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.
Determines proper policy coverages and applies appropriate claims practices to resolve cases in alignment with company guidelines.
Opens, closes and adjusts reserves according to company practices to ensure reserve adequacy. Adheres to file conferencing notification and authority procedures.
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 training sessions.
Maintains current knowledge of local industry repair procedures and local market pricing.
Submits severe incident reports, reinsurance reports and other information to claims management as needed.
Partners with Special Investigations Unit and Subrogation to identify fraud and subrogation opportunities. Assists or prepares files for lawsuit, trial, or subrogation.
Initiates and conducts follow-ups through proficient use of claims and other related business systems.
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.
May perform other responsibilities as assigned.
Reporting Relationships: Reports to Claims Manager. Individual contributor role.
Typical Skills and Experiences:
Education: Undergraduate degree or equivalent experience.
License/Certification/Designation: State licensing where required. Successful completion of required applicable claims certification or training classes. Obtain Xactimate Level 1 certification within a year of start date. Obtain Xactimate Level 2 certification within two years of employment.
Experience: Three to five years of related property claims experience. Experience in a customer service environment, including flexible work schedules and extended work hours preferred.
Requirements
3-5 years of insurance field/property claims handling or adjusting experience
Solid experience/proficiency with Xactimate
Solid experience writing own estimates and handling claims start to finish
Construction background/experience - Residential, Roofing, Remodeling, Water mitigation, etc
Strong customer service competency
Strong written & verbal communication skills
PLEASE NOTE that CAT duty is a requirement of this role
Benefits Include: Medical, Dental, Vision, 401k with company match, Company-paid Pension plan, Paid time off and more!
#LI-JJ1
#LI-Remote
Job Description Summary
As a Field Claims Specialist, you'll investigate and resolve moderate to severe property damage claims by phone and face-to-face.
Job Description
Benefits
Dental insuranceVision insurance401(k)Remote work optionsFlexible schedule
Additional Information
If you're passionate about helping people protect what matters most to them at a Fortune 100 company with nearly $70 billion in annual sales, 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 and partners are at the center of everything we do and we're looking for associates who are passionate about delivering extraordinary care.
Territory: This role covers the Albuquerque, NM and surrounding areas.
Ideal Candidate Locations: The ideal candidate will live in Albuquerque or surrounding area.
This is a work-from-home position with day travel to policy locations (on average 3-4 days a week) via company vehicle (personal use, gas and maintenance included). Claims inspections will include onsite and virtual inspection. Depending on claim volume, this role may also support additional territories in a desk adjuster capacity. Occasional overnight travel may be required in this role.
Relocation assistance may be available for qualified candidates who reside more than 50 miles outside of the territory.
Nationwide · NM