Investigates and evaluates coverage, liability and damages to set an appropriate claim strategy, settlement and file reserves for the most serious and complex claims 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.
Develops, coaches, trains and mentors individual team members. Acts as top level subject matter authority in specialty line claims. Identifies and develops training plans and strategies for the division.
Maintains current knowledge of multiple coverage lines, venue-specific court decisions which may impact the claim function, current guidelines, and policy changes and modifications.
Provide feedback on claim trends and development. Provide input to underwriters on review of potential and existing insured's claim experience.
Contributes to a collaborative environment by consistently demonstrating teamwork, motivation, positive behavior and effort to achieve goals and objectives.
Provides top level consultation/direction to claims leadership, peers and other business partners about severe specialty claims issues, coverage, or risks.
Recommends changes to business leadership. Provides implementation strategies and coordinates execution processes in product development and management for specialty lines of business. Provides claim handling expertise to new product development.
Provides standardized processes for claims handling related to new products. Assists in developing business plans to ensure claims quality results.
Provides associate performance management, salary planning and administration, training and development, workflow and organizational planning, hiring and placement and disciplinary actions of contributing staff.
May perform other responsibilities as assigned.
Reporting Relationships: Reports to Claims Director or Associate Vice President
Typical Skills and Experiences:
Education: College degree preferred. Juris Doctorate desired
Experience: Ten years of prior insurance experience preferred. Proven experience investigating and resolving severe complex litigated claims. Confirmed experience analyzing and handling sophisticated coverage issues. Specific
Benefits
Vision insuranceRemote work optionsFlexible schedule
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.
Location: The location of this position is flexible and open to virtual and/or remote based applicants.
What to Expect: This role is an individual contributor role. Although it doesn't immediately involve leadership responsibilities, there is potential in the future for the role to grow and change.
Ideal Candidates will have: Surety Claims and/or strong Construction Litigation experience highly preferred. JD preferred.
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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 claims of the highest level of complexity and severity in terms of exposure and coverage.
As a Senior Claims Consultant, you'll investigate, evaluate and negotiate claims to a successful resolution. This role supports management liability and specialty lines of business including surety liability, error and omissions, directors and officers and employment practices liability, among others. Claim files will include litigated accounts of the highest complexity and severity, and of significant value to the organization. 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. You'll have opportunities to be a subject matter authority and collaborate with internal business partners to develop and implement claims strategies.
Job Description
Nationwide · Remote