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Claims Specialist I, Property (Remote Event Management)

Company

Nationwide

Address Texas, United States
Employment type FULL_TIME
Salary
Category Insurance
Expires 2023-08-16
Posted at 9 months ago
Job Description
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!
This position is 100% remote, reviewing wind and hail claims.
Summary
No two property claims are ever the same and each customer has unique needs. Our Claims Property Weather team thrives on providing the very best service and building lasting, successful relationships with our customers. If you are confident, curious, driven to learn and grow, and have a desire to help people when they most need it, we want to know more about you!
As a Claims Specialist supporting Field Property, you'll investigate and resolve personal lines weather claims by phone and/or virtually. This includes reviewing, adjusting and paying property damage weather claims.

Key Responsibilities:
  • Handles all assigned weather claims promptly and effectively, with moderate direction and oversight. Makes decisions within delegated authority as outlined in company policies and procedures. These options include the use of the Property Repair Network, independent adjusters, and self-written estimates.
  • Opens, closes and adjusts reserves in accordance with company practices to ensure reserve adequacy.
  • Submits severe incident reports, reinsurance reports and other information regarding weather claims to claims management as needed.
  • In support of Field Property, determines accurate policy coverage on weather claims and supplements, using appropriate claims methodologies to investigate, evaluate, settle and finalize assigned weather property claims.
  • Delivers an outstanding customer service experience to internal, external, current, and prospective Nationwide customers. Adheres to high standards of professional conduct consistent with the delivery of outstanding service.
  • Maintains and develops knowledge of assigned insurance lines, keeps abreast of court decisions that may affect the Field Property claims function, current guidelines and policy changes and modifications. This may require attending various seminars or training sessions.
  • When assigned, leads vendors or independent adjusters. Reviews all estimates proposed by vendors or adjuster and explains scope of work to customers.
  • Initiates and conducts follow-ups for weather claims through proficient use of claims systems and related business systems.
  • Maintains up-to-date knowledge of local industry repair procedures and local market pricing.
  • Partners with Special Investigation Unit and Subrogation to identify fraud and subrogation opportunities. Assists or prepares files for lawsuit, trial or subrogation.
May Perform Other Responsibilities As Assigned.
Reporting Relationships: Reports to Claims Manager.
Typical Skills And Experiences
Education: Undergraduate degree or equivalent experience preferred.
License/Certification/Designation: State licensing where required. Successful completion of required/applicable claims certification training/classes.
Experience: Preferred one to three years of related claims handling or construction experience. Experience in a customer service environment including flexible work schedule and extended hours preferred.
Knowledge, Abilities and Skills: General knowledge of insurance theory, practices, contracts and their application. Familiarity with claims processing, claims systems, construction terminology, estimating practices and best claims practices preferred. Confirmed ability to meet customer needs and provide exemplary meaningful service. Analytical skills necessary to make decisions and resolve issues related to correct application of coverage, application of laws of jurisdiction during investigation, application of policy exclusions and exceptions and management of all involved vendors. Ability to work in a fast-paced and team-based environment. Organizational skills to effectively prioritize and handle claims workloads. Strength of written and verbal communication skills for effective communication with policyholders, claimants, repairpersons, attorneys, agents and the general public. Ability to efficiently operate personal computer and software for claims-related and other business applications.
Other criteria, including leadership skills, competencies and experiences may take precedence.
Staffing Exceptions to the above must be approved by the hiring manager’s leader and HR Business Partner.
Values: Regularly and consistently demonstrates Nationwide Values.
Job Conditions
Overtime Eligibility: Not Eligible (Exempt)
Working Conditions: Office environment. Prolonged periods of sitting at personal computer and extensive use of keyboard while taking telephone calls; must use a telephone headset. Non-standard hours possible. Flexibility of schedule is desired. Must be available to work catastrophes (CAT) which may include working extended periods of time including holidays and weekends over the phone or in 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.
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.
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