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 en

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 en

Review and analyze medical claims to determine coverage and eligibility Investigate and gather information to support claim decisions Evaluate medical records, bills, and other documentation to ensure accuracy and compliance with coding standards Apply knowledge of medical terminology, coding systems (ICD 10, ICD 9), and billing procedures to process claims Communicate wi

To examine, adjust, defend, claims and lawsuits against our insureds. Entails reviewing policies to determine coverage, resolving questions of coverage, investigating and making liability determinations, and evaluating damages such as property damage or medical records. Essential Duties and Responsibilities Review and verify coverage for each claim, includes policy review

Claim Representative III Commercial Liability Job Locations US ID 20243337 Category Claim Type Regular Full Time Introduction Looking to join a vibrant organization that makes a difference? At Church Mutual, our customers are at the heart of everything we do. For more than 125 years, we've made it our business to protect those who serve and inspire others through our spec

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 en

Under general supervision and direction, resolves moderately complex residential and commercial property claims by investigating losses, negotiating settlements, and presenting evidence in legal proceedings while maintaining adequate production levels. Responsibilities Examines claims forms, policies and endorsements, client instructions, and other records to determine co

Promptly evaluates all assigned claims; establishes and executes a strategy to mitigate indemnity, medical and allocated loss adjustment expense exposure. Ensures timely disposition of all claims in accordance with regulatory and statutory requirements. Tracks status of assigned clams, individually and in the aggregate, using available management reports and tools such as

Promptly investigate all assigned claims with minimal supervision, including those of a more complex nature Determine coverage, compensability, potential for subrogation recovery, and second injury fund (when applicable) Alert Supervisor and Special Investigations Unit to potentially suspect claims Ensure timely denial or payment of benefits in accordance with jurisdictio

Claims Specialist Liab Requisition ID 2024 25009 Job Locations US IL Lake Zurich Position Type Regular Full Time Category Claims Business Unit BUS_TPA US Excellence In Everything We Touch Position Summary Administers and resolves non complex short term claims of low monetary amounts, including Fast Track and Incident Only claims. Documents and monitors open case inventory

Provide organisational and administrative support to Claims Managers, specifically Assist the Claims Managers by preparing documentation to help them evaluate and report on specific claims. Where necessary, produce and maintain spreadsheets, bordereaux and databases to enhance data presentation, analysis, and storage. Liaise with service providers, brokers and other stake

Fast paced field environment with frequent face to face, customer interaction Ability to traverse ladders, roofs, crawl spaces, and damaged property Typically inspects multiple losses per day requiring car travel between locations Evaluates and settles property related damages (primarily) between $10,000 and $100,000 (aggregate); occasionally handles losses that exceed $1

Distribute and direct losses and claim tracking for defined territory or agency base to support delivery of effective customer service and claim resolution and ensure team alignment with business goals Accurately document, process and transmit loss information in order to determine potential damages associated with difficult and complex claims Provide overflow support to

The Audit Coordinator will work collaboratively to coordinate and schedule premium audits directly with Policyholder's for members of the Key Account Team (KAT) and Virtual Audit Team (VAT). The Audit Coordinator will be responsible for contacting clients to schedule audits, answer questions regarding the audit process and timeline, and assist with ensuring appropriate re

of Qualifications High School Diploma or equivalent Experience interacting with customers Experience in a position requiring problem solving and analytical skills Experience in a position demonstrating time management and organizational skills to organize and prioritize tasks Experience in a position demonstrating research skills to research information using a computer an