Complex Claims Consulting Director - Healthcare Severity & Excess team

About the Role

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. This position directs the handling and serves as a lead strategist on complex and high-exposure Allied Healthcare Provider professional liability claims. The role involves 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 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.

Responsibilities

• 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.
• 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.
• 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.
• 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.
• Other duties as assigned.

Requirements

• 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.
• Bachelor’s degree; Juris Doctor (J.D.) preferred.
• Prior medical malpractice defense, healthcare litigation, or complex coverage claims experience strongly preferred.
• Demonstrated 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).

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.

Pay

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.

Benefits

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.