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Job ID :
94937
Location :
Maitland, FL US
Level :
Experienced Professional
Job Category :
Claims
Description :

Where good people build rewarding careers.

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 for an Experienced Commercial Represented Casualty Adjuster in Maitland, FL!

 

This job is responsible for investigating complex and occasionally highly complex commercial casualty claims when an attorney is representing the injured party and the case is in litigation 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. 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, 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 verifying 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, prioritizes the individual's own responsibilities, and manages the individual's own workload. The individual consistently meets band level behaviors, production, quality and/or customer service goals.

 

   Customer Service/File Documentation and Reporting/Coverage and Evaluation/Negotiation

  • 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
  • Manages, researches, and resolves highly complex customer communications, concerns, conflicts or issues
  • 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 and occasionally highly complex auto accidents involving commercial policy holders, determines liability, and prepares summaries
  • Evaluates and determines potential use of experts; reviews reports and selects the expert
  • Determines claim value 
  • Reviews file to identify complex and occasionally highly 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
  • May serve as a subrogation or arbitration panelist
  • Researches, responds to, or participates in Department of Insurance complaints or investigations
  • Completes complex and occasionally highly complex attorney bill reviews

Job Qualifications

  • Bachelors degree in related field preferred
  • At least 7 years of progressive represented casualty experience is a MUST
  • Commerical experience is preferred, but is not required
  • Ability to interact effectively, and coach others on interacting effectively, with internal or external customers and act with empathy
  • Advanced knowledge of insurance policy, coverage, and regulation
  • Advanced knowledge of claim processes, policies, procedures, claim systems, coverage, liability, damage estimating, and/or settlement, and adherence to applicable legal compliance standards
  • Advanced industry knowledge to discipline practices, including best practices, to support the business unit
  • Knowledge of analytical procedures to reconcile, manipulate, and recognize patterns of data
  • Problem solving and preparation of complex reports for analysis
  • Ability to leverage learned technical skills in support of team objectives
  • Advanced negotiation and/or arbitration skills
  • Conflict management and problem resolution skills in managing internal and external customer relationships
  • Applies advanced problem solving skills to continuously improve business outcomes
  • Ability to assist leadership in achieving business unit objectives
  • Applies advanced knowledge of training facilitation and coaching skills
  • Ability to investigate, evaluate, negotiate and settle complex and occasionally highly complex claims
     


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.

For jobs in San Francisco, please see the notice regarding the San Francisco Fair Chance Ordinance.

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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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