Allstate

About Allstate

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 Allstate Insurance has an exciting opportunity as a Person Injury Protection / Medical Payment Adjuster in Houston, TX! 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. ***This position is located at 4920 West Way Park BLVD., Houston, TX. 77041*** 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 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 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 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 Must be available to work any shift ranging between the hours of 7:00am - 7:30pm Monday through Friday. Job Qualifications As a condition of employment, your office/area may require you to obtain an adjuster and/or an appraiser license If required, the Hiring Manager will work with you along with the Centralized Licensing team to ensure that you are properly licensed. Bachelors degree preferred and/or Medical Coding Certification At least 2 years of customer service experience in an office environment Experienced with handling heavy call volume Interact effectively with internal or external customers and act with empathy Ability to investigate, evaluate, negotiate and settle basic claims Knowledge of claim processes, policies, procedures, claim systems, coverage, liability, damage estimating, and/or settlement, and adherence to applicable legal compliance standards Ability to apply industry knowledge to discipline practices, including best practices, to support the business unit Ability to leverage learned technical skills in support of team objectives Conflict management and problem resolution skills in managing internal and external customer relationships Provides individual decision making within authority limits Has and maintains all appropriate licenses and registrations for the role per state requirements 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. 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.

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Company Info

Legal Form: Co

Company Type: Public

Company Size: 1001 - 5000

Revenue: > 10 billion (USD)

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Job Ads found: 3518

Job Ads per Month: 92.6

Hiring Locations: 170

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