52 jobs found in Detroit, MI

Know your rights Inform yourself of your rights and responsibilities by reviewing the content provided in the list below. Employment Eligibility (e-Verify):  English & Spanish Right to work:  English  /  Spanish It's fun to work in a company where people truly BELIEVE in what they're doing! We're committed to bringing passion and customer focus to the business. Position Overview :  The primary duties of a field adjuster are to inspect the loss and prepare documents detailing the claim. Essential Job Functions Communicate with desk examiners, insureds, attorneys, and other experts to gather information on claims Negotiate settlements with the insured and/or their representatives Prepare reports based on the policy language and submit payment recommendations to the desk examiners Prepare detailed estimates of the damage Manage workload and submit closing documents in a timely fashion Regular and reliable attendance Marginal Job...

Departmental Summary: The IT Services & End User experience department within IT is looking for a Client Technology Technician to join our team. Our department provides critical operations and infrastructure support to the entire BCBSM enterprise. The Client Technology Technician will be responsible for end-user technology support, specializing in mobile devices using the iOS and Android operating systems.  Departmental Preferences: Previous IT user support experience strongly preferred Excellent customer service skills Hands-on experience with the iOS and Android operating systems (such as iPhone/iPad and Android devices support)    Deliver and support diversity IT products and services to internal and external end users within the enterprise. Provide maintenance and support for complex client products, peripherals, network and physical moves. Partner with business clients to understand user needs and provide improvement to business processes, resolve problems, and...

The Analyst Trainee is part of an Advance Hire Analyst Training Program, in which trainees receive real-world hands-on experience, with the goal of career advancement within 12-24 months. Support issue resolution, manage projects, prepare reports, and analyze data using project management and Agile principles. Communicate effectively with internal and external partners and formally present information to stakeholders. Foster problem resolution, critical thinking, and leadership skills. Develop strategic problem-solving, quantitative analytics, and communication skills through use of information, data, analytics, ingenuity, and empathy in innovative ways to deliver technology-driven solutions. Effectively support projects and teams to produce desired results. Develop and improve departmental workflows, business processes, and standard policies for routine services. Produce routine and non-routine reports, presentations, letters, communications, and graphics. Foster problem...

Blue Cross Blue Shield of Michigan (BCBSM) has an exciting Technical Lead opportunity within the Service Engineering group. About the Role:   The Technical Lead will plan, build, and run the design & implementation of BCBSM’s enterprise-wide DRM (Disaster Recovery Management) program, including testing, policies, maturity models, methodologies, sourcing strategies, plans, metrics and scorecards for all components of the program. In this Technical Lead opportunity, you will: Provide recommendation for prioritization of IT initiatives based on disaster recovery/business resiliency needs, IT workload, and budget.  Review, analyze and finalize cost estimate plan for DR team/systems. Provide technical guidance on the business impact and opportunities. Develop and present proposals for modifications or replacement systems to improve business results.  Recommend options, identify risks and analyze cost vs. benefits. Work with Business and Technical application owners in...

  Departmental Information/Qualifications Achieve sales goals by assisting vendor call center by enrolling and new to blue members and retaining current members Account management of all aspects of dedicated call center vendor Advanced knowledge of call center operations The individual sales consultant is responsible for marketing and selling Blue Cross Blue Shield Michigan and Blue Care Network’s Individual business products, driving sales growth while ensuring retention.  Responsible for planning, strategizing, benefit consulting and administration to increase individual and/or Medicare agent/broker written business within a specific geographic region. Accountable for developing relationships with agent clients, providing sales support and necessary training to agents to support retention and growth in the agent channel. Presents individual Medicare Advantage product benefits, including annual AEP and age-in meetings held throughout the state of...

Department Preferences A completed Coding Certification preferred. Associate's degree in medical coding, health information technology or another closely related field preferred. Working knowledge and proficiency in medical terminology, anatomy and physiology. Be familiar and proficient in basic and advanced ICD-10-CM, CPT and HCPCS coding, Medicare guidelines and compliance. Experience and knowledge of HCC Coding and Risk Adjustment experience a plus.   Responsible for assisting and supporting management in the evaluation, recommendation, establishment, implementation and analysis of new and improved production workflows, work processes for systems, reporting and new products/programs to improve customer service levels and overall quality. Support the development, coordination, and implementation of projects to enhance the overall efficiency of operational procedures, methods, controls, and performance. Compile and analyze operational data to identify and resolve...

It’s a great time to join AAA The Auto Club Group!   JOIN THE TEAM COMMITTED TO DRIVING YOUR CAREER FORWARD Job Type: Full time   Exempt/Non Exempt:   Hourly Job Description:   Position Description Paralegal II – The Auto Club Group What you will do: This is a hybrid position reporting to our Troy, Michigan office location approximately once a month. Under direction and guidance of the organization’s attorneys, performs a variety of intermediate to complex law-related tasks in support of legal matters.  Conducts legal research, investigate issues and drafts/prepare legal documents to support attorneys and contract administrators.  Supports all aspects of document discovery, including e-discovery, document management, the litigation hold process, and document production.  Assists counsel with the coordination of responses to subpoenas, demand letters, legal correspondence, and discovery demands, etc.  Manages daily activities of...

Responsible for planning, organizing, directing, implementation, and leading department assignments.  Position operates within broad objectives to ensure optimum utilization of manpower and budget.  Research, compile and analyze appropriate and relevant data and make recommendations for operational improvements.   Collaborate with teams across the enterprise to implement projects. Oversee claims processing to ensure accuracy while adhering to established guidelines.   Leads in the research, analysis, identification and evaluation of data from assigned problems to evaluate existing and potential trends and issues. Possess and maintain an extensive comprehensive knowledge of BCBSM business, products, programs (including provider data, networks, etc.), corporate organizational structure (including functional responsibilities), and basic research principles/methodologies. Manage and monitor multiple projects simultaneously by establishing project plans and objectives to...

Responsible for identifying, collecting, analyzing, and maintaining data to evaluate issues that support prospective business decisions.  Coordinate projects for senior management. Collaborate with teams across the enterprise to implement projects. Implement changes to claims processing based on the guidelines. Research, analyze, identify, and evaluate data from assigned problems to evaluate existing and potential trends and issues. Possess and maintain a comprehensive understanding and knowledge of BCBSM business, products, programs (including provider data, networks, etc.), corporate organizational structure (including functional responsibilities), and basic research principles/methodologies. Assist in the management and monitoring of multiple projects simultaneously by establishing project plans and objectives to ensure goal attainment within defined parameters. Communicate results of analysis to management via reports/presentations and assist management in implementing...

It’s a great time to join AAA The Auto Club Group!   JOIN THE TEAM COMMITTED TO DRIVING YOUR CAREER FORWARD Job Type: Full time   Exempt/Non Exempt:   Hourly Job Description:   Legal Assistant – The Auto Club Group What you will do: Employ knowledge of company and legal procedures as well as principles of insurance, banking or corporate law.  Work independently while assisting attorneys in the legal process necessary for conducting company business.  Review, analyze and summarize issues involved incoming litigation or administrative actions.  Determine need for file documentation, obtain proofs, and clarify facts and issues.  Organize, assemble and interpret records and documents.  Act as a resource person to all level of company personnel regarding corporate legal matters and departmental procedures.  Support litigation matters and act as a general litigation assistant throughout pendency of lawsuits.  Research medical facts when...

It’s a great time to join AAA The Auto Club Group!   JOIN THE TEAM COMMITTED TO DRIVING YOUR CAREER FORWARD Job Type: Full time   Exempt/Non Exempt:   Salary Job Description:   After in office training is completed, this position will report to an office 1x per month. Associate Attorney – AAA/The Auto Club Group Reports to: Supervising Practice Leader Under moderate supervision, handle litigation and cases of intermediate-level exposure and complexity in which the insured or the Company is a defendant.  Able to transition from courts of limited exposure to courts of unlimited exposure.  Develops and applies skills to control all aspects of litigation, including trial preparation, discovery, negotiation, presentation and appeals from District to Circuit Court. To support those duties, we are applying a monthly cap on new case assignments. Primary Duties and Responsibilities (details of the basic job functions):...

It’s a great time to join AAA The Auto Club Group!   JOIN THE TEAM COMMITTED TO DRIVING YOUR CAREER FORWARD Job Type: Full time   Exempt/Non Exempt:   Hourly Job Description:   Looking to take your sales career to the next level?  Join America’s most trusted brand with over 100 years of service as an Insurance Sales Agent—no insurance background required. If you have strong-proven sales skills and the drive to succeed, we’ll provide the training and support you need to launch a rewarding career. ***** $2,500 Signing Bonus for new hires.  Signing Bonus amount is dependent on experience.  To qualify for the Signing Bonus, applicants must be new to the Auto Club Group (not applied in the last 180 days).  There is a 1-year payback clause if your employment is terminated prior to completing 12 months of employment.  Additional details can be provided by our Recruiting Team at the time of application. What we offer: Competitive...

The Director, Ancillary and TPA Solutions is accountable for the strategic development and oversight of ancillary solutions for Commercial Markets and Government Programs, where applicable.  This role is also accountable for the ongoing oversight of all Shared Administration capabilities, operational effectiveness and compliance and development and implementation of new TPA related solutions.  This role is accountable for assessing the market solutions for ancillary, complementary and TPA solutions and negotiating favorable contracts on behalf of BCBSM and holding engaged vendors accountable for achieving contract requirements.   Oversee contract and vendor management activities for ancillary and complementary solution vendors, including assessment of market options, negotiation of contract terms, establishment of performance expectations, and enforcement of contractual requirements across Commercial Markets and applicable Government Programs. Provide enterprise oversight of...

At Allstate, great things happen when our people work together to protect families and their belongings from life’s uncertainties. And for more than 90 years, our innovative drive has kept us a step ahead of our customers’ evolving needs. From advocating for seat belts, air bags and graduated driving laws, to being an industry leader in pricing sophistication, telematics, and, more recently, device and identity protection.  Job Description A day in the life of a Field Property Adjuster, and what it takes to do the job! As a Field Property Adjuster, you will be dedicated to providing exceptional service to our policyholders. Your primary responsibility will involve traveling to our customers' homes to conduct on-site inspections, investigate coverage, prepare estimates, and settle claims promptly and efficiently. Additionally, you will handle virtual claims countrywide, leveraging various platforms and software such as Xactimate and ClaimsX Video Collaboration. Your...

It’s a great time to join AAA The Auto Club Group!   JOIN THE TEAM COMMITTED TO DRIVING YOUR CAREER FORWARD Job Type: Full time   Exempt/Non Exempt:   Salary Job Description:   Eligible candidates must reside within the metro Detroit Michigan area for consideration and have a valid state driver's license. Preferred candidates should reside in Oakland, Macomb, or Wayne County. Metro Detroit Field Property Claim Specialist -AAA The Auto Club Group Reports to: Claim Manager as appropriate What you will do: Work under minimal supervision with a high-level approval authority to handle complex technical issues and complex claims.  Review assigned claims, Contacting the insured and other affected parties, set expectations for the remainder of the claim process, and initiate documentation in the claim handling system.   Complete complex coverage analysis. Ensure all possible policyholder benefits are identified.  Create...

Description Summary: The Consumer Direct Loan Specialist performs outbound sales calls to explore customers' financial needs with a focus on building and broadening existing customer or business relationships using multiple Huntington products. Duties & Responsibilities: Explains the features and benefits of alternate financial solutions and makes sales referrals to specialized areas. Makes sales referrals to specialized areas, e.g., Insurance and Mortgage, using available tools and technology. Demonstrates initiative, discipline and ability to consistently meet specific efficiency targets and production goals. Maintains up to date knowledge of products, services, technology and regulations.   Complies fully with quality and risk standards.   May take on short-term inbound call support or additional outbound calling projects as needed. Adheres to a disciplined approach to making Outbound calls...

SUMMARY:       The primary focus of this role is to support Star Ratings projection modeling and analytics for Medicare Advantage. The Data Analyst will work with large datasets to generate insights, perform ad-hoc analyses, and assist in monitoring key performance indicators related to CMS Star Ratings.    RESPONSIBILITIES/TASKS:   Supports Stars projections through data analysis, modeling scenarios & ensuring accurate Star Ratings forecasts Monitors CMS regulations & incorporates policy updates, ensuring accurate Stars projection model maintenance. Utilizes software tools and programming to query & manipulate Star metrics data for accurate reporting & analytics. Develops and improves workflows and business processes within area(s) to improve customer service, decrease operational costs, and improve overall quality.  Identifies and/or analyzes business problems and devise procedures for solutions to the problems.  Effectively leads projects in...

We are seeking two Digital Product Owners to support Digital Experience in distinct capacities. Additional details regarding each role are provided below. Retail Site : We are looking for a product owner to join our Digital Experience team, supporting the retail website and pre-authenticated member journey.  In this role, you will own and prioritize a defined product roadmap, partnering closely with engineering, design and business stakeholders to deliver seamless digital experiences for prospective members – from plan discovery and comparison through enrollment.   Member Portal: We are looking for a product owner to join our Digital Experience team, supporting the authenticated member account experience.  In this role – you will own and prioritize a defined product roadmap, partnering closely with engineering, design and business stakeholders to deliver intuitive, reliable digital tools that help members manage their health benefits with confidence....

We are looking for a Product Manager to lead the mobile app product strategy and experience for both iOS and Android platforms.  In this role, you will define and drive the mobile roadmap, translating organizational goals and member needs into a cohesive, prioritized product vision that delivers measurable outcomes. Define and evolve the digital product vision for unauthenticated .com experiences, including marketing pages, acquisition flows, and onboarding journeys, informed by customer research, competitive analysis, and market trends. Own and maintain a prioritized product roadmap aligned to business OKRs; communicate progress, tradeoffs, and outcomes to leadership and governance stakeholders. Drive conversion rate optimization strategy across the funnel identifying friction points, defining hypotheses, and partnering with analytics and UX teams to improve acquisition and onboarding metrics. Establish feature definitions, acceptance criteria, and success metrics...

  Departmental Summary Support implementation, monitoring and enforcement of Commercial Business Strategy, using GrpCRM for the identification, tracking, escalation and resolution of different ASC-focused objects, support requests and workflows, including: Monitoring and resolution of GrpCRM DFund / UCCR requests Buy-Up request fulfillment, governance and execution ASC contract signature handling (fulfillment, execution, and closure) Activation of highly-controlled ASC impacts such as mandated chgs Monitoring and accuracy of 'ASC Account 360' data Oversee adherence of legal, financial, product and audit controls for ASC grp arrangements and purchases Extensive experience with GrpCRM – as a user, a task manager, workflow administrator, and report builder Support GrpCRM UAT testing, as applicable Support impact assessments including identification and tracking of group-specific impacts Document and measure ongoing quality processes owned and/or managed by the ASC...