A $2000 SIGN-ON BONUS will be given to all external candidates hired into this role. The bonus is paid in 2 parts, the first payment will be made on the first pay period after 3 months of employment and the second payment will be made on the first pay period after 9 months of employment.

Job Description Summary

Do you have the ability to communicate compassionately and effectively to resolve insurance claims? If so, and if you’d thrive in a fast-paced environment where your professional growth and development is both encouraged and supported, we want to know more about you!

We’ll count on you to promote and provide outstanding customer service. You’ll be responsible for assigning claims to appropriate adjusters. In addition, you’ll answer phone calls from customers, agents and repair facilities. You’ll also help with pending claims management, sending regulatory letters and issuing payments.

Job Description

Key Responsibilities:

• Reviews and determines payment of minor, undisputed and/or limited authorization claims. Assigns all other claims to appropriate adjuster.

• Verifies coverage and damage reports received from vendors and customers for accuracy and consistency with the claim as reported.

• Audits bills for detection of possible fraud; refers findings to Special Investigations Unit as advised.

• Remains current on requirements and legislation for assigned state(s).

• Prepares and submits administrative reports as required.

• Provides support for unit claims associates and managers. Acts as a point of contact for internal/external customers.

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

May perform other responsibilities as assigned.

Reporting Relationships: Reports to Claims Manager or Supervisor. Individual contributor role.

Typical Skills and Experiences:

Education: High school studies; some post high school course work preferred.

License/Certification/Designation: State licensing where required

Experience: One year of insurance, customer service and/or claims processing experience.

Knowledge, Abilities and Skills: General knowledge of customer service principles and/or insurance processing activities and operational functions. Familiarity with claims policies and procedures preferred. Proven ability to meet customer needs and provide exemplary service by informing customers of the claims process and ensuring a positive customer experience. Verbal and written skills to effectively communicate with policy holders, agents and vendors. Ability to prioritize work and make sound decisions such as the application of coverages to submitted claims. Ability to work in a fast-paced and team-based environment. Ability to perform basic mathematics to apply deductibles. Ability to operate personal computer and related claims business software.

Other criteria, including leadership skills, proficiencies and experiences may take precedence.

Staffing exceptions to the above must be approved by the Business Unit Executive and Human Resources.

Values: Regularly and consistently demonstrates the Nationwide Values.

Job Conditions:

Overtime Eligibility: Eligible (Non-Exempt)

Working Conditions: Office environment. Must be available to work catastrophes (CAT) which may include working extended periods of time including holidays and weekends over the phone or in office environment. Field CAT duty is not required for this role. May require ability to sit and operate telephone and personal computer for extended periods of time.

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.

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.