Experienced Casualty Litigation Adjuster (Remote/Home-Based Worker) Details

Experienced Casualty Litigation Adjuster (Remote/Home-Based Worker)

Allstate - Northbrook, IL

Employment Type : Full-Time

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.

The Adjusting Function is responsible for verifying policy coverage and limits. The Adjusting function investigates and evaluates damage and/or liability; estimates damages, losses, or total indemnity; sets and maintains reserves; and/or negotiates and settles claims. Third party liability and casualty claims involve coverage and liability investigation, negotiation, and settlement of policyholder and third-party liability, property damage, and bodily injury claims.

This job is responsible for investigating complex and occasionally highly complex 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; (2) Injury Casualty Soft Tissue (ICST), and represented- moderate or major claims; (3) complex Commercial Property Liability (CPL) or 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 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. The individual also 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.

As a condition of employment, your office/area may require you to obtain an adjuster and/or an appraiser license. If required, the Hiring Manager will work with you along with the Centralized Licensing team to ensure that you are properly licensed.

If offered the role, you will go through virtual training. You will receive ongoing support, mentoring and coaching as you develop your career

This position supports the Western portion of the US and candidates must be willing and able to work within the hours of 8am-5pm Pacific time. (Note: Schedules are subject to change based on business need and are not guaranteed.)

This position is not available to California residents.

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
• Manages, researches, and resolves complex and occasionally highly complex customer communications, concerns, conflicts or issues
• Reviews customer satisfaction results; recommends, designs, and implements 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 complex and occasionally highly complex 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, insureds, witnesses, medical providers, etc., conducts investigations into complex and occasionally highly complex auto accidents, 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

Other Projects and Responsibilities

• May participate in one or more complex or occasionally highly complex special assignments
• May serve as a committee team lead for large projects or as a committee team member on very large projects
• May serve as a subrogation or arbitration panelist
• Participates in targeted reviews
• May participate in oversight activities
• Researches, responds to, or participates in Department of Insurance complaints or investigations
• Participates in or leads Telephone Alert Conferences regarding complex claims referred to Home Office
• Prepare referrals to Home Office
• Researches and responds to or resolves complex compliance issues
• May serve as a team lead or fill in for the FPL as needed
• May lead roundtable and/or calibration discussions

Compensation range for this position is $60,000-$82,000 per year, based on experience and qualifications.

• Bachelors degree in related field preferred or equivalent experience
• Ability to interact effectively, and coach others on interacting effectively, with internal or external customers and act with empathy
• Applies advanced knowledge of insurance policy, coverage, and regulation
• Applies advanced knowledge of claim processes, policies, procedures, claim systems, coverage, liability, damage estimating, and/or settlement, and adherence to applicable legal compliance standards
• Applies advanced industry knowledge to discipline practices, including best practices, to support the business unit
• Applies advanced knowledge of analytical procedures to reconcile, manipulate, and recognize patterns of data
• Applies advanced knowledge of problem solving and preparation of complex reports for analysis
• Applies advanced ability to leverage learned technical skills in support of team objectives
• Applies advanced negotiation and/or arbitration skills
• Applies advanced 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
• Provides advanced individual decision making within authority limits
• May work within complex and occasionally highly complex assignments requiring specialized knowledge in breadth and/or depth in area of expertise
• Has and maintains 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. For a full description of Allstate’s benefits, visit allstate.jobs/benefits/

Learn more about life at Allstate. Connect with us on Twitter, Facebook, Instagram and LinkedIn or watch a video.

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 Company’s policy to employ the best qualified individuals available for all jobs. Therefore, any discriminatory action taken on account of an employee’s ancestry, age, color, disability, genetic information, gender, gender identity, gender expression, sexual and reproductive health decision, marital status, medical condition, military or veteran status, national origin, race (include traits historically associated with race, including, but not limited to, hair texture and protective hairstyles), religion (including religious dress), sex, or sexual orientation that adversely affects an employee's terms or conditions of employment is prohibited. This policy applies to all aspects of the employment relationship, including, but not limited to, hiring, training, salary administration, promotion, job assignment, benefits, discipline, and separation of employment.