Health Insurance Claims Processor Jobs in Kentucky

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.

This is a work-from-home position with day travel to policy locations (on average 3-4 days a week) via company vehicle (personal use, gas and maintenance included). Travel will encompass IL and surrounding states. Claims inspections will include onsite and virtual inspection. Candidate Locations: Chicago, IL (preferred)

• 3-5 years of insurance field/property claims handling or adjusting experience
• Solid experience with Xactimate
• Content Inventory, Pricing and Repair/Mitigation experience
• Construction background/experience - Residential, Remodeling, Water mitigation, etc.
• Strong customer service competency
• Strong written & verbal communication skills

• Medical
• Dental
• Vision
• 401k with company match
• Company-paid Pension plan
• Paid time off and more

No two property claims are ever the same and each customer has unique needs. Our team thrives on providing the very best service and building lasting, successful relationships with our customers. If you are confident, curious, driven to learn and grow, and have a desire to help people when they most need it, we want to know more about you! As a Property Contents, Field Claims Specialist, you'll assist with the investigation and evaluation of moderate to severe losses focusing on the contents portion of the loss. You will meet with customers or their representative to complete an inventory of damaged contents and conduct research to establish pricing for damaged contents. During the claim, you will work with vendors on cleaning, restoring and replacing damaged contents.

• Handles all assigned claims, promptly and effectively, with little to no direction and oversight.
• Makes decisions within delegated authority as outlined in company policies and procedures.
• Determines proper policy coverages and applies appropriate claims practices to resolve cases in alignment with company guidelines.
• 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 insurance and applicable product/services, court decisions which may impact the claims function, current guidelines in the claims function and policy changes and modifications.
• This may require attending various seminars and/or training sessions.
• Maintains current knowledge of local industry repair procedures and local market pricing.
• Submits severe incident reports, reinsurance reports and other information to claims management as needed.
• Partners with Special Investigation Unit and Subrogation to identify fraud and subrogation opportunities.
• Assists or prepares files for lawsuit, trial or subrogation.
• Delivers an outstanding customer service experience to all internal, external, current and prospective Nationwide customers.
• Adheres to high standards of professional conduct while providing delivery of outstanding claim’s service.
• Mentors less experienced claims associates and helps with training/presentations as assigned by claims management.
• May perform other responsibilities as assigned.

Reporting Relationships: Reports to Claims Manager. Individual contributor role.

• Education: Undergraduate degree or equivalent experience.
• License/Certification/Designation: State licensing where required. Successful completion of required/applicable claims certification training/classes.
• Experience: Three to five years related property claims experience. Experience in a customer service environment, including flexible work schedules and extended work hours preferred.
• 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, discussion 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 in application of coverages to submitted claims, application of laws of jurisdiction to investigation facts, application of policy exclusions and exceptions.
• Ability to establish repair requirements and cost estimates for property losses.
• Ability to evaluate and successfully resolve property claims.
• Organizational skills to appropriately 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.
• Other criteria, including leadership skills, competencies and experiences may take precedence.
• Staffing exceptions to the above must be approved by the business unit executive and HR Business Partner.

Regularly and consistently demonstrates the Nationwide Values.

Overtime Eligibility: Not Eligible (Exempt)

Working Conditions: Normal office environment. May require ability to sit and operate phone and personal computer for extended periods of time. 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 sites with multiple onsite responsibilities for extended periods of time. Extended and/or non-standard hours as required. Must have a valid driver’s license with satisfactory driving record in accordance with Nationwide standards.

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/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.

• 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

Nationwide is an equal opportunity employer.

We celebrate diversity and are committed to creating an inclusive culture where everyone feels challenged, appreciated, respected and engaged.

Nationwide prohibits discrimination and harassment and affords equal employment opportunities to employees and applicants without regard to any characteristic (or classification) protected by applicable law.

Nationwide is an equal opportunity employer.

We celebrate diversity and are committed to creating an inclusive culture where everyone feels challenged, appreciated, respected and engaged.

Nationwide prohibits discrimination and harassment and affords equal employment opportunities to employees and applicants without regard to any characteristic (or classification) protected by applicable law.

Nationwide pays on a geographic-specific salary structure and placement within the actual starting salary range for this position will be determined by a number of factors including the skills, education, training, credentials and experience of the candidate; the scope, complexity and location of the role as well as the cost of labor in the market; and other conditions of employment. If a Sales job, Sales Incentives, based on performance goals are possible in addition to this range.

Note on Compensation for Part-Time Roles: Please be aware that the salary ranges listed below reflect full-time compensation. Actual compensation may be prorated based on the number of hours worked relative to a full-time schedule.

The national salary range for Field Claims Specialist II, Property Content : $62,500.00-$115,500.00

The expected starting salary range for Field Claims Specialist II, Property Content : $62,500.00 - $93,500.00

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 a great place to work, too, and let us know – can you see yourself at Nationwide?