Immediately Require Represented/Litigation Adjuster Florida (Remote) in Florida
Job title: Represented/Litigation Adjuster Florida (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 Header:
SAP Job Title: Claims-Adj Casualty Inside-Cons II
Band: B2
FLSA Status: Exempt
Job Code: 70013159
Revised Date: 05/10/2023
Job Summary:
This job is responsible for investigating moderately complex and occasionally complex claims when an attorney is representing the injured 3rd party which may include: Injury Casualty Soft Tissue (ICST) and represented- moderate or major claims. 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 also handles claims involved in litigation, arbitration, or mediation, coordinating with legal counsel and participating in depositions, hearings, trial, or arbitrations. 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.
You may be eligible for a $1000 Licensing Sign on Bonus if you have the applicable active licenses needed for this role. This could include Home Resident Property & Casualty License, Designated Home State (DHS) Florida or Texas License, and/or applicable Appraiser License. Candidates who have previously worked for and are seeking to be rehired at Allstate and its family of companies are not eligible for this sign-on bonus
This position is a permanent remote home-based worker. 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 eligible for a monthly connectivity reimbursement to offset the costs of internet and phone expenses.
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
- 4 year Bachelors Degree (Preferred)
- 5 or more years of experience (Preferred)
- Knowledge and experience handling Florida claims (preferred)
- In lieu of the above education requirements, an equivalent combination of education and experience may be considered.
- 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
- You want to utilize your customer service skills to help restore peoples' lives
- You have a strong desire to make a difference through compassionate customer service
- You are willing to work flexible hours or weekends when our customers need you
- You can apply your knowledge of insurance policies, coverages, and regulations to claims processes and adhere to applicable legal compliance standards using your negotiation and/or arbitration skills.
- You can apply industry knowledge to support the business unit in support of team objectives by investigating and evaluating simple to moderately complex claims.
- You're an empathic, upbeat and friendly self-starter who can work independently, as well as, on a team
- You're excited about solving problems and coming up with creative solutions
- You're organized and able to multi-task in a fast-paced environment
- You're known for clear and professional communication - both written and verbal
- You have a bachelor's degree and/or prior experience in handling bodily injury claims
- Being bilingual and/or having prior military experience is a plus