At Allstate, great things happen when our people work together to protect families and their belongings from life’s uncertainties. And for more than 90 years, our innovative drive has kept us a step ahead of our customers’ evolving needs. From advocating for seat belts, air bags and graduated driving laws, to being an industry leader in pricing sophistication, telematics, and, more recently, device and identity protection.
Job Description
This job is responsible for investigating moderate/complex represented claims which typically will include claims in single or multi car accidents and represented moderate or major claims. The individual also may handle complex and highly complex specialized claims (e.g., business interruption, loss of income, Errors and Omissions (E&O) policies, etc.). The individual oversees liability and bodily injury investigations, 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.
It is likely that this position will mainly handle represented claims for the following states: NJ, NY, PA. Candidates within the Eastern time zone are preferred, however, those on Central time zone will also be considered.
Key Responsibilities
• Summarizes documents and enters into claim system notes
• Manages, researches, and resolves complex and highly complex customer communications, concerns, conflicts or issues
• Reviews medical reports in preparation for claims settlement evaluation
• Researches, responds to, or participates in Department of Insurance complaints or investigations
• Negotiates and settles claims in accordance with business unit best practices
• Sets initial reserve, updates reserve, documents rationale and claim summary notes
• Determines and explains minimum coverage limits in complex and highly complex claims involving single or multiple claimants, also determines claim value
• Documents a claim file with notes, evaluations and decision making process
Qualifications
- Prior represented casualty claim handling experience is required
- NY, NJ, PA claims experience preferred
- 2-5 years of moderate/complex Bodily Injury claim handling experience is required
- Proficient communication skills, especially over the phone, to establish rapport and assess claims accurately.
- Ability to work independently and remotely, while managing time efficiently.
- Familiarity with insurance policies, coverage, and liability determination.
- Strong critical thinking and problem-solving skills to evaluate and negotiate injury claims successfully.
- Knowledge of innovative tools and platforms for effective claims evaluation.
Remote Home-Based Work This position is a remote home-based role. Your home office does not need to be near an Allstate office, but it does need to be in the United States. This position is not available for California, Alaska, Hawaii, or Washington residents.
When you work from home full time, you’ll need:
- A home office – a dedicated workspace in your residence that is private and free from distractions
- A minimum internet bandwidth of 50 MB down/5 MB up
- Appropriate work surface and seating
What will Allstate provide?
- A technology bundle that includes all equipment needed to perform your work from home (laptop, monitors, headset, keyboard, mouse)
- Connectivity reimbursement of $80 per month to off set some of the cost of internet
Notice of Licensing Requirement:
- As a condition of employment, your office/area may require you to obtain an adjuster and/or an appraiser license. If applicable, you will be required to secure license(s) within 60 days of hire.
- If required, the Hiring Manager will work with you along with the Centralized Licensing team to ensure that you are properly licensed.
Sign-On Bonus:
You may be eligible for a $1,000 Licensing Sign-On Bonus if you have the applicable active licenses needed for this role. This could include Home Resident Property & Casualty License, Designate Home State (DHS) Florida or Texas License, and/or applicable Appraiser License.
Candidates who have previously worked for and are seeking to be rehired at Allstate and its family of companies are not eligible for this sign-on bonus.
Allstate Benefits
Being a part of Allstate means you receive a benefits package from Day 1 of employment. This includes time off, healthcare, retirement, and more. That is why as an Allstater, you’ll enjoy a Total Rewards package that includes:
- Competitive pay with needed support for continuous development and career advancement.
- Flexibility in scheduling and a time off policy that helps support your work/life balance.
- Initial and ongoing training to get you proficient in your new role
- Comprehensive benefits like a 401K/pension, education reimbursement, and programs to help you balance work with the rest of your life. Visit www.allstategoodlife.com to learn more.
#LI-JB3
Skills
Bodily Injury Claims, Business Communications, Claims Evaluation, Claims Resolution, Complex Claims, Critical Thinking, Fraud Investigations, Information Collection, Time Management
Compensation
Compensation offered for this role is 53,500.00 - 84,625.00 annually and is based on experience and qualifications.
The candidate(s) offered this position will be required to submit to a background investigation.
Joining our team isn’t just a job — it’s an opportunity. One that takes your skills and pushes them to the next level. One that encourages you to challenge the status quo. One where you can shape the future of protection while supporting causes that mean the most to you. Joining our team means being part of something bigger – a winning team making a meaningful impact.
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.
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.
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.