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Sr. Claim Specialist - GL / Excess
at Scottsdale Insurance Company in Arizona
At Scottsdale Insurance Company, our vision starts with successful associates. We provide a vibrant, associate-friendly atmosphere with challenging work, leaders who value your contributions and the stability of being a market leader in the excess and surplus industry.
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. Strong background in Commercial General Liability and Excess/Umbrella needed. Works with claims divisional managers and directors to develop training plans and strategies for the claims division. May have limited to significant responsibility for the development, 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 Sr. Claim Manager, Director.
JOB RESPONSIBILITIES:
1. Acts as a subject matter expert in a particular line of business or risk.
2. Identifies technical training needs and develops action plans to meet those needs as required. May provide technical consultation/direction to all levels of claim professionals. Functions as a content expert to assist in developing training curricula.
3. Responsible for developing and maintaining open and trusting working relationships with general agents, producers, and key internal business partners.
4. Responsible for timely and appropriate evaluation of claims to identify and manage reserves in compliance with Company standards and reserving best practices.
5. 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.
6. 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.
7. May provide technical consultation/direction to complex claims which require the highest level of technical skill and expertise.
8. Provides specialized consultation to ensure proper attorney assignments, proper reserving, prompt and accurate reporting to reinsurance carriers, prompt and fair negotiations, and adequate preparation for trial, if necessary.
9. Monitors litigation trends and handling practices to ensure that lawsuits are handled in a consistent fashion. Maintains trial log for each line of business in different channels.
10. Designs specific Reservation Of Rights templates for use by technical associates across channels. Approves all Reservation Of Rights, disclaimers, tender/rejection/acceptance letters.
11. Assists in new product development and management. Provides claims handling expertise to new product development. Provides standardized processes for claims handling related to new products.
12. Liaisons with Reinsurance auditors to research and answer questions on specific claims.
13. 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.
14. Maintains pending which may focus on high-exposure claims, coverage issues, and/or new claims types.
15. Performs other related duties as assigned.
REQUIREMENTS:
Education:
Undergraduate education in insurance, business, management, or related fields. Advanced degree preferred.
Licenses/Registrations/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:
Ten 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.
Knowledge:
Special knowledge in a particular line of business and/or additional education may be required by the hiring business unit.
Skills/Competencies:
Much 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.
Values: Regularly and consistently demonstrates the Nationwide Values and Guiding Behaviors.
Staffing Exceptions to the above minimum job requirements must be approved by the: Officer, and HR Consultant.
JOB CONDITIONS:
Overtime Eligibility: Not Eligible (Exempt).
Working Conditions: Normal office environment. Travel as required.
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: Edited 1/04/05 - BVS
Job Function/Family: CLM/SCOT
We have an array of benefits to fit your needs, including: medical/dental, paid time off plus nine paid holidays, 401(k) with company match, company-paid pension plan, business casual attire, flexible work hours, on-site cafeteria, free underground parking and more.
Visit at scottsdaleins.com/jobs
Scottsdale Insurance Company is a wholly owned subsidiary of Nationwide®, benefiting from the backing of one of the largest insurance and financial service providers in the United States. EOE/M/F/D/V.
How to apply: DO NOT use the Apply Online button. Please copy and paste the following link into your browser address bar:
http://scottsdaleins.contacthr.com/16742095
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. Strong background in Commercial General Liability and Excess/Umbrella needed. Works with claims divisional managers and directors to develop training plans and strategies for the claims division. May have limited to significant responsibility for the development, 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 Sr. Claim Manager, Director.
JOB RESPONSIBILITIES:
1. Acts as a subject matter expert in a particular line of business or risk.
2. Identifies technical training needs and develops action plans to meet those needs as required. May provide technical consultation/direction to all levels of claim professionals. Functions as a content expert to assist in developing training curricula.
3. Responsible for developing and maintaining open and trusting working relationships with general agents, producers, and key internal business partners.
4. Responsible for timely and appropriate evaluation of claims to identify and manage reserves in compliance with Company standards and reserving best practices.
5. 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.
6. 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.
7. May provide technical consultation/direction to complex claims which require the highest level of technical skill and expertise.
8. Provides specialized consultation to ensure proper attorney assignments, proper reserving, prompt and accurate reporting to reinsurance carriers, prompt and fair negotiations, and adequate preparation for trial, if necessary.
9. Monitors litigation trends and handling practices to ensure that lawsuits are handled in a consistent fashion. Maintains trial log for each line of business in different channels.
10. Designs specific Reservation Of Rights templates for use by technical associates across channels. Approves all Reservation Of Rights, disclaimers, tender/rejection/acceptance letters.
11. Assists in new product development and management. Provides claims handling expertise to new product development. Provides standardized processes for claims handling related to new products.
12. Liaisons with Reinsurance auditors to research and answer questions on specific claims.
13. 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.
14. Maintains pending which may focus on high-exposure claims, coverage issues, and/or new claims types.
15. Performs other related duties as assigned.
REQUIREMENTS:
Education:
Undergraduate education in insurance, business, management, or related fields. Advanced degree preferred.
Licenses/Registrations/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:
Ten 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.
Knowledge:
Special knowledge in a particular line of business and/or additional education may be required by the hiring business unit.
Skills/Competencies:
Much 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.
Values: Regularly and consistently demonstrates the Nationwide Values and Guiding Behaviors.
Staffing Exceptions to the above minimum job requirements must be approved by the: Officer, and HR Consultant.
JOB CONDITIONS:
Overtime Eligibility: Not Eligible (Exempt).
Working Conditions: Normal office environment. Travel as required.
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: Edited 1/04/05 - BVS
Job Function/Family: CLM/SCOT
We have an array of benefits to fit your needs, including: medical/dental, paid time off plus nine paid holidays, 401(k) with company match, company-paid pension plan, business casual attire, flexible work hours, on-site cafeteria, free underground parking and more.
Visit at scottsdaleins.com/jobs
Scottsdale Insurance Company is a wholly owned subsidiary of Nationwide®, benefiting from the backing of one of the largest insurance and financial service providers in the United States. EOE/M/F/D/V.
How to apply: DO NOT use the Apply Online button. Please copy and paste the following link into your browser address bar:
http://scottsdaleins.contacthr.com/16742095
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