Represented/Litigation Severe/Large Loss Adjuster Senior Consultant I – NY, NJ, PA – Remote (EST/CST)

At Allstate, great things happen when our people work together to protect families and their belongings from life’s uncertainties. And for more than 90 years our innovative drive has kept us a step ahead of our customers’ evolving needs. From advocating for seat belts, air bags and graduated driving laws, to being an industry leader in pricing sophistication, telematics, and, more recently, device and identity protection. 

Job Description

This job is responsible for investigating complex and highly complex represented claims which typically will include: claims in single or multi car accidents and represented/litigated moderate or major claims. The individual also may handle complex and highly complex specialized claims (e.g., business interruption, loss of income, Errors and Omissions (E&O) policies, etc.). The individual oversees litigation, 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.

This position is a 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.

It is likely that this position will mainly handle represented and litigation pending claims for the following states: NJ, NY, PA. Candidates on the Eastern time zone are preferred, however, those on Central time zone will also be considered.

Key Responsibilities

• Summarizes documents and enters into claim system notes

• Manages, researches, and resolves complex and highly complex customer communications, concerns, conflicts or issues

• Reviews medical reports in preparation for claims settlement evaluation

• Researches, responds to, or participates in Department of Insurance complaints or investigations

• Negotiates and settles claims in accordance with business unit best practices

• Sets initial reserve, updates reserve, documents rationale and claim summary notes

• Determines and explains minimum coverage limits in complex and highly complex claims involving single or multiple claimants, also determines claim value

• Documents a claim file with notes, evaluations and decision making process

• Refers litigation cases to Defense Counsel and oversees discovery process to bring matter to resolution

Qualifications

• Prior represented casualty claim handling and litigation experience is required

• NY, NJ, PA claims experience preferred

• 2-5 years of complex/severe Bodily Injury claim handling experience is required

• Prior litigation claims experience is required

• Proficient communication skills, especially over the phone, to establish rapport and assess claims accurately.

• Ability to work independently and remotely, while managing time efficiently.

• Familiarity with insurance policies, coverage, and liability determination.

• Strong critical thinking and problem-solving skills to evaluate and negotiate injury claims successfully.

• Knowledge of innovative tools and platforms for effective claims evaluation.

Education

• 4 year Bachelors Degree (Preferred)

Supervisory Responsibilities

• This job does not have supervisory duties.

Education & Experience (in lieu)

• In lieu of the above education requirements, an equivalent combination of education and experience may be considered.

Notice of Licensing Requirement:

• As a condition of employment, your office/area may require you to obtain an adjuster and/or an appraiser license.  If applicable, you will be required to secure license(s) within 60 days of hire.
• If required, the Hiring Manager will work with you along with the Centralized Licensing team to ensure that you are properly licensed.

When you work from home full time, you’ll need: 

• 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 offset some of the cost of internet

Skills

Business Communications, Critical Thinking, Fraud Investigations, Information Collection, Time Management

Compensation

Compensation offered for this role is $56,500.00 – 99,962.50 annually and is based on experience and qualifications.

The candidate(s) offered this position will be required to submit to a background investigation.

Joining our team isn’t just a job — it’s an opportunity. One that takes your skills and pushes them to the next level. One that encourages you to challenge the status quo. And one where you can impact the future for the greater good.  

You’ll do all this in a flexible environment that embraces connection and belonging. And with the recognition of several inclusivity and diversity awards, we’ve proven that Allstate empowers everyone to lead, drive change and give back where they work and live. 

Good Hands. Greater Together.

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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