27 claims associate jobs found in Lansing, MI

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: (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: (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: (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....

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: (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....

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 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 process...

SUMMARY:  Primarily responsible for supporting the billing needs of agents and policyholders providing accurate and consistent services regarding invoice inquiries and premium transaction activity.  Approve changes in accordance with billing rules and procedures in compliance with Accident Fund and/or bureau rules and regulations. Contacts include Service Center staff, Finance Department, Premium Audit Department, Claims Department, agents, and policyholders. ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned.  •    Answers inquiries from agents and policyholders regarding invoices, disbursements, payments, and other billing transactions. •    Requests write offs to resolve small balance and NSF fee discrepancies within guidelines. •    Initiates, reviews, and approves disbursements. •    Reconciles and troubleshoots accounts to clarify billing transactions and cash applications in order to provide customers with up-to-date account...

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,...

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 an experienced and motivated Claims professional to join our team. The position requires the following, but is not limited to: Inspect damaged automobiles, develop information regarding repair costs, negotiate repair cost agreements, and evaluate practicality of repair and options for settlement of claims.  Maintains an understanding of current automobile construction and repair techniques, assuring compliance with statutory requirements including but not limited to appropriate use of after-market parts, and repairs to automobiles with concern for safety and industry standards. Communicate with claim associates, agents, insured’s repair facilities and others regarding inspections and conclusions; develop...

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 Legal Support Specialist to join our eBilling team. We are looking for the right individual to join our team to assist our in-house attorneys in reviewing outside counsel invoices and undertaking related projects. The position requires the following, but is not limited to: Effectively communicate with Home Office Attorneys, outside counsel and other divisions through verbal and/or written correspondence. Accurately input data into various systems. Interpret and apply verbal...

OBJECTIVE Senior Property Claims Coordinator Objective To be an effective senior team member of the Claims Division supporting the claims processing needs of the property claims team and other areas within the division as needed. To provide exceptional customer service with accuracy, promptness and professionalism. RESPONSIBILITIES Senior Property Claims Coordinator Responsibilities Review, process, problem solve and make payment on invoices received from adjuster. Pay attention to detail, be accurate, pay on correct exposure and use valid service descriptions.   Aid claim adjuster in generating letters, working inventory sheets, assisting with backend claim processes such as recoverable depreciation and other duties, as requested.   Clarify with adjuster any questions regarding claim set-up, facts, documentation and payment/letter validity to ensure accurate processing before final issuance of the requested document....

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 join our team as an experienced PIP Claims Representative. The position requires the following but is not limited to: Investigate and assemble facts, determine policy coverage, evaluate the amount of loss, and pay benefits that are owed. Review medical bills, authorize payments and ensure payments are issued in a timely and accurate manner in accordance with the Michigan No Fault Statute. Work toward the resolution of claims, and attend arbitrations, mediations,...

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 a motivated individual to join our team as a Social Media Strategist. The position requires the person to: Independently develop branded Auto-Owners content for review. Curate and manage content using existing tools for all Social Media platforms. Suggest and monitor KPIs (Key Performance Indicators) using existing tools to gauge a Social Media Platform’s success. Adopt Social Media best practices based on Auto-Owners’ standards and culture. Monitor social media platforms for both Auto-Owners and our...

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 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...

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, is seeking an experienced and motivated Claims professional to join our team. The position requires the following, but is not limited to: Inspect damaged automobiles, develop information regarding repair costs, negotiate repair cost agreements, and evaluate practicality of repair and options for settlement of claims.  Maintains an understanding of current automobile construction and repair techniques, assuring compliance with statutory requirements including but not limited to appropriate use of after-market parts,...

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...