25 liability claims manager jobs found in Lansing

OBJECTIVE Large Loss Property Claims Manager Objective To manage all functions of the Property Specialists unit necessary to provide superior customer service by the prompt and efficient handling, control, and proper disposition of large and/or complex claims. To monitor the corporation's property policies and procedures under the direction of the Director of Property & Liability Claims. To aid in the assessment and adoption of Best Practices and Industry Benchmarks to continually improve customer service. To act as a liaison with other divisions. RESPONSIBILITIES Large Loss Property Claims Manager Responsibilities Coordinate, manage, and supervise the handling of large and/or complex property/casualty claims to have a significant effect on the overall profit picture of the company. Provide quality service to the insured and aid in the risk selection and retention of business by maintaining an effective service operation....

SUMMARY: Customer Service Representative I is focused on providing administrative, data entry and policy issuance support.    RESPONSIBILITIES/TASKS: Types policies and endorsements using the Policy Issuance and Microsoft Word systems. Daily entry of policies and endorsements into Century’s Information Management System (CIMS). Manages all policy and endorsement transactions in keeping with the Policy Services Standard Operating Procedures. Policies are checked for accuracy throughout all phases of the issuance process. Works effectively on the assigned team. System/Software Skills – Must learn all systems and stay current with changes and updates. Checks, analyzes, and classifies or alphabetizes materials. Conduct limited research when necessary. Successfully completes basic job specific training as defined in the Policy Services Training Matrix within the first three months of employment. Continually maintains 98% or above quality. Continually maintains 85-115%...

SUMMARY:   Primarily responsible for supporting the management of the all files by analyzing, indexing, e-indexing, and assigning a sub document type to all documents received by Departments within the Enterprise. Also responsible for identifying key information on documents and inputting information into the keywords of the document and in the appropriate data fields in the claim system.     PRIMARY RESPONSIBILITIES:  Analyzes incoming documents and assigns the appropriate document sub type to them Reviews each document and adds pertinent information to the document keywords and to appropriate data fields in the claim system Opens, sorts, prepares, bundles, scans, and validates/verifies physical and electronic mail for all departments daily. Determine appropriate criteria to accurately index an electronic image to initiate workflow to the proper department. Performs computer inquires through multiple systems for other departments and verifies member coverage....

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: (Brief 3-5 sentence paragraph outlining the main purpose of the job)   This is an entry-level position. This position leads to a Medical Only Claims Specialist I and is expected to last up to 12 months. Upon completion of the training plan the incumbent is expected to be proficient with the Medical Only Claims policies, processes, procedures, and terminology related to the job. In addition, the incumbent will be proficient in the job responsibilities and tasks of the Medical Only Claims Specialist I position description. The incumbent will be evaluated on their progress and successful completion of the training plan each quarter. Upon satisfactory completion, the incumbent will be eligible for the Medical Only Claims Specialist I position.  Medical Only Claims Associate will work with all members of the team and may receive direction, support, and instruction from the Manager or Medical Only Claims Specialists depending on the assignment....

SUMMARY:   Primarily responsible for supporting the management of the all files by analyzing, indexing, e-indexing, and assigning a sub document type to all documents received by Departments within the Enterprise. Also responsible for identifying key information on documents and inputting information into the keywords of the document and in the appropriate data fields in the claim system.     PRIMARY RESPONSIBILITIES:  Analyzes incoming documents and assigns the appropriate document sub type to them Reviews each document and adds pertinent information to the document keywords and to appropriate data fields in the claim system Opens, sorts, prepares, bundles, scans, and validates/verifies physical and electronic mail for all departments daily. Determine appropriate criteria to accurately index an electronic image to initiate workflow to the proper department. Performs computer inquires through multiple systems for other departments and verifies member coverage....

SUMMARY:  Provider Relations Specialist I Responsible for servicing internal and external customers who contact AF Group via the ACD phone line. Responsible for providing quality, consistent and accurate medical payment information to internal and external customers.  Provider Relations Specialist II Responsible for analyzing billings including outpatient hospital and multiple surgeries by utilizing our Medical Bill Review (MBR) software and reference library to determine appropriateness of codes and excessive charges. Responsible for making coding determinations according to state rules and regulations.  PRIMARY RESPONSIBILITIES:  PRIMARY RESPONSIBILITIES: Provider Relations Specialist I •    Utilizes ACD phone lines to manage incoming calls and inquiries. •    Provides high level of customer service for all internal or external customers thru telephonic, email and fax. •    Demonstrates dependable work ethic. •    Manages confidential client information with discretion and good...

Position Title Branch Banking Client Consultant II   Location Lansing, MI 48917   Job Summary Branch Banking Client Consultant II provides best in class experience by resolving concerns and providing various product details that focus on meeting the financial needs of our clients. Focuses on client management, client retention, and introductions to key bank partners (Mortgage, Business Banking) to ensure our clients have access to experts who can help them achieve their financial goals. This position will have greater lending and basic investment interactions and will participate in more complex banking conversations with clients.   Job Responsibilities: JOB   RESPONSIBILITIES     Sales Performance : Support team efforts to achieve growth targets in financial performance (outstanding deposits, outstanding loans, non-interest income) and primary client acquisition. Actively   seek   and deliver the right client introductions to the right team...

SUMMARY This role will focus primarily on underwriting and claims training. Candidates within a commutable distance to Lansing, MI will be considered Hybrid (1-3 days per week in office) Delivers and facilitates training to groups, managers, external customers and/or on-the-job (one-on-one) training. Topics primarily relate to operational training, processes, procedures and technologies.  Provides guidance and assists in the design and development of training programs and preparation of training materials. Conducts evaluations of training and provides follow-up training to trainees as needed. Recommends training tools and formats. Works with managers and employees to identify methods of improving employee performance. RESPONSIBILITIES Participates in the design and development of training plans/curriculum Project manages the implementation of training from end to end working with business SME and leaders; owning full implementation of training Assesses training...

OBJECTIVE Claims Operations Analyst Objective To serve as an expert for the Claims Division focused on claims systems, processes, file quality and training. To represent Claims on projects to ensure claim systems and processes meet business requirements. To develop, administer and perform examinations on auditable activities. To support all members of management in the effective discharge of their responsibilities by furnishing them with independent reports, analysis, appraisals, recommendations, and pertinent comments concerning the auditable activities reviewed. To monitor and report on vendor performance. To utilize analytics to measure, evaluate, and improve functions. To work with Claims division managers to develop best practices guidelines to drive quality and consistency. RESPONSIBILITIES Claims Operations Analyst Responsibilities Act as a resource for work relating to the implementation of any claims program or...

SUMMARY: (Brief 3-5 sentence paragraph outlining the main purpose of the job)     The Medical Only Claims Specialist I is an entry level claims role. The incumbent is expected to be proficient with the Claims unit, policies, processes, procedures, and terminology.      The Medical Only Claims Specialist II is an experienced level claims role. The incumbent is expected to perform at a high level with minimum supervision.     Primarily responsible for the investigation and management of workers’ compensation claims. Conducts a 1 to 3-point contact on the managed claims, which is dependent on either the facts of the case or the claim type; determines compensability of claims, manages the medical treatment program, and assists in the return-to-work process. This includes calling and discussing potential claim activity and work-related injuries with policyholders, claimants, providers, attorneys, agents, and state agencies....

SUMMARY Manage the legal department support staff and operations of the department, including workflow processes, and all associated technology, and management of departmental vendor relationships.    ESSENTIAL DUTIES AND RESPONSIBILITIES  include the following. Other duties may be assigned. Plans, directs, manages and evaluates the day-to-day operations and production of OGC  Facilitate departmental software needs, system changes and training, including matter management software, panel counsel billing system, among others Oversee handling of all incoming mail for litigated matters Responsible for oversight of all electronic and other court filings and service of documents as needed in various jurisdictional filings. Oversee handling of all incoming mail for litigated claims across multiple brands. Reporting and report preparation Manage, draft and maintain claim litigation workflows and processes, including various electronic filing interfaces Employ excellent...

SUMMARY: (Brief 3-5 sentence paragraph outlining the main purpose of the job)   This is an entry-level position. This position leads to a Medical Only Claims Specialist I and is expected to last up to 12 months. Upon completion of the training plan the incumbent is expected to be proficient with the Medical Only Claims policies, processes, procedures, and terminology related to the job. In addition, the incumbent will be proficient in the job responsibilities and tasks of the Medical Only Claims Specialist I position description. The incumbent will be evaluated on their progress and successful completion of the training plan each quarter. Upon satisfactory completion, the incumbent will be eligible for the Medical Only Claims Specialist I position.  Medical Only Claims Associate will work with all members of the team and may receive direction, support, and instruction from the Manager or Medical Only Claims Specialists depending on the assignment....

SUMMARY Medical Bill Review Specialist I Primarily responsible for analyzing bills for multi-state Workers Compensation medical claims to determine appropriateness of services billed. Responsible for analyzing simple billings by utilizing our Medical Bill Review (MBR) software to determine appropriateness of codes. Responsible for making bill review processing determinations according to rules, regulations, and/or third-party partners. Medical Bill Review Specialist II Primarily responsible for performing technical review of more complex medical bills, including modifiers, anesthesia, & psychiatric. Responsible for analyzing billings including outpatient hospital and multiple surgeries by utilizing our Medical Bill Review (MBR) software to determine appropriateness of codes and excessive charges. Also responsible for analyzing assigned medical bills to determine compliance with business rules, client specific requirements and multiple state rules, regulations and...

SUMMARY:   Delivers and facilitates training to groups, managers, external customers and/or on-the-job (one-on-one) training as well as collaborates with content team to design training material. This position is primarily responsible for the training needs of union represented jobs with a smaller amount of time spent on various non-union jobs as a secondary responsibility. Topics primarily relate to operational training, processes, procedures and technologies.  Provides guidance in the design and development of training programs and preparation of training materials. Evaluates training, develops recommendations, and project manages training solutions. Works with managers to identify methods of improving employee performance. PRIMARY RESPONSIBILITIES: Conducts training needs analysis, design, and development training.  Partners with leaders, Business Analysts, Subject-matter experts, content development and other trainers to implement training plans  Manages implementation...

SUMMARY:  Perform production and quality audits to ensure operations are effective, consistent and in compliance with business rules and processes.  Primary focus includes, but is not limited to, auditing the Service Center teams Claims Support, Business Development, Billing Service Center.   Responsible for performing administrative and support tasks which may be highly confidential and sensitive in nature. PRIMARY RESPONSIBILITIES:  ·    Conducts and executes the production statistics and quality audits of completed work in comparison to established documented procedures to determine accuracy within the Service Center in a timely fashion while being in compliance with statutory regulations (30%). ·    Partner with management, union representatives, human resources, and team members to establish and maintain production and quality standards for Service Center teams (15%).  ·    Compile, create, prepare and review information, audits and reports for accuracy as requested or...

A career at Auto-Owners is challenging and rewarding.  Our group of caring associates create financial security by helping individuals and businesses make a new start when a loss occurs. Job Description We offer a merit-based work-from-home program based on job responsibilities. After initial training in-person, you could have the flexibility of work-from-home time as defined by the leadership team. Auto-Owners Insurance, a top-rated insurance carrier, is seeking an experienced and motivated claims professional to join our team. The position requires the following, but is not limited to: Review and monitor open claims files.  Provide assistance with coverage, liability and damage determinations.  Review closed files provide feedback to claim handlers. Review open and closed files to ensure adherence to claim handling guidelines and state’s Fair Claims Practices. Assist associates in identifying claims with subrogation potential. Manage the arbitration...

A career at Auto-Owners is challenging and rewarding.  Our group of caring associates create financial security by helping individuals and businesses make a new start when a loss occurs. Job Description We offer a merit-based work-from-home program based on job responsibilities. After initial training in-person, you could have the flexibility of work-from-home time as defined by the leadership team. Auto-Owners Insurance, a top-rated insurance carrier, is seeking an experienced and motivated claims professional to join our team. The position requires the following, but is not limited to: Review and monitor open claims files.  Provide assistance with coverage, liability and damage determinations.  Review closed files provide feedback to claim handlers. Review open and closed files to ensure adherence to claim handling guidelines and state’s Fair Claims Practices. Assist associates in identifying claims with subrogation potential. Manage the arbitration process...

A career at Auto-Owners is challenging and rewarding.  Our group of caring associates create financial security by helping individuals and businesses make a new start when a loss occurs. Job Description We offer a merit-based work-from-home program based on job responsibilities. After initial training in-person, this specific role could have the flexibility to work from home up to 3 days per week. Auto-Owners Insurance, a top-rated insurance carrier, is seeking an experienced and motivated claims professional to join our team. The position requires the following, but is not limited to: Review and monitor open claims files.  Provide assistance with coverage, liability and damage determinations.  Review closed files provide feedback to claim handlers. Review open and closed files to ensure adherence to claim handling guidelines and state’s Fair Claims Practices. Assist associates in identifying claims with subrogation potential. Manage the arbitration...

A career at Auto-Owners is challenging and rewarding.  Our group of caring associates create financial security by helping individuals and businesses make a new start when a loss occurs. Job Description *There are multiple positions open across the 26 states in which we operate. The current locations for which we are seeking CAT Claim Reps are located in the job posting.* Auto-Owners Insurance, a top-rated insurance carrier, is seeking an experienced and motivated claims professional to join our team. The position requires the following, but is not limited to: Frequent travel up to 21 days at a time and is required upon short notice to location of catastrophe, which would most likely be out of state. Can meet the physical demands required for the position including carrying and climbing a ladder. Investigate and assemble facts, determine policy coverage, evaluate the amount of loss, analyze legal liability and pay or deny losses.  Familiar with insurance...