Personal Injury Protection Adjuster

Job not on LinkedIn

🔥 13 hours ago

🇺🇸 United States – Remote

💵 $51.5k - $78.6k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 1%

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

• Handle the medical portion of auto accident claims for insured or eligible injured parties under personal injury protection and/or medical payment benefits • Determine coverage and assess medical claims • Evaluate medical bills and initiate or review potential fraud investigations • Explain coverage, negotiate and settle claims • Follow up with customers regarding continuing treatments while delivering compassionate service • Negotiate and settle moderately complex claims • Work independently, prioritize responsibilities, and manage workload • Maintain customer connections, understand and meet customer needs, and follow up on service • Research and respond to moderately complex customer communications, concerns, conflicts, or issues • Summarize documents and enter claim system notes • Document claim files with notes, evaluations, and decision-making processes • Process medical bills and identify medical management opportunities • Assess claimant medical/physical conditions and prior injuries • Analyze medical bills, wage loss reviews, home service or attendant care, mileage payments, and related claims • Conduct first-party file processing and fact gathering, including interviews with claimants, witnesses, and medical providers • Evaluate medical records and treatment plans and determine whether continued treatment is reasonable • Set up IMEs and review results • Investigate, review, and accept or reject moderately complex coverage and potential coverage issues • Determine appropriate benefits and resolve usual and customary billings • Monitor treatment and benefit payments for excessive, unreasonable, or abusive claims • Handle specialized claims • Participate in moderately complex special assignments • Serve as committee team lead or team member on projects • Review subpoenas and non-complex demands • Serve as an agent advocate • Prepare and negotiate moderately complex subrogation issues or arbitrations

🎯 Requirements

• Strong knowledge of insurance policies, particularly personal injury protection coverage and relevant regulations • Ability to evaluate claims by reviewing accident reports, medical records, and other documents • Excellent communication skills for interacting with claimants, medical providers, and other stakeholders • Strong investigative and research skills • Analytical and critical thinking abilities • Negotiation skills • Effective time management and organizational skills • Commitment to excellent customer service, empathy, and professionalism • Basic understanding of relevant laws and regulations related to insurance and personal injury cases • Candidates selected will be aligned to an Eastern Time Zone schedule, Monday-Friday between 8am-5pm EST • Required to submit to a background investigation • Must have a dedicated, private workspace free from distractions, with appropriate desk and seating • Reliable internet required, with minimum speeds of 50 MB download and 5 MB upload • Allstate generally does not sponsor individuals for employment-based visas for this position

🏖️ Benefits

• Competitive pay with needed support for continuous development and career advancement • Flexibility in scheduling • Time off policy supporting work/life balance • Initial and ongoing training • 401K/pension • Education reimbursement • Programs to help balance work with the rest of your life • Comprehensive technology setup, including a laptop, monitors, headset, keyboard, and mouse • Monthly connectivity reimbursement to help offset internet costs