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Claims Specialist I, Central Property - Prn

Nationwide Insurance

Claims Specialist I, Central Property - Prn

San Francisco, CA
Full Time
Paid
  • Responsibilities

    Claims Spec I, Central Prop - PRN (Inside Property Claims Adjuster - Property Repair Network) Nationwide Mutual Insurance Company 2,348 reviews - Columbus, OH Nationwide Mutual Insurance Company 2,348 reviews Read what people are saying about working here. If youre passionate about becoming a Nationwide associate and believe you have the potential to be something great, lets talk. Number 54 on the Fortune Magazine 100 Best Places to Work. JOB SUMMARY: Investigates and resolves personal lines claims and supplements via telephone. Promotes and provides "On Your Side" customer service. Responsible for the handling of claims in accordance within prescribed authority and Best Claims Practices. Job Description RELATIONSHIP: Reports to Claims Manager JOB RESPONSIBILITIES: 1. Delivers a positive On Your Side customer service experience to internal, external, current, and prospective Nationwide customers. Adheres to high standards of professional conduct consistent with the delivery of superior service. 2. Captures first notice of loss for new homeowners claims and, when possible, handles these claims to conclusion, delivering optimal customer service. 3. Provides first-level customer service for agents, members, and other customers through direct inbound calls, responding to all questions and inquiries. 4. Determines best course of action for the handling of each individual claim, with moderate direction and oversight. These options include the use of the Property Repair Network, independent adjusters, and self-written estimates. 5. When assigned, manages Property Repair Network vendors or Independent Adjuster. Reviews all estimates proposed by vendors or adjuster and explains scope of work to members. 6. Opens, closes, and adjusts reserves in accordance with company practices designed to ensure reserve adequacy. Recommends special reserves where necessary, in accordance with Corporate Reserving Guidelines. Makes decisions within delegated authority as outlined in company policies and procedures 7. Determines proper policy coverage on claims and supplements, using Best Claims Practices to investigate, evaluate, negotiate, and finalize assigned property claims. 8. Receives notices of new large loss claims and makes first meaningful contact. Evaluates merits of claim to determine best settlement path. If warranted, handles claim through Property Repair Network. Otherwise, coordinates emergency services and temporary accommodations for member, informing them of all relevant field assignments. 9. Initiates and conducts follow-ups via proficient use of claims systems and related business systems. 10. Maintains and develops current knowledge of: assigned insurance lines, court decisions that may affect the claims function, current guidelines in the claims function, and policy changes and modifications. This may require attendance at various seminars or training sessions. 11. Maintains current knowledge of local industry repair procedures and local market pricing. 12. Submits severe incident reports, reinsurance reports, and other information to claims management as needed. 13. Partners with SIU and Subrogation to identify fraud and subrogation opportunities. Assists or prepares files for suit, trial, or subrogation. (Property/MD/Casualty). 14. Other duties as assigned. MINIMUM JOB REQUIREMENTS: Education: Undergraduate degree or equivalent experience preferred. Licenses/Designations: State licensing where required. Successful completion of required/applicable claims certification training/classes. Experience: Preferred one to three years of related claims handling or construction experience. Experience in a customer service environment including flexible work schedule and extended hours preferred. Knowledge: General knowledge of insurance theory, practices, contracts, and their application. Familiarity with claims processing, claims systems, construction terminology, estimating practices, and Best Claims Practices preferred. Skills/Competencies: Proven ability to meet customer needs and provide exemplary service. Analytical skills necessary to make decisions and resolve conflicts, including: the correct application of coverage, the application of laws of jurisdiction during investigation, application of policy exclusions and exceptions, and management of all involved vendors. Ability to work in a fast-paced and team-based environment. Organizational skills to effectively prioritize and manage claims workloads. Demonstrated proficiency of written/verbal communication skills for contact and/or negotiations with policyholders, claimants, repairpersons, attorneys, agents, and the general public. Ability to efficiently operate personal computer and software for claims-related and other business applications. Values: Regularly and consistently demonstrates the Nationwide Values and Guiding Behaviors. Staffing Exceptions to the above Minimum Job Requirements must be approved by: Business Unit Executive and Human Resources. JOB CONDITIONS: Working Conditions: Normal office environment. May require ability to sit and operate telephone and personal computer for extended periods. Must be willing to work irregular hours and to travel with possible overnight requirements. Must be available to work catastrophes (CAT) requiring travel to CAT sites with multiple onsite responsibilities and/or for extended periods. Extended and/or non-standard hours as required. Credit/Background Check: Due to the fiduciary accountabilities within this job, a valid credit check and/or background check will be required as part of the selection process. ADA: The above statements cover what are generally believed to be principal and essential functions of this job. Specific circumstances may allow or require some people assigned to the job to perform a somewhat different combination of duties. Job Evaluation Activity: 9/27/13 AJL Additional Job Description Nationwide Insurance is hiring Inside Property Claims Adjuster in the Columbus, Ohio/Des Moines, Iowa location for the PRN unit of the Centralized Property Team. Qualified candidates will have customer service experience, effective communication, and sound decision-making. Candidates must also be able to work in response to catastrophes impacting members, including catastrophe duty touring up to 12 hours/day for up to 28 days. Must be able to pass exam to obtain adjusters license. A college degree is preferred. The training is 8 -10 weeks long without any time off during this period. The department is open 365 days, 7 days a week and holiday can be mandatory or optional. The training is from 8:00am - 4:30pm Monday - Friday. Must be available for CAT duty- up to 28 days, 12 hours a day and 7 days a week and at least 2 days off (CAT pay is provided) #claims #claims Nationwide Mutual Insurance Company - 16 hours ago - save job - report job - original job Apply Now Apply On Company Site Save this job

  • Industry
    Financial Services