1St Party Casualty Adjuster (Remote)

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:

Under general supervision, the Anlst II is responsible for handling the medical portion of auto accident claims for the insured or other injured parties found to be eligible under a personal injury protection and/or medical payment benefits where the policy limits or exposure to the company is limited. The individual determines coverage and assesses medical claims, evaluates medical bills, and initiates or reviews potential fraud investigations as warranted.

This position is a permanent remote home-based worker. Your home office does not need to be near an Allstate office, but it does need to be in the United States with a distraction free workspace. This position is eligible for a monthly connectivity reimbursement to offset the costs of internet and phone expenses.

Key Responsibilities:

• Investigates, reviews, and accepts or rejects basic or occasionally moderately complex coverage and other potential coverage; and investigates coverage denial questions
• Summarizes documents and enters into claim system notes
• Documents a claim file with notes, evaluations, and decision-making process
• Processes medical bills and recognizes medical management opportunities
• Conducts first party file processing/fact gathering, including interviewing claimant, witnesses, medical providers, etc.
• Monitors treatment and benefit payments for excessive, unreasonable, or abusive claims
• Determines appropriate benefit and negotiates and settles basic and occasionally moderately complex claims, including resolution of moderately complex usual and customary billings

Supervisory Responsibilities:

This job does not have supervisory duties.

Education and Experience:

• 0-2 years experience (Preferred)
• 4 year Bachelors Degree (Preferred)
• In lieu of the above education requirements, an equivalent combination of education and experience may be considered.

Certificates, Licenses, Registrations:

• No Certification, License or Registration is required for the job.

Functional Skills:

• Beginning to apply knowledge of basic analytical procedures to reconcile, manipulate, and recognize patterns of data
• Beginning to apply knowledge of insurance policy, coverage, and regulation
• Beginning to apply negotiation and/or arbitration skills
• Beginning to apply knowledge of standardized problem-solving and preparation of basic reports for analysis
• Beginning to apply conflict management and problem resolution skills in managing internal and external customer relationships
• Beginning to apply knowledge of claim processes, policies, procedures, claim systems, coverage, liability, damage estimating, and/or settlement, and adherence to applicable legal compliance standards

Compensation offered for this role is $43,500.00-$65,625.00 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 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. For a full description of Allstate’s benefits, visit allstate.jobs/benefits/

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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.

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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.