10 call center representative jobs found in Lansing

OBJECTIVE Medical Claims Representative Objective To provide efficient investigation, evaluation and negotiation of Michigan No-Fault claims. RESPONSIBILITIES Medical Claims Representative Responsibilities Respond to and control the disposition of all assigned Michigan No-Fault claims.   Work with computer systems keying functions, including but not limited to letter composition, log entry, diary entry, report of investigation composition, and draft production.   Read and apply policy of Michigan No-Fault acts as written. QUALIFICATIONS Medical Claims Representative Qualifications Required Minimum two to three years medical claims handling experience required.   Must possess a valid driver license with an acceptable driving record.    Preferred High school diploma or equivalent required. Bachelor’s degree in business administration preferred.   Designation in claims insurance...

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   Responsible for performing tasks for multiple divisional/regional directors, managers and supervisors which may be highly confidential and sensitive utilizing considerable independent judgment.  Performs administrative work, including, organizing, scheduling, coordinating, researching, compiling and exchanging, and sometimes analyzing information for divisional/regional directors, managers and supervisors and their departments.  Assists in implementing department activities and communications, internal and external.       ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned.   Reads and screens incoming correspondence and reports; handles or forwards to appropriate person.   Receives and screens incoming calls and visitors and determines which are priority matters.  Refers to appropriate divisional/regional directors, managers and supervisors or provides necessary information....

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:  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, 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, has need of experienced and motivated Attorneys to join our team. The position requires the following, but is not limited to: Analyze complex issues to determine possible exposure to damages and devise strategies for the successful resolution of disputes. In the context of claim file management, this involves making decisions and providing advice about claims against the Company’s insureds and/or the Company. In other contexts, this will focus on the propriety of Company positions. This is a non-litigation position....

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 a motivated individual to assist policyholders with servicing policies and evaluating coverages for cross-selling opportunities. Additionally, this job processes requests from policyholders and answers policyholder questions regarding existing business. The position requires the person to: Communicate and work with policyholders and associates at all levels. Begin to establish working relationships with policyholders. Accurately answer questions from policyholders, in coordination with other departments...

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 Auto-Owners Insurance, a top-rated insurance carrier, is seeking a motivated part-time Customer Service Representative to join our team. The position requires the person to: Communicate and work with customers and associates at all levels Learn how to and then: assist with reviewing and answering basic inquiries from customers make computer inquiries and entries relating to customer accounts communicate with customers and others as needed to research problems and find solutions collect pertinent information from customers to handle inquiries in a timely and accurate manner. Prioritize and organize work to ensure it is completed in a timely manner Document customer requests and Learn how to and then assist agents with basic tasks Work with confidential and/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, this specific role could have the flexibility to work from home up to 3 days a week. Auto-Owners Insurance, a top-rated insurance carrier, is seeking a motivated Customer Service Representative to join our team. The position requires the person to: Communicate and work with customers and associates at all levels Learn how to and then assist with reviewing and answering basic inquiries from customers. Learn how to and then make computer inquiries and entries relating to customer accounts Learn how to and then communicate with customers and others as needed to research problems and find solutions Learn how to and then collect pertinent information from...

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 for this role should reside within a commutable distance of Lansing, Michigan. Territory coverage includes Lansing, Jackson, Howell, and Flint Michigan areas. Job Title- Field Property Claim Specialist 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 additional sub-claims if needed.  Complete an...