Insurance,Litigation/Attorney/In House/Des Moines, Iowa Counsel Jobs in Iowa - 80394 | Submit Resume | General Counsel Consulting
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Melinda Burrows
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In House Legal Job Listings

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Insurance,Litigation/Attorney/In House/Des Moines, Iowa
Refer job# WBIP80394
 
Claims Specialist II, Case Non-Injury Duties: Investigates and effectively resolves complex non-injury personal lines liability claims via telephone, internet or email. 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. Reports to Claims Manager. Identifies subrogation and contribution for subrogation. May initiate or respond to inter company arbitration. 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. Determines proper policy coverages, and where necessary, investigates, evaluates, negotiates and equitably settles all assigned liability cases in accordance with company policies and procedures at values commensurate with damages sustained. 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.

REQUIREMENTS: Undergraduate degree or equivalent experience preferred. Postgraduate studies in medical field or law desired. State licensing where required. Successful completion of required claims certification schools/classes. 3-5 years' related casualty claims handling experience or related medical experience. Knowledge of insurance theory and practices, insurance contracts and their application. Excellent customer focus and proven ability to proactively meet customer needs. General 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. Proven analytical skills necessary to make decisions and resolve conflict in such areas as application of coverage to submitted claims, application of laws of jurisdiction to investigation facts, application of policy exclusions and exceptions. Proven ability to establish repair requirements and cost estimates for extensive losses and serves as a subject matter expert on respective claims projects. Proven organizational skills to effectively prioritize increased and more complex workloads. Demonstrates strong but flexible standards and can act different, can be seen as balanced based on the conflicting demands of the position. 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. Proven ability to meet customer needs and provide exemplary service by informing customers of the claims process and ensuring a positive customer experience. 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 . Proven written and verbal communication skills for contact and/or negotiation with policyholders, claimants, peers, attorneys, physicians, agents and the general public. Ability to efficiently operate personal computer and software for claims-related and other business applications.
 
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