Sr Claims Spec - E&S Specialty (Private Client)
Location:
Scottsdale , Arizona
Posted:
October 21, 2017
Reference:
1267446170
#claims

***This is a Sr. Claims Specialist for Private Client. This position will be located in our Scottsdale, AZ office.

+ NWPC is a maturing organization that needs a strong technical Claim Professional to help grow with the Company as we sell complex Personal Lines coverages with unique exposures including $10-25 million Excess policies, sophisticated Clientele with significant assets, D&O, complex injury and personal injury litigation.

+ We are seeking a Claim Professional who also has the capabilities of providing technical consultation: acts as a subject matter Casualty expert. Is responsible for assisting management in the organizational oversight of claim files, delivers timely, meaningful and effective consultative advice, and contributes to the NWPC Claims attainment of High Qualify Claim Outcomes.

+ Responsible for the review and approval of Casualty coverage letters to ensure the consistency and accuracy of coverage positions asserted by the NWPC Claims. Performs Operational Technical Role in working with Claim Managers and Directors to develop training plans and strategies for NWPC Claims. Identifies, evaluates and communicates trending observations and recommendations concerning risks, opportunities and emerging issues (industry, legal and regulatory) relevant to the NWPC Claims/Underwriting Divisions.

JOB SUMMARY: Primarily responsible for investigating, evaluating and resolving claims and lawsuits of the most severe and complex nature, or from a specialty line or program of significant value to the organization.. File inventory typically includes litigation, complex coverage issues and average claim reserves of $250k up to $10 mil. Works with claims divisional managers and directors to develop training plans and strategies for the claims division. Responsible for coaching, training and mentoring of individual team members. Acts as a subject matter expert in a particular line of business or risk. Works with General Agents, and internal business partners to maintain, develop and influence relationships with major customers or key individuals.

RELATIONSHIP: Reports to Director

JOB RESPONSIBILITIES:

+ Investigates, evaluates, and resolves claims and lawsuits of a more severe and complex nature, or from a specialty line or program of significant value to the organization. Acts as a subject matter expert in a particular line of business or risk.

+ Responsible for managing the work and performance of vendors to achieve successful resolution of claims.

+ Responsible for developing and maintaining open and trusting working relationships with general agents, producers, and key internal business partners.

+ Responsible for timely and appropriate evaluation of claims to identify and manage reserves in compliance with Company standards and reserving best practices.

+ Maintains current knowledge of: multiple coverage lines; venue specific 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.

+ Reviews and analyzes files to ensure adherence to Division guidelines and claims handling best practices. Reviews claims quality results to identify coverage trends and to ensure consistency in policy interpretation. Recommends training or other appropriate action.

+ Performs other related duties as assigned.

JOB REQUIREMENTS:

Education: Undergraduate education in insurance, business, management, or related fields. Advanced degree preferred. Undergraduate degree or post-graduate degree preferred.

Licenses/Designations: 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. Completion of insurance courses such as IIA, AEI, or CPCU preferred.

Experience: 7-10 years prior insurance experience required, including a minimum of three years as a Claim Specialist. Proven experience handling and/or managing higher severity and/or complex claims and litigation required. Proven experience analyzing and handling complex coverage issues. Specific experience in a particular line of business may be required by the hiring business unit.

Knowledge: Specific knowledge in a particular line of business and/or additional education may be required by the hiring business unit.

Skills/Competencies: Must be able to effectively communicate and interact with other claim professionals in a leadership capacity. This includes the ability to maintain open and trusting working relationships while teaching, coaching and mentoring other claim professionals in a compassionate and empathetic manner. Ability to develop and maintain open and trusting working relationships with insureds in order to gather pertinent information. Has the ability to effectively manage conflict and practices attentive and active listening. Ability to work independently and deal with ambiguity. Ability to present to all levels of management.

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

Staffing Exceptions to the above minimum job requirements must be approved by the: VP and HR VP.

JOB CONDITIONS:

Overtime Eligibility: Not Eligible (exempt)

Working Conditions: Normal office environment. Travel as necessary.

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: 12/2012 CB, PYC

Job Function/Family: CLM/ESC

IND123

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