Inside Adjuster Analyst II – Medicare

🔥 0 minutes ago

🌽 Illinois – Remote

🌽 Illinois – Remote

💵 $55k - $78k / year

⏰ Full Time

🟢 Junior

🧐 Analyst

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

Apply Now

Find Similar Remote Jobs

Receive Emails For Remote Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

Allstate

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1931

💸 Finance

💰 Post-IPO Equity on 2014-01

Insurance • Finance

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

• Handle the medical portion of auto accident claims under PIP and/or medical payment benefits • Determine coverage, assess medical claims and bills, investigate potential fraud • Explain coverage and follow up on ongoing treatments • Manage Medicare lien letters and open debt cases • Maintain Medicare Section 111 Electronic Reporting • Contribute to continuous improvement of Medicare processes

🎯 Requirements

• Experience with Medicare correspondence and lien handling practices • Familiarity with Medicare regulations and the CMS User Guide • Knowledge of insurance policies, coverage, and relevant regulations • Understanding of claims processes, policies, procedures, systems, liability, damage estimating, settlement practices, and legal compliance standards • Ability to investigate and evaluate basic to moderately complex claims • Capable of making independent decisions within established authority limits • Experience handling offsets and Open Debt Reports • Intermediate-level proficiency with the Medicare Portal • Strong interpersonal skills with the ability to interact effectively and empathetically with internal and external customers

🏖️ Benefits

• Health insurance • 401(k) • Monthly connectivity reimbursement for internet costs • Comprehensive technology setup including laptop, monitors, headset, keyboard, and mouse • Opportunity to work from home