Completes detailed review and analysis of claims. Investigates liability and damages.
Brings files to closure, either by voluntary dismissals or by negotiation of settlements.
Resolves amount of appropriate settlements or grounds for denial. Assists in the drafting of settlement documents.
Provides reserve analysis to ensure timely and accurate case reserves in according to optimal claims practices.
Negotiates cost sharing agreements between other insurance carriers and policyholders.
Maintains current knowledge of assigned insurance lines, court decisions which may impact the claims function, current guidelines and policy changes and modifications. This may require attendance at various seminars or training session
Creates and analyzes severe incident reports, reinsurance reports and other information to corporate office, Claims Management and Underwriting.
Performs continuous review of claims inventory. Prepares appropriate internal reports, memos and analysis on a regular basis.
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.
Serves as company witness on coverage position at depositions. Attends mediation sessions in attempt to resolve claims. Prepares legal audits at various law firms.
Provides advice, counsel and training to Claims Representatives of all levels. Provides specialized training and consultation to non-claims areas as requested.
Delivers a positive customer service experience to all internal, external, current and prospective Nationwide customers.
Serves as lead Claims representative in area of specialty. Serves as back-up to claims management. Assists with selection and training of new representatives.
May perform other responsibilities as assigned.
Reporting Relationships: Reports to Claims Manager/Director.
Typical Skills and Experiences:
Education: Undergraduate degree in related field preferred. Post-graduate studies preferred.
License/Certification/Designation: State licensing where required. Relevant professional designations or certifications desirable (CPCU, CLU, IIA, AEI, etc.)
Experience: Eight years of specialty claims experience preferred.
Benefits
Remote work options
Additional Information
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.
Work Environment: This opportunity can be staffed in any of our office locations or fully remote.
What to expect: This claims professional will investigate and maintain specialty claims - primarily silica claims; and possibly some asbestos and other toxic tort.
Participates in claim reviews, claim roundtables and other meetings with other claims representatives and management to discuss issues and emerging trends in toxic tort litigation .
Reviews and gives input in all levels to case strategy in each case. Ensures that defense counsel complies with Nationwide guidelines and expectations .
Adopts and implements strategic litigation initiatives, such as tolling agreements, resolution of lung cancer cases, motion practice, group settlements or other alternate means of resolving cases
An ideal candidate will have the following:
Environmental claims experience is a highly preferred.
Technical Knowledge: environmental dangers or environmental legal cases
Additional experience in silica or asbestos claims experience is a plus.
(Internal Use Only) Compensation Grade: G3
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Job Description Summary
Our team handles some of the most unique and interesting insurance claims at Nationwide. Do you have deep insurance industry knowledge, good negotiation skills and understand litigation? If you like variety in your work, have desire to collaborate and bring fair resolution to sophisticated specialty claims, we want to hear from you!
As a Claims Consultant, you'll work within broad limits and authority on specialty claims assignments of the highest technical complexity and coordination. We'll count on you to investigate and maintain specialty claims - asbestos, toxic tort and/or pollution or sexual molestation.
Job Description
Nationwide · Remote