Loss Risk Adjuster

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 Large Loss Risk Adjusters to join our growing team! This team manages complex, high exposure claims involving policy limits up to 100/300, including rejected tenders and extra-contractual exposures claims. Claims often involve severe injuries, such as catastrophic impairments, amputations, comas, and fatalities. The ideal candidate will have prior experience handling large loss claims, navigating complex liability issues, and managing litigation through resolution.

Strong investigative, negotiation, and risk assessment skills are essential for success in this role. We are open to candidates in the eastern time zone states.

• 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

• This job does not have supervisory duties.

As a requirement of employment, individuals who currently hold an active insurance license must terminate all existing appointments prior to onboarding and must not hold any outside appointments at any point during employment. Applicants seeking an adjuster role who also hold a resident producer license must formally surrender that license when instructed to by the licensing team. By proceeding with the application process, applicants acknowledge and accept these licensing requirements and agree to comply.

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Skills

Bodily Injury Claims, Case Management, Client Counseling, Commercial Insurance Claims, Complex Claims, Complex Litigation, Conflict Management, Conflict Resolution, Homeowners Claims, Homeowners Insurance Claims, Industry Trend Analysis, Injury Assessment, Insurance Claims, Large Loss Claims, Litigation, Litigation Management, Personal Injury Claims, Problem Solving, Time Management, Torts

Compensation

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

Joining our team…