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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). The individual is gaining experience in delivering compassionate service that is fast, fair, and easy, to ensure customer retention. The individual is capable of working independently, prioritizing the individual's own responsibilities, and managing the individual's own workload. The individual is also gaining experience in meeting band level behaviors, production, quality and/or customer service goals.
Bachelors degree in related field preferred or equivalent experience
Ability to interact effectively with internal or external customers and act with empathy
Gaining knowledge of standardized problem solving and preparation of basic reports for analysis
Gaining ability to leverage learned technical skills in support of team objectives
Gaining negotiation and/or arbitration skills
Gaining ability to apply conflict management and problem resolution skills in managing internal and external customer relationships
Ability to investigate, evaluate, negotiate and settle basic claims
Provides individual decision making within authority limits Gaining knowledge of insurance policy, coverage, and regulation
The candidate(s) offered this position will be required to submit to a background investigation, which includes a drug screen.
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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.
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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.
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