Loading some great jobs for you...




Where good people build rewarding careers.

Think that working in the insurance field can't be exciting, rewarding and challenging? Think again. You'll help us reinvent protection and retirement to improve customers' lives. We'll help you make an impact with our training and mentoring offerings. Here, you'll have the opportunity to expand and apply your skills in ways you never thought possible. And you'll have fun doing it. Join a company of individuals with hopes, plans and passions, all using and developing our talents for good, at work and in life.

Job Description

Encompass Insurance Company has an exceptional opportunity for a Complex Litigation Adjuster in Wyomissing, PA!

Under limited supervision, this job is responsible for investigating complex claims when our Encompass customers are involved in a vehicle accident involving serious bodily injuries. This typically will include uninsured or underinsured motorist (UM/UIM) claims in single or multi car accidents, represented, litigated, and non-represented moderate or major claims, complex CPL or extra-contractual liability claims, or complex specialized claims (e.g., business interruption, loss of income, E&O policies, etc.). The individual also handles claims involved in litigation, arbitration or mediation, coordinating with legal counsel and participating in depositions, hearings, trial, or arbitrations. The individual also delivers compassionate service that is fast, fair, and easy, to ensure customer retention and maintains superior customer satisfaction while verifying coverage, investigating and determining liability, reviewing and determining damages, and negotiating and settling complex claims. The individual provides work guidance and direction to less senior employees and provides mentoring and coaching to the team. The individual works independently, prioritizing the individual's own responsibilities, and managing the individual's own workload. The individual also consistently meets band level behaviors, production, quality, and/or customer service goals.

Key Responsibilities

Customer Service

  • Makes and maintains a connection with the customer by understanding and meeting their needs; serves the customer with empathy; and follows up to ensure that customer needs have been met
  • Researches and responds to complex customer communications, concerns, conflicts or issues
  • Reviews customer satisfaction results; participates in determining necessary personal and business unit action plans

File Documentation and Reporting

  • Summarizes documents and enters into claim system notes
  • Documents a claim file with notes, evaluations and decision making process

Coverage, Liability and Evaluation

  • Determines and explains minimum coverage limits in complex claims involving single or multiple claimants
  • Sets initial reserve, updates reserve, documents rationale and claim summary notes
  • Obtains photos and/or conducts scene investigation
  • Takes recorded statements from claimants, insureds, witnesses, medical providers, etc., conducts investigations into complex auto accidents, determines liability and prepares summaries
  • Determines claim value
  • Evaluates and determines potential use of experts; reviews reports and participates in selecting the expert
  • Reviews file to identify complex potential legal issues

Negotiation and Settlement Guidance

  • Negotiates and settles claims in accordance with business unit best practices
  • Reviews medical reports in preparation for claims settlement evaluation

Other Projects and Responsibilities

  • May serve as a committee team lead for medium or occasionally large projects or as a committee team member on large projects
  • May participate in one or more complex special assignments
  • May serve as a subrogation or arbitration panelist
  • May serve as an agent advocate
  • Participates in targeted reviews
  • May participate in oversight activities
  • Researches, responds to, or participates in Department of Insurance complaints or investigations
  • May assist or participate in Telephone Alert Conferences regarding complex claims referred to Home Office
  • Assists in reviewing files and making recommendations to refer files to Home Office for escalation
  • Assists in researching or responding to or resolving complex compliance issues

Job Qualifications

  • Bachelors degree in related field preferred
  • 3+ years of casualty/litigation claims handling experience required
  • Ability to interact effectively with internal or external customers and act with empathy
  • Applies general and occasionally broad knowledge of insurance policy, coverage, and regulation
  • Applies general and occasionally broad knowledge of claim processes, policies, procedures, claim systems, coverage, liability, damage estimating, and/or settlement, and adherence to applicable legal compliance standards
  • Applies general and occasionally broad industry knowledge to discipline practices, including best practices, to support the business unit
  • Applies general and occasionally broad knowledge of analytical procedures to reconcile, manipulate, and recognize patterns of data
  • Applies general and occasionally broad knowledge of problem solving and preparation of reports for analysis
  • Applies general and occasionally broad ability to leverage learned technical skills in support of team objectives
  • Applies general and occasionally broad negotiation and/or arbitration skills
  • Applies general and occasionally broad conflict management and problem resolution skills in managing internal and external customer relationships
  • Applies general and occasionally broad problem solving skills to continuously improve business outcomes
  • Ability to investigate, evaluate, negotiate and settle moderately complex and occasionally complex claims
  • Provides individual decision making within authority limits
  • Has and maintains all appropriate licenses and registrations for the role per state requirements

The candidate(s) offered this position will be required to submit to a background investigation, which includes a drug screen.

Good Work. Good Life. Good Hands.

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.

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

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.


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, 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



Associated topics: attorney firm, consultant, courtroom, criminal law, lawyer, law practice, legal, litigation, litigation attorney, litigation defense firm

* The salary listed in the header is an estimate based on salary data for similar jobs in the same area. Salary or compensation data found in the job description is accurate.

Launch your career - Upload your resume now!

Upload your resume

Loading some great jobs for you...