Claims AVP - Healthcare

CNA Financial Chicago, IL
Job Summary

CNA's Specialty Healthcare Claims group is currently recruiting for an Assistant Vice President– Healthcare Claim. This position will lead a large, diverse team of Claim Managers and Directors each of whom manage a team of Claim Professionals handling claims involving the following categories of providers: Aging Services, Allied Healthcare Facilities, Hospitals, Dentists, Nurses/Allied Healthcare Providers and Physicians.

The ideal candidate will have strong technical skills (liability, coverage, litigation process and resolution strategies) across multiple Healthcare lines and possess prior experience leading a Healthcare claim or practice group. Ability to drive execution through a broad organization, along with very strong communication and interpersonal skills, are critical. The AVP will foster talent development and performance management of the broad team. This position is responsible for the strategic direction and leadership of all aspects of claim execution and partnering with internal and external business partners.

The AVP will ensure effective implementation of strategic objectives and policies for claims, in accordance with the company's broader strategic priorities. This role will have responsibility for helping to drive operational initiatives impacting the Healthcare portfolio, including work with Operations, Underwriting, Actuary and Risk partners. The AVP will also drive quality diagnostics and improvement initiatives as well as identifying and delivering training.

J.D. and a minimum of five years' experience in a law practice, with some focus on Healthcare and professional liability coverage issues, is strongly preferred but not required.

Additional experience with a carrier is a plus. Ten years overall experience required. Location is flexible.

Essential Duties & Responsibilities

* Implements strategic objectives with substantial impact on short-term success for claim (management) practices.

* Leads, directs and has full management accountability for staff in area of responsibility with an emphasis on talent management and succession planning in accordance with corporate strategic direction.

* Collaborates with senior leadership in the development and implementation of claim policies, business strategies and goals, regularly evaluating performance against goals; and holding self and team accountable for achieving desired results.

* Collaborates with internal business partners to ensure optimal implementation of business strategies; regularly communicating with senior management and internal business partners regarding progress and status updates on applicable claim files, claim trends and legal changes that may impact total claim outcome and other relevant business results; takes appropriate levels of risks based upon informed analysis.

* Drives for a superior customer experience and continuous improvement through the development and implementation of corporate initiatives involving human capital, processes and technology. Identifies emerging issues and trends that may have substantial impact on CNA claim (management) practices and processes.

* Manages expenses and adequately controls resources to ensure successful operations within established budget, productivity and efficiency standards. Leverages systems capabilities, data and metrics/reports to analyze trends and improve organizational and process performance.

* Champions CNA with an advanced understanding of the company?s differentiating position in the industry, CNA?s products and services, as well as a working knowledge and understanding of competitors products and services.

* Remains current of state/territory regulations and issues, industry activities and trends. May represent company in industry trade groups.

May perform additional duties as assigned.

Reporting Relationship

Typically VP and above

Skills, Knowledge & Abilities

* In-depth technical knowledge of theories and practices within claims management and insurance industry operations and working knowledge of finance and accounting functions.

* Ability to effectively interact and communicate with all levels of external and/or internal business partners within scope of responsibility, team and/or matrix environment

* Leadership and management skills demonstrating integrity and professionalism.

* Ability to drive results by identifying, and resolving problems within scope of responsibility.

* Knowledge of the insurance industry, its products and services.

* Knowledge of Microsoft Office Suite and other business-related software.

Education & Experience

* Bachelor's degree with Master's preferred in finance, business or related field or equivalent.

* Typically a minimum of 10 years claims experience, with five years management experience.

* Applicable certifications preferred.

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