Casualty Claims Analyst III, Claims Adjuster – Personal Injury Protection, Medical Payment

Job not on LinkedIn

🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $51.5k - $78.6k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

📋 Claims Specialist

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 2%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Allstate

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1931

💼 Consulting

📦 Logistics

🛡️ Insurance

💰 Post-IPO Equity on 2014-01

Consulting • Logistics • Insurance

Allstate is an industry leader in providing insurance solutions, focusing on home, auto, device, and identity protection. With a commitment to customer well-being, Allstate aims to instill peace of mind and financial security for its customers. The company also emphasizes community impact and sustainability through various initiatives, showcasing their dedication to social responsibility and positive change.

📋 Description

• Guide customers through the medical claims process • Investigate and evaluate Personal Injury Protection (PIP) and Medical Payments (Med Pay) claims • Review medical bills, treatment records, wage loss documentation, mileage reimbursements, attendant care requests, and related expenses • Determine claim eligibility, coverage, and reasonableness of medical expenses • Communicate claim decisions clearly and professionally to customers and other involved parties • Maintain accurate claim documentation and detailed file notes • Establish and manage claim reserves based on claim facts and treatment patterns • Identify potential medical management opportunities and refer suspicious activity when appropriate • Manage multiple claims while meeting quality, service, and productivity expectations • Utilize digital tools and technology to provide efficient customer experiences • Work with customers, healthcare providers, and other stakeholders

🎯 Requirements

• Strong business and professional communication skills • Critical thinking and analytical problem-solving abilities • Excellent time management and organizational skills • High degree of empathy and genuine desire to help customers • Ability to manage multiple priorities in a fast-paced environment • Strong attention to detail and documentation skills • Insurance experience is helpful but not required • Preferred: experience in insurance, claims handling, customer service, healthcare administration, or related fields • Preferred: exposure to medical terminology, billing, healthcare operations, or medical records review • Preferred: experience working in a customer-focused environment • Must submit to a background investigation • Dedicated, private workspace free from distractions when working from home • Appropriate desk and seating when working from home • Reliable internet with minimum speeds of 50 MB download and 5 MB upload • Generally does not sponsor individuals for employment-based visas for this position

🏖️ Benefits

• Comprehensive technology setup, including a laptop, monitors, headset, keyboard, and mouse • Monthly connectivity reimbursement to help offset internet costs • Comprehensive training and support • Opportunities for advancement • Collaborative team environment focused on learning, development, and success