Represented Casualty Adjuster

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Job Description

Allstate Insurance Company has an exceptional career opportunity for an Experienced Represented Casualty Adjuster in Houston, TX!

About the Team
The Adjusting Function is responsible for verifying policy coverage and limits. The Adjusting function investigates and evaluates damage and/or liability; estimates damages, losses, or total indemnity; sets and maintains reserves; and/or negotiates and settles claims. Third party liability and casualty claims involve coverage and liability investigation, negotiation, and settlement of policyholder and third-party liability, property damage, and bodily injury claims.

About the Position
Under limited supervision, this job is responsible for investigating complex claims 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; (2) Injury Casualty Soft Tissue (ICST), and represented- moderate or major claims; (3) complex Commercial Property Liability (CPL) or 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 litigation, arbitration or mediation, coordinating with legal counsel and participating in depositions, hearings, trial, or arbitrations. 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.

Specific responsibilities include:
Customer Service
Researches and responds to moderately complex customer communications, concerns, conflicts or issues
Reviews customer satisfaction results; works independently to create personal action plans

File Documentation and Reporting
Documents a claim file with notes, evaluations and decision making process

Coverage, Liability and Evaluation
Determines and explains minimum coverage limits in complex 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, insureds, witnesses, medical providers, etc., conducts investigations into complex auto accidents, 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 serve as a committee team lead for medium-sized projects or as a committee team member on large projects
May serve as a subrogation or arbitration panelist
May serve as an agent advocate
Participates in targeted reviews
Researches, responds to, or participates in Department of Insurance complaints or investigations
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

Job Qualifications

Ideal Qualifications:
Bachelors degree in related field preferred or equivalent experience
5 - 10 years of experience investigating evaluating, negotiating and setting moderately complex claims strongly preferred
Excellent written and verbal communication skills with a passion for helping others.
Strong organizational and computer skills.
Persistence and the ability to work through and solve problems.
Has and maintains all appropriate licenses and registrations for the role per state requirements
Ability to investigate, evaluate, negotiate and settle complex claims
Provides broad individual decision making within authority limits

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.