If you’re passionate about helping people protect what matters most to them at a Fortune 100 company with nearly $70 billion in annual sales, as well as innovating and simplifying processes and operations to provide the best customer value, then Nationwide’s Property and Casualty team could be the place for you! At Nationwide®, “on your side” goes beyond just words. Our customers and partners are at the center of everything we do and we’re looking for associates who are passionate about delivering extraordinary care.
We are looking for a motivated and talented individual to join our growing Healthcare/Senior Living claims team. As a Claims Specialist III, you will be handling complex and high exposure primary Healthcare/Senior Living claims from inception to conclusion. As an individual contributor, your role will include overall investigation and management of complex claims in multiple jurisdictions. An ideal candidate would have claim handling and/or prior litigation experience.
Job Description Summary
If you can put your keen legal mind to work analyzing, managing and resolving insurance coverage and claims, we want to know more about you! Working on our team offers the opportunity to be involved in settling litigated and non-litigated claims.
As a Claims Specialist, you'll investigate, evaluate and negotiate claims to successful resolution. This role supports the management liability and specialty lines of business, including errors and omissions, directors and officers and employment practices liability, among others. Claim files will include litigated and non-litigated matters of moderate complexity and severity in terms of exposure and coverage. You'll have moderate monetary authority and work under general supervision and monitoring. We will count on you to collaborate and provide insight to our business partners on claims and policy wording questions and maintain, develop and influence relationships with customers and business partners.
Job Description
Key Responsibilities:
Investigates and evaluates coverage, liability and damages to set an appropriate claim strategy, settlement and file reserves within approved claims authority.
Analyze coverage and provide comprehensive coverage analysis and claim resolution strategies.
Provides timely and appropriate evaluation of claims to identify and manage reserves in compliance with company standards.
Delivers outstanding customer service and satisfaction through effective interactions with insured, agents and legal counsel.
Provide feedback on claim trends and development. Provide input to underwriters on review of potential and existing insured’s claim experience.
May assist in the development, coaching, training and mentoring of individual team members. May act as a subject matter authority in a specific line of business or risk.
Maintains current knowledge of applicable lines of insurance, insurance regulations, court decisions which may impact the claims function, current guidelines and policy changes and modifications. This may require attending various seminars and training sessions.
Contributes to a collaborative environment by consistently demonstrating teamwork, high motivation, positive behavior and effort to achieve goals and objectives.
May perform other responsibilities as assigned.
Reporting Relationships: Reports to Claims Director, Freedom Specialty
Typical Skills and Experience:
Education: College degree preferred. Juris Doctorate desired.
License/Certification/Designation: Associates must acquire 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 acquire required licenses/registrations within the designated time period the associate will be ineligible to continue in the position.
Experience: Claims handling experience typically acquired through three to five years of experience. Prior experience in directing defense counsel required. Specific experience in a specific line of business may be required by the hiring business unit.
Knowledge, Abilities and Skills: Specific knowledge in a particular line of business and/or additional education may be required. Demonstrates aptitude in evaluating, analyzing and interpreting information; demonstrable expertise in specific line of business; excellent analytical skills; excellent written and verbal communication skills; ability to multi-task; excellent time management and organizational skills; ability to work independently; ability to effectively and efficiently manage all responsibilities; ability to direct attorneys in claims and litigation management.
Other criteria, including leadership skills, competencies and experiences may take precedence.
Staffing exceptions to the above must be approved by the Vice President and HR Business Partner.
Values: Regularly and consistently demonstrates the Nationwide Values.
Job Conditions:
Overtime Eligibility: Not Eligible (Exempt)
Working Conditions: Normal office environment
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/Background 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.
We currently anticipate accepting applications until 04/29/2026. However, we encourage early submissions, as the posting may close sooner if a strong candidate slate is identified before the deadline.
Benefits
We have an array of benefits to fit your needs, including: medical/dental/vision, life insurance, short and long term disability coverage, paid time off with newly hired associates receiving a minimum of 18 days paid time off each full calendar year pro-rated quarterly based on hire date, nine paid holidays, 8 hours of Lifetime paid time off, 8 hours of Unity Day paid time off, 401(k) with company match, company-paid pension plan, business casual attire, and more. To learn more about the benefits we offer, click here.
Nationwide is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive culture where everyone feels challenged, appreciated, respected and engaged. Nationwide prohibits discrimination and harassment and affords equal employment opportunities to employees and applicants without regard to any characteristic (or classification) protected by applicable law.
This position could be filled within any of the lower 48 U.S. states.#claimsSmoke-Free Iowa Statement: Nationwide Mutual Insurance Company, its affiliates and subsidiaries comply with the Iowa Smokefree Air Act. Smoking is prohibited in all enclosed areas on or around company premises as well as company issued vehicles. The company offers designated smoking areas in which smoking is permitted at each individual location. The Act prohibits retaliation for reporting complaints or violations. For more information on the Iowa Smokefree Air Act, individuals may contact the Smokefree Air Act Helpline at 888-944-2247.
For NY residents please review the following state law information: Notice of Employee Rights, Protections, and Obligations LS740 (ny.gov) https://dol.ny.gov/system/files/documents/2022/02/ls740_1.pdf
NOTE TO EMPLOYMENT AGENCIES:
We value the partnerships we have built with our preferred vendors. Nationwide does not accept unsolicited resumes from employment agencies. All resumes submitted by employment agencies directly to any Nationwide employee or hiring manager in any form without a signed Nationwide Client Services Agreement on file and search engagement for that position will be deemed unsolicited in nature. No fee will be paid in the event the candidate is subsequently hired as a result of the referral or through other means.
Nationwide pays on a geographic-specific salary structure and placement within the actual starting salary range for this position will be determined by a number of factors including the skills, education, training, credentials and experience of the candidate; the scope, complexity and location of the role as well as the cost of labor in the market; and other conditions of employment. If a Sales job, Sales Incentives, based on performance goals are possible in addition to this range. Note on Compensation for Part-Time Roles: Please be aware that the salary ranges listed below reflect full-time compensation. Actual compensation may be prorated based on the number of hours worked relative to a full-time schedule.The national salary range for Claims Specialist III - Management Specialty Lines : $88,000.00-$164,000.00The expected starting salary range for Claims Specialist III - Management Specialty Lines : $88,000.00 - $132,000.00
