[Hiring] Claims Specialist II, Workers Compensation @Nationwide

Role Description

If you’re passionate about helping people protect what matters most to them at a Fortune 100 company with nearly $70 billion in annual sales, as well as innovating and simplifying processes and operations to provide the best customer value, then Nationwide’s Property and Casualty team could be the place for you! At Nationwide®, “on your side” goes beyond just words. Our customers and partners are at the center of everything we do and we’re looking for associates who are passionate about delivering extraordinary care.

Do you have a strong desire to provide prompt, courteous and fair service to customers? Are you a skilled investigator, negotiator and communicator? If you thrive in an environment where you can problem-solve workers’ compensation claims resolution, while following processes that provide fair resolution, customer satisfaction and cost management, then we want to hear from you!

As a Claims Specialist, you’ll investigate and handle medical and/or loss-of-time workers compensation claims from multiple states to determine compensability, entitled benefits, average weekly wage and benefit rate according to applicable state workers’ compensation statute. We’ll count on you to promote and provide exemplary customer service. Key to success will be your ability to establish timely and appropriate case reserves aligned with Best Practices and manage claims to appropriate resolution. You’ll also communicate frequently with customers, injured workers and medical providers.

Qualifications

• Undergraduate studies in business administration or related field preferred and/or relevant Workers’ Compensation experience.
• State licensing where required.
• Successful completion of required/applicable claims certification training/classes.
• Three to five years prior experience in workers’ compensation claims.

Requirements

• Advanced knowledge of insurance theory and practices, insurance contracts and their application.
• Familiarity with claims processing and claims best practices and procedures preferred.
• Proven knowledge of insurance contracts, medical terminology, workers compensation, and the legal aspects of court procedures affecting legal liability for all lines of insurance.
• Knowledge of claims systems.
• Excellent customer focus and proven ability to proactively meet customer needs.
• Analytical skills necessary to make decisions and resolve conflict.
• Ability to establish repair requirements and cost estimates for extensive losses.
• Proven organizational skills to effectively prioritize increased and more complex workloads.
• Excellent written and verbal communication skills necessary to effectively communicate and/or negotiate with policyholders, claimants, attorneys, agents, and general public.
• Demonstrated leadership capabilities to effectively train, coach, and provide feedback to less experienced associates.

Benefits

• 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.