Working closely with claims leadership, disposition consultants, legal services, customers, brokers ... Direct complex investigations, litigation activities, discovery strategies, and settlement ...
Working closely with claims leadership, disposition consultants, legal services, customers, brokers ... Direct complex investigations, litigation activities, discovery strategies, and settlement ...
Working closely with claims leadership, disposition consultants, legal services, customers, brokers ... Direct complex investigations, litigation activities, discovery strategies, and settlement ...
Working closely with claims leadership, disposition consultants, legal services, customers, brokers ... Direct complex investigations, litigation activities, discovery strategies, and settlement ...
Overview To research and resolve complex claims issues which cross interdepartmental lines and ... Reports activities on a quarterly basis to IQI, PHC Compliance Coordinator, and Claims Director.
Overview To research and resolve complex claims issues which cross interdepartmental lines and ... Reports activities on a quarterly basis to IQI, PHC Compliance Coordinator, and Claims Director.
To research and resolve complex claims issues which cross interdepartmental lines and communicate ... Reports activities on a quarterly basis to IQI, PHC Compliance Coordinator, and Claims Director.
To research and resolve complex claims issues which cross interdepartmental lines and communicate ... Reports activities on a quarterly basis to IQI, PHC Compliance Coordinator, and Claims Director.
Overview To research and resolve complex claims issues which cross interdepartmental lines and ... Reports activities on a quarterly basis to IQI, PHC Compliance Coordinator, and Claims Director.
Overview To research and resolve complex claims issues which cross interdepartmental lines and ... Reports activities on a quarterly basis to IQI, PHC Compliance Coordinator, and Claims Director.
Overview To research and resolve complex claims issues which cross interdepartmental lines and ... Reports activities on a quarterly basis to IQI, PHC Compliance Coordinator, and Claims Director.
Overview To research and resolve complex claims issues which cross interdepartmental lines and ... Reports activities on a quarterly basis to IQI, PHC Compliance Coordinator, and Claims Director.
In this position, you will direct handle and serve as a lead strategist on complex and high-exposure Allied Healthcare Provider professional liability claims. This role is responsible for analyzing ...
In this position, you will direct handle and serve as a lead strategist on complex and high-exposure Allied Healthcare Provider professional liability claims. This role is responsible for analyzing ...
In this position, you will direct handle and serve as a lead strategist on complex and high-exposure Allied Healthcare Provider professional liability claims. This role is responsible for analyzing ...
In this position, you will direct handle and serve as a lead strategist on complex and high-exposure Allied Healthcare Provider professional liability claims. This role is responsible for analyzing ...
Overview To research and resolve complex claims issues which cross interdepartmental lines and ... Reports activities on a quarterly basis to IQI, PHC Compliance Coordinator, and Claims Director.
Overview To research and resolve complex claims issues which cross interdepartmental lines and ... Reports activities on a quarterly basis to IQI, PHC Compliance Coordinator, and Claims Director.
Claims Resolution Coordinator
Fairfield, CA · On-site
$37.22 - $46.53/hr
Overview To research and resolve complex claims issues which cross interdepartmental lines and ... Reports activities on a quarterly basis to IQI, PHC Compliance Coordinator, and Claims Director.
Claims Resolution Coordinator
Fairfield, CA · On-site
$37.22 - $46.53/hr
Overview To research and resolve complex claims issues which cross interdepartmental lines and ... Reports activities on a quarterly basis to IQI, PHC Compliance Coordinator, and Claims Director.
Overview To research and resolve complex claims issues which cross interdepartmental lines and ... Reports activities on a quarterly basis to IQI, PHC Compliance Coordinator, and Claims Director.
Overview To research and resolve complex claims issues which cross interdepartmental lines and ... Reports activities on a quarterly basis to IQI, PHC Compliance Coordinator, and Claims Director.
Overview To research and resolve complex claims issues which cross interdepartmental lines and ... Reports activities on a quarterly basis to IQI, PHC Compliance Coordinator, and Claims Director.
Overview To research and resolve complex claims issues which cross interdepartmental lines and ... Reports activities on a quarterly basis to IQI, PHC Compliance Coordinator, and Claims Director.
Individual contributor responsible for the direct handling and overall management of the most complex, highest exposure claims in the Mass Tort Claims Unit. This individual contributor is recognized ...
Individual contributor responsible for the direct handling and overall management of the most complex, highest exposure claims in the Mass Tort Claims Unit. This individual contributor is recognized ...
Individual contributor responsible for the direct handling and overall management of the most complex, highest exposure claims in the Mass Tort Claims Unit. This individual contributor is recognized ...
Individual contributor responsible for the direct handling and overall management of the most complex, highest exposure claims in the Mass Tort Claims Unit. This individual contributor is recognized ...
Individual contributor responsible for the direct handling and overall management of the most complex, highest exposure claims in the Mass Tort Claims Unit. This individual contributor is recognized ...
Individual contributor responsible for the direct handling and overall management of the most complex, highest exposure claims in the Mass Tort Claims Unit. This individual contributor is recognized ...
... directing litigation. At CNA, Claims Professionals use their specialized expertise to handle claims efficiently and seamlessly in a collaborative environment focused on continuous improvement. The ...
... directing litigation. At CNA, Claims Professionals use their specialized expertise to handle claims efficiently and seamlessly in a collaborative environment focused on continuous improvement. The ...
... directing litigation. At CNA, Claims Professionals use their specialized expertise to handle claims efficiently and seamlessly in a collaborative environment focused on continuous improvement. The ...
... directing litigation. At CNA, Claims Professionals use their specialized expertise to handle claims efficiently and seamlessly in a collaborative environment focused on continuous improvement. The ...
We are seeking a dynamic self-starter to join our Complex Claims team handling claims for law firms ... Reporting Relationship Typically Director or above Skills, Knowledge & Abilities * Thorough ...
We are seeking a dynamic self-starter to join our Complex Claims team handling claims for law firms ... Reporting Relationship Typically Director or above Skills, Knowledge & Abilities * Thorough ...
Manages an inventory of highly complex commercial claims with large exposures that require a high ... Reporting Relationship Typically Director or above Skills, Knowledge & Abilities * Thorough ...
Manages an inventory of highly complex commercial claims with large exposures that require a high ... Reporting Relationship Typically Director or above Skills, Knowledge & Abilities * Thorough ...
We are seeking a dynamic self-starter to join our Complex Claims team handling claims for law firms ... Reporting Relationship Typically Director or above Skills, Knowledge & Abilities * Thorough ...
We are seeking a dynamic self-starter to join our Complex Claims team handling claims for law firms ... Reporting Relationship Typically Director or above Skills, Knowledge & Abilities * Thorough ...
Complex Claims Director information
What is a complex claims director?
Complex Claims Directors are senior insurance professionals responsible for overseeing the management and resolution of intricate insurance claims, often involving large financial exposures, multiple parties, or complex legal issues. They lead a team of claims specialists, coordinate with legal counsel, and ensure that claims are handled efficiently and in compliance with company policies and regulations. Their expertise helps organizations mitigate risk and ensure fair outcomes for all parties involved.
How does a complex claims director typically collaborate with legal teams and other departments during high-stakes claims investigations?
As a Complex Claims Director, collaboration with legal teams and other departments such as underwriting, risk management, and compliance is a central part of the role. Directors often lead cross-functional meetings to share critical case updates, discuss strategies for claim resolution, and ensure all regulatory and contractual requirements are met. Effective communication and coordination are essential, as these cases may involve litigation, negotiations, and extensive documentation. Building strong relationships across departments helps streamline the process and achieve the best possible outcomes for both the client and the organization.
What are the key skills and qualifications needed to thrive as a complex claims director, and why are they important?
To thrive as a Complex Claims Director, you need deep expertise in insurance claims management, strong analytical abilities, and a relevant bachelor's degree or higher, often with industry certifications such as CPCU or AIC. Familiarity with claims management systems, regulatory compliance tools, and advanced reporting software is typically required. Exceptional leadership, negotiation, and decision-making skills help you manage teams and resolve high-stakes claims efficiently. These competencies are crucial for ensuring accurate claim resolution, minimizing risk, and maintaining client trust in complex insurance environments.
What is the difference between Complex Claims Director vs Claims Manager?
| Aspect | Complex Claims Director | Claims Manager |
|---|---|---|
| Credentials | Typically requires a professional insurance certification (e.g., CPCU, ARM) and extensive industry experience | Often requires relevant insurance licenses and several years of claims handling experience |
| Work Environment | Strategic leadership in large insurance companies or third-party administrators, overseeing complex claims | Day-to-day claims processing and team supervision within insurance companies or agencies |
| Employer & Industry Usage | Commonly found in large insurers, TPA firms, and corporate risk management | Widely used across insurance carriers, agencies, and claims departments |
The Complex Claims Director focuses on managing and overseeing complex, high-value claims and strategic claims operations, often at a senior level. In contrast, Claims Managers handle daily claims processing, team supervision, and operational tasks. Both roles require industry-specific credentials, but the Director position emphasizes strategic oversight of complex cases.
What are popular job titles related to Complex Claims Director jobs in California?
For Complex Claims Director jobs in California, the most frequently searched job titles are:
What job categories do people searching Complex Claims Director jobs in California look for?
The top searched job categories for Complex Claims Director jobs in California are:
What cities in California are hiring for Complex Claims Director jobs?
Cities in California with the most Complex Claims Director job openings:
Job description
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.
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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 visitcnabenefits.com.
CNAutilizesAI-enabled technology during the recruiting process. For more information, please visitourcareers page.
CNA is committed to providing reasonable accommodations to qualified individuals with disabilities in the recruitment process. To request an accommodation, please contactleaveadministration@cna.com