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The Field Claims Specialist investigates and resolves personal lines property damage claims through both phone and face-to-face interactions. They are responsible for determining policy coverage, managing reserves, and delivering an outstanding customer service experience.
Territory: This role covers the North Central CA (San Joaquin & Stanislaus) area.
Ideal Candidate Locations: The ideal candidate will live in San Joaquin or Stanislaus counties.
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. Depending on claim volume, this role may also support additional territories in a desk adjuster capacity. Occasional overnight travel may be required in this role.
Relocation assistance may be available for qualified candidates who reside more than 50 miles outside of the territory.
Qualifications:
PLEASE NOTE that CAT duty is a requirement of this role
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
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!Job Description
Key Responsibilities:
Handles all assigned claims promptly and effectively, with moderate direction and oversight. Makes decisions within delegated authority as outlined in company policies and procedures.
Determines proper policy coverages and applies appropriate claims practices to resolve cases in alignment with company guidelines.
Opens, closes and adjusts reserves according to company practices to ensure reserve adequacy. Adheres to file conferencing notification and authority procedures.
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
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 Investigation Unit and Subrogation to identify fraud and subrogation opportunities. Assists or prepares files for lawsuit, trial or subrogation.
Initiates and conducts follow-ups via proficient use of claims systems and related business systems.
Delivers an outstanding customer service experience to all internal, external, current and prospective Nationwide customers. Adheres to high standards of professional conduct while providing delivery of outstanding claim's service.
May perform other responsibilities as assigned.
Reporting Relationships: Reports to Claims Manager. Individual contributor role.
Typical Skills and Experience:
Education: Undergraduate degree or equivalent experience.
Licenses/Designations: State licensing where required. Successful completion of required/applicable claims certification training/classes.
Experience: One to three years of related property claims handling experience. Experience in a customer service environment including flexible work schedules and extended hours preferred.
Knowledge: Familiar with customer service principles. Demonstrated knowledge of claims handling and claims best practices. General understanding of insurance theory and practices, insurance contracts and their application. Validated knowledge of insurance contracts, construction terminology and estimating practices. Knowledge of claims systems.
Skills/Competencies: Confirmed ability to meet customer needs and provide exemplary and meaningful service by guiding customers through the claims process and ensuring a positive customer experience. Analytical and problem-solving skills necessary to make decisions/resolve issues with application of coverages to submitted claims, application of laws of jurisdiction to investigation facts, application of policy exclusions and exceptions. Organizational skills to prioritize work. Ability to work in a fast paced and team-based environment. Demonstrated written and verbal communication skills to effectively communicate 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.
Other criteria, including leadership skills, competencies and experiences may take precedence.
Staffing Exceptions to the above must be approved by business unit executive and Human Resources.
Values: Regularly and consistently demonstrates the Nationwide Values.
Job conditions:
Overtime Eligibility: Eligible (Non-Exempt)
Working Conditions: Normal office or field 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. Able to make physical inspections of property loss sites; climb ladders, balance at various heights, stoop, bend and/or crawl to inspect vehicles and structures; 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.
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.
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.
Benefits
We have an array of benefits to fit your needs, including: medical/dental/vision, life insurance, short and long term disability coverage, paid time off with newly hired associates receiving a minimum of 18 days paid time off each full calendar year pro-rated quarterly based on hire date, nine paid holidays, 8 hours of Lifetime paid time off, 8 hours of Unity Day paid time off, 401(k) with company match, company-paid pension plan, business casual attire, and more. To learn more about the benefits we offer, click here.
Nationwide is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive culture where everyone feels challenged, appreciated, respected and engaged. Nationwide prohibits discrimination and harassment and affords equal employment opportunities to employees and applicants without regard to any characteristic (or classification) protected by applicable law.
#claimsNOTE TO EMPLOYMENT AGENCIES:
We value the partnerships we have built with our preferred vendors. Nationwide does not accept unsolicited resumes from employment agencies. All resumes submitted by employment agencies directly to any Nationwide employee or hiring manager in any form without a signed Nationwide Client Services Agreement on file and search engagement for that position will be deemed unsolicited in nature. No fee will be paid in the event the candidate is subsequently hired as a result of the referral or through other means.
Nationwide pays on a geographic-specific salary structure and placement within the actual starting salary range for this position will be determined by a number of factors including the skills, education, training, credentials and experience of the candidate; the scope, complexity and location of the role as well as the cost of labor in the market; and other conditions of employment. If a Sales job, Sales Incentives, based on performance goals are possible in addition to this range. Note on Compensation for Part-Time Roles: Please be aware that the salary ranges listed below reflect full-time compensation. Actual compensation may be prorated based on the number of hours worked relative to a full-time schedule.The national salary range for Field Claims Specialist I, Property - NEX : $49,100.00-$91,300.00The expected starting salary range for Field Claims Specialist I, Property - NEX : $49,100.00 - $73,700.00Stop the endless job search. Our AI finds and applies to the best jobs for you.
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