Field Claims Specialist I, Casualty
Location: , West Virginia
Description: Nationwide Mutual Insurance Company is in need of Field Claims Specialist I, Casualty right now, this position will be assigned in West Virginia. More details about this position opportunity please give attention to these descriptions. The Ideal candidate will have prior field claims experience as this is a work from home AWE position. The selected candidate will be supporting the Raleigh and Mercer Counties of West Virginia and may be hired in at a higher level based on previous experience. JOB SUMMARY: Investigates and effectively resolves bodily injury personal lines liability claims via telephone or in person. Field based position requiring face to face contact with customers, claimants, vendors and attorneys. Promotes and provides "On Your Side" customer service. Specializes in complex casualty claims. Face to face adjustment of serious exposure claims requiring investigation, liability evaluation and negotiation. Oversees control and supervision of suit files to conclusion and oversees the activities of defense counsel. Expedites settlement and control of average loss cost and litigation expense in compliance with best claims practices. RELATIONSHIP: Reports to Claims Manager DIRECT REPORTS: None
JOB RESPONSIBILITIES:
1. Utilizes various methods of settlement in those cases where warranted; assigns cases to outside vendors as warranted. Appropriate use of structure settlement on all applicable cases. 2. Promptly and effectively handles to conclusion all assigned claims with moderate 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. 3. Determines proper policy coverages and applies where necessary applies best claims practices to conclude, investigate, evaluate, and negotiate assigned material/physical damage claims cases in accordance with company guidelines. Adheres to high standards of professional conduct while providing delivery of superior claims service. 4. 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. Adheres to file conferencing notification and authority procedures. 5. Maintains and develops current knowledge of: assigned insurance lines; 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 or training session 6. Submits severe incident reports, reinsurance reports and other information to claims management as needed. 7. Partners with SIU and Subrogation to identify fraud and subrogation opportunities 8. Utilizes all internal resources (special investigation, medical, claim legal, etc.) when appropriate in the handling and resolution of claims. Assists or prepares files for suit, trial, or subrogation. 9. Initiates and conducts follow-ups via proficient use of claims systems and related business systems 10. Delivers a positive On-Your-Side customer service experience to all internal, external, current and prospective Nationwide customers. 11. Adheres to high standards of professional conduct while providing delivery of superior claims service. 12. Other duties as assigned.
JOB REQUIREMENTS:
Education: Undergraduate degree or equivalent experience preferred. Licenses/Designations: State licensing where required. Successful completion of required claims certification schools/classes. Experience: One to three years of customer service and/or claims processing/handling experience preferred. Bodily injury claims experience preferred. Knowledge: General knowledge of insurance theory and practices, insurance contracts and their application. Advanced knowledge of causality claims best practices, medical terminology and liability analysis preferred. Proven knowledge of insurance contracts, medical terminology and the legal aspects of court procedures affecting legal liability for all lines of insurance. Knowledge of claims systems. Skills/Competencies: Field or office claims environment. May require ability to sit and operate telephone and personal computer for extended periods of time. Representatives may be required to operate an automobile and have a valid driver's license with a safe driving record. Must be able to make physical inspections of accident scenes. Must be able to climb, balance at various heights, stoop, bend, and/or crawl to inspect vehicles and structures. Must be able to work out of doors in all types of weather. 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 of time. Extended and/or non-standard hours as required. 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 or remote work environment. Representatives may be required to operate an automobile and have a valid driver's license with a safe driving record. Must be willing to work extended hours and to travel with possible overnight requirements. Must be available to work catastrophes (CAT) requiring travel to CAT sites with multiple on-site responsibilities and/or for extended periods of time. Including holidays and week-ends. 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.
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If you were eligible to this position, please give us your resume, with salary requirements and a resume to Nationwide Mutual Insurance Company.
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This position will be started on: Mon, 16 Jul 2012 18:04:21 GMT
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