Commerical Inside Unpresented Casualty Adjuster

Irving, Texas
Not Specified
Oct 08, 2016
Dec 07, 2016
Job Type
Not Specified
Career Level
Not Specified

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Job Description

Allstate Insurance Company has an exceptional career opportunity for Commercial Claims Unrepresented Casualty Adjuster in Irving, TX.

The Commercial Claims Unrepresented Casualty Adjuster is responsible for investigating moderately complex and occasionally complex, unrepresented commercial auto or property claims which may 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 (3) unrepresented moderate or major claims. The individual takes recorded statements, resolves loss of use claims, issues payments to appropriate parties, and negotiates and settles or refers bodily injury issues that cannot be resolved. The individual delivers compassionate service that is fast, fair, and easy, to ensure customer retention, while analyzing coverage, investigating and determining liability, and negotiating and settling moderately complex and occasionally complex claims. The individual provides work guidance and direction to less senior employees. The individual works independently, prioritizing the individual's own responsibilities, and managing the individual's own workload.

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 moderately complex and occasionally complex customer communications, concerns, conflicts or issues
  • Reviews customer satisfaction results; works independently to create personal action plans

    File Documentation and Reporting

  • Summarizes documents and enters into claim system notes
  • Documents a claim file with notes, evaluations and decision making process

    Coverage, Liability and Evaluation

  • Determines and explains minimum coverage limits in moderately complex and occasionally complex commercial 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 moderately complex and occasionally complex accidents involving commercial policy holders, determines liability, and prepares summaries
  • Determines claim value

    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 moderately complex or occasionally complex special assignments
  • May serve as a committee team lead for medium-sized projects or as a committee team member on medium to large projects
  • May serve as a subrogation or arbitration panelist
  • May serve as an agent advocate
  • May participate in oversight activities

    ***Employee Referral Bonus (external referrals only)

Job Qualifications

  • High School Diploma/General Education Diploma (GED), Bachelors degree preferred at least 3 years of commercial claims handling experience is required
  • Ability to interact effectively with internal or external customers and act with empathy
  • Knowledge of insurance policy, coverage, and regulation
  • Knowledge of claim processes, policies, procedures, claim systems, coverage, liability, damage estimating, and/or settlement, and adherence to applicable legal compliance standards
  • Broad industry knowledge to discipline practices, including best practices, to support the business unit
  • Problem solving and preparation of reports for analysis
  • Negotiation and/or arbitration skills
  • Conflict management and problem resolution skills in managing internal and external customer relationships
  • Problem solving skills to continuously improve business outcomes
  • Ability to investigate, evaluate, negotiate and settle moderately complex and occasionally complex claims
  • Provides individual decision making within authority limits
  • Has and maintains all appropriate licenses and registrations for the role per state requirements

The candidate(s) offered this position will be required to submit to a background investigation, which includes a drug screen.

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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It is the policy of Allstate to employ the best qualified individuals available for all jobs without regard to race, color, religion, sex, age, national origin, sexual orientation, gender identity/gender expression, disability, and citizenship status as a veteran with a disability or veteran of the Vietnam Era.