Nationwide Jobs – Field Claims Specialist III

Job Description:

As a Field Claims Specialist, you’ll investigate personal lines claims to reach settlements within limits of authority. You’ll handle moderate personal lines property losses (structure and contents) up to $100K, with limited direct supervision, while maintaining high member engagement. We’ll count on you to promote and provide outstanding customer service.

Job Responsibilities:

• Authorizes and/or approves all claim payments, within granted authority, associated with the claim, which may include litigation expense.
• Partners with Special Investigations Unit and Recovery to identify fraud and subrogation opportunities. Assists or prepares files for lawsuit, trial or subrogation (property, material damage, casualty).
• Opens, closes and adjusts reserves in accordance with company practices designed to ensure reserve adequacy. Recommends special reserves where necessary.
• Completes onsite Xactimate (software tool for estimates) estimates, thorough investigations, photos, and narrative reports. Obtains medical reports, appraisals, estimates of property damage and evaluates bodily injury claims as needed. When necessary, coordinates and reviews work performed by vendors.
• Conducts onsite field investigations and/or field re-inspections of moderate exposure personal lines claims and coordinates rebuilding of damages with contractors, various trades and architects. Supports and partners with Nationwide Excess & Surplus and Nationwide Indemnity on personal losses for field inspections. Participates in litigated and non-litigated claims.
• Prepares/reviews reservation of rights, non-waiver agreements and denials of coverage when appropriate. Maintains current knowledge of local industry repair procedures and local market pricing.
• Pays claims accurately based on policy provisions, state mandates and/or fee schedules.
• Delivers an outstanding customer service experience to all internal, external, current and prospective Nationwide customers.

Job Requirements:

• Other criteria, including leadership skills, competencies and experiences may take precedence.
• General knowledge of insurance theory and practices, and contracts and their application.
• Property estimating and automated claims systems.
• Proven knowledge of the investigation, negotiation and settlement activities used to resolve extensive property damage claims.
• Staffing exceptions to the above must be approved by the hiring manager’s leader and HR Business Partner.
• Demonstrated ability to meet customer needs and provide exemplary service by informing customers of the claims process and ensuring a positive customer experience.
• Analytical and problem solving skills necessary to make decisions and resolve conflict in such areas as application of coverages to submitted claims, application of laws of jurisdiction to investigation facts, application of policy exclusions and exceptions.
• Ability to establish repair requirements and cost estimates for property losses.
• Organizational skills to effectively prioritize work.
• Command of written and verbal communication skills for contact and/or negotiation with policyholders, claimants, repairpersons, attorneys, agents and the public.
• Ability to efficiently operate a personal computer and related claims and business software.

Job Details:

Company: Nationwide

Vacancy Type:  Full Time

Job Location: Arizona, United States

Application Deadline: N/A

Apply Here

vacancyoptions.com