Healthcare Claims Processor Work From Home

National General is a part of The Allstate Corporation, which means we have the same innovative drive that keeps us a step ahead of our customers' evolving needs. We offer home, auto and accident and health insurance, as well as other specialty niche insurance products, through a large network of independent insurance agents, as well as directly to consumers.

The Investigative Specialist will work through interesting and unique claims files to verify the validity of the claims. Determines coverage, liability, damages and otherwise adjusts and negotiates claims within limit of authority.

This position supports our West Coast claims team. Every claim presents a new challenge. This role is ideal for someone who enjoys problem-solving, analyzing information, and making confident decisions while supporting customers and internal partners.

Handles investigation regarding all aspects of auto claims (coverage, damages, subrogation) with the exercise of discretion and independence within increased level of authority

Applies intermediate understanding of insurance policies written by the company, the industry, and organizational relationships within the company and department.

Determines subrogation or fraud potential and how to handle.

Identifies customer needs and works to meet those needs using appropriate customer service skills.

Recognizes and identifies body parts of a vehicle and understanding of other potential property damage.

For claims involving fraud or subrogation, partners with assigned reps from those areas to achieve best outcome.

As a requirement of employment, individuals who currently hold an active insurance license must terminate all existing appointments prior to onboarding and must not hold any outside appointments at any point during employment. Applicants seeking an adjuster role who also hold a resident producer license must formally surrender that license when instructed to by the licensing team. By proceeding with the application process, applicants acknowledge and accept these licensing requirements and agree to comply.

Comfort working through claim details and determining next steps

Strong communication with customers and internal partners

Organization and follow-through when managing multiple claims

Interest in learning and applying insurance policies

Willingness to obtain and maintain adjuster licenses, as needed

Auto Insurance Claims

Claims Administration

Claims Resolution

Claims Review

Customer Centricity

Insurance Claims Investigations

Adjuster Analyst III: $50,000.00 - $65,300.00

Adjuster Cons I: $50,000.00 - $74,120.00

Adjuster Cons II: $56,000.00 - $82,500.00

Adjuster Sr Cons I: $68,500.00 - $104,100.00

Total compensation for this role is comprised of several factors, including the base compensation outlined above, plus incentive pay (i.e. commission, bonus, etc.) is an Equal Opportunity (EO) employer - Veterans/Disabled and other protected categories. Candidates must possess authorization to work in the United States, as it is not our practice to sponsor individuals for work visas. In the event you need assistance or accommodation in completing your online application, please contact NGIC main office by phone at View phone number on click.appcast.io.

Employees eligible to work from home also receive a monthly connectivity reimbursement to help offset internet costs.

When working from home, you must have a dedicated, private workspace free from distractions, along with appropriate desk and seating. Legal Statements
Effective July 1, 2014, under Indiana House Enrolled Act (HEA) 1242, it is against public policy of the State of Indiana and a discriminatory practice for an employer to discriminate against a prospective employee on the basis of status as a veteran by refusing to employ an applicant on the basis that they are a veteran of the armed forces of the United States, a member of the Indiana National Guard or a member of a reserve component.

This poster provides information concerning the laws and procedures for filing complaints of violations of the laws with the Office of Federal Contract Compliance Programs.

This poster summarizing the major provisions of the Family and Medical Leave Act (FMLA) and telling employees how to file a complaint.

It is the Company's policy to employ the best qualified individuals available for all jobs. Therefore, any discriminatory action taken on account of an employee's ancestry, age, color, disability, genetic information, gender, gender identity, gender expression, sexual and reproductive health decision, marital status, medical condition, military or veteran status, national origin, race (include traits historically associated with race, including, but not limited to, hair texture and protective hairstyles), religion (including religious dress), sex, or sexual orientation that adversely affects an employee's terms or conditions of employment is prohibited. This policy applies to all aspects of the employment relationship, including, but not limited to, hiring, training, salary administration, promotion, job assignment, benefits, discipline, and separation of employment.

a member of the Allstate family of companies, is headquartered in New York City. National General traces its roots to 1939, has a financial strength rating of A- (excellent) from A.M. Best, and provides personal and commercial automobile, homeowners, umbrella, recreational vehicle, motorcycle, supplemental health, and other niche insurance products. We are a specialty personal lines insurance holding company. Through our subsidiaries, we provide a variety of insurance products, including personal and commercial automobile, homeowners, umbrella, recreational vehicle, supplemental health, lender-placed and other niche insurance products.

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