Loss BI Adjuster; UM​/UIM - National General

Position: Large Loss BI Adjuster (UM/UIM) - National General

National General is a part of The Allstate Corporation, which means we have the same innovative drive that keeps us a step ahead of our customers' evolving needs. We offer home, auto and accident and health insurance, as well as other specialty niche insurance products, through a large network of independent insurance agents, as well as directly to consumers.

Job Description

The Senior Consultant II is responsible for granting settlement authority on highly complex claims valued in excess of Market Claim Office (MCO) and Regional Claim Office (RCO) limits, providing recommendations on requests to go to trial on cases where the gross exposure is in excess of MCO authority, and general oversight of all large losses for a specific CSA or CSAs.

The individual may also provide discretionary referrals on coverage issues, opinions and research. In addition, the Sr Cons II may provide approval on Closed Without Payment (CWP) requests where liability is disputed, and the value is in excess of Field authority.

We are seeking a Large Loss Bodily Injury Adjuster with a focus on UM/UIM claims. This role involves handling complex BI claims across a range of policy limits, from 15/30 and 35/70 up to 100/300.

Claims may involve injuries ranging from soft tissue to fatalities. The ideal candidate will posses strong skills in coverage analysis, liability investigations, and injury evaluation, along with the ability to effectively negotiate and resolve high exposure claims. Litigation experience is preferred but not required.

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Key Responsibilities

• Performs file reviews for various complex projects or for cases in litigation, analyzes data, and reports findings
• May review cases to determine if CWP is appropriate given gross tort value exposure
• Supports the Field with discretionary referrals on complex coverage issues and engages Home Office Claim litigation for involvement and direction as needed
• Reviews coverage, liability, and/or damages on highly complex cases referred for authorization and collaborates with Field leadership on addition steps to be taken and other feedback and direction
• Collaborates with Frontline Performance Experts (FPEs), Frontline Performance Leaders (FPLS), and Claim Process Specialists (CPSs) to share experience and trends identified in referred cases
• Works with Product, Protection, Law, and Claims on new products introduced to the Field and the sales force, and develops Claim Bulletins to provide new forms and/or endorsements that impact claim handling practices

Supervisory Responsibilities

• This job does not have supervisory duties.

Skills

Analytical Thinking, Auto Insurance Claims, Automobile Accidents, Casualty Insurance, Claims Resolution, Client Counseling, Complex Claims, Conflict Management, Fatal Accidents, Industry Trend Analysis, Insurance, Insurance Claims, Insurance Coverage, Insurance Investigation, Large Loss Claims, Liability Investigations, Litigation, Negotiation, Personal Injury Claims, Torts

Compensation

Compensation offered for this role is 85,000. annually and is based on experience and qualifications.

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.

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