PIP Bill Adjudication Adjuster - Remote

Full Time
Remote
Posted Today
Job description

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.

Notice of Licensing Requirement

*Must be RHIT CERTIFIED*

As a condition of your employment, you are expected to comply with the state specific licensing process and requirements to perform work as a Bill Adjudication Adjuster. Failure to complete these requirements within the time frame designated by the hiring department may result in the termination of your employment with Allstate Insurance Company.

Job Description

Now is an exciting time to join Allstate! One of the world’s most trusted brands is building a team of enthusiastic colleagues, who together, are helping guide customers to live a life well protected. Join us and you’ll have everyday opportunities to learn, grow and shape your future while pursuing your desire to do good for others.


A day in the life of a Bill Adjudication Adjuster:

  • 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
  • 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
  • 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 reasonables
  • Sets up IME and reviews results
  • 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


You’re provided with comprehensive training:

  • We cover the cost to help you study for and earn your license
  • We offer full paid virtual training plus on the job training
  • Ongoing training opportunities for continuous improvement


Homebased/Remote

  • This position is a permanent remote home-based worker. Your home office does not need to be near an Allstate office, but it does need to be in the United States.
  • This position is eligible for a $80 monthly connectivity reimbursement to offset the costs of internet and phone expenses.”
  • In our virtual environment, adjusters are required to engage and participate on camera during online meetings and trainings.
  • Allstate will provide a technology bundle that includes all equipment needed to perform your work from home (laptop, monitors, headset, keyboard, mouse)


Where Will I Work/Hours:

  • The office hours for this position are 7:45 am - 4:30 pm Eastern Standard Time.

Job Qualifications

Ideal Qualifications

  • High School Diploma/GED or higher
  • RHIT certification Required
  • Competitive salary starting at $42,200 - $60,700per year
  • Medical Billing Experience
  • CPT Coding experience preferred
  • A medical background
  • Excellent written and verbal communication skills
  • Strong organizational and computer skills
  • Ability to be a self-starter and work independently and within a team


What’s in it for you?

  • Paid training and licensing
  • Internet reimbursement
  • Generous paid time off (PTO)
  • Tuition reimbursement
  • Discounted gym memberships
  • Cafeteria style health insurance plan- starts day one!
  • 401K match and pension plan
  • Volunteer opportunities + matching donations
  • Visit AllstateGoodLife.com to learn more

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.

*Must be RHIT CERTIFIED*

Compensation offered for this role is $42,600 - $60,700 per year and is based on experience and qualifications.

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. For a full description of Allstate’s benefits, visit allstate.jobs/benefits/

Learn more about life at Allstate. Connect with us on Twitter, Facebook, Instagram and LinkedIn or watch a video.

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