BI Claims Opportunity with Nationwide Insurance in Alabama

        JOB SUMMARY : Investigates bodily injury/liability claims via telephone or face-to-face claims handling. Responsible for the handling of claims in accordance with prescribed authorizations and according to best claims practices.

 JOB RESPONSIBILITIES:
1.Determines proper policy coverages and applies, where necessary, best claims practices to investigate, evaluate, negotiate and equitably settle assigned bodily injury claims cases in accordance with company guidelines. Adheres to high standards of professional conduct while providing delivery of superior claims service.
2.May serve as the single point of contact for material damage claims, including non-standard.
3.Plans and executes all time schedules necessary to promptly and effectively conclude assigned cases.
4.Establishes and authorizes reserves and claims payments within the delegated authority.
5.Maintains current knowledge of liability and bodily injury coverages; court decisions which may impact the claims function; current guidelines in the claims function; and policy changes and modifications. This may require attendance at various seminars and/or training sessions.
6.Initiates and conducts follow-ups via proficient use of claims systems and related business systems.
7.Assists or prepares files for suit, trial, or subrogation.
8.Submits administrative reports as required.
9.Properly maintains all assigned company equipment.

10.Performs all other duties as required.

NOTE: Representatives may be assigned to a special claims segment such as: PIP (Personal Injury Protection), Liability, Bodily Injury (BI), or Single Point of Contact (SPOC).

JOB REQUIREMENTS:
Education/Knowledge: Undergraduate degree preferred. Ongoing, job-related continuing education preferred. State licensing where required. Successful completion of required claims certification schools/classes. Demonstrated knowledge of casualty claims handling and claims best practices. General knowledge of insurance theory and practices, insurance contracts and their application, bodily injury and liability claims practices. Familiarity with claims systems and medical terminology.

Experience: Two years related casualty claims handling experience or related medical experience.

Skills: Analytical skills necessary to make decisions/resolve conflicts such as application of coverages to submitted claims, application of laws of jurisdiction to investigation facts, application of policy exclusions and exceptions. Organizational skills to effectively prioritize work. Command of written/verbal communication skills for contact and/or negotiations with policyholders, claimants, repairpersons, attorneys, physicians, agents and the general. 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:
Working Conditions: Field or office claims environment. May require ability to sit and use 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 irregular hours and to travel with possible overnight requirements. Must be available to work catastrophes (CAT) requiring travel to CAT site with multiple on-site responsibilities and/or for extended periods of time. Extended and/or non-standard hours as required.
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.

EOE/M/F/D/V