Field Claims Specialist II, Material Damage (Southwest Greater Pittsburgh Area, PA - WFH)

Nationwide•Town of Wirt, NY

13d•$62,500 - $115,500•Remote

About The Position

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. 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.

Requirements

Undergraduate degree or equivalent experience.
State licensing where required.
Successful completion of required/applicable claims certification training/classes.
Three to five years of successful experience in customer service and/or claims handling required.
Demonstrated knowledge of customer service principles, insurance company operations and multiple property casualty insurance lines of business.
Material/physical damage repair processes, vendor management, customer service techniques, and all related claims systems.
Demonstrated knowledge and adherence to best claims practices.
Validated ability to meet customer needs and provide exemplary service by informing customers of the claims process and ensuring a positive customer experience.
Confirmed knowledge of insurance contracts and the legal aspects of court procedures affecting legal liability for insurance lines.
Knowledge of claims systems.
Demonstrated analytical skills needed to make decisions and reach resolutions in such areas as application of coverage to submitted claims, application of laws of jurisdiction to investigation facts, application of policy exclusions and exceptions.
Proven ability to establish repair requirements and cost estimates for extensive losses and serves as a subject matter specialist on respective claims projects.
Proven organizational skills to effectively prioritize.
Demonstrates strong but flexible standards and can act different, can be seen as balanced based on the conflicting demands of the position.
Excellent written and verbal communication skills necessary to effectively communicate and/or collaborate with policyholders, claimants’ attorneys, agents, and general public.
Demonstrated leadership capabilities to effectively train, coach, and mentor less experienced associates.
Ability to operate a personal computer and related software.
Must have a valid driver’s license with satisfactory driving record in accordance with Nationwide standards.
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.

Nice To Haves

Professional development such as IIA or CPCU preferred.
Material/physical damage experience preferred.
Related repair industry experience a plus.
Participation in technical insurance or industry coursework preferred (CPCU, ICAR, ASE).

Responsibilities

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.

Benefits

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