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Nationwide Remote Claim Specialist

RI, MA, PA,NJ, UT,MI,TX,MS,AR,KS,PA,NV,MD,DE,KY,OR,CO,WV, NM, LA,AL, GA, WI, FL,TN,CA,MI,MS,IN,CO, DC,AZ,OH. Read employee reviews, salaries, and benefits here

Nationwide is a high-performing organization, and we continue to prove it every day. Our Property and Casualty Division sells a unique mix of home, auto, commercial, specialty, and farm products through exclusive, independent, and direct distribution channels. Nationwide Financial focuses on long-term retirement savings products, providing firms and their advisors with financial solutions for their clients, to help those clients plan for and live in retirement.







Job Description Summary

JOB SUMMARY:

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 non-injury personal lines liability claims via phone, webchat or email. And you'll handle the disposition of claims according to prescribed authority and best claims practices.


Job Description

Key Responsibilities:

  • Handles all assigned claims promptly and effectively with moderate 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 superior service.

  • Initiates and conducts follow-ups via proficient use of claims systems and related business systems

  • Determines proper policy coverages, and where necessary, investigates, evaluates, negotiates, and equitably settles all assigned liability/bodily injury claims cases at values commensurate with damages sustained.

  • Partners with Special Investigation Unit and Subrogation to identify fraud and recovery opportunities.

  • Maintains and develops current knowledge of assigned insurance lines court decisions which may impact the claims function current guidelines, and policy changes and modifications. This may require attendance at various seminars or training sessions.

  • Submits severe incident reports, reinsurance reports, and other information to claims management as needed.

  • Assists or prepares files for a lawsuit, trial, or subrogation.

  • Serves as the single point of contact for personal lines material damage claims, including non-standard claims.

  • Delivers a positive customer service experience to all internal, external, current, and prospective Nationwide customers.

(Phone Operations)

Job Description Summary

Do you have a strong desire to resolve complicated 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 Commercial Property Claims Specialist, you will investigate, evaluate, negotiate and resolve commercial property damage claims of low severity and complexity. We’ll count on you to promote and provide exemplary customer service in person and on the telephone when handling claims. In addition, you will be responsible for the handling of claims in accordance with prescribed authorizations.


Job Description

Key Responsibilities:

  • Responsible for all assigned claims, operating under moderate 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 superior service.

  • Determines proper policy coverages and applies where necessary. Applies best claims practices to conclude, investigate, evaluate and negotiate assigned material/physical damage claims cases per company guidelines.

  • Opens closes and adjusts reserves in accordance with company practices designed to ensure reserve adequacy. Recommends Special Reserves where necessary, according to Corporate Reserving Guidelines. Adheres to file conferencing notification and authority procedures.

  • Maintains and develops current knowledge of assigned insurance lines; court decisions that, 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 sessions.

  • Submits severe incident reports, reinsurance reports, and other information to claims management as needed.

  • Partners with Special Investigative Unit (SIU) and Subrogation to identify fraud and subrogation opportunities

  • Assists or prepares files for suit, trial, or subrogation.

  • Initiates and conducts follow-ups via proficient use of claims systems and related business systems

  • Delivers positive and outstanding customer service experience to all internal, external, current, and prospective Nationwide customers.

  • Adheres to high standards of professional conduct while providing delivery of superior claims service.

As a Claims Specialist II, you will investigate, evaluate, negotiate and resolve commercial property damage claims of a moderate to serious nature. We’ll count on you to promote and provide exemplary customer service. In addition, you’ll be responsible for the handling of claims in accordance with prescribed authorization.


Job Description

Key Responsibilities:

  • Responsible for moderate to serious complexity commercial property damage claims with little to no direction and oversight. Makes decisions within delegated authorization; recommends settlement values in the disposition of moderate and sometimes serious and complex claims. Adheres to high standards of professional conduct while providing delivery of superior claims service.

  • Determines proper policy coverages and applies best claims practices to conclude assigned cases per company guidelines.

  • Opens closes and adjusts reserves in accordance with company practices designed to ensure reserve adequacy. Recommends Special Reserves where necessary according to Corporate Reserving Guidelines. Adheres to file conferencing notification and authority procedures.

  • Maintains current knowledge of insurance and applicable product/services; court decisions that may impact the claims function; current guidelines in the claims function; and policy changes and modifications. This may require attendance at various seminars and/or training sessions.

  • Maintains current knowledge of local industry repair procedures and local market pricing.

  • Submits severe incident reports, reinsurance reports, and other information to claims management as needed.

  • Partners with Special Investigative Unit (SIU) and Subrogation to identify fraud and subrogation opportunities.

  • Delivers a positive customer service experience to all internal, external, current, and prospective Nationwide customers.

  • Mentors less experienced claims associates and assists with training/presentations as assigned by claims management.

As a Claims Specialist, you'll investigate, evaluate, negotiate and resolve complex and severe litigation and attorney-represented casualty claims.


Job Description

Key Responsibilities:

  • Handles to conclusion assigned claims with little to no direction and oversight which may include complex and catastrophic casualty losses.

  • 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.

  • Pays claims accurately based on policy provisions, state mandates, and/or fee schedules.

  • Determines and initiates appropriate requests for medical and non-medical information needed to properly pay claims.

  • Resolves applicable coverage, medical necessity, and appropriateness of charges related to an injury claim.

  • Opens closes and adjusts reserves according to company practices designed to ensure reserve adequacy. Adheres to file conferencing notification and authority procedures.

  • Maintains current knowledge of court decisions that may impact the claim function, current principles and practices, material damage techniques and repair technology innovations, and policy changes and modifications. May be required to maintain knowledge of other functions within the assigned subject area. This may require attendance at various seminars or training sessions.

  • Mentors less experienced claims associates and assists with training/presentations as assigned by claims management.

  • Creates and analyzes severe incident reports, reinsurance reports, and other information to the corporate office, Claims Management, and Underwriting.

  • Partners with Special Investigation Unit and Subrogation to identify fraud and recovery opportunities. Assists or prepares files for a lawsuit, trial, or subrogation.

  • Consults claims staff and defense counsel for discovery processes, lawsuit file/trial strategy as related to case-specific issues.

  • Reviews and evaluates medical reports and records obtained from providers for contestability and pre-existing health history.

  • Delivers a positive customer service experience to all internal, external, current, and prospective Nationwide customers.

The ideal candidate will have experience with testing coordination, dependency management, Cross-business unit collaboration and have a strong automation mindset and focus. Knowledge of testing tools like TOSCA, Ruby / Cucumber, and Hexawise, is needed. Must have strong collaboration, communication, and leadership skills.



Job Description Summary

If you’re passionate about delivering technology solutions to support a company providing extraordinary care to its customers, then Nationwide Technology is the place for you. Nationwide's industry-leading technology workforce embraces an agile work environment and a collaborative culture to deliver outstanding solutions and results. If that sounds like something you aspire to, we want to hear from you!


As a Quality Engineer, you will plan and conduct a wide range of software quality tests and analyses to ensure all application products and, services meet organizational standards aligned to their quality management approach, as well as, end-user requirements. All Quality Engineers perform quality planning, quality design, and execution.

You will focus on a blend of skills enabling efficient execution of risk-based testing, test automation, performance testing, test data management, test environment management, continuous integration, and continuous deployment all improving speed to delivery for our business partners.


Job Description

Key Responsibilities:

  • Carries out procedures to ensure all information systems products and services meet organization standards and end-user requirements.

  • Analyzes and reviews moderate requirements, user stories, and technical work products to create the automation needed.

  • Plans for the proper mix of manual, automated, and exploratory testing methods.

  • Uses the appropriate quality engineering tools to define test data management, test automation, security/vulnerability, performance, and regression testing needs.

  • Validates test results, records, and researches defects.

  • Coordinates test runs and test environment calendars for all impacted applications.

  • Traces requirements to tests and test results.

  • Prioritizes, defines, and manages defect reporting and resolution.

  • Manages defects including identifying, tracking, and providing critical thinking for resolution.

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