The Allstate Benefits’ Claim Department is responsible for the day to day analysis and processing of all claim submissions and correspondence. Claim Department personnel possess knowledge on the Company’s products, their state variations, and state and federal regulatory requirements.
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. This position is eligible for a monthly connectivity reimbursement to offset the costs of internet and phone expenses. If you are located in the Jacksonville, FL area, there will be a hybrid function in which it is possible you will be occasionally required to come into an office location for monthly meetings.
This position is not open to AK, CA, or HI residents. Job Summary:
The Sr. Associate is responsible for analyzing and adjudicating claims in accordance with policy provisions with minimal guidance from the medical team or leadership team. A claims examiner must have the ability to interpret and apply laws, rules and regulations as well as evaluate claims from initial report to final determination. They must also be able to obtain and utilize sensitive information discreetly and objectively in addition to documenting claim files with notes, evaluations and decision-making processes while achieving optimal customer service. Key Responsibilities:
A Sr. Associate is responsible for analyzing, processing, researching, adjusting and adjudicating claims which will result in a payment or nonpayment of a claim with minimal guidance from the medical team or leadership team.
Sr. Associates review insurance policies, the claim form and supporting documentation to make sure that all of the information is correct. They determine whether the claims are covered under the policies issued to that policyholder.
Sr. Associates assist in identifying, investigating and reporting fraudulent claim activity to our internal fraud unit.
Sr. Associates are required to provide the insured with correspondence that is clear, concise and meets state regulations in relation to the decision they made on the claim processed. Knowledge/Skills/Abilities/Experience:
High School diploma
Ability to work in a fast paced/deadline driven environment.
Ability to work independently or in a team-oriented environment.
Ability to interpret and apply laws, rules and regulations.
Basic policy coverage and insurance regulation knowledge
Verbal/written telephone communication skills
Attend training sessions as a participant
Moderate individual decision making
Basic individual claim authorization
Ability to prioritize and handle multiple tasks Notes: The preceding description is not designed to be a complete list of all duties and responsibilities. May be required to perform other related duties as assigned. Regular, predictable attendance is an essential function of this job.
Compensation offered for this role is $17.00 – $24.00 per hour 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/
Learn more about life at Allstate. Connect with us on Twitter , Facebook , Instagram and LinkedIn or watch a video .
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.
For jobs in San Francisco, please click “ here ” for information regarding the San Francisco Fair Chance Ordinance.
For jobs in Los Angeles, please click “ here ” for information regarding the Los Angeles Fair Chance Initiative for Hiring Ordinance.
To view the “EEO is the Law” poster click “ here ”. This poster provides information concerning the laws and procedures for filing complaints of violations of the laws with the Office of Federal Contract Compliance Programs
To view the FMLA poster, click “ here ”. This poster summarizing the major provisions of the Family and Medical Leave Act (FMLA) and telling employees how to file a complaint.
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.
EIMS (www.eims.biz); a fast growing global IT sales and marketing agency (we have 600+ employees and +20% YOY growth) with...
Apply For This Jobbr{display:none;}.css-58vpdc ul > li{margin-left:0;}.css-58vpdc li{padding:0;}]]> Minneapolis, Minnesota Sales Account Representative Spend your work week in the field, not at your...
Apply For This Jobbr{display:none;}.css-58vpdc ul > li{margin-left:0;}.css-58vpdc li{padding:0;}]]> Senior Accountant: Reporting to the Manager, Accounting, the Senior Accountant is responsible for the accurate...
Apply For This Jobbr{display:none;}.css-58vpdc ul > li{margin-left:0;}.css-58vpdc li{padding:0;}]]> Ref 18422 Department Corporate Finance Location London Employment type Full-time Salary Competitive Description We are...
Apply For This Jobbr{display:none;}.css-58vpdc ul > li{margin-left:0;}.css-58vpdc li{padding:0;}]]> About usJanison is a global force for good – we exist to improve education and...
Apply For This Jobbr{display:none;}.css-58vpdc ul > li{margin-left:0;}.css-58vpdc li{padding:0;}]]> The future you want is within reach. At PCL, we build the places where life...
Apply For This Job