Job Closed
This listing is no longer active.
National General Insurance, a division of Allstate, describes itself as one of the largest insurers in the United States. The company provides personal and commercial auto, recreat
Claims Resolution Adjuster II
Location
United States
Posted
21 days ago
Salary
$50K - $75.1K / year
Seniority
Mid Level
No structured requirement data.
Job Description
Claims Resolution Adjuster II
Allstate
Role Description As a Claims Resolution Adjuster II, your main focus will be investigating automobile accidents involving single or multiple vehicles which result in property damage and/or bodily injury. You will have the convenience of working remotely from your home while efficiently handling your responsibilities. You will assess coverage, liability, and damages while providing exceptional customer service throughout your day. Customer communication will take place through different channels, including voice calls, email, and text messages. Through the utilization of innovative platforms and tools, you will engage in negotiation processes to reach fair injury settlements with all parties involved. - The Customer Service Expert: You’ll live into Allstate’s Claims Culture by caring, empowering, and restoring, and you will accomplish that by being compassionate, clear, and a committed partner in each Casualty claim. You lead with empathy, always. - The Investigator: You’ll confidently and independently investigate casualty claims by performing detailed reviews of damage and interpreting policies to determine coverage. - The Effective Communicator: You’ll use phone, emails, and sometimes even video chat with customers to help them through a fast, fair, and easy claims process. You’ll also incorporate a specific approach to claim handling to offer the customer their preference of communication to efficiently discuss their claim needs and keep them updated on the claim progress. - The Negotiator: You will evaluate and negotiate claims settlements with customers, vendors, third party carriers, and claimants, in accordance with all legal and business standard methodologies. With negotiations, you will incorporate tactics in handling challenging and complex situations. - The Problem Solver: You’ll utilize multiple tools to get the job done in a fast-paced environment, including estimate tools, job aids, and additional settlement platforms, all while using your sharp critical thinking skills. - The Recorder: You’ll protect the company financially by executing policies along policy agreements, and you keep a clear record of your work in a claims system that you will be trained on. You’ll accomplish this by ensuring timely and accurate documentation is completed as you work on each claim. Qualifications - 2+ years claims adjusting experience determining liability. - Claims investigation and negotiation experience is preferred. - Experience with liability investigations, investigating coverage, property damage coverage, set method of inspection, rental, and resolving liability a plus. - Proficient communication skills, especially over the phone, to establish rapport and assess claims accurately. - Strong critical thinking and problem-solving skills to evaluate and negotiate injury claims successfully. Requirements - This position is a permanent 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. - 8 hours shift between the hours of 8:00am - 6:00pm EST or CST zone. This will be Monday – Friday with potential Saturday duty rotation. - 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. Benefits - 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 offset some of the cost of internet. - Being a part of Allstate means you receive a benefits package from Day 1 of employment, including time off, healthcare, retirement, and more. - 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.
Related Guides
Related Categories
Related Job Pages
More Claims Specialist Jobs
• Explain coverage of loss and applicable policy provisions to policyholders. • Provide consistent claim follow-up with adjusting firms and policyholders to set expectations on the claims process. • Investigate, evaluate, and settle claims within designated authority level. • Follow internal best practices while applying policy language, FEMA rules, and regulations. • Have the ability to deliver results in a fast-paced environment required. • Responsible for communicating with Public Adjusters and Attorneys regarding complex claims and coverage situations. • Reviewing estimates up to $1m, reviewing complex commercial claims, and contents inventories.
Junior Claims Analyst
ASAASSimplificamos o recebimento de cobranças para pessoa física, MEIs e grandes empresas.
• Provide prompt support to our customer base via e-mail, phone and WhatsApp, always focused on delivering the best possible experience; • Track and organize claims requests in our systems, keeping everything clear and up to date; • Contribute to company metrics management by preparing reports, analyses and projections; • Liaise with insurers, regulators and partners; • Support the operations team’s processes, ensuring smooth and efficient workflows; • Work collaboratively with internal areas to promote technical and institutional alignment; • Perform technical and analytical reviews of claims regulation processes;
Claims Examiner – Auto, Bodily Injury
SedgwickSedgwick is an Equal Opportunity Employer and a Drug-Free Workplace. If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.
• To analyze and process complex bodily injury auto and commercial transportation claims by reviewing coverage, completing investigations, determining liability and evaluating the scope of damages. • Processes complex auto commercial and personal line claims, including bodily injury and ensures claim files are properly documented and coded correctly. • Responsible for litigation process on litigated claims. • Coordinates vendor management, including the use of independent adjusters to assist the investigation of claims. • Reports large claims to excess carrier(s). • Develops and maintains action plans to ensure state required contact deadlines are met and to move the file towards prompt and appropriate resolution. • Identifies and pursues subrogation and risk transfer opportunities; secures and disposes of salvage. • Communicates claim action/processing with insured, client, and agent or broker when appropriate. • Performs other duties as assigned. Supports the organization's quality program(s). • Travels as required.
• Follow up on insurance denials and aged claims • Submit claims to secondary payers and ensure accurate billing information • Answer all information requests from payers and trace claims • Re-submit claims to government agencies and submit claims appeals with supporting documentation




