Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

Complex Claims Consulting Director - Healthcare Severity & Excess team

$97k - $189k

CNA Insurance

You have a clear vision of where your career can go. And we have the leadership to help you get there. 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 is a market leader in insuring Healthcare providers and entities including Allied Healthcare Facilities, Aging Services and Allied Healthcare Providers, including nurses, nurse practitioners, physical therapists, counselors, pharmacists, massage therapists, and more than 100 other categories of medical service providers. In this position, you will direct handle and serve as a lead strategist on complex and high-exposure Allied Healthcare Provider professional liability claims. This role is responsible for analyzing complex coverage matters, driving claim resolution, managing complex litigation including risk transfer opportunities, advising leadership on legal and claim risks, and partnering with Underwriting and other business units on emerging trends and portfolio management. The individual must be capable of stepping into a claim at any point in its lifecycle, independently evaluating exposure, and proactively advancing matters toward optimal resolution. The Healthcare Claims Severity & Excess Team manages the most severe of our Healthcare claims across all segments. While this role will be focused on Allied Health Providers, there may be opportunities to expand into other segments as the business grows and evolves.

JOB DESCRIPTION

Claims & Litigation Strategy Handle and oversee the most complex and severe Allied Healthcare Provider claims. Evaluate coverage, liability, causation, damages, and settlement opportunities. Support and mentor AHP claim professionals with complex coverage analysis and communication. Identify and assist with risk transfer opportunities, including evaluating potential tenders, contractual indemnity, additional insured status, and other avenues to shift or share exposure where appropriate. Develop and direct litigation management strategies. Lead negotiations in high-value claims and alternative dispute resolution efforts. Ensure appropriate reserving and exposure management. Provide strategic guidance during trials, mediations, and critical litigation events. Other duties as assigned Skills & Competencies Advanced Healthcare claims, coverage, and litigation expertise. Strategic thinking and executive-level decision-making. Excellent negotiation, verbal and written communication, and presentation skills. Ability to influence stakeholders across multiple functions. Strong analytical and problem-solving capabilities. Ability to thrive in ambiguous, high-pressure situations. Leadership & Consultation Serve as the subject matter expert and strategic resource for Allied Healthcare Provider matters. Counsel claim leadership regarding legal risks, litigation strategy, and emerging claim trends. Mentor claim professionals and provide technical training on complex healthcare exposures. Participate in large-loss reviews, escalation discussions, and portfolio strategy initiatives. Create and present financials, claim trends, loss drivers, and other key portfolio insights for business partners, claim reviews, and association meetings. Business Partnership Partner closely with Underwriting, Actuarial, Risk Control, and Operations to identify claim trends and severity drivers. Communicate significant claim developments and emerging legal issues impacting the healthcare portfolio. Support underwriting strategy through claim trend analysis and lessons learned from large-loss matters. Regulatory & Industry Expertise Monitor legal, regulatory, and healthcare industry developments. Provide guidance on evolving exposures involving allied healthcare providers, hospitals, aging services, physicians, allied facilities, and other healthcare providers. Assist in the development of claim handling best practices and operational initiatives. Qualifications Required Experience Minimum 10 years of healthcare professional liability, medical malpractice, insurance claims, or litigation experience. Demonstrated expertise handling high-severity and high-exposure claims. Strong background in litigation management and settlement negotiations. Proven ability to analyze complex coverage, liability, damages, and business issues. Education And Experience Bachelor's degree; Juris Doctor (J.D.) preferred. Prior medical malpractice defense, healthcare litigation, or complex coverage claims experience strongly preferred. Demonstrate leadership and mentoring skills. Innovative and adaptive to the evolving Claims environment, including incorporating the use of AI as appropriate. Insurance designations a plus (AIC, CPCU)

#KC-2

#HYBRID

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 View email address on click.appcast.io #J-18808-Ljbffr CNA Insurance

Vacancy posted 3 days ago
Similar jobs that could be interesting for youBased on the Complex Claims Consulting Director - Healthcare Severity & Excess team in Florida, NY vacancy
  • $97k - $189k

     ...contributor position works closely with senior level leaders and within the broadest authority limits, to manage the most complex, highest exposure commercial claims for a specialized line of business. Responsibilities include the management of all claim resolution activities in... 
    Suggested
    Work experience placement
    Work at office
    Local area
    Flexible hours
    Shift work

    CNA Insurance

    Florida, NY
    3 days ago
  • $112k - $168k

    Manager Claims - CH07AE We7re determined to make a...  ...theirs, too. Join our team as we help shape the future...  ...role within the Complex Claims Unit (CCU)? CCU...  ...strategies involving high-severity exposures. Drive the...  ...agents, outside counsel, consultants, and senior leadership... 
    Suggested
    Temporary work
    Work at office
    Remote work
    Home office
    3 days per week

    The Hartford

    Florida, NY
    1 day ago
  • A Complex Claims Manager - Construction Defect and Environmental Responsibilities...  ...General Liability (GL), and Excess Liability. Conduct thorough...  ...litigation progress. Manage consultants and contractors, reviewing...  .... Provide underwriting teams with insights on... 
    Suggested
    Full time
    For contractors

    200 CRC Insurance Svcs LLC

    Florida, NY
    1 day ago
  •  ...Description Join our growing team as a Sr. Liability Claims Specialist, Supervisor at...  ...supporting clients with complex liability exposures. Creative...  ..., loss control, and risk consulting services to our clients....  ...Murphy Foundation, we offer several vehicles where you can... 
    Suggested
    Remote job
    Full time
    Temporary work

    Holmes Murphy

    Florida, NY
    1 day ago
  • The Claims Senior Supervisor oversees the daily operations of a claims team, ensuring adherence to company guidelines, industry regulations, and service standards...  ...lead role. Proven track record managing complex and high-severity claims across multiple lines of business.... 
    Suggested
    Full time
    Work experience placement

    200 CRC Insurance Svcs LLC

    Florida, NY
    3 days ago
  • Eames Consulting has partnered with a leading P&C insurance carrier looking to add an experienced Claims Manager . This role offers the chance to take ownership of complex Inland marine, cargo, transportation and...  ...claims, including higher severity exposures. Investigate... 

    Eames Consulting

    Florida, NY
    1 day ago
  • The Hartford is seeking a Manager Claims to lead the Complex Claims Unit, overseeing environmental, toxic tort, asbestos and other long-tail liability matters. You will mentor a team, shape strategy on coverage and litigation, and drive high-quality outcomes with superior... 
    Work at office
    Remote work

    The Hartford

    Florida, NY
    1 day ago
  • CNA Insurance is seeking an experienced, individual-contributor claims professional to manage the most complex commercial claims with national scope. The role partners with senior leaders, requires advanced negotiation and policy interpretation, and offers a hybrid work... 

    CNA Insurance

    Florida, NY
    3 days ago
  • $97k - $189k

     ...potential. The Large Loss Director is a technical individual...  ...responsible for the oversight, consultation, and resolution of the most complex and catastrophic workers' compensation claims. This individual...  ...Reports. Identify emerging severity exposures and recommend claim... 
    Work experience placement
    Work at office

    CNA Insurance

    Florida, NY
    20 hours ago
  •  ...seeking a Supervisor of Medical Billing to ensure timely, accurate claims processing for our health plans. You will review ICD-10-CM, CPR...  ...and coordinate with PCPs to obtain missing information. Join a team dedicated to compassionate care, competitive benefits, and... 

    Integrated Home Care Services, Inc.

    Florida, NY
    10 hours ago
  • The Root Agency is a hybrid nonprofit fundraising consultancy serving faith, education, healthcare, and community organizations. The Nonprofit Fundraising Consultant leads engagements in strategic planning, capacity building, major gifts, and capital campaigns with a focus... 

    The Root Agency

    Florida, NY
    3 days ago
  •  ...Saving children.® Job Description As the Director of Philanthropy , you will be responsible...  ...effectively. Lead, mentor, and coach a team of professionals, providing guidance on goals...  ...relations. Ability to understand complex verbal and written instructions. Familiarity... 
    Full time
    Work at office
    Local area

    St. Jude Children's Research Hospital - ALSAC

    Florida, NY
    1 day ago
  • $110k - $140k

     ...sponsorship.The P&C Corporate Claims Division consists of...  ...division’s functional teams include Claims...  ...seeking a Claims Technical Director to focus primarily on...  ...size and/or complexity.Responsible for conducting...  ...employees and interns. #J-18808-Ljbffr Summit Consulting
    Full time
    Part time
    Seasonal work
    Work at office
    Remote work

    Summit Consulting

    Florida, NY
    1 day ago
  • 200 CRC Insurance Svcs LLC is looking for a Complex Claims Manager specializing in construction defect and environmental claims in New York. The ideal candidate must have a Bachelor's degree and at least 5 years of experience in managing insurance claims. The role involves... 

    200 CRC Insurance Svcs LLC

    Florida, NY
    1 day ago
  •  ...strategic plan developed annually and revised periodically to ensure team exceeds all revenue goals. Collaborate with local relationship...  ...KPIs and accurate forecasting. Work is typically focused on complex or large campaigns. Pipeline development reflects good market,... 
    Contract work
    Local area
    Flexible hours

    Blood Cancer United

    Florida, NY
    1 day ago
  • $65k

     ...services provider is seeking managers for its Fast Track Partner program in New York. In this role, you will recruit and develop a team of financial professionals, benefiting from an intensive training program to support your success as a manager. A competitive compensation... 
    Full time

    New York Life Insurance Company

    Florida, NY
    1 day ago
  • UniTrust Financial Group is seeking licensed life insurance agents to join a growing team. Connect with warm, pre-qualified leads by phone or Zoom, protect homes, income, and futures, and manage your pipeline with our advanced CRM. Enjoy real-time in-house leads, fast... 
    Remote job

    UniTrust Financial Group

    Florida, NY
    4 days ago
  • Creative Risk Solutions, a Holmes Murphy line of business, seeks a Sr. Liability Claims Specialist, Supervisor to lead a high-performing group of adjusters and ensure exceptional claims handling from start to finish. The role focuses on adjudication, negotiation, and litigation... 

    Holmes Murphy

    Florida, NY
    1 day ago
  • $85k - $95k

    Overview Multi-Line Claim Supervisor: National Account: Commercial Auto Location: Maitland...  ...with global clients to solve their most complex risk management challenges, delivering...  ...Supervise and provide technical guidance to a team of approximately 2-5 multi-line adjusters... 
    Work at office
    Remote work

    Cannon Cochran Management Services, Inc.

    Florida, NY
    4 days ago
  • Integrated Home Care Services (IHCS) is seeking a Supervisor of Healthcare Billing to review and process outpatient claims with accuracy and efficiency. You will oversee coding (ICD-10-CM, CPT/HCPCS), ensure documentation is complete, and support timely reimbursement.... 

    Integrated Home Care Acquisition

    Florida, NY
    2 days ago
  • Director of Campaigns and Philanthropy - North Director of Campaigns and Philanthropy - North The Director of Campaigns & Philanthropy...  ...the Angel Mom community. Partner with regional leadership teams to grow engagement opportunities. Identify Angel Moms with potential... 
    Local area

    Place of Hope Inc

    Florida, NY
    10 hours ago
  • ALSAC/St. Jude Children's Research Hospital seeks a Director of Philanthropy to lead major gifts, bequest and planned giving programs and to guide a high-performing team. You will craft strategies, manage donor portfolios, and collaborate with hospital initiatives to maximize... 

    ALSAC/St. Jude Children's Research Hospital

    Florida, NY
    10 hours ago
  • A leading insurance consultancy is seeking an experienced Claims Manager to take ownership of complex claims related to inland marine and cargo. The ideal candidate should have over 5 years of leadership experience and strong negotiation skills, with a Bachelor's degree... 

    Eames Consulting

    Florida, NY
    1 day ago
  •  ..., though not a requirement. A strong ability to engage with both new and existing customers, as well as collaborate with marketing teams to enhance product and service visibility. Benefits Workshops to enhance your public speaking abilities and improve your skills in... 

    Vice City Inc

    Florida, NY
    3 days ago
  • CNA Insurance in New York seeks a Large Loss Director to oversee the most complex workers' compensation claims, providing technical leadership and strategies for settlement, litigation, and reserving. Working closely with claims leadership, legal services, customers, brokers... 

    CNA Insurance

    Florida, NY
    4 days ago
  • $149.04k - $195.62k

     ...to join our Insurance Product Development team. Oscar is the first health insurance...  ...and ensuring high-quality execution across complex filing and implementation cycles. You will...  ...Bachelor's degree in business, healthcare, economics, finance, or related field 6+... 
    Full time
    Remote work
    Work from home

    Oscar Health Insurance

    Florida, NY
    2 days ago
  •  ...within the branch. This includes guiding team performance, ensuring compliance with established...  ...serves as a senior-level resource for complex client service needs and manages an...  ...policy administration, placement, billing, claims support, and documentation of accuracy.... 
    Remote work

    Insurance Office of America

    Florida, NY
    20 hours ago
  • Sentara Health Plans seeks a Director of Sales for small and mid-sized employer segments...  ...and providing leadership for the sales team. A Bachelor's degree is preferred, with...  ...team, and delivering results in a fast-paced healthcare #J-18808-Ljbffr Sentara Health Plans

    Sentara Health Plans

    Florida, NY
    2 days ago
  •  ...leader to drive the West Florida region's strategy and growth. You will oversee advocacy programs, build coalitions, and manage a small team while engaging high-level donors and partners. Travel 10-15% and serve as a regional spokesperson to officials and communities. You... 
    Local area

    American Jewish Committee

    Florida, NY
    4 days ago
  •  ...seeking a full-time Reconstruction Project Manager to join our team at our Alachua, FL headquarters. This role oversees residential...  ...succeeds alone in restoration. Our team works together to solve complex problems and deliver exceptional service to our customers. Growth... 
    Full time
    Contract work
    For contractors
    For subcontractor
    Work from home

    Dreyers DKI

    Florida, NY
    1 day ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Complex Claims Consulting Director - Healthcare Severity & Excess team. Be the first to apply!