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Job ID :
97853
Location :
Maitland, FL US
Level :
Experienced Professional
Job Category :
Claims
Description :

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Think that working in the insurance field can’t be exciting, rewarding and challenging? Think again. You’ll help us reinvent protection and retirement to improve customers’ lives. We’ll help you make an impact with our training and mentoring offerings. Here, you’ll have the opportunity to expand and apply your skills in ways you never thought possible. And you’ll have fun doing it. Join a company of individuals with hopes, plans and passions, all using and developing our talents for good, at work and in life.


Job Description

 

Allstate Insurance has an exciting opportunity as an Experienced Commercial Represented Casualty Adjuster in Maitland, FL.

 

This adjuster is responsible for investigating complex commercial auto or property claims when an attorney is representing the injured party which typically will include: (1) uninsured or underinsured motorist (UM/UIM) claims in single or multi car accidents in which commercial policy holders are involved; (2) Injury Casualty Soft Tissue (ICST), and represented- moderate or major claims; (3) extra-contractual liability claims; (4) or specialized claims (e.g., business interruption, loss of income, E&O policies, etc.). The individual also handles claims involved in arbitration or mediation, coordinating with legal counsel and participating in depositions, hearings, mediations, or arbitrations. The individual takes recorded statements, resolves loss of use claims, issues payments to appropriate parties, and negotiates and settles or refers bodily injury issues that cannot be resolved. The individual delivers compassionate service that is fast, fair, and easy, to ensure customer retention while analyzing coverage, investigating and determining liability, reviewing and determining damages, and negotiating and settling complex claims. The individual provides work guidance and direction to less senior employees and provides mentoring and coaching to the team. The individual works independently, prioritizing the individual's own responsibilities, and managing the individual's own workload. The individual also consistently meets band level behaviors, production, quality, and/or customer service goals.

 

Responsibilities:

 

Customer Service

  • Makes and maintains a connection with the customer by understanding and meeting their needs; serves the customer with empathy; and follows up to ensure that customer needs have been met
  • Researches and responds to complex customer communications, concerns, conflicts or issues
  • Reviews customer satisfaction results; participates in determining necessary personal and business unit action plans

File Documentation and Reporting

  • Summarizes documents and enters into claim system notes
  • Documents a claim file with notes, evaluations and decision making process

Coverage, Liability and Evaluation

  • Determines and explains minimum coverage limits in moderately complex and occasionally complex commercial policy claims involving single or multiple claimants
  • Sets initial reserve, updates reserve, documents rationale and claim summary notes
  • Obtains photos and/or conducts scene investigation
  • Takes recorded statements from claimants, insured’s, witnesses, medical providers, etc., conducts investigations into complex auto and property accidents involving commercial policy holders, determines liability, and prepares summaries
  • Evaluates and determines potential use of experts; reviews reports and participates in selecting the expert
  • Determines claim value
  • Reviews file to identify complex potential legal issues

Negotiation and Settlement Guidance

  • Negotiates and settles claims in accordance with business unit best practices
  • Reviews medical reports in preparation for claims settlement evaluation

Other Projects and Responsibilities

  • May serve as a subrogation or arbitration panelist
  • Researches, responds to, or participates in Department of Insurance complaints or investigations
  • Assists in reviewing files and making recommendations to refer files to Home Office for escalation

 

Job Qualifications

 

  • Bachelors degree in related field preferred or equivalent experience
  • 4 to 5 years of casualty experience preferred
  • 1 to 2 years represented expereience preferred
  • Commercial experience and third party casualty experience preferred
  • Ability to interact effectively, and coach others on interacting effectively, with internal or external customers and act with empathy
  • 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 industry knowledge to discipline practices, including best practices, to support the business unit
  • 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 ability to leverage learned technical skills in support of team objectives
  • Applies broad negotiation and/or arbitration skills
  • Applies broad conflict management and problem resolution skills in managing internal and external customer relationships
  • Applies broad problem solving skills to continuously improve business outcomes
  • Applies broad knowledge of training facilitation and coaching skills
  • Ability to investigate, evaluate, negotiate and settle complex claims
  • Provides broad individual decision making within authority limits
  • Has and maintains all appropriate licenses and registrations for the role per state requirements
  • Postion located in Maitland, FL and some travel may be required.
  • Commercial auto is a multi state handling environment involving negligence laws and regulatory compliance.
  • Applicant will be required to obtain and maintain all appropriate licenses and registrations for the role per state requirements

 


The candidate(s) offered this position will be required to submit to a background investigation, which includes a drug screen.

Good Work. Good Life. Good Hands®.

As a Fortune 100 company and industry leader, we provide a competitive salary – but that’s just the beginning. Our Total Rewards package also offers benefits like tuition assistance, medical and dental insurance, as well as a robust pension and 401(k). Plus, you’ll have access to a wide variety of programs to help you balance your work and personal life -- including a generous paid time off policy.

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Allstate generally does not sponsor individuals for employment-based visas for this position.

Effective July 1, 2014, under Indiana House Enrolled Act (HEA) 1242, it is against public policy of the State of Indiana and a discriminatory practice for an employer to discriminate against a prospective employee on the basis of status as a veteran by refusing to employ an applicant on the basis that they are a veteran of the armed forces of the United States, a member of the Indiana National Guard or a member of a reserve component.

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It is the policy of Allstate to employ the best qualified individuals available for all jobs without regard to race, color, religion, sex, age, national origin, sexual orientation, gender identity/gender expression, disability, and citizenship status as a veteran with a disability or veteran of the Vietnam Era.

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