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Bodily Injury Adjuster – Represented Third Party Casualty
Allstate. Investigate moderate/complex represented casualty claims, including single- or multi-car accidents and represented moderate or major claims .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in handling moderate to complex casualty claims, including bodily injury and represented claims, with strong negotiation and problem-solving skills. Proficient in evaluating claims, managing customer communications, and adhering to best practices in claims settlement.
Highest-signal resume keywords
Moderate/Complex Bodily Injury Claim HandlingNegotiation and Settlement of ClaimsClaims Experience in NY, NJ, PAProficient Communication SkillsFamiliarity with Insurance Policies and Coverage
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Claims EvaluationLiability DeterminationDocumenting Claim FilesResearching Medical ReportsSetting and Updating ReservesResolving Loss of Use ClaimsInvestigating Bodily Injury ClaimsHandling Customer CommunicationsSummarizing DocumentsTaking Recorded Statements
Soft Skills
Critical ThinkingProblem-SolvingTime ManagementIndependent WorkConflict Resolution
Tools & Technologies
Claims SystemInnovative Tools for Claims Evaluation
Certifications & Qualifications
Adjuster LicenseAppraiser License
Industry Keywords
Casualty ClaimsBodily InjuryErrors and Omissions PoliciesBusiness InterruptionLoss of IncomeDepartment of Insurance ComplaintsRepresented Claims
About the role
Key responsibilities & impact- Investigate moderate/complex represented casualty claims, including single- or multi-car accidents and represented moderate or major claims
- Handle complex and highly complex specialized claims such as business interruption, loss of income, and Errors and Omissions policies
- Oversee liability and bodily injury investigations
- Take recorded statements
- Resolve loss of use claims
- Make payments to appropriate parties
- Negotiate and settle bodily injury issues or refer unresolved issues
- Summarize documents and enter notes into the claim system
- Manage, research, and resolve complex customer communications, concerns, conflicts, and issues
- Review medical reports for claims settlement evaluation
- Research, respond to, or participate in Department of Insurance complaints or investigations
- Negotiate and settle claims according to business unit best practices
- Set and update initial reserves, document rationale, and maintain claim summary notes
- Determine coverage limits and claim value in complex claims involving single or multiple claimants
- Document claim files with notes, evaluations, and decision-making processes
- Mainly handle represented claims for NJ, NY, and PA
Requirements
What you’ll need- Prior represented casualty claim handling experience is required
- Claims experience preferred in at least one of the following states: NY, NJ, PA, FL, VA, NC
- 2-5 years of moderate/complex Bodily Injury claim handling experience is required
- 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
- Strong critical thinking and problem-solving skills
- Knowledge of innovative tools and platforms for effective claims evaluation
- Home office with a dedicated, private workspace free from distractions
- Minimum internet bandwidth of 50 MB down/5 MB up
- Appropriate work surface and seating
- Ability to work in the United States, excluding California, Alaska, Hawaii, and Washington
- Successful background investigation
- Adjuster and/or appraiser license may be required within 60 days of hire, if applicable
- Allstate generally does not sponsor employment-based visas for this position
Benefits
Comp & perks- Competitive pay with needed support for continuous development and career advancement
- Flexibility in scheduling
- Time off policy supporting work/life balance
- Initial and ongoing training
- Comprehensive healthcare benefits
- 401K/pension
- Education reimbursement
- Technology bundle including laptop, monitors, headset, keyboard, and mouse
- $80 per month connectivity reimbursement
- Potential $1,000 Licensing Sign-On Bonus for candidates with applicable active licenses