Immediately Require Casualty Complex/Severe Represented/Litigation Adjuster - Remote in San Francisco, CA
Job title: Casualty Complex/Severe Represented/Litigation Adjuster - Remote
Company: Allstate
Job description: The world isn't standing still, and neither is Allstate. We're moving quickly, looking across our businesses and brands and taking bold steps to better serve customers' evolving needs. That's why now is an exciting time to join our team. You'll have opportunities to take risks, challenge the status quo and shape the future for the greater good.
You'll do all this in an environment of excellence and the highest ethical standards - a place where values such as integrity, inclusive diversity and accountability are paramount. We empower every employee to lead, drive change and give back where they work and live. Our people are our greatest strength, and we work as one team in service of our customers and communities.
Everything we do at Allstate is driven by a shared purpose: to protect people from life's uncertainties so they can realize their hopes and dreams. For more than 89 years we've thrived by staying a step ahead of whatever's coming next - to give customers peace of mind no matter what changes they face. We acted with conviction to advocate for seat belts, air bags and graduated driving laws. We help give survivors of domestic violence a voice through financial empowerment. We've been an industry leader in pricing sophistication, telematics, digital photo claims and, more recently, device and identity protection.
We are the Good Hands. We don't follow the trends. We set them.
Job Summary:
This job is responsible for investigating complex, represented or litigation claims which typically will include: claims involving single or multi car accidents, represented complex or severe claims. The individual also may handle specialized claims involving pedestrian/motorcycle/bicycle attorney represented parties. The individual takes recorded statements, resolves loss of use claims, makes payments to appropriate parties, and negotiates and settles or refers bodily injury issues that cannot be resolved.
The individual selected for this role will join a team who primarily handles claims in the following states: Texas, Oklahoma, and New Mexico.
Remote Home-Based Work
This position is a permanent remote home-based role. Your home office does not need to be near an Allstate office, but it does need to be in the United States. This position is not available for California, Alaska, and Hawaii residents.
When you work from home full time, you'll need:
a home office - a dedicated workspace in your residence that is private and free from distractions
a minimum internet bandwidth of 50 MB down/5 MB up
appropriate work surface and seating
What will Allstate provide?
A technology bundle that includes all equipment needed to perform your work from home (laptop, monitors, headset, keyboard, mouse)
Connectivity reimbursement of $80 per month to off set some of the cost of internet
Key Responsibilities:
- Researches and responds to complex customer communications, concerns, conflicts or issues
- Summarizes documents and enters into claim system notes
- Documents a claim file with notes, evaluations and decision making process
- Determines and explains minimum coverage limits in complex claims involving single or multiple claimants
- Sets initial reserve, updates reserve, documents rationale and claim summary notes
- Determines claim value
- Negotiates and settles claims in accordance with business unit best practices
- Reviews medical reports in preparation for claims settlement evaluation
- Researches, responds to, or participates in Department of Insurance complaints or investigations
- Assists in researching or responding to or resolving complex compliance issues and in reviewing files and making recommendations to refer files to Home Office for escalation
- 5+ years of Bodily Injury Claim handling experience, preferred
- Complex or Severe Bodily Injury Claim handling, preferred
- Extensive knowledge of Gross Tort Value and Risk Analysis, a plus
- Experience using NextGen, Mitchell Decision Point, and Casualty Center, a plus
- Bachelors degree or equivalent experience
- Applies broad knowledge of insurance policy, coverage, and regulation
- Applies broad knowledge of claim processes, policies, procedures, claim systems, coverage, liability, damage estimating, and/or settlement, and adherence to applicable legal compliance standards
- Applies broad knowledge of analytical procedures to reconcile, manipulate, and recognize patterns of data
- Applies broad knowledge of problem solving and preparation of reports for analysis
- Applies broad negotiation and/or arbitration skills
- Applies broad knowledge of training facilitation and coaching skills
- Ability to investigate, evaluate, negotiate and settle complex claims