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About the Role
This role is responsible for investigating moderate to complex represented claims, including those arising from single or multi-car accidents, and specialized claims such as business interruption or loss of income. The individual will oversee liability and bodily injury investigations, take recorded statements, resolve loss of use claims, process payments, and negotiate settlements.
Responsibilities
- Summarizes documents and enters into claim system notes.
- Manages, researches, and resolves 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 claims involving single or multiple claimants, and determines claim value.
- Documents a claim file with notes, evaluations, and decision-making process.
Requirements
- Prior represented casualty claim handling experience is required.
- Claims experience preferred in at least one of the following states: NY, NJ, PA, FL, VA, NC.
- 2-5 years of moderate/complex Bodily Injury claim handling 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.
- A home office – 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 obtain adjuster and/or appraiser license within 60 days of hire if required.
- Must be located in the United States.
- Not available for California, Alaska, Hawaii, or Washington residents.
Skills
- Bodily Injury Claims
- Business Communications
- Claims Evaluation
- Claims Resolution
- Complex Claims
- Critical Thinking
- Fraud Investigations
- Information Collection
- Time Management
Location
- Remote Home-Based
- United States
Work Type
- Remote
- Full-time
Experience Level
- 2-5 years
Salary/Compensations
- 53,500.00 - 84,625.00 annually
Benefits
- Technology bundle including laptop, monitors, headset, keyboard, and mouse.
- Connectivity reimbursement of $80 per month.
- Time off.
- Healthcare.
- Retirement.
- 401K/pension.
- Education reimbursement.
- Programs to help balance work with life.
- Competitive pay with support for continuous development and career advancement.
- Flexibility in scheduling.
- Initial and ongoing training.
About the Company
- At Allstate, great things happen when our people work together to protect families and their belongings from life’s uncertainties.
- 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.
Equal Opportunity
- 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.