Claims Consultant - EPL

Nationwide•New York, NY

1d•$108,000 - $162,000

About The Position

The Claims Consultant investigates, evaluates, negotiates, manages, and resolves high-complexity and high-severity insurance claims, including litigated and non-litigated claims. The role supports management liability and specialty lines, including errors and omissions, directors and officers, and employment practices liability. The consultant has high monetary authority, works with minimal direction, and has considerable latitude in determining objectives and approaches, with direct supervision when needed. The role involves collaborating with business partners on claims and policy wording questions and developing and maintaining relationships with customers and business partners. It also serves as a subject matter authority in a particular line of business and may include coaching and mentoring team members.

Requirements

More than five years of appropriate claims-handling experience in the specific line of business, typically.
Demonstrated experience handling higher-severity and/or complex claims and litigation.
Proven experience analyzing and handling complex coverage issues.
In-depth knowledge of the insurance industry, claims, and the insurance legal and regulatory environment.
Excellent analytical, written communication, and verbal communication skills.
Ability to evaluate, analyze, and interpret information and demonstrate expertise in a particular line of business.
Ability to multitask and manage time and work effectively and independently.
Ability to direct attorneys in claims and litigation management.
Ability to present information effectively to senior leaders, claimants, and customers.
Acquire required federal and/or state licenses or registrations within the timeframe designated by the business unit; additional licenses or registrations may be required as products and services are implemented.
A valid credit check and/or background check is required as part of the selection process.

Nice To Haves

College degree preferred.
Juris Doctorate desired.
Specific and extensive knowledge in a particular line of business and/or additional education may be required by the hiring business unit.

Responsibilities

Investigate and evaluate coverage, liability, and damages to establish claim strategy, settlement, and file reserves within approved claims authority.
Evaluate claims promptly and appropriately, identifying and managing reserves in compliance with company standards.
Provide outstanding customer service through effective interactions with insureds, agents, and legal counsel.
Provide feedback on claim trends and development and give underwriters input on potential and existing insureds’ claim experience.
Assist in developing, coaching, training, and mentoring team members.
Maintain current knowledge of applicable insurance lines, regulations, relevant court decisions, guidelines, and policy changes or modifications; attend seminars and training sessions as needed.
Contribute to a collaborative environment through teamwork, motivation, positive behavior, and effort toward goals and objectives.
Act as a subject matter authority in a particular line of business or risk.
Perform other responsibilities as assigned.

Benefits

Medical, dental, and vision coverage
Life insurance
Short- and long-term disability coverage
Paid time off, with newly hired associates receiving a minimum of 18 days per full calendar year, prorated quarterly based on hire date
Nine paid holidays
Eight hours of Lifetime paid time off
Eight hours of Unity Day paid time off
401(k) with company match
Company-paid pension plan
Business casual attire