Sr Claims Representative

JOB SUMMARY: Investigates and effectively resolve first and third party physical damage claims via telephone. Responsible for the disposition of claims in accordance with prescribed authority and according to best claims practices.

LOCATION: Specialty Products Claims- Woodbury, NY
RELATIONSHIP: Reports to Claims Manager

JOB RESPONSIBILITIES:
1. Determines proper policy coverages, and where necessary, investigates, evaluates, negotiates and equitably settles all assigned claims in accordance with company policies and procedures at values commensurate with damages sustained.
2. May serve as the single point of contact for material damage claims,

3.  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.
4. Authorizes and/or approves all claims payments within the delegated authority.
5. Prepares and submits initial and follow-up reports of findings and action taken on each assigned claim in conformity with established procedures.
6. Assists or prepares files for subrogation.
7. Submits expense reports and other administrative reports as required.
8. Properly maintains all assigned company equipment.
9. Performs all other duties as required.

 

JOB REQUIREMENTS:
Education/Knowledge: Undergraduate degree preferred.  State licensing where required. General knowledge of insurance theory and practices; insurance contracts and their application. Familiarity with automated claims system.


Experience: Two year claims handling experience. Experience in a customer service environment including flexible work schedules and extended work hours.

Skills: Analytical skills necessary to make decisions and resolve conflict in such areas as application of coverages to submitted claims, application of laws of jurisdiction to investigatory facts, application of policy exclusions and exceptions. Organizational skills to effectively prioritize work. Written and verbal communication skills for contact and/or negotiation with policyholders, claimants,, agents and the general public. Ability to efficiently operate personal computer and software for claims-related and other business applications.

Staffing exceptions to the above minimum job requirements must be approved by: Claims Director and Human Resources Representative.

 

JOB CONDITIONS:
Overtime Eligibility: Not Eligible (Exempt).
Working Conditions:  Office claims environment. May require ability to sit and operate telephone and personal computer for extended periods of time. Representatives may be required to operate an automobile and have a valid driver's license with a safe driving record. Must be willing to work extended hours and alternating holidays. Possible travel with overnight requirements. 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 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.

NILC - Could hire at a higher level, contingent on experience.

 

Send all resumes to Pamela Kelley @ Kelleyp4@nationwide.com or Gary Rickerson @ Rickerg1@nationwide.com .