Allstate Benefits Senior Claims Associate - Jacksonville, FL
The world isnt standing still, and neither is Allstate. Were moving quickly, looking across our businesses and brands and taking bold steps to better serve customers evolving needs. Thats why now is an exciting time to join our team. Youll have opportunities to take risks, challenge the status quo and shape the future for the greater good.
Youll do all this in an environment of excellence and the highest ethical standards a place where values such as integrity, inclusive diversity and accountability are paramount. We empower every employee to lead, drive change and give back where they work and live. Our people are our greatest strength, and we work as one team in service of our customers and communities.Plus, Allstate is changing how, when, and where we work-to lead us boldly into our future. We're empowering our employees to create better ways of working through more intentional use of communication and collaboration practices, processes and tools.
Everything we do at Allstate is driven by a shared purpose: to protect people from lifes uncertainties so they can realize their hopes and dreams. For more than 89 years weve thrived by staying a step ahead of whatevers coming next to give customers peace of mind no matter what changes they face. We acted with conviction to advocate for seat belts, air bags and graduated driving laws. We help give survivors of domestic violence a voice through financial empowerment. Weve been an industry leader in pricing sophistication, telematics, digital photo claims and, more recently, device and identity protection. We are the Good Hands. We dont follow the trends. We set them.Job Summary
The Allstate Benefits Claim Department is responsible for the day to day analysis and processing of all claim submissions and correspondence. Claim Department personnel possess knowledge on the Companys products, their state variations, and state and federal regulatory requirements.
The Sr. Associate is responsible for analyzing and adjudicating claims in accordance with policy provisions with minimal guidance from the medical team or leadership team. A claims examiner must have the ability to interpret and apply laws, rules and regulations as well as evaluate claims from initial report to final determination. They must also be able to obtain and utilize sensitive information discreetly and objectively in addition to documenting claim files with notes, evaluations and decision-making processes while achieving optimal customer service.
A Sr. Associate is responsible for analyzing, processing, researching, adjusting and adjudicating claims which will result in a payment or nonpayment of a claim with minimal guidance from the medical team or leadership team.
Sr. Associates review insurance policies, the claim form and supporting documentation to make sure that all of the information is correct. They determine whether the claims are covered under the policies issued to that policyholder.
Sr. Associates assist in identifying, investigating and reporting fraudulent claim activity to our internal fraud unit.
Sr. Associates are required to provide the insured with correspondence that is clear, concise and meets state regulations in relation to the decision they made on the claim processed.
High School diploma
Ability to work in a fast paced/deadline driven environment.
Ability to work independently or in a team-oriented environment.
Ability to interpret and apply laws, rules and regulations.
Basic policy coverage and insurance regulation knowledge
Verbal/written telephone communication skills
Attend training sessions as a participant
Moderate individual decision making
Basic individual claim authorization
Ability to prioritize and handle multiple tasks
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 thats 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, youll have access to a wide variety of programs to help you balance your work and personal life -- including a generous paid time off policy.For a full description of Allstates benefits, visit allstate.jobs/benefits/
Allstate generally does not sponsor individuals for employment-based visas for this position.
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