Complex Claims Consulting Director - Healthcare Severity & Excess team

About the Role

In this position, you will handle and serve as a lead strategist on complex and high-exposure Allied Healthcare Provider professional liability claims. This role involves analyzing complex coverage matters, driving claim resolution, managing litigation, advising leadership on risks, and partnering with Underwriting and other business units on emerging trends and portfolio management. You must be capable of stepping into a claim at any point in its lifecycle, independently evaluating exposure, and proactively advancing matters toward optimal resolution. While focused on Allied Health Providers, there may be opportunities to expand into other segments as the business grows.

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 tenders, contractual indemnity, and additional insured status.
• 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 for Allied Healthcare Provider matters.
• Counsel claim leadership on legal risks, litigation strategy, and emerging 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, and key portfolio insights to business partners.
• Partner 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.
• Assist in developing claim handling best practices and operational initiatives.

Qualifications

• 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.
• Demonstrated leadership and mentoring skills.
• Innovative and adaptive to the evolving Claims environment, including incorporating AI as appropriate.
• Insurance designations a plus (AIC, CPCU).

Skills

• 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 relevant work experience, skills, certifications, and location.

Benefits

CNA offers a comprehensive and competitive benefits package to help employees and their family members achieve physical, financial, emotional, and social wellbeing goals. For details, visit cnabenefits.com.