Claims Evaluation Sr Consultant

At Allstate, great things happen when our people work together to protect families and their belongings from life's uncertainties. And for more than 90 years our innovative drive has kept us a step ahead of our customers' evolving needs. From advocating for seat belts, air bags and graduated driving laws, to being an industry leader in pricing sophistication, telematics, and, more recently, device and identity protection.


This function is responsible for performing guidance and oversight of first and third party liability and casualty claims.

The Evaluation Consultant (EC) role supports Claims leaders to ensure consistency and objectivity in our claim handling. The Evaluation Consultant is responsible for conducting quality reviews for appropriate coverage, liability assessments, damages, and compliance with claim processes. Having reviewed all elements of the claim, the EC serves as a second look for the claim evaluation process and injury/claim value determination. As the Evaluation Consultant, you will partner with adjusters and leaders to assist with developing negotiation strategies and assess proper procedures, trends and value drivers with limited oversight. The EC role is regarded as a coach to provide claim handling guidance and direction. A key priority is to ensure we are delivering compassionate service that is fast, fair, and easy for our customers. The individual works independently, prioritizes their responsibilities, and manages their own workload. The EC consistently meets band level behaviors, production, quality and/or customer service goals.

Key Responsibilities
Ensure claim evaluation accuracy
Perform audits of files
Provide recommendations to adjusters or leaders about claim value, quality or trends
Review file quality and accuracy of claims system input
Ensure the use of key evaluation tools
Collaborate with leadership regarding file review results
Assist in developing strategies to address complex injury evaluation, file quality opportunities and process
execution through review and analysis
Analyze and evaluate complex claim processes or procedures and explain information and analysis based
on research
Assess and identify areas of opportunity based on expertise and observations
Advise leadership of coaching and training opportunities to assist with performance

Leads or facilitates formal claim training, coaching, mentoring and feedback on casualty claims

Knowledge/Skills/Abilities/Experience
Bachelors degree in related field preferred or equivalent experience
5+ years of related or Litigation claim handling/understanding & Severe/Complex Injury handling experience preferred
5+ years of Casualty claims experience required

Represented claim handling experience required

California claim handling experience required

WA, OR, CO, AZ, ID, AK & HI claim handling experience preferred but not required

Ability to act with empathy, interact effectively, and coach others to interact effectively with internal and
external customers
Expertise in claims evaluation tools and processes
Applies broad knowledge of insurance policy, coverage, regulations, claim processes and systems
Possesses comprehension of liability, casualty and damage estimating/settlementApplies broad knowledge
and adherence to applicable legal compliance standards
Contributes advanced industry knowledge to discipline practices, including best practices, to support the
business unit
Demonstrates advanced knowledge of analytical procedures and report preparation to reconcile, analyze,
and recognize patterns of data
Advanced ability to leverage learned technical skills in support of team objectives
Exercises advanced problem-solving skills to continuously improve business outcomes

Demonstrates advanced individual decision-making ability within authority limits
Has and maintains all appropriate licenses and registrations for the role per state requirements

Notes:

The preceding description is not designed to be a complete list of all duties and responsibilities. May be required to perform other related duties as assigned. Regular, predictable attendance is an essential function of this job.

This position is not available for Puerto Rico, California, Alaska, and Hawaii residents.

Succession and/or Development planning has identified a qualified candidate for this position. However, the hiring manager is considering other candidatesSkills
Casualty Insurance, Claims Evaluation, Decision Making, Insurance Claims

Compensation
Compensation offered for this role is $66,800 - 120,650 annually and is based on experience and qualifications.
The candidate(s) offered this position will be required to submit to a background investigation, which includes a drug screen.

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. And one where you can impact the future for the greater good.

You'll do all this in a flexible environment that embraces connection and belonging. And with the recognition of several inclusivity and diversity awards, we've proven that Allstate empowers everyone to lead, drive change and give back where they work and live.

Good Hands. Greater Together.

Allstate generally does not sponsor individuals for employment-based visas for this position.

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