Handles all assigned claims promptly and effectively, with little direction and oversight, which may include complicated and catastrophic losses. Makes decisions within delegated authority, recommends settlement values in the disposition of claims as outlined in company policies and procedures.
Accurately pays claims based on policy provisions, state mandates and/or fee schedules.
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.
Opens, closes and adjusts reserves according to company practices to ensure reserve adequacy.
Maintains current knowledge of local industry repair procedures and local market pricing.
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.
Creates and analyzes severe incident reports, reinsurance reports and other information to corporate office, claims management and underwriting.
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.
Initiates and conducts follow-ups through proficient use of the claims and other related business systems.
Delivers an outstanding customer service experience to all internal, external, current and prospective Nationwide customers.
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 preferred. Advanced degrees in law or related field desirable.
License/Certification/Designation: Successful completion of required claims certification schools or courses. Professi
Requirements
5 years of insurance field/property claims handling or adjusting experience (large loss - preferred)
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 required for this position.
Benefits Include: Medical, Dental, Vision, 401k with company match, Company-paid Pension plan, Paid time off and more.
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Job Description Summary
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 Description
Benefits
Dental insuranceVision insurance401(k)Remote work options
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.
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.
The selected individual must reside in the respective territory:
Territory: This role will cover the Philadelphia, PA Region and 4 counties surrounding, up to Allentown, PA, and all of New Jersey (Up to 50% travel).
Ideal Candidate Locations: The ideal candidate will live in the Philadelphia region or Allentown, PA. Occasional travel outside of the territory may be required.
Relocation assistance may be available for qualified candidates who reside more than 50 miles outside of the ideal candidate locations listed.
Nationwide · PA