Inside Adjuster Analyst II – Medicare

Allstate

Inside 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

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

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

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