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Nationwide · 1 month ago

Consultant, Claims - Indemnity Specialty

United States

Full-time

Remote

Senior Level, Lead/Staff

8+ years exp

Nationwide is a company dedicated to helping people protect what matters most to them, and they are seeking a Claims Consultant to manage specialty claims of high technical complexity. The role involves investigating claims, negotiating settlements, and providing training to other claims representatives.

BankingFinancial ServicesInsuranceLife Insurance

Responsibilities

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

Qualification

Toxic tort claimsPollution claimsLitigation managementProduct liability claimsClaims negotiationInsurance contracts knowledgeCustomer serviceTraining skillsCommunication skills

Required

Demonstrated experience handling toxic tort and/or pollution bodily injury and property damage claims, including evaluation, negotiation, and resolution

Proven ability to manage toxic tort and/or pollution bodily injury and property damage litigated files, including collaboration with defense counsel, strategy development, and oversight of litigation budgets and outcomes

Proven superior knowledge of the best claims practices used to resolve the most severe and technically complex claims

Demonstrated knowledge of insurance contracts and legal aspects affecting regulatory and liability issues that relate to environmental and other specialty claims

Proven ability to meet customer needs and provide outstanding service by informing customers of the claims process and ensuring a positive customer experience

Ability to lead and train employees in all aspects of specialty claims review

Advanced verbal and written communication skills for interaction with technical professionals, insureds, federal agencies, the legal profession and other insurance companies

Ability to handle and prioritize multiple assignments

Preferred

Exposure to product liability claims, particularly those involving complex coverage issues or high-severity losses

Undergraduate degree in related field preferred

Post-graduate studies preferred

Eight years of specialty claims experience preferred

Relevant professional designations or certifications desirable (CPCU, CLU, IIA, AEI, etc.)

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

Glassdoor3.9

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.

Founded in 1925

Columbus, Ohio, USA

10001+ employees