Bodily Injury Adjuster - Represented Third Party Casualty (NY, NJ, PA) - Remote
Investigate and settle represented bodily injury claims for NY, NJ, PA
This role involves investigating moderate to complex represented bodily injury claims, including single or multi-car accidents and specialized claims like business interruption or E&O policies. The adjuster oversees liability investigations, takes recorded statements, reviews medical reports, and negotiates settlements in accordance with business unit best practices. Work is performed remotely with a preference for candidates in the Eastern or...
Why This Role?
Opportunity to handle complex and highly specialized claims including business interruption and E&O policies
Key Responsibilities
- Investigate moderate to complex represented bodily injury claims in single or multi-car accidents
- Take recorded statements and review medical reports for claims settlement evaluation
- Negotiate and settle claims according to business unit best practices
- Manage and resolve complex customer communications and Department of Insurance inquiries
- Set and update claim reserves, documenting rationale and claim summary notes
Requirements
- Prior represented casualty claim handling experience
- NY, NJ, PA claims experience preferred
- 2-5 years of moderate/complex Bodily Injury claim handling experience
- Proficient communication skills, especially over the phone
- Ability to work independently and remotely while managing time efficiently
- Familiarity with insurance policies, coverage, and liability determination
Required Skills
Indonesia Context
- Working Hours Overlap:
- Minimal overlap — opposite hours
Keywords
View Original Description from The Muse
Original description from The Muse
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) Flor
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