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General Counsel Consulting

General Counsel
Consulting
provided
exceptional
service in helping
my organization
recruit for a hard
to fill position.
They did extensive
work on the front
end to understand
our needs and
our culture and
began referring
highly qualified
candidates almost
immediately.

Melinda Burrows
Deputy General Counsel
- Litigation and
Compliance, Progress
Energy Service Company
LLC

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Counsel Jobs > Insurance,Litigation/Attorney/In House/Columbus, Ohio Job in Ohio > Insurance,Litigation/Attorney/In House/Columbus, Ohio

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Insurance,Litigation/Attorney/In House/Columbus, Ohio

Refer job# POXU74621

Claims Specialist III, MD Central Services Duties: Investigates, evaluates, negotiates and brings to a final resolution the most complex personal lines material/physical damage Total Loss or Fire & Theft claims of a severe nature including extensive material damage and/or questionable liability. Promotes and provides "On Your Side" customer service. Responsible for the disposition of claims in accordance with prescribed authorization and according to claims best practices. Reports to Reports to Claims Manager. Handles to conclusion assigned claims with little to no direction and oversight which may include complex and catastrophic casualty losses. Handles to conclusion all assigned claims with little to no direction and oversight. Makes decisions within delegated authority, recommends settlement values in the disposition of serious and sometimes complex claims as outlined in company policies and procedures. Adheres to high standards of professional conduct consistent with the delivery of superior service. Authorizes and/or approves all claims payments within the delegated authority; recommends for approval all claims payments beyond delegated authority in accordance with company practices and procedures. Determines proper policy coverages, and where necessary, investigates, evaluates, negotiates and equitably settles all assigned cases at a fair dollar value commensurate with damages sustained in accordance with company policies and procedures. Adheres to high standards of professional conduct commensurate with the delivery of superior service. Opens, closes and adjusts reserves in accordance with company practices designed to ensure reserve adequacy. Recommends Special Reserves. Maintains current knowledge of: court decisions which may impact the claims function; current principles and practices in the claims function; material damage techniques and repair technology innovations; and policy changes and modifications. May be required to maintain knowledge of other functions within assigned discipline. This may require attendance at various seminars or training sessions. Serves as a mentor to less experienced claims associates and assists with training/presentations as assigned by claims management. Creates and analyzes severe incident reports, reinsurance reports and other information to home office, claims management, and underwriting. Partners with SIU and Subrogation to identify fraud and subrogation opportunities. Assists or prepares files for suit, trial, or subrogation. (Property/MD/Casualty). Consults claims staff and defense counsel for discovery processes, suit file/trial strategy as related to case-specific issues. Consults claims staff and defense counsel for discovery processes, suit file/trial strategy as related to case-specific issues. Delivers a positive On-Your-Side customer service experience to all internal, external, current and prospective Nationwide customers. REQUIREMENTS: Undergraduate degree or equivalent experience preferred. Advanced degrees in law or related discipline desired. Completion of required claims certification schools/courses. Professional development such as IIA or CPCU preferred. State licensing. 5+ years successful experience in customer service and/or claims handling required. Material/physical damage experience preferred. Related repair industry experience a plus. Knowledge of insurance theory and practices, insurance contracts and their application. Knowledge of causality claims best practices, medical terminology and the legal aspects of court procedures affecting legal liability for all lines of insurance. Excellent customer focus and proven ability to proactively meet customer needs. Analytical skills necessary to make decisions and resolve conflict in application of coverage, laws of jurisdiction to investigation facts, policy exclusions and exceptions. Ability to establish repair requirements and cost estimates for extensive losses and serves as a subject matter expert on respective claims projects. Proven organizational skills to effectively prioritize increased and more complex workloads. Demonstrates strong but flexible standards and can can be seen as balanced based on the conflicting demands of the position. Excellent written and verbal communication skills necessary to effectively communicate and/or negotiate with various audiences. Demonstrated leadership capabilities to effectively train, coach, and provide feedback to less experienced associates. Ability to meet customer needs and provide exemplary service by informing customers of the claims process and ensuring a positive customer experience. Proven analytical skills necessary to make decisions and resolve conflict in such areas as application of coverage to submitted claims, application of laws of jurisdiction to investigation facts, application of policy exclusions and exceptions. Proven ability to establish repair requirements and cost estimates for extensive material damage losses and serves as a subject matter expert on respective claims projects. Proven organizational skills to effectively prioritize increased and more complex workloads. Demonstrates strong but flexible standards and can act different, can be seen as balanced based on the conflicting demands of the position. Excellent written and verbal communication skills necessary to effectively communicate and/or negotiate with policyholders, claimants, repair persons, attorneys, agents, and general public. Demonstrated leadership capabilities to effectively train, coach, and provide feedback to less experienced associates. Proven ability to operate personal computer with proficient use of claims and business software.

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