Casualty Claims Analyst III/Claims Adjuster (Personal Injury Protection/Medical Payment) at Allstate

Job description

At Allstate, great things happen when our people work together to protect families and their belongings from life’s uncertainties. And for more than 90 years, our innovative drive has kept us a step ahead of our customers’ evolving needs. From advocating for seat belts, air bags and graduated driving laws, to being an industry leader in pricing sophistication, telematics, and, more recently, device and identity protection. Job Description Casualty Claims Analyst III/Claims Adjuster (Personal Injury Protection/Medical Payment) Make a Difference When Customers Need It Most Are you a strong communicator who enjoys solving problems, helping others, and making a meaningful impact every day? We're seeking a Casualty Claims Analyst III (Personal Injury Protection/Medical Payment) to join our team and support customers through the medical claims process following an auto accident. This is an excellent entry-level opportunity for individuals with strong critical thinking, time management, and customer service skills who are looking to build a rewarding career in claims. Insurance experience is helpful but not required. We provide training and support to help you succeed. In this role, you'll work directly with customers, healthcare providers, and other stakeholders to review medical claims, determine coverage, evaluate bills, and ensure claims are handled fairly, accurately, and compassionately. What You'll Do As a Casualty Claims Analyst, you will: Guide customers through the medical claims process with empathy, professionalism, and care. Investigate and evaluate Personal Injury Protection (PIP) and Medical Payments (Med Pay) claims. Review medical bills, treatment records, wage loss documentation, mileage reimbursements, attendant care requests, and other related expenses. Determine claim eligibility, coverage, and reasonableness of medical expenses. Communicate claim decisions clearly and professionally to customers and other parties involved. Maintain accurate claim documentation and detailed file notes. Establish and manage claim reserves based on claim facts and treatment patterns. Identify potential medical management opportunities and refer suspicious activity when appropriate. Manage multiple claims simultaneously while meeting quality, service, and productivity expectations. Utilize digital tools and technology to provide efficient and seamless customer experiences. What We're Looking For Must-Have Qualifications: Strong business and professional communication skills. Critical thinking and analytical problem-solving abilities. Excellent time management and organizational skills. High degree of empathy and a genuine desire to help customers. Ability to manage multiple priorities in a fast-paced environment. Strong attention to detail and documentation skills. Preferred Qualifications: Experience in insurance, claims handling, customer service, healthcare administration, or related fields. Exposure to medical terminology, billing, healthcare operations, or medical records review. Experience working in a customer-focused environment. Why You'll Love This Opportunity: Entry point into a growing claims career path with opportunities for advancement. Comprehensive training and support to help you build insurance and claims expertise. Meaningful work that helps customers navigate challenging situations. Collaborative team environment focused on learning, development, and success. Opportunity to strengthen investigative, negotiation, communication, and analytical skills that are valuable throughout your career. Key Skills for Success: Customer Focus Business Communication Critical Thinking Problem Solving Time Management Organization & Prioritization Information Gathering & Analysis Empathy & Relationship Building Attention to Detail Digital Agility This role is ideal for candidates who enjoy balancing analytical thinking with customer interaction and want to build a career helping people through important life events while developin