Field Claims Specialist III, Property Job in Los Angeles, California US
Please visit our website at https://careers.nationwide.com/hcm/Nationwide-jobs-apply.html and register for the site. Once you have done that you can then conduct a search for requisition number 1665 and then apply directly.
This is a Large Loss Property adjuster position located it the greater Los Angeles area. The ideal applicant will live within the Annaheim/Orange County territory, but that is not mandatory.
This position will work from a residential office and be provided with a company vehicle.
The ideal applicant for this position will have experience estimating large losses using Xactimate (or another estimating software) and possess excellent customer service skills.
JOB SUMMARY: Functions as a personal lines property claims specialist to evaluate, negotiate and bring to final resolution serious exposure claims requiring investigation, liability evaluation and negotiation. Promotes and provides ""On Your Side"" customer service. Expedites settlement and control of average loss cost and litigation expense in compliance with best claims practices.
RELATIONSHIP: Reports to Reports to Claims Manager
DIRECT REPORTS: None
JOB RESPONSIBILITIES:
1. Promptly and effectively handles to conclusion assigned claims with little to no direction and oversight which may include complex and catastrophic casualty losses.Promptly and effectively handles to conclusion all assigned claims with little to no direction and oversight. Makes decisions within delegated authority, recommends settlement values in the disposition of serious and sometimes complex claims as outlined in company policies and procedures. Adheres to high standards of professional conduct consistent with the delivery of superior service.
2. Determines proper policy coverages and applies best claims practices to conclude assigned cases in accordance with company guidelines. Adheres to high standards of professional conduct while providing delivery of superior claims service.
3. Opens, closes and adjusts reserves in accordance with company practices designed to ensure reserve adequacy. Recommends Special Reserves where necessary. In accordance with Corporate Reserving Guidelines. Adheres to file conferencing notification and authority procedures.
4. Maintains 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
5. Maintains current knowledge of local industry repair procedures and local market pricing.
6. Serves as a mentor to less experienced claims associates and assists with training/presentations as assigned by claims management.
7. Partners with SIU and Subrogation to identify fraud and subrogation opportunities. Assists or prepares files for suit, trial, or subrogation. (Property/MD/Casualty).
8. Assists or prepares files for suit, trial or subrogation.
9. Initiates and conducts follow-ups via proficient use of the claims systems and other related business systems.
10. Delivers a positive On-Your-Side customer service experience to all internal, external, current and prospective Nationwide customers.
11. Able to act for the Claims Manager; provides leadership to less experienced claims associates; provides one-on-one training.
12. Other duties as assigned.
JOB REQUIREMENTS:
Education: Undergraduate studies in business administration or related field preferred and/or relevant experience
Licenses/Designations: Successful completion of required claims certification schools/courses. Professional development such as IIA or CPCU preferred. State licensing where required.
Experience: Five years experience handling property claims, insurance processing or field claims adjusting.
Knowledge: Proven knowledge of insurance theory and practices, insurance contracts and their application. Advanced knowledge of causality claims best practices, medical terminology and the legal aspects of court procedures affecting legal liability for all lines of insurance. Excellent customer focus and proven ability to proactively meet customer needs. Analytical skills necessary to make decisions and resolve conflict in application of coverage, laws of jurisdiction to investigation facts, policy exclusions and exceptions. Ability to establish repair requirements and cost estimates for extensive losses and serves as a subject matter expert on respective claims projects. Proven organizational skills to effectively prioritize increased and more complex workloads.Demonstrates strong but flexible standards and can 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 negotiate with various audiences. Demonstrated leadership capabilities to effectively train, coach, and provide feedback to less experienced associates.
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. Proven analytical and problem solving skills necessary to make decisions and resolve conflict 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 property losses. Proven ability to direct defense counsel in suit handling from inception to conclusion. Proven organizational skills to effectively prioritize work. Oral and written communication skills necessary to effectively communicate and/or negotiate with policyholders, claimants, repair persons, attorneys, physicians, agents, and general public. Proven ability to operate personal computer and related claims and business software.
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: Normal office or field claims environment. 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 property loss sites. Must be able to climb ladders, balance at various heights, stoop, and bend and/or crawl to inspect vehicles and 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. May be on-call. Must be available to work catastrophes (CAT). Extended and/or non-standard hours as required.
Credit/Background Check: Due to the fiduciary accountability 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.