Inside Adjuster Consultant II- DSM Darrell Daniels

Allstate • USA - TX (Remote), TX

2d • $53,500 - $84,625 • Remote

About The Position

This job is responsible for investigating complex, represented claims which typically will include: uninsured or underinsured motorist (UM/UIM) claims in single or multi car accidents, and represented moderate or major claims. The individual also may handle complex CPL claims or specialized claims (e.g., business interruption, loss of income, E&O policies, etc.). 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.

Requirements

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

Nice To Haves

• 2 or more years of experience

Responsibilities

• 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
• Negotiates and settles claims in accordance with business unit best practices
• Reviews medical reports in preparation for claims settlement evaluation
• Act as the primary point of contact for policyholder attorneys, leading direct negotiations to resolve disputes efficiently
• Coordinate the appraisal process for highly complex, disputed claims, ensuring adherence to policy provisions
• Researches and responds to complex customer communications, concerns, conflicts or issues
• Summarizes documents and enters into claim system notes
• Sets initial reserve, updates reserve, documents rationale and claim summary 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

Benefits

• Comprehensive technology setup, including a laptop, monitors, headset, keyboard, and mouse.
• Monthly connectivity reimbursement for eligible remote employees.
• Dedicated, private workspace free from distractions, along with appropriate desk and seating (for remote work).
• Reliable internet with minimum speeds of 50 MB download and 5 MB upload (for remote work).

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level