Commercial Casualty Represented Adjuster

Irving, Texas
Not Specified
Sep 10, 2016
Nov 09, 2016
Job Type
Not Specified
Career Level
Not Specified

Where good people build rewarding careers.

Think that working in the insurance field can't be exciting, rewarding and challenging? Think again. You'll help us reinvent protection and retirement to improve customers' lives. We'll help you make an impact with our training and mentoring offerings. Here, you'll have the opportunity to expand and apply your skills in ways you never thought possible. And you'll have fun doing it. Join a company of individuals with hopes, plans and passions, all using and developing our talents for good, at work and in life.

Job Description

Under limited supervision, this job is responsible for investigating complex commercial auto when an attorney is representing the injured party which typically will include: (1) uninsured or underinsured motorist (UM/UIM) claims in single or multi car accidents in which commercial policy holders are involved; (2) Injury Casualty Soft Tissue (ICST), and represented- moderate or major claims; (3) extra-contractual liability claims; (4) or specialized claims (e.g., business interruption, loss of income, E&O policies, etc.). The individual also handles claims involved in arbitration or mediation. The individual takes recorded statements, resolves loss of use claims, issues payments to appropriate parties, and negotiates and settles bodily injury issues. The individual delivers compassionate service that is fast, fair, and easy, to ensure customer retention while analyzing coverage, investigating and determining liability, reviewing and determining damages, and negotiating and settling complex claims. The individual provides work guidance and direction to less senior employees and provides mentoring and coaching to the team. The individual works independently, prioritizing the individual's own responsibilities, and managing the individual's own workload. The individual also consistently meets band level behaviors, production, quality, and/or customer service goals.

Customer Service

  • Makes and maintains a connection with the customer by understanding and meeting their needs; serves the customer with empathy; and follows up to ensure that customer needs have been met
  • Researches and responds to complex customer communications, concerns, conflicts or issues
  • Reviews customer satisfaction results; participates in determining necessary personal and business unit action plans

Coverage, Liability and Evaluation

  • Determines and explains minimum coverage limits in moderately complex and occasionally complex commercial policy claims involving single or multiple claimants
  • Sets initial reserve, updates reserve, documents rationale and claim summary notes
  • Obtains photos and/or conducts scene investigation
  • Takes recorded statements from claimants, insured's, witnesses, medical providers, etc., conducts investigations into complex auto and property accidents involving commercial policy holders, determines liability, and prepares summaries
  • Evaluates and determines potential use of experts; reviews reports and participates in selecting the expert
  • Determines claim value
  • Reviews file to identify complex potential legal issues

Negotiation and Settlement Guidance

  • Negotiates and settles claims in accordance with business unit best practices
  • Reviews medical reports in preparation for claims settlement evaluation

Other Projects and Responsibilities

  • May participate in one or more complex special assignments
  • May serve as a committee team lead for medium-sized projects or as a committee team member on large projects
  • May participate in oversight activities
  • Researches, responds to, or participates in Department of Insurance complaints or investigations
  • May assist or participate in Telephone Alert Conferences regarding complex claims referred to Home Office
  • Assists in reviewing files and making recommendations to refer files to Home Office for escalation
  • Assists in researching or responding to or resolving complex compliance issues
  • Completes complex attorney bill reviews

Job Qualifications

  • High School/GED, Bachelors degree in related field preferred or equivalent experience
  • Must have at least 3-5 years of auto adjuster experience
  • Licenses and registration must be acquired within six months of joining the department
  • Must be available to work Monday-Friday between the hours of 8:00am- 5:30pm with some late nights and weekend
  • Ability to interact effectively, and coach others on interacting effectively, with internal or external customers and act with empathy
  • Applies broad knowledge of insurance policy, coverage, and regulation
  • Applies broad knowledge of claim processes, policies, procedures, claim systems, coverage, liability, damage estimating, and/or settlement, and adherence to applicable legal compliance standards
  • Applies broad industry knowledge to discipline practices, including best practices, to support the business unit
  • Applies broad ability to leverage learned technical skills in support of team objectives
  • Applies broad conflict management and problem resolution skills in managing internal and external customer relationships

Good Work. Good Life. Good Hands®.

As a Fortune 100 company and industry leader, we provide a competitive salary – but that's just the beginning. Our Total Rewards package also offers benefits like tuition assistance, medical and dental insurance, as well as a robust pension and 401(k). Plus, you'll have access to a wide variety of programs to help you balance your work and personal life -- including a generous paid time off policy.

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Allstate generally does not sponsor individuals for employment-based visas for this position.

Effective July 1, 2014, under Indiana House Enrolled Act (HEA) 1242, it is against public policy of the State of Indiana and a discriminatory practice for an employer to discriminate against a prospective employee on the basis of status as a veteran by refusing to employ an applicant on the basis that they are a veteran of the armed forces of the United States, a member of the Indiana National Guard or a member of a reserve component.

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