Nationwide Careers – Field Property Adjuster

Job Description:

As a Claims Specialist, you’ll work to evaluate and resolve serious exposure, large loss claims requiring investigation, liability evaluation and negotiation. We’ll count on you to expedite settlements and control average loss cost and litigation expense according to the best claims practices.

Job Responsibilities:

• Accurately pays claims based on policy provisions, state mandates and/or fee schedules.
• Maintains knowledge of court decisions that may affect the claim’s function; current principles and practices; innovations; and policy changes and modifications. May be required to maintain knowledge of other functions within assigned subject area. This may require attending various seminars or training sessions.
• Creates and analyzes severe incident reports, reinsurance reports and other information to corporate office, claims management and underwriting.
• Able to act for Claims Manager. Mentors and provides leadership to less experienced claims associates. Provides one-on-one training and assists with training/presentations as assigned by claims management.
• Handles all assigned claims promptly and effectively, with little direction and oversight, which may include complicated and catastrophic losses.
• Partners with Special Investigation Unit and Subrogation to identify fraud and subrogation opportunities. Assist general counsel to prepares files for suit, trial or subrogation.
• Consults claims staff and defense counsel for discovery processes and lawsuit file/trial strategy on case-specific issues.
• Opens, closes and adjusts reserves according to company practices to ensure reserve adequacy.
• Determines proper policy coverages and applies standard methodologies to conclude assigned cases according to company guidelines. Adheres to high standards of professional conduct while delivering outstanding service.
• Makes decisions within delegated authority, recommends settlement values in the disposition of claims as outlined in company policies and procedures.
• Delivers an outstanding customer service experience to all internal, external, current and prospective Nationwide customers.
• Initiates and conducts follow-ups through proficient use of the claims and other related business systems.
• Maintains current knowledge of local industry repair procedures and local market pricing.

Job Requirements:

• Excellent customer service skills and confirmed ability to meet customer needs and provide exemplary meaningful service by advising customers of the claims process and ensuring a positive customer experience.
• Demonstrated analytical skills needed to make decisions and resolve issues related to the application of coverage to submitted claims, application of laws of jurisdiction to investigation facts, application of policy exclusions and exceptions.
• Validated ability to establish repair requirements and cost estimates for extensive property damage losses and serves as a subject matter authority on respective claims projects.
• Proven organizational skills to effectively prioritize increased and sophisticated workloads.
• Demonstrates strong but flexible standards and be balanced based on the conflicting demands of the position.
• Excellent written and verbal communication skills necessary to effectively communicate and/or advise policyholders, claimants, repair persons, attorneys, agents, and general public.
• Demonstrated leadership capabilities to effectively train, mentor and provide feedback to less experienced associates.
• Ability to operate personal computer with proficient use of claims and business software.
• 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.
• Demonstrated knowledge of insurance theory and practices, insurance contracts and their application. Sophisticated knowledge of property claims standard methodologies and the legal aspects of court procedures affecting legal liability for all lines of insurance.
• Five years of experience handling property claims, insurance processing or field claims adjusting.

Job Details:

Company: Nationwide

Vacancy Type:  Full Time

Job Location: Philadelphia, PA

Application Deadline: N/A

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