referrals to Claim, Recovery or SIU resources for further investigation. Achieves quality standards by ensuring all company protocols are followed, work is accurate and timely, files are well documented and claims are resolved and paid timely. Prepares and presents high-profile, complex information to senior leadership, customers, counsel, and others by developing executive summaries and coordinating resolution strategies. Maintains subject matter expertise and regulatory compliance by staying current on insurance laws, regulations or trends for the specialty line of business and representing the company in industry events as needed. Mentors and trains less experienced Claim Professionals and may assist with special projects as needed. 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 and clearly articulate complex claim facts and recommendations to senior management and external partners. Analytical and investigative mindset with critical thinking skills and the ability to resolve ambiguous, complex problems. Extensive experience in leading complex negotiations and developing/implementing resolution strategies. Strong work ethic, time management, organizational skills, and ability to work independently in a fast-paced environment. Ability to drive results with 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 related software. Ability to value diverse opinions and ideas. 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). Compensation and benefits: In certain jurisdictions, CNA may include a reasonable estimate of compensation in the job posting. For details, see CNA benefits information at cnabenefits.com. CNA is committed to providing reasonable accommodations to qualified individuals with disabilities in the recruitment process. To request an accommodation, contact leaveadministration@cna.com. Note: This description reflects responsibilities and requirements at the time of posting and may be subject to change.

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