About The Position

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 unrepresented homeowner liability bodily injury claims. The individual will handle moderate and/or complex CPL (Comprehensive Personal Liability) 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.

Nice To Haves

  • 2+ years of prior bodily injury adjusting claims experience.
  • 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.

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
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