Claims Specialist III - Management Specialty Lines
$88k - $164kNationwide
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Job Description Summary
JOB SUMMARY: Investigates, evaluates, and negotiates claims to a successful resolution in support of Freedom Specialty lines of business which include: Errors and Omissions, Directors and Officers, EPLI, and other specialty lines/risks. File inventory includes mostly litigated claims of high complexity and severity in terms of coverage and/or exposure. Associates at this level have high monetary authority. Responsible for managing the work and performance of vendors to achieve successful resolution of claims. Has contact with internal and external customers which involve maintaining, developing, and influencing relationships. Responsible for meeting the expectations and requirements of internal and external customers. Work is performed without appreciable direction and with supervision as needed. Exercises considerable latitude in determining objectives and approaches to assignment.Job Description
REPORTING RELATIONSHIPS: Reports to Claims Director, Freedom Specialty or AVP
CORE JOB DUTIES & RESPONSIBILITIES:
1. Effectively investigates and evaluates coverage, liability and damages to set an appropriate claim strategy, settlement and file reserves.
2. Provides timely and appropriate evaluation of claims to identify and manage reserves in compliance with Company standards.
3. Delivers superior customer service and satisfaction through effective interactions with insured, agents, and legal counsel.
4. Assist in the development, coaching, training and mentoring of individual team members. Act as a subject matter expert in a particular line of business or risk.
5. Maintains current knowledge of applicable lines of insurance, 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 and training sessions.
6. Contributes to a collaborative environment by consistently demonstrating teamwork, high motivation, positive behavior and effort to achieve goals and objectives.
Acts as a subject matter expert in a particular line of business or risk.
7. Performs other related duties as assigned.
MINIMUM JOB REQUIREMENTS:
Education: College degree required. Juris Doctorate preferred.
License/Certification/Designation: Associates must obtain 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 obtain required licenses/registrations within the time period designated by the business unit, the associate will be ineligible to continue in the position.
Experience: Appropriate claims handling experience in specific line of business typically acquired through 5+ years experience. Proven experience handling and/or managing higher severity and/or complex claims and litigation required. Proven experience analyzing and handling complex coverage issues.
Knowledge: Specific and expert knowledge in a particular line of business and/or additional education may be required by the hiring business unit. In-depth knowledge of the insurance industry, claims and the insurance legal and regulatory environment.
Skills/Competencies: Demonstrates aptitude in evaluating, analyzing and interpreting information; demonstrates expertise in particular line of business; excellent analytical skills; excellent written and verbal communication skills; the ability to multi-task; excellent time management and organizational skills; the ability to work independently; the ability to effectively and efficiently manage all responsibilities; the ability to direct attorneys in claims and litigation management; the ability to effectively present information to senior leaders, claimants and customers.
Values: Regularly and consistently demonstrates the Nationwide Values and Guiding Behaviors.
Staffing Exceptions to the above Minimum Job Requirements must be approved by the: Vice President and Human Resources.
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 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.
Job Evaluation Activity: 6/2014 AL
Benefits
We have an array of benefits to fit your needs, including: 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, and more. To learn more about the benefits we offer, click here.
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.
#claimsFor NY residents please review the following state law information: Notice of Employee Rights, Protections, and Obligations LS740 (ny.gov)
NOTE TO EMPLOYMENT AGENCIES:
We value the partnerships we have built with our preferred vendors. Nationwide does not accept unsolicited resumes from employment agencies. All resumes submitted by employment agencies directly to any Nationwide employee or hiring manager in any form without a signed Nationwide Client Services Agreement on file and search engagement for that position will be deemed unsolicited in nature. No fee will be paid in the event the candidate is subsequently hired as a result of the referral or through other means.
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 Specialist III - Management Specialty Lines : $88,000.00-$164,000.00The expected starting salary range for Claims Specialist III - Management Specialty Lines : $88,000.00 - $132,000.00$90k - $100k
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