Claims Consultant - Indemnity Splty

LOCATIONS:

If you’re passionate about becoming a Nationwide associate and believe you have the potential to be something great, let’s talk.

Number 54 on the Fortune Magazine 100 Best Places to Work.

The ideal candidate will have a background in asbestos claims and be experienced in excess insurance programs and claim handling. The preferred location for this role would be Nationwide's Wausau, WI office; however, this may be considered a work from home opportunity depending on the candidate's location.

JOB SUMMARY: Works within broad limits and authority on specialty claims assignments of highest technical complexity and coordination. Investigates and maintains claims specialty such as environmental (asbestos, toxic tort and/or pollution) or construction defect. Coordinates assigned claims service to policyholders or complex cases in a specialty area. Promotes and provides On Your Side Service to customers. Provides technical advice to lower level special claims staff and other functional areas.

Job Description

RELATIONSHIP: Reports to Reports to Claims Manager/Director

DIRECT REPORTS: None

JOB RESPONSIBILITIES:

  1. Completes thorough review and analysis of claims of the highest levels of complexity. Investigates liability and damages.

  2. Brings files to closure, either by voluntary dismissals or by negotiation of settlements.

  3. Determines amount of appropriate settlements or grounds for denial. Assists in the drafting of settlement documents.

  4. Provides reserve analysis to ensure timely and accurate case reserves in accordance with Best Claims Practices.

  5. Negotiates cost share agreements between other insurance carriers and policyholders.

  6. Maintains current knowledge of: assigned insurance lines; court decisions which may impact the claims function; current guidelines in the claims function; and policy changes and modifications. This may require attendance at various seminars or training session

  7. Creates and analyzes severe incident reports, reinsurance reports and other information to home office, claims management, and underwriting.

  8. Performs continuous review of claims inventory. Prepares appropriate internal reports, memos and analysis on a regular basis.

  9. Determines duty to defend and selects Defense Counsel as appropriate. Closely monitors outside counsel¿s work product. Reviews and gives input in all levels to interrogatories, etc., in each case. Manages litigation when appropriate.

  10. Serves as company witness on coverage position at depositions. Attends mediation sessions in attempt to resolve claims. Prepares legal audits at various law firms.

  11. Provides advice, counsel, and training to Claims Representatives of all levels. Provides specialized training and consultation to non-claims areas as requested.

  12. Delivers a positive On-Your-Side customer service experience to all internal, external, current and prospective Nationwide customers.

  13. Serves as lead claims representative in area of specialty. Serves as backup to claims management. Assists with selection and training of new representatives.

  14. Other duties as assigned.

JOB REQUIREMENTS:

Education: Undergraduate degree in related field. Postgraduate studies preferred.

Licenses/Designations: State licensing where required. Relevant professional designations or certifications desirable (CPCU, CLU, IIA, AEI, etc.)

Experience: Eight years of specialty claims experience.

Knowledge: Proven superior knowledge of best claims practices used to resolve the most sever and technically complex claims. Proven knowledge of insurance contracts and legal aspects affecting regulatory and liability issues that relate to environmental and other specialty claims.

Skills/Competencies: Proven ability to meet customer needs and provide exemplary service by informing customers of the claims process and ensuring a positive customer experience. Ability to lead and train employees in all aspects of specialty claims review. Advanced oral and written communication skills for interaction with technical experts, insured's, federal agencies, the legal profession and other insurance companies. Ability to operate a personal computer and related business and claims software. Ability to handle and prioritize multiple assignments.

Values: Regularly and consistently demonstrates the Nationwide Values and Guiding Behaviors. Staffing Exceptions to the above Minimum Job Requirements must be approved by: Business Unit Executive and Human Resources.

JOB CONDITIONS:

Working Conditions: Normal office environment. Must be able to make physical inspection of loss sites, work irregular hours and travel with possible overnight requirements.

Credit/Background Check: Due to the fiduciary accountabilities within this job, a valid credit check and/or background check will be required as part of the selection process.

ADA: The above statements cover what are generally believed to be principal and essential functions of this job. Specific circumstances may allow or require some people assigned to the job to perform a somewhat different combination of duties.

Job Evaluation Activity: Edited 5/2/11 JTG

Additional Job Description

Will consider alternate work environment.

#claims

Job ID: 53636

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Wausau