Sr Processor, Claims Processing - Personal Lines

Nationwide | Des Moines, IA

07/15/2022

If you're passionate about helping people protect what matters most to them, 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!

We are seeking a highly motivated processing individual that can assist us in a full-time capacity with the ability to work non-traditional hours.

Skills/Qualifications:

Prior processing experience preferred

Claims experience

Claims center familiarity

Excellent customer service

Location: Remote

Ability to work Shifts ending as late as 8:30pm EST. One position is negotiable for a split shift (2 days off during the week)

Schedules in EST are as followed:

Shift 1: Monday-Friday and will require non-standard working hours; 12p-830p

Shift 2: Requires Split Shift; Wed - Off, Saturday - Off. Work Monday, Tuesday, Thursday, Friday 11-730p. Sunday 8-430p

New Hire Training and Transitional period CST, M-F 8-430pm

Compensation Band: C2 (internal use only)

Job Description Summary
Exceptional processing is essential to accurate claim resolution. We work in a fast-paced, interactive environment where outstanding customer service is valued. If you have a Lean approach as well as a desire to innovate and apply your technical knowledge and skills, we want to know more about you!

As a Senior Processor, you'll handle complex claims services functions such as, correspondence, statistical reporting, small first party claims and special projects. You'll work across multiple lines of business and with external partners or agents.

Job Description

Key Responsibilities:
  • Handles complex claims processing functions including reports, analysis and erroneous claims.
  • Uses all related systems and technology effectively.
  • Assists in determining the effect of new releases, transmittals, procedures and suggestions.
  • Verifies commercial coverages, handles small first party claims, and sets up claim rebuild policies on appropriate system. Establishes the claim first notice of loss by direct entry through multiple claims systems used for Personal, Commercial, Specialty and Property lines of business.
  • Identifies system errors, program errors, system outages, processing improvements or workflow issues and bring to the attention of the team leader, analyst, supervisor or manager.
  • Assists state or company auditors, as requested.

May perform other responsibilities as assigned.

Reporting Relationships: Reports to Supervisor.

Typical Skills and Experiences:

Education: High school studies. Completion of formal customer service or accounting class or seminar preferred.

Experience: Two years of related work experience, preferably as a claims service processor or customer service related position preferred.

Knowledge, Abilities and Skills: Claims processing systems, coding practices and procedures, including manual claims. Interrelationship between claims services and other departments. General accounting practices as they relate to open item processing. Customer service concepts. Strong verbal and written communication skills to interact with internal/external contacts including claims representatives, agents, policyholders/claimants, other departments/functions; ability to read and interpret manuals and reference materials. Ability to research, analyze and resolve moderate and complex claims processing and open item issues. Ability to operate personal computer and related processing software; operate business. Prioritize own work; determine whether any adverse information is present that would require claims review using established criteria, guidelines, and standards.

Other criteria, including leadership skills, competencies and experiences may take precedence.

Staffing exceptions to the above must be approved by the hiring manager's leader and HR Business Partner.

Values: Regularly and consistently demonstrates Nationwide Values.

Job Conditions:

Overtime Eligibility: Eligible (Non Exempt)

Working Conditions: Normal office environment. Extended hours sitting at personal computer. Requires ability and availability to work non-standard or extended hours, overtime or shifts as assigned to support a 24/7/365 claim or claims call center environment.

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 account abilities within this job, a valid credit and/or background check will be required as part of the selection process.

Smoke-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.

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August 7, 2022