Workers Compensation Large Loss Claims Director

CNA

Meridian, Pennsylvania

JOB DETAILS
SKILLS
Accounts Receivable, Analysis Skills, Brokerage, Claims Management, Claims Processing, Coaching, Communication Skills, Cost Control, High Tech Industry, Industry/Trade Analysis, Insurance Claims, Leadership, Legal, Litigation, Medicare, Mentoring, Microsoft Office, Multitasking, Negotiation Skills, Operations Processes, Presentation/Verbal Skills, Problem Solving Skills, Project/Program Management, Regulatory Compliance, State Laws and Regulations, Time Management, Trend Analysis, Worker's Compensation, Writing Skills
LOCATION
Meridian, Pennsylvania
POSTED
3 days ago

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. 

The Large Loss Director is a technical individual contributor responsible for the oversight, consultation, and resolution of the most complex and catastrophic workers' compensation claims. This individual contributor role provides company-wide influence and leadership in the interpretation of complex policy coverages, litigation management, reserving, claim resolution strategies, regulatory compliance, and large loss methodologies.

Working closely with claims leadership, disposition consultants, legal services, customers, brokers, and business partners, the Large Loss Director drives superior claim outcomes, technical excellence, operational effectiveness, and profitable growth while serving as a mentor and resource to claims professionals across the organization.

The ideal candidate will have extensive workers' compensation claims experience with significant responsibility handling highly complex and catastrophic claims.

JOB DESCRIPTION:

Essential Duties & Responsibilities
Performs a combination of duties in accordance with departmental guidelines:

  • Oversees the most complex, high-exposure, catastrophic, and litigated workers' compensation claims. Serves as the technical authority on claim coverage, liability, compensability, exposure evaluation, reserving, and settlement strategy. Determines if a major claim should be settled or litigated and implements an appropriate resolution strategy accordingly. Effectively manages loss costs and claim expenses on major claims.
  • Develop and execute resolution strategies that balance customer needs, claim outcomes, and cost management objectives. Direct complex investigations, litigation activities, discovery strategies, and settlement negotiations. Collaborate with staff and panel counsel to develop effective litigation and resolution strategies.
  • Provide expert guidance regarding Medicare Set-Asides, Independent Medical Examinations, rated age evaluations, catastrophic injury claims, and other specialized claim issues.
  • Review and provide direction on large loss claims across the organization.
  • Ensure timely review and approval of reserve analyses and Large Loss Summary Reports.
  • Identify emerging severity exposures and recommend claim transfers, disposition involvement, or specialized resources when appropriate.
  • Lead and participate in formal claim roundtables focused on large loss claims, reserving accuracy, and resolution planning.
  • Analyze complex claim trends and communicate actionable recommendations to senior leadership.
  • Actively pursues and identifies ways to reduce inefficiencies in claims processes.
  • Utilizes oral presentation and writing skills to escalate or efficiently communicate appropriate exposures to senior claims management and other internal business partners, as needed.
  • Keeps current on state/territory regulations and issues industry activity and trends. May represent company in industry trade groups or other important events involving external business partners and clients.
  • Serve as a mentor, coach, and technical resource for claims professionals, managers, and business partners.
  • Responsible for special claims projects and presentations.
  • Identifies trends in complex claims and settlement strategies and communicates to senior management.

Reporting Relationship
Director or above

Skills, Knowledge and Abilities

  • The highest level of technical and product specific expertise, claims resolution skill and knowledge of insurance and claims principles, practices and procedures.
  • Excellent communication, negotiation and presentation skills. Ability to effectively interact with all levels of CNA's internal and external business partners.
  • Excellent analytical and problem solving skills, with the ability to manage multiple projects.
  • Ability to exercise independent judgment to effectively evaluate and handle ambiguous situations and issues as well as analyze, distill and communicate important aspects of them succinctly.
  • Creativity in resolving unique and challenging business problems.
  • Ability to achieve results by taking a proactive long-term view of business goals and objectives.
  • Knowledge of Microsoft Office Suite and other business-related software and company systems.
  • Ability to embrace change and value diverse opinions and ideas.
  • Effectively manages multiple projects.
  • Ability to articulate complex claim facts, issues and analyses in concise presentations to business partners and management as well as in internal reports.

Education and Experience

  • Bachelor's degree or equivalent experience. Professional designations preferred.
  • Typically a minimum 10 years claims experience with proven track record of success.

#LI-AR1

#LI-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 

leaveadministration@cna.com

About the Company

C

CNA

CNA's approach to research is a modern iteration of the Newtonian principle that complex, dynamic processes are best understood through direct observation of events and people. That was the methodology CNA analysts first applied in the 1940s when they pioneered the field of operations research by helping the Navy address the German U-boat threat. Not content to study the problem from afar, this small group of MIT scientists insisted on deploying with Navy forces in order to observe operations and collect the data needed for meaningful analyses. Their groundbreaking work, and the anti-submarine warfare equations it produced, set a standard for operations research methods that CNA has maintained for 75 years. Today, with more than 500 professionals at our headquarters and 50 researchers in the field, CNA still takes a multi-disciplinary, real-world approach to our work. On-site analysts carefully observe all aspects of a process—people, decisions, actions, consequences—and then collaborate with a headquarters-based research team to assess data and arrive at findings. CNA's objective, empirical research and analysis helps decision makers develop sound policies, make better-informed decisions, and manage programs more effectively. Our work, which in its early decades focused solely on defense-related matters, has grown to include investigation and analysis of a broad range of national security, defense, and public interest issues including education, homeland security and air traffic management. Through our Center for Naval Analyses and Institute for Public Research, we provide public-sector organizations with the tools they need to tackle the complex challenges of making government more efficient and keeping our country safe and strong.
COMPANY SIZE
100 to 499 employees
INDUSTRY
Other/Not Classified
FOUNDED
1940
WEBSITE
https://www.cna.org/