Claims Consultant - Management Specialty Lines
About The Position
If you can put your keen legal mind to work analyzing, managing and resolving insurance coverage and claims, we want to know more about you! Working on our team offers the opportunity to be involved in settling litigated and non-litigated claims of high complexity and severity in terms of exposure and coverage. As a Claims Consultant, you'll investigate, evaluate and negotiate claims to successful resolution. This role supports the management liability and specialty lines of business, including errors and omissions, directors and officers and employment practices liability among others. You will have high monetary authority and minimal direction, with direct supervision only when needed, as well as considerable latitude in determining objectives and approaches to assignments. We will count on you to collaborate and provide insight to our business partners on claims and policy wording questions and maintain, develop and influence relationships with customers and business partners.
Requirements
- Appropriate claims handling experience in specific line of business typically acquired through more than five years of experience.
- Demonstrated experience handling higher severity and/or complex claims and litigation required.
- Proven experience analyzing and handling complex coverage issues.
- Specific and extensive knowledge in a particular line of business and/or additional education may be required by the hiring business unit.
- In-depth knowledge of the insurance industry, claims and the insurance legal and regulatory environment.
- Demonstrates aptitude in evaluating, analyzing and interpreting information; demonstrates expertise in particular line of business; excellent analytical skills; excellent written and verbal communication skills; the ability to multi-task; excellent time management and organizational skills; ability to work independently; ability to effectively and efficiently manage all responsibilities; ability to direct attorneys in claims and litigation management; ability to effectively present information to senior leaders, claimants and customers.
- Associates must acquire the required Federal and/or state licenses/registrations within the time period designated by the business unit. Additional licenses/registrations may be required when new products and services are implemented. If an associate fails or is unable to acquire required licenses/registrations within the designated time period, the associate will be ineligible to continue in the position.
- Regularly and consistently demonstrates the Nationwide Values.
Nice To Haves
- Juris Doctorate (JD) is preferred.
- Prior claims file handling experience: Including Cyber, EPL, D&O liability, E&O, or professional negligence experience preferred.
- College degree preferred.
- Juris Doctorate desired.
Responsibilities
- Investigates and evaluates coverage, liability and damages to set an appropriate claim strategy, settlement and file reserves within approved claims authority.
- Provides timely and appropriate evaluation of claims to identify and manage reserves in compliance with company standards.
- Delivers outstanding customer service and satisfaction through effective interactions with insured, agents and legal counsel.
- Provide feedback on claim trends and development. Provide input to underwriters on review of potential and existing insured’s claim experience.
- Assists in developing, coaching, training and mentoring of individual team members.
- Maintains current knowledge of applicable lines of insurance, insurance regulations, court decisions which may impact the claims function, current guidelines and policy changes and modifications. This may require attending various seminars and training sessions.
- Contributes to a collaborative environment by consistently demonstrating teamwork, high motivation, positive behavior and effort to achieve goals and objectives.
- Acts as a subject matter authority in a particular line of business or risk.
- May perform other responsibilities as assigned.
Benefits
- medical/dental/vision
- life insurance
- short and long term disability coverage
- paid time off with newly hired associates receiving a minimum of 18 days paid time off each full calendar year pro-rated quarterly based on hire date
- nine paid holidays
- 8 hours of Lifetime paid time off
- 8 hours of Unity Day paid time off
- 401(k) with company match
- company-paid pension plan
- business casual attire
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What This Job Offers
Job Type
Full-time
Career Level
Senior
