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Carrot Peelers, Sales, Personality and Your Job Search
In-House
Attorney
Litigation
Insurance Coverage
Litigation - Whistleblower - CFTC
3-5 yrs required
Claims Specialist II, Casual Bodily Injury Candidate will investigate and effectively resolve complex bodily injury personal lines liability claims via telephone, internet or email. Will be responsible for the disposition of claims in accordance with prescribed authority and according to best claims practices. Promotes and provides ""On Your Side"" customer service. Investigates and effectively resolves personal lines liability claims via telephone. Responsible for the disposition of claims in accordance with prescribed authority and according to best claims practices. Promptly and effectively handles to conclusion all assigned claims with little to no 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. Utilizes various methods of settlement in the cases where warranted; assigns cases to outside vendors as warranted. Appropriate use of structure settlement on all applicable cases. 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. Maintains current knowledge of: all 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 sessions. Submits severe incident reports, reinsurance reports and other information to home office, claims management, and underwriting. Partners with SIU and Subrogation to identify fraud and subrogation opportunities. Delivers a positive On-Your-Side customer service experience to all internal, external, current and prospective Nationwide customers. Serves as a mentor to less experienced claims associates and assists with training/presentations as assigned by claims management.
Qualification and Experience
Candidate with Undergraduate degree or equivalent experience is preferred. Postgraduate studies in medical field or law is desired. Successful completion of required claims certification courses/schools is needed. 3-5 years of claims handling experience including experience handling complex bodily injury claims is needed. Proven knowledge of insurance theory and practices, insurance contracts and application is needed. Advanced knowledge of causality claims best practices, medical terminology and liability analysis is preferred. Proven knowledge of insurance contracts, medical terminology and the legal aspects of court procedures affecting legal liability for all lines of insurance is needed. Proven knowledge of insurance contracts, medical terminology, workers' compensation, and the legal aspects of court procedures affecting legal liability for all lines of insurance is needed. Prior bodily injury experience is preferred.
Job ID: 29926.
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