Claims Specialist III, Loss; England - Rhode area

Overview

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, and you want to innovate and simplify processes and operations to provide the best customer value, Nationwide’s Property and Casualty team could be the place for you. 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 2-4 days a week) via company vehicle. The selected individual must reside in the respective territory.

Territory: New England area

Ideal Candidate

Location:

Rhode Island

The ideal candidate will have:

• 3-5 years of insurance field/property claims handling or adjusting experience
• Solid experience with Xactimate
• Construction background/experience - Residential, Roofing, Remodeling, etc
• Strong customer service competency
• Strong written & verbal communication skills

Note: 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.

Job Description Summary

No two property claims are ever the same and each customer has unique needs. Our team thrives on providing the very best service and building lasting, successful relationships with our customers. If you are confident, curious, driven to learn and grow, and have a desire to help people when they most need it, we want to know more about you!

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.

• 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 knowledge of court decisions that may affect the claim's function; current principles and practices; innovations; and policy changes and modifications. May be required to maintain knowledge of other functions within assigned subject area. This may require attending various seminars or training sessions.
• 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.

Education: Undergraduate degree or equivalent experience preferred. Advanced degrees in law or related field desirable.

License/Certification/Designation: Successful completion of…