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In-House
Attorney
Insurance Coverage
Litigation - Whistleblower - CFTC
3-5 yrs required
Inside Represented Casualty Claims Adjuster Duties: Responsible for investigating complex claims when an attorney is representing the injured party which typically will include: Uninsured or underinsured motorist (UM/UIM) claims in single or multi car accidents; Injury Casualty Soft Tissue (ICST), and represented- moderate or major claims; Complex Commercial Property Liability (CPL) or extra-contractual liability claims; Specialized claims (e.g., business interruption, loss of income, E&O policies, etc.). Will handle claims involved in litigation, arbitration or mediation, coordinating with legal counsel and participating in depositions, hearings, trial, or arbitrations. Will take recorded statements, resolve loss of use claims, make payments to appropriate parties, and negotiate and settle or refer bodily injury issues that cannot be resolved. Will need to deliver compassionate service that is fast, fair, and easy, to ensure customer retention while verifying coverage, investigating and determining liability, reviewing and determining damages, and negotiating and settling complex claims. Will provide work guidance and direction to less senior employees and provide mentoring and coaching to the team. Will work independently, prioritizing your responsibilities, and managing the your workload. Will meet band level behaviors, production, quality, and/or customer service goals. 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. Documents a claim file with notes, evaluations and decision making process. 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. Takes recorded statements from 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. Negotiates and settles claims in accordance with business unit best practices. 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 serve as a subrogation or arbitration panelist. May assist or participate in Telephone Alerrt Conferences regarding complex claims referred to Home Office. Assists in reviewing files and making recommendations to refer files to Home Office for escalation. Achieving targeted performance goals to manage costs and support Allstate’s industry-leading operational standards.
Qualification and Experience
Qualifications: Bachelor’s Degree preferred. 3-5 years of casualty experience with a Texas adjuster license. Prior Casualty Claim handling experience preferred and experience working with attorneys is a plus. Strong computer skills with proficiency in Microsoft Office. Strong organization skills and the ability to work independently. Bilingual candidates are encouraged to apply. Excellent written and verbal communication skills with a passion for helping others. Persistence and the ability to work through and solve problems. Bilingual candidates are strongly encouraged to apply. Ability to interact effectively, and coach other on interacting effectively, with internal or external customers and act with empathy.
Job ID : IRV00835
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