Nationwide Claims Specialist II, Recovery in Des Moines, Iowa
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JOB SUMMARY: Investigates, evaluates, negotiates and brings to a final resolution recovery claims files that may involve liability and/or multiple defendant issues. Responsible for the disposition of claims in accordance with prescribed authority per Best Recovery Practices. Handles more complex files and those in special arbitration with limited guidance or supervision. Promotes and provides "On Your Side" customer service. Serves as training resource to other recovery representatives.
Reports To: Subrogation Manager. No direct reports.
Refers files to manager that cannot be brought to conclusion via regular recovery efforts.
Responsible for prompt and proper disposition of recovery claims within delegated authority in multiple jurisdictions. Handles recovery claims files that are increased in complexity. This may include files in arbitration including complex cases, property large losses, multiple tortfeasors, special arbitrations and litigation. Applies laws, policy language and jurisdiction to investigative facts. Maintains quality and productivity levels.
Evaluates legal liability and aggressively pursues, negotiates and resolves recovery collection. Effectively applies claims and recovery best practices in support of customer experience.
Establishes and authorizes reserves and claims payments within the delegated authority. Recommends for approval all payments beyond delegated authority in accordance with company practices and procedures.
Negotiates appropriate disposition of claims, including payment plans with responsible parties, their legal representatives or other insurance companies.
Serves as technical and training resource to other recovery representatives.
Submits expense reports and administrative reports as required.
Partners with SIU and Subrogation to identify fraud and subrogation opportunities. Assists or prepares files for suit, trial, or subrogation. (Property/MD/Casualty).
May consult claims staff and defense counsel for discovery processes, suit file/trial strategy as related to case-specific issues.
May require attendance at various seminars or training sessions. Serves on Arbitration panels
Evaluates each file for recovery potential.
Delivers a positive On-Your-Side customer service experience to internal, external, current and prospective Nationwide customers.
Communicates with insured's, witnesses, attorneys, underwriters, claims and other parties to obtain/provide necessary information for recovery activities. Provides excellent customer services via communications with insured's and agencies for prompt return of applicable deductibles and/or out-of-pocket expenses.
Other duties as assigned.
Education: Undergraduate degree or equivalent experience.
Licenses/Designations: State licensing where required. Successful completion of required/applicable claims certification training/classes. Participation in technical insurance or industry coursework preferred (CPCU, ICAR, ASE)
Experience: Three to Five years Subrogation/recovery experience, or related claims examiner experience preferred. Inter-company arbitration experience desirable.
Knowledge: Demonstrated knowledge of insurance theory and practices including insurance contracts and their application, investigation, negotiation, and settlement activities utilized to resolve to Subrogation claims. Demonstrated knowledge of Recovery/Subrogation practices and procedures. Familiarity with claims and Recovery Best Practices, systems, and terminology.
Skills/Competencies: Proven ability to meet customer needs and provide exemplary service by informing customers of the claims process and ensuring a positive customer experience. Analytical and problem solving skills necessary to make decisions and resolve conflict in any Subrogation files. Ability to work independently. Written and verbal communication skills needed to effectively communicate and/or negotiate with arbitration committee, claims associates, claims management, experts, policyholders, claimants, agents and the public. Personal computer skills and ability to operate all related software. Ability to function in a team environment. Maintain current knowledge of manufacturer recalls, Recovery/Subrogation laws and/or court decisions which may impact Recovery case.
Values: Regularly and consistently demonstrates the Nationwide Values and Guiding Behaviors.
Staffing Exceptions to the above Minimum Job Requirements must be approved by Business Unit Executive and Human Resources.
Working Conditions: Normal office environment. Occasional non-standard hours. Limited travel. Must be willing to work extended hours and to travel with possible overnight requirements. Must be available to work catastrophes (CAT) requiring travel to CAT sites with multiple on-site responsibilities and/or for extended periods of time. Including holidays and weekends.
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.
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.
Job Evaluation Activity: 8/2014 AJL
Additional Job Description
This role will handle respondent arbitration cases.
This position can be located in Raleigh, Scottsdale, Des Moines, or Columbus (Grandview)
#claimsSmoke-Free Iowa Statement: Nationwide Mutual Insurance Company, its affiliates and subsidiaries comply with the Iowa Smokefree Air Act. Smoking is prohibited in all enclosed areas on or around company premises as well as company issued vehicles. The company offers designated smoking areas in which smoking is permitted at each individual location. The Act prohibits retaliation for reporting complaints or violations. For more information on the Iowa Smokefree Air Act, individuals may contact the Smokefree Air Act Helpline at 888-944-2247.
Job ID: 51854