Claims Resolution Adjuster
About The Position
The Claims Resolution Adjuster will primarily be responsible for the liability investigation and ultimate decisions, identifying injured parties beyond who is listed at FNOL, and recognizing impactful risk potential on claim files. They will be responsible for supporting the claimant throughout the vehicle restoration process and providing feedback on the Auto process in general. The Claims Resolution Adjuster and Casualty Adjusters will work hand-in-hand throughout the claims process. You’ll wear a few hats to fill a few roles throughout your day that all require a level of experience: The Customer Service Expert – you’ll live into Allstate’s Claims Culture by caring, empowering, and restoring, and you will accomplish that by being compassionate, clear, and a committed partner in each Casualty claim. You lead with empathy, always. The Investigator – you’ll confidently and independently investigate casualty (and applicable LOB (line of business)) claims by performing detailed reviews of damage and interpreting policies to determine coverage. The Effective Communicator – you’ll use phone, emails and sometimes even video chat with customers to help them through a fast, fair, and easy claims process. You’ll also incorporate a specific approach to claim handling to offer the customer their preference of communication to efficiently discuss their claim needs and keep them updated on the claim progress. The Negotiator – you will evaluate and negotiate claims settlements with customers, vendors, third party carriers and claimants, in accordance with all legal and business standard methodologies. With negotiations, you will incorporate tactics in handling challenging and complex situations. The Problem Solver – you’ll utilize multiple tools to get the job done in a fast-paced environment, including estimate tools, job aids, and additional settlement platforms, all while using your sharp critical thinking skills. The Recorder – you’ll protect the company financially by executing policies along policy agreements, and you keep a clear record of your work in a claims system that you will be trained on. You’ll accomplish this by ensuring timely and accurate documentation is completed as you work on each claim.
Requirements
- 2+ years claims adjusting experience determining liability
- Claims investigation and negotiation experience is preferred
- Experience with liability investigations, investigating coverage, PD coverage, set MOI, rental and resolving liability a plus
- Proficient communication skills, especially over the phone, to establish rapport and assess claims accurately
- Strong critical thinking and problem-solving skills to evaluate and negotiate injury claims successfully
- 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
- Must be in the United States
Responsibilities
- Liability investigation and ultimate decisions
- Identifying injured parties beyond who is listed at FNOL
- Recognizing impactful risk potential on claim files
- Supporting the claimant throughout the vehicle restoration process
- Providing feedback on the Auto process in general
- Investigate casualty (and applicable LOB) claims by performing detailed reviews of damage and interpreting policies to determine coverage
- Use phone, emails and video chat with customers to help them through a fast, fair, and easy claims process
- Offer the customer their preference of communication to efficiently discuss their claim needs and keep them updated on the claim progress
- Evaluate and negotiate claims settlements with customers, vendors, third party carriers and claimants, in accordance with all legal and business standard methodologies
- Utilize multiple tools to get the job done in a fast-paced environment, including estimate tools, job aids, and additional settlement platforms
- Execute policies along policy agreements
- Keep a clear record of your work in a claims system
- Ensure timely and accurate documentation is completed
Benefits
- 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
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
