Nationwide · 1 day ago
Claims Consultant, Casualty - E&S/Specialty (Large Loss, Coverage)
United States
Full-time
Remote
Senior Level
$93K/yr - $192K/yr
5+ years exp
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Responsibilities
Resolves claims and lawsuits of a more severe and complex nature, or from a specialty line or program of significant value to the organization. Acts as a subject matter authority in a particular line of business or risk.
Identifies technical training needs and develops action plans to meet those needs. May provide technical consultation/direction to all levels of claim professionals. Functions as a content specialist to assist in developing training curricula.
Builds and maintains open and trusting working relationships with general agents, producers and key internal business partners.
Evaluates claims, in a timely manner, to identify and manage reserves according to company standards and best reserving practices.
Maintains current knowledge of multiple coverage lines, venue-specific court decisions which may impact the claim function, current guidelines in the claims function and policy changes and modifications. This may require attending various seminars and training sessions.
Reviews and analyzes files to ensure adherence to Division guidelines and best claims handling practices. Reviews claims quality results to identify coverage trends and to ensure consistency in policy interpretation. Recommends training or other appropriate action.
Provides consultation/direction to complex claims requiring the highest level of technical skill and expertise.
Ensures appropriate attorney assignments, proper reserving, prompt and accurate reporting to reinsurance carriers, prompt and fair negotiations and adequate trial preparation, if necessary.
Monitors litigation trends and claim handling practices to ensure lawsuits are handled in a consistent fashion. Maintains trial log for each line of business.
May designs specific reservation of rights templates for use by technical associates across channels. Approves all reservations of rights, disclaimers, tender/rejection/acceptance letters.
Provides claims handling expertise to new product development. Provides standardized processes for claims handling related to new products.
Qualification
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Required
5 plus years of claims handling experience; specifically, commercial general liability (CGL).
Experience using the CG 00 01 coverage form.
Demonstrated knowledge navigating claims involving Coverage A - Bodily Injury and Property Damage Liability, Coverage B - Personal and Advertising Injury Liability, Commercial Excess/Umbrella and Liquor Liability.
Demonstrated litigation management experience required.
Multi-jurisdictional experience, especially east coast is a plus.
Undergraduate education in insurance, business, management, or related fields.
Associates must acquire the required federal and/or state licenses/registrations within the time period designated by the business unit.
Proven experience handling higher severity and/or complex claims and litigation required.
Proven experience analyzing and handling complex coverage issues.
Proven knowledge of the best claims practices used to resolve severe claims practices.
Confirmed knowledge in a particular line of business and/or additional education may be required by the business unit.
Proven analytical skills to make independent decisions and resolve conflict in application of coverage to submitted claims, application of laws of jurisdiction to investigation facts, application of policy exclusions and exceptions.
Must be able to effectively communicate and interact with other claim professionals in a leadership capacity.
Ability to build and maintain open and trusting working relationships with insureds in order to gather pertinent information.
Has the ability to effectively manage conflict and practices active listening.
Ability to work independently and deal with ambiguity.
Ability to present to all levels of management.
Preferred
Advanced degree preferred.
Completion of insurance courses such as IIA, AEI, or CPCU preferred.
Eight or more years prior insurance experience preferred.
Specific experience in a particular line of business may be required by the hiring business unit.
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
Company
Nationwide
Nationwide, a Fortune 100 company based in Columbus, Ohio, is one of the largest and strongest diversified insurance and financial services organizations in the United States.
10,001+ employees
Funding
Current Stage
Late StageLeadership Team
Jim Fowler
Chief Technology Officer
Ramon Jones
Executive Vice President and Chief Marketing Officer
Recent News
2024-11-08
Google Patent
2024-11-08
EIN Presswire
2024-11-01
Company data provided by crunchbase
