Claims Adjuster III, Field Property - Flex Claims Professional (Denver, CO)
Nationwide Mutual Insurance CompanyDenver, CO, US
6 days ago
Job type
Full-time
Job description
Handles all assigned claims promptly and effectively, with little direction and oversight, which may include complex and catastrophic losses. Makes decisions within delegated authority, recommends settlement values in the disposition of claims as outlined in company policies and procedures.
Determines proper policy coverages and applies standard methodologies to conclude assigned cases according to company guidelines. Adheres to high standards of professional conduct while delivering outstanding service.
Opens, closes and adjusts reserves according to company practices to ensure reserve adequacy. Adheres to file conferencing notification and authority procedures.
Maintains current knowledge of assigned insurance lines; court decisions which may impact the claims function; current guidelines; and policy changes and modifications. This may require attending various seminars or training sessions.
Maintains current knowledge of local industry repair procedures and local market pricing.
Able to act for the Claims Manager. Mentors and provides leadership to less experienced claims associates. Provides one-on-one training and helps with training / presentations as assigned by claims management.
Partners with Special Investigation Unit and Subrogation to identify fraud and subrogation opportunities. Assists or prepares files for suit, trial or subrogation.
Initiates and conducts follow-ups through proficient use of the claims and other related business systems.
Delivers an outstanding customer service experience to all internal, external, current and prospective Nationwide customers. Knowledge, Abilities and Skills : General knowledge of insurance theory and practices, and contracts and their application. Property estimating and automated claims systems. Demonstrated knowledge of the investigation, consultation and settlement activities used to resolve extensive property damage claims. Proven ability to meet customer needs and provide exemplary meaningful service by guiding customers through the claims process and ensuring a positive customer experience. Analytical and problem-solving skills necessary to make decisions and resolve issues related to application of coverages to submitted claims, application of laws of jurisdiction to investigation facts, and application of policy exclusions and exceptions. Ability to establish repair requirements and cost estimates for property losses. Ability to evaluate and successfully advise on property claims. Organizational skills to prioritize work. Command of written and verbal communication skills to effectively communicate with policyholders, claimants, repairpersons, attorneys, agents and the general public. Ability to efficiently operate a personal computer and related claims and business software. Able to provide leadership to less experienced claims associates. Must be able to safely access and inspect rooftops using a ladder. Must be prepared and capable of conductingphysical inspections on rooftops, including first and second story roofs with pitches up to 8 / 12.Normal office or field claims environment. May require ability to sit and operate phone and personal computer for extended periods of time. Able to make physical inspections of property loss sites; stoop, bend and / or crawl to inspect vehicles and structures; work outside in all types of weather. Must be willing to work irregular hours and to travel with possible overnight requirements. May be on-call. Must be available to work catastrophes (CAT). Extended and / or non-standard hours as required. Must have a valid driver's license with satisfactory driving record in accordance with Nationwide standards.We have an array of benefits to fit your needs, including : medical / dental / vision, life insurance, short and long term disability coverage, paid time off with newly hired associates receiving a minimum of 18 days paid time off each full calendar year pro-rated quarterly based on hire date, nine paid holidays, 8 hours of Lifetime paid time off, 8 hours of Unity Day paid time off, 401(k) with company match, company-paid pension plan, business casual attire, and more. To learn more about the benefits we offer,At Nationwide, we find purpose in protecting people, businesses and futures with extraordinary care – and we've been doing that since 1926. Our financial strength and caring culture extend beyond our associates into the communities we serve. You really can feel the difference at Nationwide, which is why we continue to be named one of the Fortune 100 Best Companies To Work For. Check out why others think we're , too, and let us know –
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Property Field Adjuster • Denver, CO, US
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