Nationwide Columbus , OH 43216
If you're passionate about becoming a Nationwide associate and believe you have the potential to be something great, let's talk.
Number 54 on the Fortune Magazine 100 Best Places to Work.
JOB SUMMARY: Promotes and provides "On Your Side" customer service.
Analyzes, reviews and adjusts commercial casualty claims predominantly of the most serious and complex nature requiring investigation, property damage evaluation and negotiations. Handles suit files to conclusion and oversees the activities of defense counsel. Responsible for the disposition of claims in accordance with prescribed authority. May provide advice, counsel and training to Claims representatives.
RELATIONSHIP: Reports to Reports to Commercial Claims Manager/Director
DIRECT REPORTS: None
Handles to conclusion the most serious and complex commercial bodily injury and/or property damage claims. Makes decisions within maximum authorization; recommends settlement values in the disposition of serious and complex claims. Adheres to high standards of professional conduct while providing delivery of superior claims service.
Plans and executes all time schedules necessary to promptly and effectively apply best claims practices to conclude all assigned cases in accordance with company guidelines.
Utilizes various methods of settlement in those cases where warranted. Assigns cases within to outside vendors as warranted.
Provides reserve analysis to ensure timely and accurate case reserves in accordance with Best Claims Practices.
Maintains current knowledge of: assigned insurance lines; court decisions which may impact the claims function; current guidelines in the claims function; and policy changes and modifications. This may require attendance at various seminars or training session
May provide advice, counsel, and training to Claims Representatives of all levels. Provides specialized training and consultation to non-claims areas as requested.
Creates and analyzes severe incident reports, reinsurance reports and other information to home office, claims management, and underwriting.
Oversees defense counsel in all lawsuit activities from inception throughout the life of the claim.
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 On-Your-Side customer service experience to all internal, external, current and prospective Nationwide customers.
Other duties as assigned.
Education: Undergraduate degree or post-graduate studies preferred.
Licenses/Designations: State licensing where required. Successful completion of required/applicable claims certification training/classes.
Experience: Eight years commercial casualty claims handling experience preferred.
Proven superior knowledge of best claims practices used to resolve the most severe and complex bodily injury and property commercial claims.
Proven knowledge of insurance contracts, medical terminology and legal aspects of court procedures affecting legal liability for all lines of insurance. Ability to operate various claims systems and related software.
Skills/Competencies: Proven ability to meet customer needs and provide exemplary service by informing customers of the claims process and ensuring a positive customer experience.
Analytical skills to make independent decisions and resolve conflict in such areas as application of coverage to submitted claims, application of laws of jurisdiction to investigation facts, application of policy exclusions and exceptions. Ability to coordinate with defense counsel in the handling of cases involving serious and sometimes complex liability issues from inception through trial. Command of written and verbal communication skills for contact and/or negotiation.
Organizational skills to effectively establish work priorities in accordance with objectives and standards. Ability to operate PC and related software.
Values: Regularly and consistently demonstrates the Nationwide Values and Guiding Behaviors.
Staffing Exceptions to the above Minimum Job Requirements must be approved by: Business Unit Executive and Human Resources.
Working Conditions: Normal office or field claims environment.
May require ability to sit and use telephone and personal computer for extended periods of time. Representatives must be able to operate an automobile and have a valid driver's license with a safe driving record. Must be able to make physical inspections of accident scenes and property loss sites.
Must be able to climb ladders, balance at various heights, stoop, bend and/or crawl to inspect vehicles and structures. Must be able to work out-of-doors in all types of weather. Must be able and willing to work irregular hours and to travel with possible overnight requirements.
May be on-call. Must be available to work catastrophes (CAT).
Credit/Background Check: Due to the fiduciary accountabilities within this job, a valid credit check and/or background check will be required as part of the selection process.
ADA: The above statements cover what are generally believed to be principal and essential functions of this job. Specific circumstances may allow or require some people assigned to the job to perform a somewhat different combination of duties.
Job Evaluation Activity: Edited 5/2/11 JTG
Additional Job Description
Job ID: 53271