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Claims Consultant - Management Specialty Lines

Claims Consultant - Management Specialty Lines

NationwideSan Diego, CA, US
2 days ago
Job type
  • Full-time
  • Part-time
Job description

Claims Specialist

If you're passionate about helping people protect what matters most to them, 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 are at the center of everything we do and we're looking for associates who are passionate about delivering extraordinary care.

A sign on bonus will be given to all external candidates hired into this role. The bonus is paid in the first pay period after 30 days of employment.

Work Environment : The location of this position is flexible and open to virtual and / or remote based applicants.

The ideal candidate will have :

  • Ideal Candidates will have a JD.
  • Prior experience navigating Management Liability Specialty Claims.
  • Prior experience working with an insurance carrier.

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 and non-litigated claims. As a Claims Specialist, you'll investigate, evaluate and negotiate claims to successful resolution. This role supports the management liability and specialty lines of business, including errors and omissions, directors and officers and employment practices liability, among others. Claim files will include litigated and non-litigated matters of moderate complexity and severity in terms of exposure and coverage. You'll have moderate monetary authority and work under general supervision and monitoring. 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.

Key Responsibilities :

  • Investigates and evaluates coverage, liability and damages to set an appropriate claim strategy, settlement and file reserves within approved claims authority.
  • Analyze coverage and provide comprehensive coverage analysis and claim resolution strategies.
  • 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.
  • Provide feedback on claim trends and development. Provide input to underwriters on review of potential and existing insured's claim experience.
  • May assist in the development, coaching, training and mentoring of individual team members. May act as a subject matter authority in a specific line of business or risk.
  • Maintains current knowledge of applicable lines of insurance, insurance regulations, court decisions which may impact the claims function, current guidelines and policy changes and modifications. This may require attending various seminars and training sessions.
  • Contributes to a collaborative environment by consistently demonstrating teamwork, high motivation, positive behavior and effort to achieve goals and objectives.
  • May perform other responsibilities as assigned.

    Reporting Relationships : Reports to Claims Director, Freedom Specialty

    Typical Skills and Experience :

    Education : College degree preferred. Juris Doctorate desired.

    License / Certification / Designation : Associates must acquire the required federal and / or state licenses / registrations within the time period designated by the business unit. Additional licenses / registrations may be required when new products and services are implemented. If an associate fails or is unable to acquire required licenses / registrations within the designated time period the associate will be ineligible to continue in the position.

    Experience : Claims handling experience typically acquired through three to five years of experience. Prior experience in directing defense counsel required. Specific experience in a specific line of business may be required by the hiring business unit.

    Knowledge, Abilities and Skills : Specific knowledge in a particular line of business and / or additional education may be required. Demonstrates aptitude in evaluating, analyzing and interpreting information; demonstrable expertise in specific line of business; excellent analytical skills; excellent written and verbal communication skills; ability to multi-task; excellent time management and organizational skills; ability to work independently; ability to effectively and efficiently manage all responsibilities; ability to direct attorneys in claims and litigation management.

    Other criteria, including leadership skills, competencies and experiences may take precedence.

    Staffing exceptions to the above must be approved by the Vice President and HR Business Partner.

    Values : Regularly and consistently demonstrates the Nationwide Values.

    Job Conditions :

    Overtime Eligibility : Not Eligible (Exempt)

    Working Conditions : Normal office environment.

    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.

    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.

    This position could be filled within any of the lower 48 U.S. states.

    Nationwide is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive culture where everyone feels challenged, appreciated, respected and engaged. Nationwide prohibits discrimination and harassment and affords equal employment opportunities to employees and applicants without regard to any characteristic (or classification) protected by applicable law.

    Nationwide pays on a geographic-specific salary structure and placement within the actual starting salary range for this position will be determined by a number of factors including the skills, education, training, credentials and experience of the candidate; the scope, complexity and location of the role as well as the cost of labor in the market; and other conditions of employment. If a Sales job, Sales Incentives, based on performance goals are possible in addition to this range. Note on Compensation for Part-Time Roles : Please be aware that the salary ranges listed below reflect full-time compensation. Actual compensation may be prorated based on the number of hours worked relative to a full-time schedule. The national salary range for Claims Consultant - Management Specialty Lines : $95,000.00-$197,000.00. The expected starting salary range for Claims Consultant - Management Specialty Lines : $106,000.00 - $158,000.00

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