Allstate Benefits - Senior Claims Associate - Lincoln, NE (Hybrid or Remote)

The world isn’t standing still, and neither is Allstate. We’re moving quickly, looking across our businesses and brands and taking bold steps to better serve customers’ evolving needs. That’s why now is an exciting time to join our team. You’ll have opportunities to take risks, challenge the status quo and shape the future for the greater good.

 

You’ll 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.

 

Everything we do at Allstate is driven by a shared purpose: to protect people from life’s uncertainties so they can realize their hopes and dreams. For more than 89 years we’ve thrived by staying a step ahead of whatever’s 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. We’ve been an industry leader in pricing sophistication, telematics, digital photo claims and, more recently, device and identity protection.

 

We are the Good Hands. We don’t follow the trends. We set them.

Job Family 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 Company’s products, their state variations, and state and federal regulatory requirements. The Allstate Benefits Claims Senior 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.

Job Summary:

The Senior Associate is responsible for analyzing and adjudicating supplemental accident insurance 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.

Key Responsibilities:

• A Senior 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.
• Senior 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.
• Senior Associates assist in identifying, investigating and reporting fraudulent claim activity to our internal fraud unit.
• Senior 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.

Knowledge/Skills/Abilities/Experience:

• 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

 

 

Notes:

The preceding description is not designed to be a complete list of all duties and responsibilities. May be required to perform other related duties as assigned. Regular, predictable attendance is an essential function of this job.

Compensation offered for this role is $37,000.00-$64,750.00 per year and is based on experience and qualifications.

The candidate(s) offered this position will be required to submit to a background investigation, which includes a drug screen.

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