Encompass Inside Repped Casualty Adjuster

Description :

Where good people build rewarding careers.

Think that working in the insurance field can't be exciting, rewarding and challenging? Think again. You'll help us reinvent protection and retirement to improve customers' lives. We'll help you make an impact with our training and mentoring offerings. Here, you'll have the opportunity to expand and apply your skills in ways you never thought possible. And you'll have fun doing it. Join a company of individuals with hopes, plans and passions, all using and developing our talents for good, at work and in life.

Job Description

Encompass Insurance company has an exceptional career opportunity for a Represented Casualty Adjuster in Woodridge, IL!

Combine your skills of working with people and investigation!

As an Inside Represented Casualty Claims Service Adjuster you are 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.). You will also handle claims involved in litigation, arbitration or mediation, coordinating with legal counsel and participating in depositions, hearings, trial, or arbitrations. You 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. You 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. You will provide work guidance and direction to less senior employees and provide mentoring and coaching to the team. You will work independently, prioritizing your responsibilities, and managing the your workload. You will also consistently meet band level behaviors, production, quality, and/or customer service goals. Your success will be rewarded with our Total Rewards package which includes base pay, benefits, and opportunities for career advancement.

Key Responsibilities

  • 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 Alert 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.

Job Qualifications

  • Bachelors degree in related field preferred or equivalent experience
  • Ability to interact effectively with internal or external customers and act with empathy
  • Applies general and occasionally broad knowledge of insurance policy, coverage, and regulation
  • Applies general and occasionally broad knowledge of claim processes, policies, procedures, claim systems, coverage, liability, damage estimating, and/or settlement, and adherence to applicable legal compliance standards
  • Applies general and occasionally broad industry knowledge to discipline practices, including best practices, to support the business unit
  • Applies general and occasionally broad knowledge of analytical procedures to reconcile, manipulate, and recognize patterns of data
  • Applies general and occasionally broad knowledge of problem solving and preparation of reports for analysis
  • Applies general and occasionally broad ability to leverage learned technical skills in support of team objectives
  • Applies general and occasionally broad negotiation and/or arbitration skills
  • Applies general and occasionally broad conflict management and problem resolution skills in managing internal and external customer relationships
  • Applies general and occasionally broad problem-solving skills to continuously improve business outcomes
  • Ability to investigate, evaluate, negotiate and settle moderately complex and occasionally complex claims
  • Provides individual decision making within authority limits
  • Has and maintains all appropriate licenses and registrations for the role per state requirements
  • Bilingual candidates encouraged to apply
  • Military candidates are strongly encouraged to apply CLK789

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.

For jobs in San Francisco, please see the notice regarding the San Francisco Fair Chance Ordinance.

For jobs in Los Angeles, please seethe notice regarding the Los Angeles Ordinance.

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.

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