FREE ACCESS
5,000–10,000 jobs/day
See all jobs on JobTailor
Search thousands of fresh jobs every day.
Discover
- Fresh listings
- Fast filters
- No subscription required
Create a free account and start exploring right away.
Inside Adjuster Analyst II – Medicare
AllstateInside Adjuster Analyst II supporting Medicare claims related to auto accidents at Allstate. Assessing medical claims, managing lien letters, ensuring compliance, and delivering customer service.
Posted 6/12/2026full-timeRemote • Illinois • 🇺🇸 United StatesJunior💰 $55,000 - $78,000 per yearWebsite
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
claims processingmedical claims assessmentfraud investigationMedicare lien handlingcoverage determinationdebt case managementMedicare Section 111 reportingoffset handlingOpen Debt Reportsdamage estimating
Soft Skills
interpersonal skillseffective communicationempathetic interactionindependent decision-makingproblem-solving
Tools & Technologies
Medicare PortalCMS User Guide
Industry Keywords
PIP benefitsmedical payment benefitsinsurance policieslegal compliance standardsMedicare regulationscontinuous improvement processes
About the role
Key responsibilities & impact- Handle the medical portion of auto accident claims under PIP and/or medical payment benefits
- Determine coverage, assess medical claims and bills, investigate potential fraud
- Explain coverage and follow up on ongoing treatments
- Manage Medicare lien letters and open debt cases
- Maintain Medicare Section 111 Electronic Reporting
- Contribute to continuous improvement of Medicare processes
Requirements
What you’ll need- Experience with Medicare correspondence and lien handling practices
- Familiarity with Medicare regulations and the CMS User Guide
- Knowledge of insurance policies, coverage, and relevant regulations
- Understanding of claims processes, policies, procedures, systems, liability, damage estimating, settlement practices, and legal compliance standards
- Ability to investigate and evaluate basic to moderately complex claims
- Capable of making independent decisions within established authority limits
- Experience handling offsets and Open Debt Reports
- Intermediate-level proficiency with the Medicare Portal
- Strong interpersonal skills with the ability to interact effectively and empathetically with internal and external customers
Benefits
Comp & perks- Health insurance
- 401(k)
- Monthly connectivity reimbursement for internet costs
- Comprehensive technology setup including laptop, monitors, headset, keyboard, and mouse
- Opportunity to work from home