Complex Loss Casualty Claims Consultant

Nationwide Ohio , IL 61349

Posted 7 months ago

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.

  • The Field Consultant position will support the Commercial Casualty team. This will be considered a "Work from Home" opportunity, open to all recruiting locations.

Ideal candidate will have the following skills:

  • Strong technical expertise in Commercial Casualty Claims(GL, auto liability,etc)

  • Complex coverage knowledge

  • Policy interpretation

  • Contract interpretation

  • Legal theory and litigation management

  • Ability to oversee and direct multi-million dollar claims

  • Commercial casualty experience required

  • Multi-jurisdictional experience

  • This position is a compensation grade/payband G4.

JOB SUMMARY: Handles to conclusion the most serious and complex litigated and non-litigated commercial bodily injury and GLPD damage claims.

Provides technical assistance and consultation to state/regional leadership and claim associates.

Job Description

REPORTING RELATIONSHIPS: Reports to Manager or Director; no direct or indirect reports.

CORE JOB DUTIES & RESPONSIBILITIES:
1.Handles to conclusion the most serious and complex litigated and non-litigated commercial bodily injury and GLPD damage claims.

Provides technical assistance and consultation to state/regional leadership and claim associates. Adheres to high standards of professional conduct while providing the delivery of superior claim service. Required to handle $500,000 and above losses, complex coverage, and high profile / severity losses as requested regardless of dollar exposure. These losses are throughout the country requiring travel and overnight stays.
2.As necessary, conducts on-site field investigations of large exposure third party commercial claims. Attends mediations and trials.
3.Provides reserve analysis to ensure timely and accurate case reserves in accordance with Best Claims Practices
4.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.
5.Serve as a mentor for selected Claim Associates to develop Commercial Casualty technical knowledge.
6.Creates large loss notifications, claim analysis reports, reinsurance reports, and other information to home office, claims management, underwriting, and product.

Leads or serves on various project teams as assigned based on business need

Assists Underwriting and Product in the review and development of new or existing policy language.
7.Participate in Commercial Technical School training classes.Participate in Quality Assurance reviews
8.Provides advice, counsel, and training to Field Operations.Recommends various methods of dispute resolution and settlement in those cases where warranted.
9.Delivers a positive On-Your- Side customer service experience to all internal, external, current and prospective Nationwide customers.
10. Performs other duties as assigned.

MINIMUM JOB REQUIREMENTS:

Education: Undergraduate degree or post-graduate studies preferred

License/Certification/Designation:State licensing where required. Successful completion of required /applicable claims certification training/classes

Experience: 10+ years of commercial large loss / Litigation experience

Knowledge:
Proven superior knowledge of best claims practices used to resolve the most severe and complex commercial claims.

Proven knowledge of insurance contracts, contract, 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.

Values: Regularly and consistently demonstrates the Nationwide Values and Guiding Behaviors.

Staffing Exceptions to the above Minimum Job Requirements must be approved by the: hiring manager's leader and HRBP.

JOB CONDITIONS:

Overtime Eligibility: Not Eligible (Exempt)

Working Conditions: Normal office or field claims environment. Must be able and willing to work irregular hours and to travel with possible overnight requirements.

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: Created 8/14/15 CSB

Additional Job Description



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Complex Loss Casualty Claims Consultant

Nationwide