Field Consultant, CLESS (Construction Defect)

Job Description Summary

Do you have a strong desire to resolve insurance claims by providing prompt, courteous and fair service to customers? Are you a skilled investigator, negotiator and communicator? If you thrive in an environment where you can problem-solve claims resolution, while following processes that provide fair resolution, customer satisfaction and cost management, then we want to hear from you!

As a Field Consultant, we’ll count on you to promote and provide exemplary customer service. You’ll analyze, review and adjust commercial casualty claims, most of which are of a serious and complex nature. We’ll need you to investigate and evaluate property damage and negotiation resolutions. You’ll handle lawsuit files and oversee defense counsel activities. You’ll be responsible for the disposition of claims, according to your prescribed authority. In addition, you’ll have opportunities to provide advice, counsel and training to Claims representatives.
Job Description

Key Responsibilities:

Responsible for the most serious and complex commercial bodily injury and/or property damage claims. Makes decisions within maximum authorization; recommends settlement values in the disposition of serious and complex claims. Adheres to high standards of professional conduct while delivering superior claims service.

Plans and meets all deadlines necessary to promptly and effectively apply best claims practices to resolve all assigned cases in accordance with company guidelines.

Uses various methods of settlement in cases where warranted. Assigns cases to outside vendors as warranted.

Provides reserve analysis to ensure timely and accurate case reserves in accordance with best claims practices.

Maintains current knowledge of assigned 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 or training sessions.

May provide advice, counsel and training to Claims representatives of all levels. Provides specialized training and consultation to non-claims areas as requested.

Creates and analyzes severe incident reports, reinsurance reports and other information to home office, claims management, and underwriting.

Oversees defense counsel in all lawsuit activities throughout the life of the claim.

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.

May perform other responsibilities as assigned.

Reporting Relationships: Reports to Commercial Claims Manager/Director. Direct and indirect reports not typically assigned.

Typical Skills and Experiences:

Education: Undergraduate degree or post-graduate studies preferred.

License/Certification/Designation: State licensing where required. Successful completion of required/applicable claims certification training/classes.

Experience: Eight years commercial casualty claims handling experience preferred.

Knowledge, Abilities and Skills: Superior knowledge of best claims practices used to resolve the most severe and complex bodily injury and property commercial claims. Knowledge of insurance contracts, medical terminology and legal aspects of court procedures affecting legal liability for all lines of insurance. Ability to operate various claims systems and related software. Proven ability to meet customer needs and provide exemplary service by informing customers of the claims process and ensuring a positive customer experience. Analytical skills to make independent 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. Ability to coordinate with defense counsel in the handling of cases involving serious and sometimes complex liability issues from inception through trial. Command of written and verbal communication skills for contact and/or negotiation. Organizational skills to effectively establish work priorities in accordance with objectives and standards. Ability to operate personal computer and related software.