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
- Website
- https://www.allstate.com/
Get job alerts
Create a job alert and receive personalized job recommendations straight to your inbox.
Create alert