Description
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: Investigates, evaluates, and resolves claims of a more complex nature including litigation. Contact with external customers which involves maintaining, developing and influencing relationships with major customers or key individuals. Responsible for managing the work and performance of independent adjusters/investigators and defense counsel to achieve successful resolution of claims. Is responsible for meeting the expectations and requirements of internal and external customers.
RELATIONSHIP: Reports to Unit Manager.
JOB RESPONSIBILITIES:
1. Investigates, evaluates, and negotiates more severe and complex claims and litigation to a successful resolution and in compliance with company quality standards. The claims will primarily be Commercial General Liability, it may include products and completed operations and premises bodily injury exposures of a more complex and severe nature.
2. Responsible for managing the work and performance of independent adjusters/investigators and defense counsel to achieve successful resolution of claims.
3. Is responsible for meeting the expectations and requirements of internal and external customers.
4. May assist in the development, coaching, training and mentoring of individual team members. May act as a subject matter expert in a particular line of business or risk.
5. Responsible for developing and maintaining open and trusting working relationships with insureds in order to gather pertinent information.
6. Responsible for timely and appropriate evaluation of claims to identify and manage reserves in compliance with Company standards.
7. Maintains current knowledge of: all insurance lines; 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.
8. Performs other related duties as assigned.
Requirements
JOB REQUIREMENTS:
Education: High School Diploma or GED required. College degree preferred
Experience: Five to ten years prior experience as a Sr. Claims Representative or five to ten years prior insurance claims or comparable work experience required. Prior experience in directing defense counsel required. Prior experience with complex coverage issues and reinsurance reporting preferred. Prior multi-jurisdictional and E&S experience 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.
Knowledge: Specific knowledge in a particular line of business and/or additional education may be required by the hiring business unit. Familiarity with various types of insurance policies preferred.
Skills/Competencies: Ability to analyze facts and coverages in order to evaluate damages. Ability to direct independent adjusters and attorneys in claims and litigation management. Proven ability in customer service required. Ability to communicate interpersonally with individuals and groups, via the telephone and in writing. Ability to communicate effectively with a wide variety of technical/professional clients. Ability to develop and maintain open and trusting working relationships with insureds in order to gather pertinent information.
Values: Regularly and consistently demonstrates the Nationwide Values and Guiding Behaviors.
Staffing Exceptions to the above minimum job requirements must be approved by the: Director, and HR Consultant.
JOB CONDITIONS:
Overtime Eligibility: Not Eligible (Exempt).
Working Conditions: Normal office environment. Some 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 December 2006 VAY
Job Function/Family: CLM/ESCL
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.
To apply or learn more about us visit 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.
