Claims Specialist III - Management Specialty Lines (Healthcare/Senior Living Facilities)

Nationwide•New York, NY

3d•$88,000 - $164,000

About The Position

If you’re passionate about helping people protect what matters most to them at a Fortune 100 company with nearly $70 billion in annual sales, as well as innovating and simplifying processes and operations to provide the best customer value, then Nationwide’s Property and Casualty team could be the place for you! At Nationwide®, “on your side” goes beyond just words. Our customers and partners are at the center of everything we do and we’re looking for associates who are passionate about delivering extraordinary care. We are looking for a motivated and talented individual to join our growing Healthcare/Senior Living claims team. As a Claims Specialist III, you will be handling complex and high exposure primary Healthcare/Senior Living claims from inception to conclusion. As an individual contributor, your role will include overall investigation and management of complex claims in multiple jurisdictions. An ideal candidate would have claim handling and/or prior litigation experience. Job Description Summary 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. As a Claims Specialist, 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. Claim files will include litigated and non-litigated matters of moderate complexity and severity in terms of exposure and coverage. You'll have moderate monetary authority and work under general supervision and monitoring. 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

Education: College degree preferred. Juris Doctorate desired.
License/Certification/Designation: 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.
Experience: Claims handling experience typically acquired through three to five years of experience. Prior experience in directing defense counsel required. Specific experience in a specific line of business may be required by the hiring business unit.
Knowledge, Abilities and Skills: Specific knowledge in a particular line of business and/or additional education may be required. Demonstrates aptitude in evaluating, analyzing and interpreting information; demonstrable expertise in specific line of business; excellent analytical skills; excellent written and verbal communication skills; 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.

Responsibilities

Investigates and evaluates coverage, liability and damages to set an appropriate claim strategy, settlement and file reserves within approved claims authority.
Analyze coverage and provide comprehensive coverage analysis and claim resolution strategies.
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.
May assist in the development, coaching, training and mentoring of individual team members.
May act as a subject matter authority in a specific line of business or risk.
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.
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