Technical Director, Claims - Workers Compensation

If you’re passionate about helping people protect what matters most to them, 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 are at the center of everything we do and we’re looking for associates who are passionate about delivering extraordinary care.

Territory: The location of this position is flexible and open to virtual and/or remote based applicants. 

What you can Expect: This opportunity is within the Workers Compensation team and will be responsible for facilitating compliance performance for the operation. Key responsibilities include ensuring adherence to regulatory requirements, managing and responding to state audits and exams, coordinating remediation plan activities, collaborating closely with the Regulatory Operations team, and acting as a liaison between state compliance authorities and the department. Additionally, the role involves utilizing internal and external reports and information to analyze performance and develop recommendations for improvement. Based on current team needs, this opportunity is an individual contributor role.

 

The ideal candidate will have:

• Strong understanding of Workers Compensation claims handling is highly preferred

• Compliance background preferred

• Great attention to detail, written/verbal communication, and organization skills

Job Description Summary

Do you have a strong desire to provide 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 workers’ compensation claims resolution, while following processes that provide fair resolution, customer satisfaction and cost management, then we want to hear from you!

As a Technical Director, you’ll drive workers’ compensation claims technical activities and excellence. We’ll count on you to develop, implement and distribute best practices for a specialty line(s) of business. In addition, you’ll compile and communicate trend information to field personnel and provide technical expertise on related specialty in complex coverage and service issues.

Job Description

Key Responsibilities:

• Drives workers’ compensation claims technical excellence across geographies and is a technical resource to the field.

• Partners with Claims Directors on developing implementation plans for corporate, organizational and regional plans and helps develop long range, measurable goals and objectives.

• Communicates and assists with implementation of claims technical initiatives to the claim’s zones.

• Partners with industry leaders to help promote industry and legislative changes that benefit stakeholders.

• Analyzes claims zone results and makes recommendations to Claims Directors on process improvements, workflow improvements or other initiatives to drive results.

• Delivers a positive customer service experience to internal, external, current and prospective Nationwide customers.

• Resolves customer complaints according to best practices. Monitors customer satisfaction to drive action plans for improvement.

• Identifies, develops and retains high potential/high performing associates who have the potential for or are ready to fill critical roles in the organization.    

• Manages associates, including performance management, salary planning and administration, training and development, workflow and organization planning, day-to-day management, hiring and placement and disciplinary actions for direct and possibly indirect reports.

May perform other responsibilities as assigned.

Reporting Relationships: Reports to Technical Claims AVP or Claims Director. May be responsible for field-based claims specialty personnel such as Quality Audit, Medicare Compliance and Reporting, Bureau of Rehabilitation and Reemployment Services, etc.

Typical Skills and Experiences: