48 professional liability jobs found in Detroit, MI

Our Company: Established in 2012, Seek Now captures robust property data to meet the needs of customers across the insurance and real estate industries. With more than 2 million property inspections completed to date while currently servicing 3,000 properties per day, Seek Now is the leading data capture and inspection services firm serving 240+ customers. Our mission is to help our customers make faster decisions and improve economic outcomes, all while providing a stellar customer experience. We accomplish this through continuously reimagining how information is captured, transformed, and transmitted across all the industries we serve. Our vision is to be the leading provider of on-demand, ground truth property data solutions. We do this while creating individual growth opportunities for our employees, expanding network of Seekers, and value add partners. Summary: Seek Now is searching for capable 1099 independent sub-contractors to provide accurate,...

This position is responsible for planning, organizing, and monitoring the audit coordination processes for the OGACC - Office of the General Auditor & Corporate Compliance – Emerging Markets (OGACC – EM). This position interacts routinely with the Company executives, directors, and managers, as well as BCBSM. This role requires exercising discretion and judgment in assisting the general auditor and internal audit staff. Discretion and judgment are also required when communicating with executives and staff throughout the enterprise and BCBSM. This position performs executive support tasks which may be highly confidential and sensitive in nature utilizing considerable independent judgment. Performing high-level administrative work, including organizing, scheduling, coordinating, researching, compiling, exchanging, and sometimes analyzing information for executive(s) and the department is also required. Leads on-site audit activities between OGACC - EM and the enterprise....

The Executive Services Intern will support the department by strengthening reporting operations, improving procedural consistency, and contributing to key departmental initiatives. In this role, the intern will review existing reporting procedures to identify opportunities for greater accuracy, efficiency, and standardization, assist in producing timely and reliable reports for leadership and internal stakeholders, and provide support for ongoing projects within the department. As an intern you will:  Assist with the preparation, production, and distribution of recurring and ad hoc reports for leadership and internal stakeholders. Review existing departmental reporting procedures. Analyze data and trends to support reliable reporting and informed decision-making Support departmental projects by tracking deliverables, monitoring timelines, and coordinating follow-up activities. Have strong project management skills    The Internship Program at BCBSM is designed to enhance...

Responsible for sales and retention activities in an assigned territory/geographical areas of more than 1,000 accounts, which may include national accounts or associations.  Accountable for implementing a prospecting process identifying sales potential, linking products to the account’s business goals, qualifying and enrolling group clients and coordinating the servicing of these clients.  Manage quality and consistency of product and service delivery. Identify potential group account customers through prospecting and qualifying program methodology, agent contacts and maintain comprehensive database of all prospects. Determine the account decision making process and key union/management stakeholder roles to support the development of sales strategies and the acquisition of group account business. Prepare a variety of sales reports, action plans, presentations, proposals, sales contracts and schedules. Identify and follow up new leads and referrals obtained from field...

SHS MA Group Medicare Sales Planning and Execution The Communications Specialist is responsible for supporting the development, promotion, and growth of communications initiatives internally within the division and across business units. Also responsible for developing key messages and strategic communications to be communicated to the parent company. This position will lead various initiatives requiring strategic planning through tactical execution. Responsible for key internal communications activities and projects to support the company's business objectives. The specialist will be a critical member of the communications team and will interface with executive management. Lead development and execution of division communication initiatives. Coordinate executive leadership communications and events. Employee intranet content development. Serve as consultative subject matter expert for internal stakeholders and communications representative on...

Department Preferences Finance Major preferred   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,...

SUMMARY: Join two teams working together to support quality healthcare operations and a positive member experience. As a shared intern supporting MA Communications Quality and Vendor Oversight , you will gain hands-on experience reviewing member communications, supporting quality assurance, assisting with vendor contracts and performance oversight, and contributing to process-improvement projects. You will collaborate with teams across the organization while building practical skills in communication, project management, data analysis and problem-solving. JOB DESCRIPTION: Support quality assurance and vendor oversight activities by evaluating communications, documentation, processes, and vendor performance against approved requirements, contractual obligations, company policies, and applicable healthcare regulations.  Review Medicare Advantage member communications and vendor-related materials to identify inaccuracies, inconsistencies, compliance concerns, and...

Departmental Summary: This position supports Medicare Part D pharmacy quality and medication adherence initiatives through data analysis, reporting, dashboard development, and operational support. Responsibilities include analyzing healthcare data, monitoring quality measures, providing actionable insights to business and clinical partners, and supporting initiatives that improve CMS Star Ratings. Required Skills and Qualifications: • Strong experience developing complex SQL queries and analyzing large healthcare datasets, including pharmacy claims, medical claims, membership, and provider data. • Proficiency in Python for healthcare analytics, reporting, process automation, and data quality validation. • Experience in writing and maintaining Spark SQL and Python code in Databricks to support process automation and data analytics • Familiarity with SAS programming for data manipulation, reporting, and analytics. • Strong Tableau experience in...

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...

This position is accountable to establish and maintain effective lines of communication and build effective working relationships with key union leadership that purchase and/or influence the purchase of group health insurance, which will enhance BCBSM ability to penetrate, retain and upgrade groups within our markets. Establish and maintain effective communication and working relationships with top level leadership of major unions and their staffs that purchase and/or influence the purchase of group health care insurance.   Establish self as a resource on group health insurance, which will encourage union leaders to seek advice and counsel.   Gather information on potential groups, assess the situation and provide this information to the appropriate corporate marketing representative followed by consultative support on strategy and problem resolution.   Respond to requests for advice and/or information on group health insurance needed by top level leadership of major...

Job Type: Full time   Exempt/Non Exempt:   Hourly Job Description:   Location: Dearborn, Michigan   Position Schedule / Shift: Rotating hybrid schedule Monday – Friday: 8:30 AM EST – 5:00 PM EST. In office reporting will rotate based on role responsibilities. All employees will be notified of in office reporting days as applicable. Training for this position will be in office for the first initial 90 days of employment. Rotating schedule will begin after training is completed. Position Summary: Join our Claims team in a role where your analytical skills, attention to detail, and problem-solving abilities make a direct impact on the customer experience and the financial integrity of our claims operations. As a claims operations professional, you'll take ownership of complex payment and reconciliation processes, resolve challenging issues, and serve as a trusted resource for teammates while helping ensure accurate, timely claim outcomes. If you...

Department Preferences Majors in Business or Strategy preferred Experience with AI tools, data analytics, presentation development and delivery Has a strong attention to detail Proficient in Excel and PowerPoint   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...

Department Summary Responsible for end-to-end ownership of RFP and RFI outcomes, including prioritization, development, review, approval, and on time submission of all proposal responses. Provides leadership and performance management for the proposal team, ensuring accountability for overall proposal quality, compliance, and deadline adherence. Oversees workload balancing, process governance, and final approvals while serving as a senior subject matter expert on complex, jumbo, and high-profile proposals. ESSENTIAL DUTIES AND RESPONSIBILITIES  include the following. Other duties may be assigned. Provide end-to-end ownership of all project responses, ensuring proposals are accurate, compliant, strategically positioned, and submitted on time. Serve as the reviewer and approver of proposal content prior to market submission, with accountability for quality, consistency, and adherence to Blue Cross template standards. Oversee proposal template governance across all responses....

Under minimal supervision, perform complex duties related to payroll processing.  Responsible for troubleshooting and assisting personnel across the enterprise with payroll related inquiries, developing standard operating procedures, identifying opportunities for process improvements and performing complex account reconciliations. Candidates with current Oracle experience preferred.   Assist personnel at all levels across the enterprise by answering complex payroll related inquiries. Responsible for bi-weekly payroll and year-end W2 processing, tax filing, and monthly verification and closing of general ledger.  Verify and process employee timecards; process attendance corrections. Maintain employee records and enter complex transactions based upon submitted documentation (e.g. Employee Profile).  Process garnishment and withholding orders such as tax levies, child support judgments, etc. Provide guidance to lower level team members.  Develop standard operating...

SUMMARY:  The purpose of the Medicare Part D PGY1 residency program is to empower and educate the resident in all areas of Medicare Part D practice, including but not limited to:  • Formulary Management (including Rebates)  • Pharmacy and Regulatory Compliance and Audit  • Pharmacy Benefits Management  • Clinical Pharmacy Programs  • Plan Performance and Quality Assurance  • Medicare Part B and D Prior Authorizations and Appeals  • Product Development  • Administration and Leadership  RESPONSIBILITIES/TASKS:  • Assist Senior Leadership in the planning, development, and implementation of Medicare Part D products, programs, and services such as submission of the CMS bid.  • Help to develop, implement and maintain utilization management and drug utilization review programs.  • Serve as a key clinical support person for processing drug information inquiries.  • Participate in the Pharmacy & Therapeutics committee, making both clinical and financial formulary...

Join the Health Care Value Strategic Informatics and Program Performance team where you will be responsible for leveraging advanced analytics, predictive modeling, and data visualization to generate actionable insights that improve healthcare outcomes, optimize program performance, and support strategic decision-making. This role partners with business leaders, clinical teams, pharmacy services, and operational stakeholders to analyze healthcare data, identify trends, evaluate program effectiveness, and provide data-driven recommendations related to cost, quality, utilization, and member outcomes. ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned. Analyze large volume of health care claims data using advanced statistics/machine learning methods to understand existing and predict future health care trends and anomalies. Proactively discovers potential areas for medical cost improvement and management/healthcare initiative strategies....

Department Preferences Experience creating training materials, presentations, job aids, videos, infographics, or digital content Strong written communication, editing, and content development skills Ability to analyze data, interpret results, and create reports or dashboards   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...

Why USAA? At USAA, our mission is to empower our members to achieve financial security through highly competitive products, exceptional service and trusted advice. We seek to be the #1 choice for the military community and their families. Embrace a fulfilling career at USAA, where our core values – honesty, integrity, loyalty and service – define how we treat each other and our members. Be part of what truly makes us special and impactful. We are proud to support active-duty military spouses. USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with applicable policy and business needs. The Opportunity This is a field-based role in the Detroit, MI area. Candidates who are willing and able to work in Detroit are encouraged to apply.   Within defined guidelines and framework responsible for the investigation, negotiation, evaluation and appraisal of vehicle damage claims for both repairable and total loss vehicles to...

Service Intelligence & Analytics (SIA) is a team within Service Operations who are responsible for advanced analytics in support of Customer Service, with a specific focus on customer and CSR experience as well as strategic business modeling. SIA works closely with the Service Avengers group, who are a group of leaders from various functional areas within Service Ops, whose charter is to discover opportunities for improvement in the member/provider experience, operational performance, and day-to-day CSR practices. This position will primarily be focused on working with SIA in the development (and potential implementation) of a project that will impact a process, system, function, product, and/or service after working closely with team members from throughout Service Operations to uncover opportunities.   As an intern, you will be:  Accountable for using analytics to develop a project(s) with moderate to complex scope and deliverables. Project scope may impact one or more...

This intern will support the MA core team with the day-to-day functions of managing the Business Partner servicing team and internal call center operations through reporting, data analysis, and project coordination. This role provides exposure to vendor management, performance metrics, and operations strategy. The intern will contribute to cross-functional initiatives, assist with educational materials, and support planning efforts for Business Partner site visits and internal events. Our intern will gain hands-on experience in business operations, learn how to develop and build professional relationships, develop analytical and communication skills, and build a strong foundation in vendor and call center operations.  As an intern, you will:  Pull and analyze daily reports and performance metrics.  Develop presentations and educational materials based on call center needs.  Support planning and execution of Business Partner meetings and site visits, as well as internal...