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About the Role

The Senior Consultant II is responsible for granting settlement authority on highly complex claims valued in excess of Market Claim Office (MCO) and Regional Claim Office (RCO) limits, providing recommendations on requests to go to trial on cases where the gross exposure is in excess of MCO authority, and general oversight of all large losses for a specific CSA or CSAs. The individual may also provide discretionary referrals on coverage issues, opinions and research. In addition, the Sr Cons II may provide approval on Closed Without Payment (CWP) requests where liability is disputed, and the value is in excess of Field authority. We are seeking Large Loss Risk Adjusters to join our growing team! This team manages complex, high exposure claims involving policy limits up to 100/300, including rejected tenders and extra-contractual exposures claims. Claims often involve severe injuries, such as catastrophic impairments, amputations, comas, and fatalities. The ideal candidate will have prior experience handling large loss claims, navigating complex liability issues, and managing litigation through resolution. Strong investigative, negotiation, and risk assessment skills are essential for success in this role.

Responsibilities

Performs file reviews for various complex projects or for cases in litigation, analyzes data, and reports findings
May review cases to determine if CWP is appropriate given gross tort value exposure
Supports the Field with discretionary referrals on complex coverage issues and engages Home Office Claim litigation for involvement and direction as needed
Reviews coverage, liability, and/or damages on highly complex cases referred for authorization and collaborates with Field leadership on addition steps to be taken and other feedback and direction
Collaborates with Frontline Performance Experts (FPEs), Frontline Performance Leaders (FPLS), and Claim Process Specialists (CPSs) to share experience and trends identified in referred cases
Works with Product, Protection, Law, and Claims on new products introduced to the Field and the sales force, and develops Claim Bulletins to provide new forms and/or endorsements that impact claim handling practices

Requirements

Individuals who currently hold an active insurance license must terminate all existing appointments prior to onboarding and must not hold any outside appointments at any point during employment.
Applicants seeking an adjuster role who also hold a resident producer license must formally surrender that license when instructed to by the licensing team.
Candidates must possess authorization to work in the United States, as it is not our practice to sponsor individuals for work visas.
When working from home, you must have a dedicated, private workspace free from distractions, along with appropriate desk and seating.
Reliable internet is required, with minimum speeds of 50 MB download and 5 MB upload.

Skills

Bodily Injury Claims
Case Management
Client Counseling
Commercial Insurance Claims
Complex Claims
Complex Litigation
Conflict Management
Conflict Resolution
Homeowners Claims
Homeowners Insurance Claims
Industry Trend Analysis
Injury Assessment
Insurance Claims
Large Loss Claims
Litigation
Litigation Management
Personal Injury Claims
Problem Solving
Time Management
Torts

Location

Eastern time zone states

Work Type

Remote
Onsite

Experience Level

Senior

Salary/Compensations

85,000.00 - 145,075.00 annually

Benefits

Comprehensive technology setup, including a laptop, monitors, headset, keyboard, and mouse.
Monthly connectivity reimbursement for remote employees.

About the Company

National General is a part of The Allstate Corporation, which means we have the same innovative drive that keeps us a step ahead of our customers’ evolving needs.
We offer home, auto and accident and health insurance, as well as other specialty niche insurance products, through a large network of independent insurance agents, as well as directly to consumers.
National General Holdings Corp., a member of the Allstate family of companies, is headquartered in New York City.
National General traces its roots to 1939, has a financial strength rating of A– (excellent) from A.M. Best, and provides personal and commercial automobile, homeowners, umbrella, recreational vehicle, motorcycle, supplemental health, and other niche insurance products.
We are a specialty personal lines insurance holding company.
Through our subsidiaries, we provide a variety of insurance products, including personal and commercial automobile, homeowners, umbrella, recreational vehicle, supplemental health, lender-placed and other niche insurance products.

Equal Opportunity

National General Holdings Corp. is an Equal Opportunity (EO) employer – Veterans/Disabled and other protected categories.
All qualified applicants will receive consideration for employment regardless of any characteristic protected by law.
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.
For jobs in San Francisco, please click “here” for information regarding the San Francisco Fair Chance Ordinance.
For jobs in Los Angeles, please click “here” for information regarding the Los Angeles Fair Chance Initiative for Hiring Ordinance.
To view the “EEO Know Your Rights” poster click “here”. This poster provides information concerning the laws and procedures for filing complaints of violations of the laws with the Office of Federal Contract Compliance Programs.
To view the FMLA poster, click “here”. This poster summarizing the major provisions of the Family and Medical Leave Act (FMLA) and telling employees how to file a complaint.