Nationwide Insurance Careers – CA Field Claims Spec II

Job Description:

As a Field Claims Specialist, you’ll investigate and resolve moderate to severe property damage claims by phone and in face-to-face claims handling.

Job Responsibilities:

• Initiates and conducts follow-ups by proficient use of claims and other related business systems.
• Determines proper policy coverages and applies appropriate claims practices to resolve cases in alignment with company guidelines.
• Delivers an outstanding customer service experience to all internal, external, current and prospective Nationwide customers. Adheres to high standards of professional conduct while providing delivery of outstanding claim’s service.
• Submits severe incident reports, reinsurance reports and other information to claims management as needed.
• Partners with Special Investigation Unit and Subrogation to identify fraud and subrogation opportunities. Assists or prepares files for lawsuit, trial or subrogation.
• Handles all assigned claims promptly and effectively, with little to no direction and oversight. Makes decisions within delegated authority as outlined in company policies and procedures.
• Maintains current knowledge of local industry repair procedures and local market pricing.
• Maintains current knowledge of insurance and applicable product/services; court decisions which may impact the claims’ function; current guidelines; and policy changes and modifications. This may require attending various seminars and/or training sessions.
• Opens, closes and adjusts reserves according to company practices to ensure reserve adequacy. Adheres to file conferencing notification and authority procedures.

Job Requirements:

• Proven ability to meet customer needs and provide meaningful service by guiding customers through the claims process and ensuring a positive customer experience.
• Analytical and problem-solving skills necessary to make decisions and resolve issues related to application of coverages to submitted claims, application of laws of jurisdiction to investigation facts, and application of policy exclusions and exceptions.
• Ability to establish repair requirements and cost estimates for property losses.
• Ability to evaluate and successfully advise on property claims.
• Organizational skills to prioritize work.
• Command of written and verbal communication skills to effectively communicate with policyholders, claimants, repairpersons, attorneys, agents and the general public.
• Ability to efficiently operate a personal computer and related claims and business software.
• Provide leadership to less experienced claims associates.
• State licensing where required.
• Successful completion of required/applicable claims certification training/classes.
• Three to five years of related property claims experience.
• Experience in a customer service environment including flexible work schedules and extended work hours preferred.
• Undergraduate degree or equivalent experience.

Job Details:

Company: Nationwide

Vacancy Type:  Full Time

Job Location: California, United States

Application Deadline: N/A

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