Processor II, Claims Services E&SSpecialty

Position will work five days per week at the Nationwide Cavasson Campus in North Scottsdale (Hayden & 101). Remote work will NOT be considered for this opportunity due to the on-site processing required for this role.

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Job Description Summary

Job Description

Key Responsibilities:

• Responsible for the most complex claims processing functions including open items ESCHEAT collections deductible billings reports analysis erroneous claims and manual checks and claims account reconciliation. Also may perform the duties of a Claims Processor as requested.

• Effectively uses all related systems such as ClassPlus Claims Processing System (CPS) Nationwide Auto Processing System (NAPS) Fire Processing System (FPS) stand-alone PC Wausau and others.

• Assists in determining the effect of new releases transmittals procedures and suggestions.

• Quality checks team member work; assists in the training of new employees and cross-training for current employees on input processing statistical reporting and other claims processing tasks.

• Prepares unit statistical report reconciles reports verifies commercial coverages handles small first party claims and sets up Comparative Rater (CR) policies on appropriate system.

• Researches and documents projects to systems concerning program errors processing enhancements or workflow issues at the direction of the group leader team leader or manager.

• Assists state or company auditors as requested.

May perform other responsibilities as assigned.

Reporting Relationships: Reports to Lead or Supervisor

Typical Skills and Experiences:

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

Experience: Two years experience as a Claims Services Processor or four years related insurance accounting or service preferred.

Knowledge Abilities and Skills: Claims processing systems including ClassPlus CPS NAPS and FPS; 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. 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 complex claims processing and open item issues. Ability to operate personal computer and related processing software; operate business machines and calculator (ability to pass applicable data entry/typing test). 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 Typical Education and Experience must be approved by the: hiring managers 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 nonstandard or extended hours overtime or shifts as assigned to support a 24/7/365 claims or claims call center environment. Ability to lift and carry up to 25 pounds on a regular basis (claims files).

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.

Benefits

We have an array of benefits to fit your needs including: medical/dental/vision life insurance short and long term disability coveragepaid 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. To learn more about the benefits we offer click here.

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.

NOTE TO EMPLOYMENT AGENCIES:

We value the partnerships we have built with our preferred vendors. Nationwide does not accept unsolicited resumes from employment agencies. All resumes submitted by employment agencies directly to any Nationwide employee or hiring manager in any form without a signed Nationwide Client Services Agreement on file and search engagement for that position will be deemed unsolicited in nature. No fee will be paid in the event the candidate is subsequently hired as a result of the referral or through other means.