Nationwide · 20 hours ago
Claims Specialist III, Large Loss (New England - Rhode Island area)
Connecticut-Work from Home-3
Full-time
Hybrid
Mid, Senior Level
$88K/yr - $132K/yr
5+ years expNationwide is a Fortune 100 company focused on helping people protect what matters most. As a Claims Specialist, you'll evaluate and resolve serious exposure, large loss claims requiring investigation, liability evaluation, and negotiation, while delivering outstanding customer service.
BankingFinancial ServicesInsuranceLife Insurance
Responsibilities
Handles all assigned claims promptly and effectively, with little direction and oversight, which may include complicated and catastrophic losses. Makes decisions within delegated authority, recommends settlement values in the disposition of claims as outlined in company policies and procedures
Accurately pays claims based on policy provisions, state mandates and/or fee schedules
Determines proper policy coverages and applies standard methodologies to conclude assigned cases according to company guidelines. Adheres to high standards of professional conduct while delivering outstanding service
Opens, closes and adjusts reserves according to company practices to ensure reserve adequacy
Maintains knowledge of court decisions that may affect the claim's function; current principles and practices; innovations; and policy changes and modifications. May be required to maintain knowledge of other functions within assigned subject area. This may require attending various seminars or training sessions
Maintains current knowledge of local industry repair procedures and local market pricing
Able to act for Claims Manager. Mentors and provides leadership to less experienced claims associates. Provides one-on-one training and assists with training/presentations as assigned by claims management
Creates and analyzes severe incident reports, reinsurance reports and other information to corporate office, claims management and underwriting
Partners with Special Investigation Unit and Subrogation to identify fraud and subrogation opportunities. Assist general counsel to prepares files for suit, trial or subrogation
Consults claims staff and defense counsel for discovery processes and lawsuit file/trial strategy on case-specific issues
Initiates and conducts follow-ups through proficient use of the claims and other related business systems
Delivers an outstanding customer service experience to all internal, external, current and prospective Nationwide customers
May perform other responsibilities as assigned
Qualification
Required
3-5 years of insurance field/property claims handling or adjusting experience
Solid experience with Xactimate
Construction background/experience - Residential, Roofing, Remodeling, etc
Strong customer service competency
Strong written & verbal communication skills
Successful completion of required claims certification schools/courses
Five years of experience handling property claims, insurance processing or field claims adjusting
Demonstrated knowledge of insurance theory and practices, insurance contracts and their application
Sophisticated knowledge of property claims standard methodologies and the legal aspects of court procedures affecting legal liability for all lines of insurance
Excellent customer service skills and confirmed ability to meet customer needs and provide exemplary meaningful service by advising customers of the claims process and ensuring a positive customer experience
Demonstrated analytical skills needed to make decisions and resolve issues related to the application of coverage to submitted claims, application of laws of jurisdiction to investigation facts, application of policy exclusions and exceptions
Validated ability to establish repair requirements and cost estimates for extensive property damage losses and serves as a subject matter authority on respective claims projects
Proven organizational skills to effectively prioritize increased and sophisticated workloads
Demonstrates strong but flexible standards and be balanced based on the conflicting demands of the position
Excellent written and verbal communication skills necessary to effectively communicate and/or advise policyholders, claimants, repair persons, attorneys, agents, and general public
Demonstrated leadership capabilities to effectively train, mentor and provide feedback to less experienced associates
Ability to operate personal computer with proficient use of claims and business software
Valid credit check and/or background check will be required as part of the selection process
Preferred
Professional development such as IIA or CPCU preferred
Other criteria, including leadership skills, competencies and experiences may take precedence
Benefits
Medical
Dental
Vision
401k with company match
Company-paid Pension plan
Paid time off
Life insurance
Short and long term disability coverage
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
Business casual attire
Company
Nationwide
Nationwide, a Fortune 100 company based in Columbus, Ohio, is one of the largest and strongest diversified insurance and financial services organizations in the United States.
10001+ employees
Funding
Current Stage
Late StageLeadership Team
Jim Grafmeyer
VP, Chief Enterprise Architect
Tony Fenton
Vice President Commercial Lines Underwriting & Product - Commercial, E&S and Specialty
Recent News
2025-11-24
2025-10-20
2025-09-27
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