Date Opened: Feb 20, 2023 Location: IN Company: Allstate Insurance Company
The Allstate Benefits Claims Associate III is responsible for analyzing and adjudicating claims in accordance with policy provisions with guidance from the medical team and 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 Responsibilities
Analyzes, processes, researches, adjusts and adjudicates claims which will result in a payment or nonpayment of a claim with guidance from the medical team or leadership team
Reviews insurance policies, the claim form and supporting documentation to make sure that all of the information is correct
Determines whether the claims are covered under the policies issued to that policyholder
Assists in identifying, investigating and reporting fraudulent claim activity to our internal fraud unit
Provides the insured with correspondence that is clear, concise and meets state regulations in relation to the decision they made on the claim processed
Primary Skills
Experience
Shift Timing
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