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Encompass Experienced Personal Injury Protection Adjuster

Employer
Allstate Insurance Company
Location
Bridgewater, New Jersey
Salary
Not Specified
Closing date
Nov 15, 2019

View more

Category
Claims
Job Type
Not Specified
Career Level
Not Specified

Job Details

Where good people build rewarding careers.

Think that working in the insurance field can’t be exciting, rewarding and challenging? Think again. You’ll help us reinvent protection and retirement to improve customers’ lives. We’ll help you make an impact with our training and mentoring offerings. Here, you’ll have the opportunity to expand and apply your skills in ways you never thought possible. And you’ll have fun doing it. Join a company of individuals with hopes, plans and passions, all using and developing our talents for good, at work and in life.

Job Description

Encompass Insurance Company has an exceptional career opportunity for a Personal Injury Protection Adjuster in Bridgewater, NJ!

Combine your skills of working with people and investigation!


An an Encompass PIP adjuster, you are 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 moderate. You will determine coverage and assess medical claims, evaluate medical bills, and initiate or review potential fraud investigations as warranted. You will explain coverage, negotiate and settle claims, and follow up with the customer on continuing treatments while delivering compassionate service that is fast, fair, and easy, to ensure customer retention. At this level, you will negotiate and settle moderate and occasionally complex claims, loss of income claims, or claims in moderately regulated states, and begin to handle litigation demands. You will be challenged to manage multiple cases simultaneously, and document every step of activity for each claim on Allstate’s state-of-the-art, computerized NextGen claims system. Your success will be rewarded with our Total Rewards package which includes base pay, benefits, and opportunities for career advancement.


Key Responsibilities:

  • 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
  • Processes medical bills and recognizes medical management opportunities
  • 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 and occasionally complex coverage and other potential coverage; and investigates coverage denial questions
  • Determines appropriate benefit and negotiates and settles moderately complex and occasionally complex claims, including resolution of moderately complex and occasionally complex usual and customary billings
  • Monitors treatment and benefit payments for excessive, unreasonable, or abusive claims
  • Reviews and responds to pre-suit demand letters; analyzes claim and demand, and recommends whether settlement is warranted or claim should be referred to legal counsel
  • May prepare for and attend (to testify at) depositions, hearings, trials, arbitrations, or mediations

We Offer:

  • Learning & growth opportunities
  • Leadership teams that are communicative and compassionate
  • Impactful work by serving customers and the community in times of need
  • Potential for flexible work arrangements
  • A culture in which you dress for your day
  • Recognition and advancement opportunities
  • Paid Time Off, 401(k) and pension
  • Medical, Dental, and Vision coverage
  • You can view all Allstate benefits @ https://allstategoodlife.com

Job Qualifications

You’re a great Match for this Role if:

  • You have a minimum of 3 years of PIP/MedPay adjusting experience
  • NY claims handling experience is a plus
  • High School Diploma or equivalency required
  • Bachelor's degree preferred
  • You want to utilize your customer service skills to help restore peoples’ lives’
  • You have a strong desire to make a difference 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 Office 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
  • Being bilingual and/or having prior military experience is a plus
  • As a condition of employment, your office area may require you to obtain an adjuster and/or appraiser license.

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.

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.


Company

COMPANY INFORMATION The Allstate Corporation (NYSE: ALL) protects people from life's uncertainties with more than 113 million proprietary policies. Allstate offers a broad array of protection products through multiple brands and diverse distribution channels, including auto, home, life and other insurance offered through its Allstate, Esurance, Encompass, SquareTrade and Answer Financial brands. Allstate is widely known from the slogan "You're in Good Hands with Allstate." The Allstate Corporation is the largest publicly held personal lines property and casualty insurer in America. Allstate was founded in 1931 and became a publicly traded company in 1993. In 2023, Allstate was number 84 on the Fortune 500 list of largest companies in America. WHAT WE DO We’re more than insurance agents and claims representatives. We’re individuals with hopes, plans and passions. The biggest of which is helping people live smarter, safer lives. Doing so means continuing to re-imagine how we do what we do, the impact we can make on the world, ways we can each succeed in our own careers and actions we can take as a company that are good for all. To do that, we need all kinds of people – including lawyers, accountants, building engineers, project managers, marketing professionals, human resource specialists and so many more. WHO WE ARE – INCLUSIVE DIVERSITY    We hold each other accountable to encourage and embrace our collective differences. It’s our individual characteristics, values and beliefs, along with backgrounds and experiences that give us fresh perspective and purpose. We work harder, meet customer needs more effectively, share better, and identify more innovative ideas when we are accepted for who we are by the world around us. Our success comes from a chorus of many different voices. At Allstate, every voice counts.​ In our stand against racism, we’ve been making changes within Allstate. We’ve been listening, learning and engaging in change. We are focused on improving equity for all. Allstate is committed to long-term change not only in the way we conduct our business, but also for our employees. There’s a dynamic environment waiting for you here. You’ll find people with similar interests, as well as the many who’ll help expand your horizons. We believe in the power of connections. That’s why Allstate promotes diversity through a robust network of employee resource groups. It helps connect us all and supports our unique talents. Here are some of the available resource groups that actively support our employees: Abilities Beyond Limitations & Expectations African American Working Network Allstate Asian American Network Allstate Foster and Adoption Network Allstate PRIDE Allstate Veterans Engagement Team and Supporters Allstate Women’s Information Network Entrepreneurs at Allstate Families at Allstate Matter Native American Peoples at Allstate Professional Latino Allstate Network Young Professionals Organization WHY JOIN OUR COMPANY Allstate has been protecting people from life's uncertainties since 1931. We continuously develop and improve products and services so our customers can live well protected. For employees, we offer an environment that fosters innovative thinking and collaboration - where you'll be able to explore your ideas and feel proud of the work you do.  Our Benefits Allstate is dedicated to helping employees live happier and healthier lives. As a Fortune 100 company and industry leader, we provide a competitive salary and a benefits package that includes medical and dental insurance, tuition assistance, 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.  Growth and Development We support your desire to grow and provide opportunities to learn, explore new horizons, and follow your passion in a meaningful career. From access to hundreds of learning opportunities to in-house networking and rotational work experiences, Allstate is a place where you can forge your own path and expand your personal and professional potential. 
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