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

CNA Insurance•Plantation, FL
•$97,000 - $189,000

About The Position

The Complex Claims Consulting Director is a recognized senior technical expert and individual contributor responsible for managing the most complex, high-severity Public D&O and Financial Institutions E&O claims, including matters involving public companies and financial institutions. Claims are generally multi-year and have significant loss exposure. The role operates at high levels of authority and works alongside senior leadership to guide claim outcomes nationally. The director oversees all aspects of claim handling, including coverage determinations, investigations, reserves, customer and business-partner communications, resolution strategies, risk transfer, complex negotiations, litigation management, budgets, and payments. The role also drives improvements in customer service and claim quality, maintains expertise in applicable insurance laws and regulations, presents high-profile matters to senior audiences, and mentors less experienced claims professionals. A bachelor's degree, master's degree, or equivalent experience is required; a JD is preferred. Typically, at least ten years of relevant experience is required, along with advanced negotiation experience. The employee must have or be able to obtain and maintain an insurance adjuster license within 90 days of hire where applicable.

Requirements

  • Expert knowledge of the specialty insurance industry, products, policy language, coverage, and claim practices.
  • Excellent verbal and written communication skills, including the ability to explain complex claim facts, analysis, and recommendations concisely to senior management and external partners and customers.
  • Demonstrated analytical and investigative ability, critical thinking, sound business judgment, and ability to resolve ambiguous and complex problems.
  • Extensive experience leading complex negotiations and developing and implementing resolution strategies.
  • Strong work ethic, time-management and organizational skills, and ability to work independently in a fast-paced environment.
  • Ability to take a proactive, long-term view of business goals and drive results.
  • Extensive experience interpreting D&O and E&O policies and coverage.
  • Ability to partner with internal resources, oversee outside counsel, and collaborate with other carriers.
  • Ability to lead multiple shifting priorities in a fast-paced, challenging environment.
  • Knowledge of Microsoft Office Suite and ability to learn business-related software.
  • Demonstrated ability to value diverse opinions and ideas.
  • Bachelor's degree, master's degree, or equivalent experience.
  • Typically at least 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.

Nice To Haves

  • Juris Doctor (JD).
  • Professional designations are highly encouraged, such as CPCU.

Responsibilities

  • Manage an inventory of complex Public D&O and Financial Institutions E&O claims, overseeing coverage determinations, investigations, communications, risk transfer, negotiations, litigation, and resolution strategies.
  • Drive exceptional customer service and continuous improvement while meeting claim quality and cycle-time standards.
  • Verify coverage and establish and manage timely, adequate reserves by interpreting policy language and estimating claim value.
  • Lead focused investigations to determine compensability, liability, and covered damages, gathering information and coordinating with experts and other parties.
  • Develop, own, and execute claim resolution strategies with internal and external partners, including settlement negotiations, litigation management, and payment authorization within authority.
  • Establish and manage significant claim budgets, selecting and overseeing resources and coordinating work toward timely resolution.
  • Identify subrogation or salvage opportunities and potential fraud, making appropriate referrals for further investigation.
  • Ensure claims comply with company protocols, are accurately and timely documented, and are resolved and paid promptly.
  • Prepare and present complex, high-profile matters and executive loss summaries to senior leadership, customers, counsel, and others; communicate resolution strategies and relevant events and case law.
  • Maintain subject-matter expertise and comply with state and local regulatory requirements; stay current on insurance laws, regulations, and trends, and potentially represent the company at industry events.
  • Mentor, guide, develop, and train less experienced Claim Professionals; assist with special projects as needed.
  • Perform additional duties as assigned.

Benefits

  • Comprehensive and competitive benefits package intended to support employees' and family members' physical, financial, emotional, and social well-being.
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