Allstate Hiring for Internal Claim Fraud Professional (Remote) Job at Remote Full Time

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 environment of excellence and the highest ethical standards – a place where values such as integrity, inclusive diversity and accountability are paramount. We empower every employee to lead, drive change and give back where they work and live. Our people are our greatest strength, and we work as one team in service of our customers and communities.

Everything we do at Allstate is driven by a shared purpose: to protect people from life’s uncertainties so they can realize their hopes and dreams. For more than 89 years we’ve thrived by staying a step ahead of whatever’s coming next – to give customers peace of mind no matter what changes they face. We acted with conviction to advocate for seat belts, air bags and graduated driving laws. We help give survivors of domestic violence a voice through financial empowerment. We’ve been an industry leader in pricing sophistication, telematics, digital photo claims and, more recently, device and identity protection. We are the Good Hands. We don’t follow the trends. We set them. Job Summary:

Under general supervision, the Senior Consultant is responsible for auditing Allstate national claims operations to identify improper claim handling and payment activity. The individual relies heavily on strong analytical skills to identify trends at both regional and nationwide levels and tailors audit procedures accordingly. Key Responsibilities:

• Identifies risks associated with internal controls and connectivity to internal fraud schemes
• Creates or designs own audits based on investigation
• Utilizes creative methods to analyze data, with varying complexity, to identify trends or outliers that may not have been visible in original contexts
• Utilizes data and understanding of fraud schemes to create new fraud detection enhancements
• Reports on key outcomes from audit engagements, including summary of procedures, findings and recommended response, and process improvement opportunities
• Merges and organizes large data sets and reviews for inconsistencies; audits for trends
• Performs analyses on claim payment data to identify patterns or indications of potential fraud

Supervisory Responsibilities:
This job does not have supervisory duties Preferred Qualifications:

Education and Experience

• Bachelor’s Degree or equivalent

Certificates, Licenses, Registrations

• None

Functional Skills

• Excellent written/verbal communication and facilitation skills for communicating at all levels
• Knowledge of Microsoft Office Application Excel and Tableau
• Desire to continuously improve current practices with the focus on data and analytics
• Experience performing claim file reviews, highly preferred
• Skill in investigating, evaluating, and settling complex claims
• Strong proficiency investigating protocols and the methodology behind them
• Broad knowledge of problem-solving and preparation of reports for analysis
• Broad conflict management and problem resolution skills in managing internal and external customer relationships

Notes: The preceding description is not designed to be a complete list of all duties and responsibilities. May be required to perform other related duties as assigned. Regular, predictable attendance is an essential function of this job.

Compensation offered for this role is $60,100.00-$102,625.00 per year and is based on experience and qualifications.

The candidate(s) offered this position will be required to submit to a background investigation, which includes a drug screen.

Good Work. Good Life. Good Hands®.

As a Fortune 100 company and industry leader, we provide a competitive salary – but that’s just the beginning. Our Total Rewards package also offers benefits like tuition assistance, medical and dental insurance, as well as a robust pension and 401(k). Plus, you’ll have access to a wide variety of programs to help you balance your work and personal life — including a generous paid time off policy. For a full description of Allstate’s benefits, visit allstate.jobs/benefits/

Learn more about life at Allstate. Connect with us on Twitter , Facebook , Instagram and LinkedIn or watch a video .

Allstate generally does not sponsor individuals for employment-based visas for this position.

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.

For jobs in San Francisco, please click “ here ” for information regarding the San Francisco Fair Chance Ordinance.

For jobs in Los Angeles, please click “ here ” for information regarding the Los Angeles Fair Chance Initiative for Hiring Ordinance.

To view the “EEO is the Law” poster click “ here ”. 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

To view the FMLA poster, click “ here ”. 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.