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Evaluation Consultant - Remote - Remote, Remote, US

The world isn’t standing still, and neither is Allstate. We’re moving quickly, looking across our businesses and brands and taking bold steps to better serve customers’ evolving needs. That’s why now is an exciting time to join our team. You’ll have opportunities to take risks, challenge the status quo and shape the future for the greater good.

 

You’ll do all this in an environment of excellence and the highest ethical standards – a place where values such as integrity, inclusive diversity and accountability are paramount. We empower every employee to lead, drive change and give back where they work and live. Our people are our greatest strength, and we work as one team in service of our customers and communities.

 

Everything we do at Allstate is driven by a shared purpose: to protect people from life’s uncertainties so they can realize their hopes and dreams. For more than 89 years we’ve thrived by staying a step ahead of whatever’s coming next – to give customers peace of mind no matter what changes they face. We acted with conviction to advocate for seat belts, air bags and graduated driving laws. We help give survivors of domestic violence a voice through financial empowerment. We’ve been an industry leader in pricing sophistication, telematics, digital photo claims and, more recently, device and identity protection.

 

We are the Good Hands. We don’t follow the trends. We set them.

Job Summary:

 

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

Preferred Qualifications:

 

  • 5+ years of related experience in Bodily Injury claim handling/adjusting, required
  • 5+ years of Represented Bodily Injury claim handling experience, required
  • New York, New Jersey, and/or Pennsylvania claim handling experience, required
  • Litigation Claim handling/understanding & Severe/Complex Injury Handling, preferred
  • 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/settlement
  • Applies 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

Certificates, Licenses, Registrations:

 

  • As a condition of employment, your office/area may require you to obtain an adjuster and/or an appraiser license.  If applicable, you will be required to secure license(s) within 60 days of hire.
  • If required, the Hiring Manager will work with you along with the Centralized Licensing team to ensure that you are properly licensed.

Compensation offered for this role is $63,500.00-$108,500.00 per year 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.

 

Good Hands. Greater Together. ℠

 

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. For a full description of Allstate’s benefits, visit https://www.allstate.jobs/benefits/

 

Learn more about life at Allstate. Connect with us on Twitter, Facebook, Instagram and LinkedIn or watch a video.#LI-BC1

 

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 click “here” for information regarding the San Francisco Fair Chance Ordinance.
For jobs in Los Angeles, please click “here” for information regarding the Los Angeles Fair Chance Initiative for Hiring Ordinance.

 

To view the “EEO is the Law” poster click “here”. This poster provides information concerning the laws and procedures for filing complaints of violations of the laws with the Office of Federal Contract Compliance Programs

 

To view the FMLA poster, click “here”. This poster summarizing the major provisions of the Family and Medical Leave Act (FMLA) and telling employees how to file a complaint.

 

It is the Company’s policy to employ the best qualified individuals available for all jobs. Therefore, any discriminatory action taken on account of an employee’s ancestry, age, color, disability, genetic information, gender, gender identity, gender expression, sexual and reproductive health decision, marital status, medical condition, military or veteran status, national origin, race (include traits historically associated with race, including, but not limited to, hair texture and protective hairstyles), religion (including religious dress), sex, or sexual orientation that adversely affects an employee's terms or conditions of employment is prohibited. This policy applies to all aspects of the employment relationship, including, but not limited to, hiring, training, salary administration, promotion, job assignment, benefits, discipline, and separation of employment.

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Job Profile

Regions

North America

Countries

United States

Benefits/Perks

Generous paid time off policy Medical and dental insurance Paid Time Off Paid time off policy Time off Time off policy Training Training opportunities Tuition Assistance

Skills

Analytical Audits Bodily Injury Claim Handling Claim Handling Claims evaluation Coaching Compliance Customer service Data analysis Insurance Investigation Leadership Litigation Litigation Claim Handling Negotiation Negotiation Strategies Problem-solving Quality Reviews Research Training

Tasks
  • Advise leadership on coaching opportunities
  • Analyze and evaluate claim processes
  • Collaborate with leadership
  • Customer Service
  • Ensure claim evaluation accuracy
  • Investigation
  • Lead formal claim training
  • Negotiation
  • Perform audits of files
  • Provide recommendations to adjusters
  • Review file quality and accuracy
Experience

5+ years

Education

Business

Certifications

Appraiser license

Restrictions

Remote

Timezones

America/Anchorage America/Chicago America/Denver America/Los_Angeles America/New_York Pacific/Honolulu UTC-10 UTC-5 UTC-6 UTC-7 UTC-8 UTC-9