Processor II, Claims Services - E&S/Specialty

Nationwide•Scottsdale, AZ

2d•Onsite

About The Position

Exceptional processing is essential to accurate claim resolution. We work in a fast-paced, interactive environment where outstanding customer service is valued. If you have a Lean approach as well as a desire to innovate and apply your technical knowledge and skills, we want to know more about you! As a Processor II, you will be responsible for processing more complex claims services functions such as open items, correspondence, statistical reporting, small first party claims, and special projects in accordance with Claims Services Best Practices.

Requirements

High school studies.
Two years experience as a Claims Services Processor, or four years related insurance, accounting or service preferred.
Claims processing systems including ClassPlus, CPS, NAPS and FPS; coding practices and procedures, including manual claims.
Interrelationship between claims services and other departments.
General accounting practices as they relate to open item processing.
Customer service concepts.
Verbal and written communication skills to interact with internal/external contacts including claims representatives, agents, policyholders/claimants, other departments/functions; ability to read and interpret manuals and reference materials.
Ability to research, analyze and resolve complex claims processing and open item issues.
Ability to operate personal computer and related processing software; operate business machines and calculator (ability to pass applicable data entry/typing test).
Prioritize own work; determine whether any adverse information is present that would require claims review using established criteria, guidelines, and standards.

Nice To Haves

Completion of formal customer service or accounting class or seminar preferred.

Responsibilities

Responsible for the most complex claims processing functions including open items, ESCHEAT, collections, deductible billings, reports analysis, erroneous claims and manual checks, and claims account reconciliation.
Effectively uses all related systems such as ClassPlus, Claims Processing System (CPS), Nationwide Auto Processing System (NAPS), Fire Processing System (FPS), stand-alone PC, Wausau and others.
Assists in determining the effect of new releases, transmittals, procedures and suggestions.
Quality checks team member work; assists in the training of new employees and cross-training for current employees on input processing, statistical reporting, and other claims processing tasks.
Prepares unit statistical report, reconciles reports, verifies commercial coverages, handles small first party claims, and sets up Comparative Rater (CR) policies on appropriate system.
Researches and documents projects to systems concerning program errors, processing enhancements, or workflow issues at the direction of the group leader, team leader or manager.
Assists state or company auditors, as requested.
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