19 claims intern 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 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 Document Specialists, Claims Document Analysts, Senior Document Analysts, Mail Clerks, and Inserter Operators. Responsible for performing administrative and support tasks which may be highly confidential and sensitive in nature.   PRIMARY RESPONSIBILITIES    Completes production and quality audits, reviewing completed work in comparison to established documented procedures to determine accuracy while providing support to staff as an acting SME. Orients new employees to the departmental and unit procedures. Collaborate with management and stakeholders to ensure understanding, alignment, and consistency in workflow performance. Partner with training, management, and stakeholders to identify training needs based on quality assessment results Compiles, creates, prepares,...

SUMMARY: Primarily responsible for assisting Large Account Underwriters and Business Development Consultants in growing and maintaining a profitable book of business and assisting agents with inquiries related to underwriting rules, procedures and regulations. Reviews policy structures to determine if changes need to be made to stay in compliance with bureau rules and regulations. Provides customer service to agencies and policyholders related to complex inquiries, policy and audit information. Contacts include state rating bureaus, Large Account Underwriters, Business Development Consultants, Business Development Directors, Service Center Managers, Underwriting Technical Advisor, Service Center staff, Finance Department, Claims Department, agents and policyholders. PRIMARY RESPONSIBILITIES: This description identifies the responsibilities typically associated with the performance of the job. The percentage of time in any responsibility may vary between positions. Other...

SUMMARY:  Primarily responsible for supporting the document management including media by analyzing, processing, indexing, re-indexing and assigning a document type and/or sub-doc type to all documents received by all departments within the Enterprise. Documents are received via OnBase and/or paper, fax, media and email. The incumbent must distinguish what department a document belongs to, apply proper criteria to electronically route the document into an electronic database, and initiate workflow of these documents to appropriate core business units in an accurate and timely manner. Primary contacts include other departmental personnel, as well as external vendor contacts. This role is also responsible for processing of incoming documents for the Subrogation, Legal, Commercial Auto, Fronting Agreements, Assigned Risk, Regulatory, Investigations and Medicare/Medicaid teams. Subject matter expert for Document Specialists and Claims Document Analysts.   PRIMARY RESPONSIBILITIES:...

SUMMARY:  This role will focus on maintenance of our incoming workload, issue resolution and first report of injury (FROI) issues.  This position determines jurisdiction for entry of first notice of injury (FNOI) from multiple sources and distributes to the proper destination.  Enters and supports priority and special requests, including correcting newly-created claims.   ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned. •    Identifies jurisdiction, date of injury and special/additional handling items; researches and re-indexes non-new claim submissions to route to appropriate handling.  •    Receives incoming general new claims calls for all entities; backup for ACD calls in the event of telephone system shutdown. •    Makes changes, corrections and updates on newly created and/or existing claims or submissions as well as guiding end-users on process techniques in various applications. •    May serve as a resource regarding intake-related...

SUMMARY:     Primarily responsible for receiving and inventory areas, coordinating, storing, stocking, and distributing a wide variety of mail, materials and supplies throughout the building, including mail room, print center, IT, etc.  Unloads shipments from receiving dock and sorts items for delivery.  Responsible for the maintenance of archival file storage and prepares files for storage or destruction off site. Contacts include buyers, delivery personnel, and employees throughout the company. When the incumbent qualifies and is able to perform all responsibilities independently, they will progress to a level II.     ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned.   Maintains company stock & inventory and assists with purchase requests.   Fulfills, ships, and delivers stock materials and special orders to departments.   Maintains a supply of marketing materials and...

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...

OBJECTIVE Commercial Lines Marketing Representative Objective To partner with Managing Partners (MP), Associate Managing Agents (AMA) and assigned Multi-line Farm Bureau agents within the sales region to build and execute a proactive sales strategy to grow the company’s market share of commercial business within the region.  To work directly with Farm Bureau agents and solicitors to write and retain profitable commercial accounts.  To act as an ambassador for Farm Bureau’s commercial insurance offerings for assigned agents within the region.  To ensure that Farm Bureau’s commercial products are competitively positioned in the market.  To promote effective agent training, development of commercial acumen, assist in placement of direct commercial account sales, and service of commercial property/casualty (P/C) insurance markets for those agents within the region who are not working with a Commercial Lines Advisor. To work closely with the CMP and commercial MPs...

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 Discovery Paralegal to join our team. We are looking for the right individual to join our team to assist our Discovery Team with preparing responses to discovery requests, working with various internal resources to identify and collect responsive material and facilitating document production to outside counsel. The position requires the following, but is not limited to: Review and evaluate discovery requests and recommend responses, limitations and objections for attorney...

SUMMARY Provide leadership and direction to a claims operational team.  Act as a primary, independent, visionary and proactive authority; providing in-depth analysis of claims operational areas including statistical, industrial and regulatory perspectives.  Provide operational consistency and integrity to claims. Serve as a technical expert with regard to department operations.   ESSENTIAL DUTIES AND RESPONSIBILITIES  include the following. Other duties may be assigned. Directly manage and carry out managerial responsibilities in accordance with enterprise policies and applicable laws.  Responsibilities include interviewing, hiring and training employees, planning, assigning, and directing work, appraising performance, rewarding and disciplining employees, addressing complaints and resolving problems. Plan, direct, manage and evaluate the day-to-day operations and workflow of production, claims management and customer teams. Consult with claims management...

SUMMARY:   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 one point contact on the managed claims, determines compensability of claims, manages the medical treatment program, and confirms the claimant’s disability will not exceed waiting period timelines.  This includes calling and discussing potential claim activity and work-related injuries with policyholders, and claimants, providers, attorneys, agents, and state agencies, when necessary.   ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned. Investigates workers’ compensation claims including a mandatory contact to the employer within the required time frame with additional contacts to the employee or provider, as necessary.   Inform medical providers of billing address and billing...

SUMMARY:     This position is responsible for the indexing of all incoming documents to core business units of the company.  Documents are received via paper, fax, and email.  The incumbent must distinguish what department a document belongs to, apply proper criteria to electronically route the document into an electronic database, and initiate workflow of these documents to appropriate core business units in an accurate and timely manner.  Primary contacts include other departmental personnel.     ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned.   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 data entry updates to tracking log for all returned Claims issued checks....

SUMMARY   Provides leadership and direction to the Service Center Team to ensure that the goals and standards of the department and Accident Fund are being met.   Facilitates the development of cross-functional work teams within the Service Center.   Participates in ongoing development of new products and technologies. Ensures productivity meets or exceeds service and quality standards. Develops departmental budget and controls costs.   ESSENTIAL DUTIES AND RESPONSIBILITIES  include the following. Other duties may be assigned. Plans, directs, manages and evaluates the day-to-day operations and workflow of a multi-functional and multi-state team of representatives that handle underwriting, billing and policy inquiries.  Approves/Declines underwriting, audit and billing referrals. Has overall accountability for the accuracy and timeliness of premium billings agent commissions and collections. Provides analysis and recommendations as requested by leadership...

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 Claim Expediter. The position requires the person to: Contact involved parties, describe claim process, initiate completion of claim documentation, confirm the amount of loss, and pay the claim as dictated by Company guidelines. Acquiring knowledge of basic, limited, claim handling procedures; and have the ability to recognize when exceptional circumstances require involvement of the Branch Manager, Claim Supervisor, or a Branch, Field, or Senior Claim...

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...

OBJECTIVE Director of Property Claims Objective To drive claims performance for the entire property team. To assure compliance and successfully balance adjusted loss expense, loss cost and customer satisfaction.  Directly responsible to ensure the prompt, efficient and consistent handling, operation, control and disposition of all first and third party personal and commercial property claims. To plan, organize and direct the implementation and usage of tools and emerging technology needed through innovation and the simplification of business processes.  To provide direction, leadership and technical services for property claims.  Responsible for ensuring quality and customer service standards are achieved.  Develop and be responsible for assigned division and corporate projects that contribute and support strategic goals. RESPONSIBILITIES Director of Property Claims Responsibilities Promote and champion corporate/divisional...

Customer Service Rep I Full-time Shift: 8:00 am to 8:00 pm (Shift bidding process based on seniority) Lansing, MI Assessment required-  Customer Service Rep   Blue Cross Blue Shield of Michigan is looking for outgoing, energetic, phone friendly individuals to work in a fast-pace call center environment. The Customer Service Reps analyzes, evaluates, resolves and primarily responds to low complexity level membership issues under various product lines. Primarily conducts low complexity internal and external research to determine and request the data needed to handle inquiries regarding membership.  Analyze and service various product lines in the area (i.e., Facility, Professional). Provide responses by telephone, check-off letters, and/or automated letters. Follow department/corporate reporting requirements (i.e., PCRS, ICS, Special Surveys and Manual counts).  Organize work to meet National/Corporate/Department Production and Quality Standards.  Reroute misdirected...