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Nationwide · 1 month ago

Processor II, Claims Services - E&S/Specialty

Arizona - Scottsdale, 18700 North Hayden Road

Full-time

Onsite

Entry, Mid Level

2+ years exp

Nationwide is a leading insurance provider dedicated to customer care and innovation. The Processor II role involves handling complex claims processing functions, ensuring accurate claim resolution, and providing exceptional customer service in a fast-paced environment.

BankingFinancial ServicesInsuranceLife Insurance

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

Qualification

Claims processing systemsCustomer service conceptsGeneral accounting practicesVerbal communication skillsWritten communication skillsResearchAnalysisTechnical knowledgePrioritization skillsLeadership skills

Required

High school studies

Two years experience as a Claims Services Processor, or four years related insurance, accounting or service

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

Ability to 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

Regularly and consistently demonstrates Nationwide Values

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)

Valid credit check and/or background check will be required as part of the selection process

Preferred

Completion of formal customer service or accounting class or seminar

Benefits

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.

Company

Nationwide

Glassdoor3.9

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.

Founded in 1925

Columbus, Ohio, USA

10001+ employees