VP Healthcare Claim
Chicago, IL, USA | CNA
Industry:Insurance - General
Legal / Compliance
Job Description:66 people have viewed this job
CNA's Specialty Healthcare Claims group is currently recruiting for a Vice President– Healthcare Claim. This position will lead a diverse team of 3 Claim Leaders, and an organization of 65+ Healthcare Claim Professionals handling claims involving the following categories of providers: Hospitals, Physicians, Aging Services, Dentists, Allied Facilities and Nurses/Allied Healthcare Providers.
The ideal candidate will have strong technical skills (liability, coverage, litigation process and resolution strategies) across multiple Healthcare lines and possess strong leadership and management skills including prior experience leading a Healthcare or similar claim or practice group. Ability to drive execution through a broad organization, along with very strong communication and interpersonal skills, are critical. The VP 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 Healthcare claim execution and partnering with internal and external business partners.
The VP 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 VP 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.Twelve years overall experience required.
Essential Duties & Responsibilities
Performs a combination of duties in accordance with departmental guidelines:
Drives implementation of strategic and operational priorities with significant impact on the short-term success of (technical) claims management for assigned line-of-business to achieve superior total claim outcome and moderate impact on the long-term success of the organization.
Provides strategic leadership and direction for the management of assigned line of business claim organization cultivating a culture of excellence. Champions CNA with an expert level of understanding of the organization’s differentiating position in the industry CNA’s products and services as well as a working knowledge and understanding of competitor’s products and services.
Drives the development implementation and continuous planning organizing and leading of all claim programs metrics processes results and initiatives.Analyzes and manages human capital metrics to drive increased efficiency and productivity; acts as a liaison to executive management on critical business issues and drives corporate priorities within assigned business segment.
Provides expert level technical oversight of high exposure claims to ensure files are investigated evaluated reserved and managed in a timely manner.
May lead direct and have full management accountability for staff in area of responsibility with an emphasis on talent management and succession planning in accordance with corporate strategic direction.
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 profitability and business results.
Collaborates with underwriting risk control and actuarial to ensure knowledge sharing on latest trends market trends legal changes and loss reserving.Regularly reports on loss trends and exposures to internal and external business partners.
May perform additional duties as assigned.
Typically SVP and above
Skills Knowledge & Abilities
Mastery of insurance claims principles (legal operations practices and procedures) and broad understanding of the critical issues in other related areas.
Advanced communication skills which are critical to building consensus across area of influence (external and/or internal relationships) team and/or matrix environment.
Strong leadership and management skills demonstrating integrity and professionalism.
Proven ability to drive results by identifying and resolving significant problems within scope of responsibility.
Senior level knowledge of the insurance industry its products and services.
Advanced understanding and usage of data analytics tools.
Work well independently and as part of a team.
Knowledge of Microsoft Office Suite and other business-related software.
Education & Experience
Bachelor’s degree with Master’s preferred in finance business or a related discipline or equivalent. JD also preferred.
Typically a minimum of twelve years of related work experience with seven years management experience.
Applicable certifications preferred.
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