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Job Description

Allstate Insurance Company has an exceptional career opportunity for an Entry Level Inside PIP Adjuster in Brooklyn, New York!

About the Team
The Claims Department is here to restore peoples’ lives after the unexpected has happened. We work to deliver compassionate service that is fast, fair and easy. Putting our customers first to resolve their claim and taking the stress out of the situation is our goal.

This is your chance to help make a meaningful difference in people’s lives. Join the thousands of people who work in the claims industry in highly stimulating work that will require you to assimilate data, evaluate facts and negotiate solutions to complex problems. Every day presents different learning and growth opportunities. You will gain a broad range of professional skills that will be equally applicable and highly valuable no matter where your career takes you.

About the Position
Under general supervision, 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 personal injury protection and/or medical payment benefits where the policy limits or exposure to the company is limited. 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 gaining experience in delivering compassionate service that is fast, fair, and easy, to ensure customer retention. At this level, the individual typically settles minor or smaller claims, such as claims in less regulated states (or on some occassions more complex claims with guidance as needed).

Specific responsibilities include

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 in determining 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 coverage and other potential coverage
• Determines appropriate benefit and settles basic claims, including resolution of basic usual and customary billings
• Monitors treatment and benefit payments for excessive, unreasonable, or abusive claims

Job Qualifications

Ideal Qualifications:

• Previous experience delivering outstanding customer service and a passion for helping others
• Ability to think critically and solve complex problems
• Strong time management skills
• Excellent written and verbal communication skills with a passion for helping others.
• Strong organizational and computer skills.
• Persistence and the ability to work through and solve problems.
• Ability to work independently but also in a team environment
• High School Diploma or GED is required, Bachelor's Degree preferred

What we offer:

• Starting salary of $42,200 per year
• Paid training to provide you with tools you'll need to be successful in this role
• Generous Paid Time Off, 401(k) and pension
• Medical, dental, and vision coverage
• Tuition reimbursement
• Career growth and development opportunities
• Learn more at https://allstategoodlife.com

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.

Allstate generally does not sponsor individuals for employment-based visas for this position.

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, 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