SUMMARY: This is an entry level position that is part of a formal training program. This job is foundational and expected to be a starting point within a specific discipline (Claims, Loss Control, and Underwriting) and is expected to last up to one year.  Upon completion of the training program the trainee is expected to be familiar with the department policies, processes, procedures, and terminology related to the job. In addition, the trainee will be proficient in the job responsibilities and tasks of the progressive positions within the career path. The trainee will be evaluated on their progress during the training period and on successful completion of the training plan. Upon satisfactory completion of training, the trainee will be eligible for a targeted position within the career path.    RESPONSIBILITIES / TASKS: In a Learning Capacity: Learn and develop skills and competencies from performance of assigned duties. Learn and develop skills and competencies in...

SUMMARY: This internship is designed to provide practical, hands-on experience that should prepare you for a full-time actuarial opportunity while doing meaningful work for our company.  You will learn how to apply actuarial concepts, gather and analyze data, and present analysis in a format appropriate for pricing, loss reserving, product development, capital modeling, reinsurance and/or other financial analysis, as well as engage in a broader array of duties and developmental opportunities.   JOB DESCRIPTION: Gathers, analyzes data and presents analysis in a format appropriate for pricing, loss reserving, product development, capital modeling, reinsurance and/or other financial analysis. Updates and presents reports for pricing, loss reserving, product development or other areas of the company. Performs duties related to the major functional areas of our business for our Actuarial team. Prepares and delivers presentation(s) on assigned topic(s). Attends unit,...

SUMMARY:    The primary focus of this position is to provide support to the Claim Team. This includes but is not limited to returning phone calls, creating notes in system, closing claim files, and assisting in preparation of file reviews as well as other miscellaneous support activities.  Computes medical bills associated with accidents and ensures timely payment. RESPONSIBILITIES/TASKS:   Supports the customer service work and processes for the multi-functional claims team. Answers general claim inquiries from providers and provide verification of claim status. Communicates and collaborates with team members to ensure the appropriate and timely handling of claims.  Supports the team as required. Supports the account management process appropriately for the team's book of business. Computes the proper payment for the medical bills for non-indemnity and simple indemnity claims directly associated with the accident or activity.   Computation is based...

  The Underwriting Support Specialist I primarily performs review and entry of new and renewal business submissions, as well as provides assistance to the underwriting staff to promote timely renewal preparation and policy and endorsement issuance. RESPONSIBILITIES/TASKS: Reviews and enters new and renewal business submissions: Enters account information, including name, address, agency and effective date. Enters classifications, l and exposure base to rate submission. Reviews past loss experience noting source and trends, and identifying large losses Completes analysis and files into the Duck system to assign to Loss Control Department Files submission correspondence within ImageRight. Communicates completed submission and/or submission issues to underwriters. Handles endorsement transactions per underwriter instructions  Completes all new business issues and renewals per underwriter instructions         Assists in new...

SUMMARY Responsible for providing consultation and training to employers regarding safety matters. Develop business partnership and ambassador-type relationship with insured policyholders. Evaluate physical premises, equipment, materials, work practices, and safety policies and programs.  Conduct safety surveys of employers’ premises to gather information to assist in risk selection as an integral part of the underwriting process.  Work with management to develop loss control strategies that will have the greatest impact on company success measures. This position involves field-based work requiring travel within the assigned market/territory. Residency within or in close proximity to the designated market is required to support job responsibilities.   Identify potentially hazardous conditions and unsafe acts that may have an adverse impact on employee claims and assist the client in reducing or eliminating those hazardous condition or unsafe acts. Review business...

ENGAGEMENT DESCRIPTION: The Marketing Compliance Intern will support Medicare Advantage marketing compliance activities by researching government regulations, CMS guidance, and related requirements. This role will assist with applying regulatory research to the review of required materials, including Evidence of Coverage, Annual Notice of Change, Summary of Benefits, and related documents. The intern will gain practical exposure to regulatory interpretation, marketing compliance review processes, risk identification, and the development of clear summaries that support leadership awareness and decision-making.   RESPONSIBILITIES/TASKS: Research CMS regulations, Medicare Advantage program guidance, and related marketing compliance requirements. Support marketing compliance reviews of required materials by applying regulatory research and documenting findings. Assist with identifying potential compliance risks, gaps, inconsistencies, or questions for review by the Marketing...

SUMMARY:  Primarily responsible for the following:  Authority to evaluate which submitted vendor physical and phone audits and decide which require further analysis; approval, completion and processing mail audits; processing adjustments, and reviewing phone and physical audits requiring further review in a multi-functional business unit.  Provides direct customer service via phone, fax, and e-mail to internal and external customers including, but not limited to; Business Development Consultants and Service Center representatives, Finance, and other Premium Audit staff, as well as agents, attorneys, NCCI / regulatory bureaus, and policyholders. PRIMARY RESPONSIBILITIES: •   Actively engages in the identification of solutions for multiple or cross-functional business areas.  Has an understanding of the direction of the overall industry and evaluates the related impact. •   Evaluate and decide in a timely manner which vendor audits submitted require further review and provide...

SUMMARY:    The Nurse Case Manager (NCM) is responsible for applying medical knowledge in reviewing workers’ compensation claims to assess, evaluate, plan, implement and oversee the treatment appropriateness for occupational injuries based upon evidence based guidelines.  The NCM utilizes clinical knowledge to evaluate the medical and disability needs of an injured worker against relevant policies, facilitate coordination of the patient’s medical treatment and timely return to work. The NCM engages the claimant and physician(s) in providing proactive medical and disability management, working collaboratively with claim handlers in providing focused claim resolution and return to work driven outcomes.  The case management process requires a focus on customer service, skills, knowledge of setting appropriate goals and measuring outcomes to effectively ensure optimal outcomes.    RESPONSIBILITIES/TASKS:  The nurse case manager must be able to demonstrate and be accountable for...

SUMMARY:  Primarily responsible for scheduling audit appointments for Premium Auditors. Responsible for the Premium Technician Review OnBase queue and triages incoming phone calls to Premium Audit Department. Responsible for evaluation, approval, completion and processing of basic mail audits and estimating, in a multi functional business unit for a single state or states with similar rules. Provides technical assistance via phone, fax, and e-mail to internal and external customers including, but not limited to; Business Development Consultants and Service Center Representatives, Finance, and other Premium Audit staff, as well as agents, attorneys, NCCI/regulatory bureaus, and policyholders. EMPLOYMENT QUALIFICATIONS: A. EDUCATION REQUIRED:  Minimum 12 credit hours of coursework in Accounting, Business, Insurance, Finance or related field and progress towards or completion of Insurance Institute of America (IIA) or other insurance-related designation(s) such as an Associate in...

SUMMARY: Primarily responsible for evaluation, approval, completion, and processing of mail audits and reviewing phone audits in a multi-functional business unit.  Provides direct customer service via phone, fax, and e-mail to internal and external customers including, but not limited to; Business Development Consultants and service center representatives, finance, TPA representatives, and other premium audit staff, as well as agents, attorneys, NCCI / regulatory bureaus, and policyholders. Respond to telephone, mail, or email inquiries providing direct customer service to internal and external customers related to an audit and other policy concerns. PRIMARY RESPONSIBILITIES: •   Analyze, research, approve, complete and process mail audits. •   Analyze, research, approve, complete, and process the following audit adjustment types: waive, mail, and phone audits.  When an adjustment is denied, notify the parties involved.  •   Make necessary customer contacts to an insured,...

SUMMARY: This internship provides hands-on experience supporting project delivery, portfolio management, and operations administration in a dynamic business environment. The intern will assist with tracking project activity, maintaining portfolio information, preparing meeting materials, organizing documentation, and supporting administrative processes that help teams execute work efficiently. This role is ideal for a student who is detail-oriented, curious, organized, and interested in learning how cross-functional teams manage priorities, communicate progress, and support business operations.   JOB DESCRIPTION: Supports project managers and business partners with project coordination activities, including organizing project documentation, tracking action items, monitoring due dates, and preparing follow-up materials. Assists with maintaining project and portfolio information in company tools and reporting sources, ensuring data is accurate, current, and...

Department Specifics The ideal candidate will be able to: Make data driven decisions Lead enterprise solutions across various business areas   Plan, organize, direct, control, and lead the performance transformation program to achieve the strategic and financial objectives of the organization.  Develop strategies aimed at improving organizational performance and program success.  Develop and maintain monitoring activities related to program initiatives.   Manage large-scale, complex, strategic projects and initiatives.  Develop plans, monitor progress, manage risk and validate expected outcomes.   Inform key stakeholders of the process and outcome.  Provide effective internal and external communication of program performance, its impact, and performance to plan.  Consult with business unit leaders and employees regarding performance improvement facilitation and implementation.  Contribute to the improvement of corporate business results by providing...

Department Information The person in this role would be able to be located in Grand Rapids, Lansing, or Detroit.     Responsible for providing technical education, support, and troubleshooting to agent partners on all self-service tools and the agent portal. This role will be a power-user of Blue Cross OneSource, the portal, eMVP, eMCS, Callidus, eBookshelf and all other tools used by the agent community to conduct business with Blue Cross. Provide training and education on a scheduled and as-needed basis to agent community on all agent self-service tools, including BCOS, agent portal, eMVP, eMCS, Callidus, eBookshelf, etc. Provide feedback to the technical team of user issues, defects, etc.; Create one-pagers and job aids to support learning and retention. Interface with technical teams to provide user experience feedback, assist on development and deployment of improvements to user tools and update portal content.  Manage and respond to inquiries in...

We have an exciting opportunity for an intern in Underwriting/Business Development at Accident Fund Insurance. Our internship program begins May 24th, 2027 and concludes August 6th, 2027 . Are you looking for an internship where you will work with a group of dynamic insurance professionals who are committed to social responsibility, making workplaces safe, and making a difference? If so, consider building your skills and starting your career with Accident Fund, a part of AF Group! Interns will work with employees throughout the organization to forward business objectives in the areas of insurance operations and corporate functions. Interns will gain exposure to agents, policyholders, and other Accident Fund and AF Group staff and customers, as directed by business needs. Diverse knowledge of insurance company operations will be beneficial.  Voted a “Best Place to Work" by Business Insurance Magazine, for the past 12 years our culture is one of innovation, collaboration, and...

SUMMARY Primarily responsible for preparing and routing new and renewal quote requests as well as organizing and routing supporting quote and policy documents for Century Underwriting department.  Provides support to external customers (agents) and the Underwriting department by maintaining acceptable service levels, production metrics and quality of work completed. This role is heavily administrative in nature and will progress from needing frequent supervision to moderate.   ESSENTIAL DUTIES AND RESPONSIBILITIES  include the following. Other duties may be assigned. Utilize multiple internal and external sources to complete new and renewal quote requests from external customers. Create customer correspondence as needed. Utilize multiple internal and external sources to complete renewal quote tasks that have been identified by our internal renewal bot. Organize and route supporting quote and policy documents to various internal departments for further review and/or...

The Internship Program at BCBSM is designed to enhance the skills and abilities of young professionals as well as to identify and attract future talent for our organization. Interns will gain practical hands-on work experience as well as a solid understanding of the health insurance industry. Our program is an excellent way for interns to get a good start on their careers by working on meaningful projects, learning valuable skills, and networking with employees throughout our organization, which could potentially allow interns to build a future career at BCBSM. Assist in preparing information and research materials to identify business problems, offer recommendations and assist  management with implementation of solutions.  Support leaders on projects designed to enhance the overall efficiency and effectiveness of the organization. Develop and maintain a solid understanding of BCBSM business, products, programs, data, organizational structure, controls, research.  Analyze...

The Internship Program at BCBSM is designed to enhance the skills and abilities of young professionals as well as to identify and attract future talent for our organization. Interns will gain practical hands-on work experience as well as a solid understanding of the health insurance industry. Our program is an excellent way for interns to get a good start on their careers by working on meaningful projects, learning valuable skills, and networking with employees throughout our organization, which could potentially allow interns to build a future career at BCBSM. Assist in preparing information and research materials to identify business problems, offer recommendations and assist  management with implementation of solutions.  Support leaders on projects designed to enhance the overall efficiency and effectiveness of the organization. Develop and maintain a solid understanding of BCBSM business, products, programs, data, organizational structure, controls, research.  Analyze...

SUMMARY: This role will focus on maintenance of our incoming workload, issue resolution and first report of injury (FROI) issues.   This position determines jurisdiction for entry of first notice of injury (FNOI) from multiple sources and distributes to the proper destination.   Enters and supports priority and special requests, including correcting newly-created claims.     ESSENTIAL DUTIES AND RESPONSIBILITIES  include the following. Other duties may be assigned. Identifies jurisdiction, date of injury and special/additional handling items; researches and re-indexes non-new claim submissions to route to appropriate handling.  Receives incoming general new claims calls for all entities; backup for ACD calls in the event of telephone system shutdown. Makes changes, corrections and updates on newly created and/or existing claims or submissions as well as guiding end-users on process techniques in various applications. May serve as a resource regarding...

  SUMMARY:     This is the entry level professional claim handler. Handles medical only and indemnity benefits.  Exercises some discretion in the determination of compensability of claims. Considers many factors in the determination claim reserves. Negotiates and settles claims within given authority.    RESPONSIBILITIES/TASKS: Verifies workers’ compensation coverage of employers and injured employees.   Determines compensability under workers’ compensation by thorough investigation of the claim.   Determines causal relationship between the reported injury and the incident to ensure appropriate payment of benefits. Facilitates return to work for the injured employee. Establishes timely and appropriate reserves based on the profile of the claim within given authority based on anticipated financial exposure. Documents specifics of claims with potential for subrogation recovery, including amount of potential recovery monies. Manages medical bills...

    SUMMARY:    The primary focus of this position is to provide support to the Claim and Operations Team. This includes but is not limited to returning phone calls, printing and depositing of checks , creating notes in system, closing claim files, and assisting in preparation of file reviews as well as other miscellaneous support activities.  Computes medical bills associated with accidents and ensures timely payment. This is a hybrid position.   RESPONSIBILITIES/TASKS:   Supports the customer service work and processes for the multi-functional Claims and Operations teams including check printing, bank deposits, mail management.   Answers general claim inquiries from providers and provide verification of claim status. Communicates and collaborates with team members to ensure the appropriate and timely handling of claims.  Supports the team as required. Supports the account management process appropriately for the team's book of business. Computes the...