Senior Counsel – Claims Operations & Regulatory

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.

JOB DESCRIPTION:

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

• Serves as a primary legal advisor to senior Claims leadership on regulatory, compliance, transactional and operational matters, developing practical solutions that advance business objectives while managing legal and regulatory risk.
• Provides guidance on state claim handling requirements, adjuster and third-party administrator licensing, and reporting obligations (e.g. Medicare, NICB, fraud, and NPDB).
• Manages Claims regulatory matters, including inquiries, complaints, audits, and market conduct exams and addresses incidents of non-compliance.
• Monitors legal and regulatory developments, assesses operational impact, and develops consistent enterprise responses.
• Supports SIU with operational matters related to fraud, surveillance, and confidentiality.
• Advises ClaimPlus, Inc. on organizational structure and manages Claim Service Agreements and intercompany agreements.
• Negotiate complex transactions and commercial agreements, balancing business objectives and risk.
• Partners with Claims leaders on external communications and internal documentation, including marketing materials, presentations, procedures and trainings.
• Facilitates business partners learning by developing and delivering internal training.
• May supervise, train, or mentor other attorneys.

Skills, Knowledge & Abilities

• Advanced knowledge of and experience in Commercial P&C and Specialty insurance claims operations.
• Proven ability to take a proactive long-term view of business goals and objectives in order to achieve strategic business results.
• Strong interpersonal and communication skills and the ability to effectively interact with and influence a broad spectrum of internal and external constituents.
• Excellent analytical and problem-solving skills and the ability to manage and resolve complex situations.
• A high proficiency in time management, leadership, influence, and project management skills.
• A proven track record of results, achievement, collaboration, teamwork, and negotiation skills.

Education & Experience

• Juris Doctor and a license to practice law in at least one jurisdiction is required.
• A minimum of nine years of relevant legal experience with a proven track record of results.
• Significant experience advising insurance claims, regulatory, compliance, complex transactions or related operational matters is preferred.
• Prior in-house experience at a major insurance carrier, broker or claims administrator supporting Commercial P&C and Specialty insurance is preferred.

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 Us

At CNA, we are focused on success, individually and collectively. We pride ourselves on promoting a culture that challenges and engages people. We strive to connect people, departments and business areas, to function as a team, and to serve our customers and communities with professionalism and respect.

Our dedication to employee engagement, continuous learning and the open exchange of ideas is the cornerstone of our business. These ideals, combined with our focus on the customer, enable us to explore new market opportunities and build on our success.

Our values, culture and financial strength are what differentiates us from other employers and make CNA the place you want to work.

Inclusion at CNA

At CNA, we are committed to advancing a culture of inclusion – one that attracts talent from all walks of life, fosters respect and collaboration, and enables all of our colleagues to do their best work.

Corporate Social Responsibility

At CNA, we have a long standing commitment to the diverse communities in which we live and work. We actively make a difference for the greater good through partnerships, sustainability, initiatives, and working together for a better tomorrow. Corporate Social Responsibility is not one person, or one department, it's the entire enterprise coming together to make the world a better place.