Assoc Claims Specialist, MD
Location: Des Moines Iowa
Description: Nationwide Insurance is at present looking to employ Assoc Claims Specialist, MD right now, this position will be placed in Iowa. More details about this position opportunity kindly read the description below. This Associate Claims Specialist, MD role will support the Total Loss Department as a Toal Loss Adjuster and will be staffed out of our Des Moines, Iowa offices. The selected candidate will work a Tuesday through Saturday, 9-5:30 shift. A shift differential will be offered.
The position demands a high level of customer advocacy through an innovative and engaged associate.
JOB SUMMARY: Investigates and properly resolves personal lines material/physical damage Total Loss or Fire & Theft claims via telephone or face-to-face investigation or ! negotiation. Promotes and provides ""On Your Side"" customer s! ervice. Responsible for the disposition of claims in accordance with prescribed authority and claims best practices.
RELATIONSHIP: Reports to Reports to Claims Manager
DIRECT REPORTS: None
JOB RESPONSIBILITIES:
1. Completes training necessary to promptly and effectively handle claims to conclusion. Adheres to high standards of professional conduct while providing the delivery of superior claims service.
2. Authorizes and/or approves all claims payments within the delegated authority or within the maximum limits as outlined in company policies and procedures.
3. Determines proper policy coverages, and where necessary, investigates, evaluates, negotiates and equitable settles all assigned casualty claims cases in accordance with company guidelines. Learns to utilize best claims practices.
4. Establishes and authorizes reserves and claims payments within the delegated authority. Recommends for approval all claims payme! nts beyond delegated authority in accordance with company practices and procedures.
5. Learns to conduct settlement negotiations with claimants and policy holders.
6. Builds knowledge of: personal lines material/physical damage claims; court decisions which may impact the claims function; current guidelines in the claims function; and policy changes and modifications.
7. Submits administrative reports as required.
8. Initiates and conducts follow-ups via proficient use of the claims handling system or other related systems.
9. Learns to partner with SIU and Subrogation to identify fraud and subrogation opportunities.
10. Delivers a positive On-Your-Side customer service experience to all internal, external, current and prospective Nationwide customers.
11. Other duties as assigned.
JOB REQUIREMENTS:
Education: Undergraduate degree or equivalent experience.
Licenses/Designations: State licensing where r! equired. Successful completion of required claims certification schools! /classes..
Experience: Experience in a customer service environment including flexible work schedules and extended work hours, prior claims handling experience preferred.
Knowledge: General knowledge of customer service principles and/or insurance theory and practices. Familiarity with claims processing, policies and procedures preferred. Familiarity with automated claims systems and claims best practices desirable.
Skills/Competencies: Proven ability to meet customer needs and provide exemplary service by informing customers of the claims process and ensuring a positive customer experience. Ability to acquire skills necessary to make decisions and resolve conflicts in such areas as application of coverages to submitted claims, application of laws of jurisdiction to investigatory facts, application of policy exclusions and exceptions. Ability to effectively prioritize work. Ability to work in a fast paced and team based environment.Written a! nd verbal communication skills for contact and/or negotiation with policyholders, claimants, repairpersons, attorneys, physicians, agents and the general public. Ability to efficiently operate personal computer and software for claims-related and other business applications.
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: 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 an! d 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.
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.
Job Evaluation Activity: Edited 5/2/11 JTG
Nationwide Mutual Insurance Company, its affiliates and subsidiaries comply with the Iowa Smokefree Air Act. Smoking is prohibited in all enclosed areas on or around company premises as w! ell as company issued vehicles. The company offers designated smoking areas in which smoking is permitted at each individual location. The Act prohibits retaliation for reporting complaints or violations. For more information on the Iowa Smokefree Air Act, individuals may contact the Smokefree Air Act Helpline at 888-944-2247 or click here .
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If you were eligible to this position, please email us your resume, with salary requirements and a resume to Nationwide Insurance.
If you interested on this position just click on the Apply button, you will be redirected to the official website
This position starts available on: Tue, 31 Dec 2013 18:03:17 GMT