Do you have a strong desire to resolve insurance claims by providing prompt, courteous and fair service to customers? Are you a skilled investigator, negotiator and communicator? If you thrive in an environment where you can problem-solve claims resolution, while following processes that provide fair resolution, customer satisfaction and cost management, then we want to hear from you!
As a Claims Specialist, you’ll investigate and effectively resolve complex non-injury personal lines liability claims via phone, internet or email.
- Determines proper policy coverages and, where necessary, investigates, evaluates, negotiates and equitably settles all assigned liability cases according to company policies and procedures at values commensurate with damages sustained.
- Handles all assigned claims with minimal 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 outstanding service.
- Identifies subrogation and contribution for subrogation. May initiate or respond to inter-company arbitration.
- Partners with Special Investigation Unit and Subrogation to identify fraud and recovery opportunities.
- Delivers a positive customer service experience to all internal, external, current and prospective Nationwide customers.
- Three to five years of related casualty claims handling experience or related medical experience.
- Undergraduate degree or equivalent experience preferred.
- Postgraduate studies in medical field or law desirable.
- Validated knowledge of insurance theory and practices, insurance contracts and their application.
- Excellent customer service skills and ability to proactively meet customer needs.
- Familiarity with claims processing and claims practices and procedures preferred.
- Confirmed knowledge of medical terminology, workers compensation, and the legal aspects of court procedures affecting legal liability for all lines of insurance.
- Knowledge of claims systems.
- Analytical skills vital to making decisions and resolving issues in such areas as application of coverage to submitted claims, application of laws of jurisdiction to investigation facts, application of policy exclusions and exceptions.
- Ability to establish repair requirements and cost estimates for extensive losses and serves as a subject matter authority on respective claims projects.
- Strong social skills to optimally prioritize increased and more complex workloads.
- Demonstrates strong but flexible standards, balanced based on the conflicting demands of the position.
- Excellent written and verbal communication skills necessary to effectively communicate and/or influence policyholders, claimants, attorneys, agents, and general public.
- Demonstrated leadership capabilities to effectively train, coach, and mentor less experienced associates.
- Able to provide outstanding customer service by informing customers of the claims process.
- Ability to efficiently operate personal computer and software for claims-related and other business applications.
- State licensing where required. Successful completion of required claims certification schools/classes.
Vacancy Type: Full Time
Job Location: San Antonio, TX, US
Application Deadline: N/A