Deals with all assigned claims, promptly and efficiently, with little or no direction and oversight. Makes decisions within delegated authority as outlined in company policies and procedures. Adheres to high standards of professional conduct consistent with the delivery of superior service.
Determines proper policy coverages and applies best claims practices to conclude assigned cases according to company guidelines.
Opens, closes and adjusts reserves in accordance with company practices designed to ensure reserve adequacy. Recommends Special Reserves where necessary in alignment with Corporate Reserving Guidelines. 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 in the claims function; and policy changes and modifications. This may require attendance at various seminars and/or 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.
Delivers outstanding customer service experience to all internal, external, current and prospective Nationwide customers.
Mentors less experienced claims associates and assists with training/presentations as assigned by claims management.
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 training/classes. Professional development such as IIA or CPCU preferred.
Experience: Three to five years of successful experience in customer service and/or claims handling required. Material/physical damage experience preferred. Related repair industry experience a plus.
Benefits
Remote work optionsEquity / stock 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 Field Claims Specialist II, Material Damage work‑from‑home opportunity in the South Sacramento, Elk Grove, Stockton Corridor with day/regional travel in a company‑provided vehicle throughout the week in that same area . Responsibilities include onsite and virtual inspections, with opportunities to support additional territories. Occasional overnight travel and CAT duty are required.
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Job Description Summary
Do you have the ability to communicate compassionately and effectively to resolve insurance claims? If so, and if you'd thrive in a fast-paced environment, where your professional growth and development is both encouraged and supported, we want to know more about you!
As a Field Claims Specialist, you'll investigate, evaluate and resolve material/physical damage of a moderate to severe nature. We'll count on you to promote and provide exceptional customer service. You'll be responsible for handling claims according to prescribed authorization and claims best practices.
Job Description
Nationwide · CA