15 customer care representative 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)     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: (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...

OBJECTIVE Senior Casualty Claims Representative Objective To provide efficient adjustment, processing, and settlement of casualty claims, including large and/or complex casualty claims consistent in accordance with established adjusting procedures while providing a WOW! customer experience and also controlling loss and loss adjustment expenses. RESPONSIBILITIES Senior Casualty Claims Representative Responsibilities Investigate and interpret policy as it pertains to the loss, including large and/or above-average complicated claims, evaluate liability, negotiate settlement or declination, and defend Farm Bureau insureds according to Farm Bureau insurance contracts. Accomplish function under minimal supervision with emphasis on customer service and controlling loss and loss adjustment expenses.   Evaluate insurance coverage based on loss notice, insurance policies, applicable statutes and case law to determine if 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:  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  · 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 issues, i.e., determine jurisdiction, assist in clearing...

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 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...

OBJECTIVE Auto Material Damage Supervisor Objective To assist the Auto Claims Manager in the application of a team-based approach to the handling of auto material damage (AMD) claims. Oversee the daily operation of an AMD Claims Representatives team, to ensure claims are handled in a timely and efficient manner while delivering excellent customer service. To act as resource and coach to the members of the AMD Team necessary to achieve department and company objectives. To oversee the settlement of auto material damage, property damage and mini-tort claims, and work toward resolution of complex issues and complaints from the AMD Team. RESPONSIBILITIES Auto Material Damage Supervisor Responsibilities Develop and build effective teams to achieve a high level of customer service to Farm Bureau Insurance policyholders and Field Force.   Maintain knowledge of all physical damage contracts written by the companies, their various...

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...

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...