Claim Specialist II, Reinsurance

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.

Job Description Summary

Our team handles some of the most unique and interesting insurance claims at Nationwide. Do you have deep insurance industry knowledge, good negotiation skills and understand litigation? If you like variety and complexity in your work, have desire to collaborate and bring equitable resolution to reinsurance claims, we want to hear from you!

As a Claims Specialist, you'll administer and coordinate enterprise-assumed and ceded reinsurance treaties and programs. You'll analyze related treaties and claims, identify and evaluate appropriate disposition of asbestos, environmental and other complex claims arising from assumed or ceded reinsurance programs. You may specialize in assumed claims or ceded claims and will typically be cross trained in other functions.

Job Description

Key Responsibilities:

• Functions as primary contact with ceding companies, reinsurers, brokers and also interacts with third-party administrators to ensure accurate and timely handling of claims. Collaborates regularly to set priorities and follow up with involved parties to ensure company interests are being pursued and protected.

• Effectively engages challenging ceding companies and reinsurers. Communicates claim and treaty issues clearly and persuasively, both verbally and in writing. Drives appropriate resolution of disputed claim matters and ensures accurate, timely, and complete communication with reinsurers.

• Handles the disbursement and receipt of cash and administers Letters of Credit. Makes sure proper allocation to reinsurance contracts involved.

• Identifies and establishes new claims. Calculates and issues appropriate reserve change or billing notices, based on terms and conditions of retrocessional contracts.

• Analyzes claim presentations including assessments of related contracts to validate coverage, liability, and other contract terms, resulting in initial claims approval or rejection. Responsible for review and approval decision on a variety of ceding company accounts. Negotiates resolutions to billing, documentation and treaty issues.

• Monitors claims to closure. Performs continuous review of assigned claims inventory. Follows the investigation of the reinsured and suggests additional areas or means of investigation, if indicated. Acquires necessary information and documentation to support ceding company settlement decisions and payments. 

• Submits severe incident reports, reinsurance reports and other information to home office, claims management, underwriting, and actuarial.

• Partners with Special Investigation Unit and National Recovery to identify fraud and subrogation opportunities.

• Supports and partners with Technical Reinsurance Claim Specialists regarding claim, contract and account issues. Provides detailed analysis and reconciliations as requested.

• Performs analysis and creates management reports, including commutation and insolvency studies, as well as collection priorities/strategy. Also provides analysis and creates reports for Finance, Actuarial and regulatory agencies.

• Delivers an outstanding customer service experience to all internal, external, current and prospective Nationwide customers.

May perform other responsibilities as assigned.

Reporting Relationships: Reports to Claims Administrative Manager.

Typical Skills and Experiences:

Education: Undergraduate degree or equivalent experience preferred. Successful completion of required claims certification schools/courses preferred. 

License/Certification/Designation: State licensing where required. Studies toward professional designations such as ARE, CPCU preferred. 

Experience: Four or more years of claims or related experience, with experience in reinsurance preferred. 

Knowledge, Abilities and Skills: In-depth knowledge of property casualty and/or life/health underwriting practices and policies/policy content. Proven knowledge of technical nomenclature and various state regulations. Knowledge of brokerage placement procedure practices and processes preferred. In-depth knowledge of reinsurance contracts, ceded claims processes and legal aspects of reinsurance claims desired. Proven ability to meet customer needs and provide outstanding service by informing customers of the claims process and ensuring a positive customer experience. Strong judgment and decision-making abilities. Demonstrated ability to manage several priorities and to handle claims involving a number of different lines of business (products liability, workers compensation, automobile, property etc.). Advanced verbal and written communication skills for interaction with ceding companies, brokers, reinsurers, counsel and other internal and external customers.

Other criteria, including leadership skills, proficiencies and experiences may take precedence. 

Staffing exceptions to the above must be approved by the business unit executive and Human Resources. 

Values: Regularly and consistently demonstrates Nationwide Values.

Job Conditions:

Overtime Eligibility: Not Eligible (Exempt)

Working Conditions: Work from home environment. Occasional travel. May require working extended or non-standard hours based on business needs. 

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 and/or background check will be required as part of the selection process. 

We currently anticipate accepting applications until 08/13/2026. 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.

#claims

Smoke-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 II, Reinsurance : $62,500.00-$115,500.00

The expected starting salary range for Claims Specialist II, Reinsurance : $62,500.00 - $93,500.00