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Our team handles some of the most unique and interesting insurance claims at Nationwide. Do you have deep insurance industry knowledge, good negotiation skills and understand litigation? If you like variety in your work, have desire to collaborate and bring fair resolution to sophisticated specialty claims, we want to hear from you! As a Claims Consultant, you'll work within broad limits and authority on specialty claims assignments of the highest technical complexity and coordination. We'll count on you to investigate and maintain specialty claims - asbestos, toxic tort and/or pollution or sexual molestation.
Job Responsibility
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
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
Requirements
Demonstrated experience handling toxic tort with emphasis on asbestos and/or silica bodily injury claims, including evaluation, negotiation, and resolution
Proven ability to manage toxic tort bodily injury litigated files, including collaboration with defense counsel, strategy development, and oversight of litigation budgets and outcomes
Undergraduate degree in related field preferred
Post-graduate studies preferred
State licensing where required
Relevant professional designations or certifications desirable (CPCU, CLU, IIA, AEI, etc.)
Eight years of specialty claims experience preferred
Proven superior knowledge of the best claims practices used to resolve the most sever 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
Nice to have
Exposure to product liability claims, particularly those involving complex coverage issues or high-severity losses
What we offer
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