Nationwide Employment – Field Claims Specialist III

Website Nationwide

Job Description:

As a Field Claims Specialist, you’ll evaluate, negotiate and resolve large personal lines property losses (structure and contents) from $50K to $350K, while maintaining high member engagement. These losses will be high exposure, complex, coverage-laden and involve high profile, affluent and high net worth customers. Property involved is likely to include high end building material, fine arts, antiques and collectables. Some homes may involve custom builds, designs and materials.

Job Responsibilities:

  • Prepares/reviews reservation of rights, non-waiver agreements and denials of coverage when appropriate.
  • Mentors field claims associates to develop their technical and building knowledge and may provide advice, counsel or formal training.
  • Conducts on-site field investigations and/or field re-inspections of large exposure personal lines claims and coordinates rebuilding of damages with contractors, various trades and architects. Will support and partner with Nationwide Excess & Surplus/Specialty (E&S) and Nationwide Indemnity (NWI).
  • Participates in complex litigated and non-litigated claims and provides technical assistance and consultation to state/regional leaders and claim associates.
  • Partners with Special Investigations Unit and Recovery to identify fraud and subrogation opportunities. Assists or prepares files for lawsuit, trial or subrogation (property, material damage, casualty).
  • Maintains current knowledge of court decisions which may impact the claims function, current principles and practices, material damage techniques and repair technology innovations and policy changes and modifications.
  • Maintains knowledge of other functions within assigned subject area. This may require attendance at various seminars or training sessions.
  • Opens, closes and adjusts reserves in accordance with company practices designed to ensure reserve adequacy. Recommends special reserves where necessary.
  • Completes onsite Xactimate (software tool used for estimations) estimates, thorough investigations, photos and narrative reports. Obtains medical reports, appraisals, estimates of property damage and evaluates bodily injury claims as needed. When necessary, coordinates and reviews work performed by vendors.
  • Pays claims accurately based on policy provisions, state mandates and/or fee schedules. Authorizes and/or approves all claim payments, within granted authority, which may include litigation expense. Creates and analyzes severe incident reports, reinsurance reports and other information to corporate office, claims management, and underwriting
  • Consults claims staff and defense counsel for discovery processes, lawsuit file/trial strategy as related to case-specific issues.
  • Participates in catastrophe (CAT) events as requested by the Technical and/or field office.
  • Delivers a outstanding customer service experience with clear service expectations to all internal, external, current and prospective customers. Adheres to high standards of professional conduct while providing the delivery of superior claims service support and work product.

Job Requirements:

  • Knowledge, Abilities and Skills: Proven knowledge of insurance theory and practices, insurance contracts and their application. Advanced knowledge of causality claims practices, medical terminology and the legal aspects of court procedures affecting legal liability for all lines of insurance.

Qualification & Experience:

  • License/Certification/Designation: State licensing where required. Professional development such as IIA or CPCU preferred
  • Experience: Five to eight years of claims handling experience, including two years handling field property Large Loss or complex claims, all lines, personal and/or errors and omissions including bodily injury, extensive material damage and/or questionable liability. Some positions may require litigation experience.
  • Education: Undergraduate degree or equivalent experience preferred.

Job Details:

Company: Nationwide

Vacancy Type:  Full Time

Job Location: Philadelphia, PA, USA

Application Deadline: N/A

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