Allstate Hiring for No-Fault PIP Claims Adjuster – Remote Job at Remote Full Time

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:

Auto accidents are usually unnerving and unique. So, it takes someone special to put the pieces back together forour customers.

This is the opportunity you’ve been looking for to truly impact someone’s life! Start your claims professional career today as a No-Fault PIP Adjuster in and be part of our dynamic team! This opportunity is to join our team handling litigation no-fault PIP claims for the state of MI.

A Day in the Life:
The Adjusting Function is responsible for verifying policy coverage and limits.

The Adjusting function investigates and evaluates damage and/or liability; estimates damages, losses, or total indemnity; sets and maintains reserves; and/or negotiates and settles claims.

First party claims involve coverage determination, investigation, negotiation, and resolution of eligible injured parties’ claims.

This job 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 and occasionally when the policy limits or exposure to the company is moderate.

This individual determines coverage and assesses medical claims, evaluates medical bills, and initiates or reviews potential fraud investigations as warranted.

The individual explains coverage, negotiates and settles claims, and follows up with the customer on continuing treatments while delivering compassionate service that is fast, fair, and easy, to ensure customer retention.

At this level, the individual typically negotiates and settles moderately complex claims, such as claims in less regulated and occasionally moderately regulated states (or in some situations more complex claims with guidance as needed).

The individual is capable of working 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 moderately complex customer communications, concerns, conflicts or issues

File Documentation and Reporting

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

Medical Management (1st Party)

Assesses medical/physical condition and prior injuries of claimant, and obtains and analyzes medical bills, wage loss reviews, home service or attendant care, mileage payments, and other related claims to determine reasonableness of charges and relation of injuries to accident, and to ensure compliance with fee schedules, and detect duplicate billing

Conducts first party file processing/fact gathering, including interviewing claimant, witnesses, medical providers, etc.

Evaluates medical records and treatment plan of claimant and determines if continued treatment is reasonable

Sets up IME and reviews results

Investigates, reviews, and accepts or rejects moderately complex coverage and other potential coverage; and investigates coverage denial questions

Determines appropriate benefit and negotiates and settles moderately complex claims, including resolution of moderately complex usual and customary billings

Monitors treatment and benefit payments for excessive, unreasonable, or abusive claims

Handles specialized claims

Other Projects and Responsibilities

May participate in one or more moderately complex special assignments

May serve as a committee team lead for smaller projects or as a committee team member on medium projects

Reviews subpoenas and non-complex demands (e.g., Florida demands)

May serve as an agent advocate

May prepare and negotiate moderately complex subrogation issues or arbitrations Job Qualifications:

You’re a great match for this role if:
You have a High School Diploma/GED or higher

PIP claim handling experience, preferred

Litigation claim handling experience, preferred

You want to utilize your customer service skills to help restore peoples’ lives’

You have a strong desire to make a diff erence through compassionate customer service

You’re an empathic, upbeat and friendly self-starter who can work independently, as well as, on a team

You’re excited about solving problems and coming up with creative solutions

You feel comfortable working within the Microsoft Offi ce Suite and would be excited to learn new technology

You’re organized and able to multi-task in a fast-paced environment

You’re known for clear and professional communication – both written and verbal

You have a bachelor’s degree and/or prior customer service experience

Being bilingual and/or having prior military experience is a plus

Remote Home-Based Work:
This position is a permanent remote home-based role. Your home office does not need to be near an Allstate office, but it does need to be in the United States. This position is not available for California, Alaska, and Hawaii residents.

When you work from home full time, you’ll need:
a home office – a dedicated workspace in your residence that is private and free from distractions

a minimum internet bandwidth of 50 MB down/5 MB up

appropriate work surface and seating

What will Allstate provide?

A technology bundle that includes all equipment needed to perform your work from home (laptop, monitors, headset, keyboard, mouse)

Connectivity reimbursement of $80 per month to offset some of the cost of internet

We Offer:
Generous Paid Time Off

Medical, Dental, and Vision coverage

Company-matched 401(k) and company-funded pension

A culture of learning where you can expect to develop foundational skills for the future

Opportunities for both personal and professional development

Leadership teams that are communicative and engaged

Impactful work by serving customers and the community in times of need

Recognition and advancement opportunities

Learn more about Allstate benefits @ https://allstategoodlife.com

Compensation offered for this role is $52,500 – $65,550 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.

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