18 general liability claim representative jobs found in Lansing

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 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: (Brief 3-5 sentence paragraph outlining the main purpose of the job) Responsible for providing administrative support, some of which may be highly confidential and necessitate independent judgment, for assistant general counsel in the Legal Department of the Office of the General Counsel. Contacts are mainly with attorneys, tribunals, medical office personnel, policyholders, claims supervisors and claims examiners as well as other clerical or administrative employees.   PRIMARY RESPONSIBILITIES: (Brief bullet points detailing the major duties, not tasks, for this job and the % of time spent on each. Please list them in the order of importance).   · Receive and screen incoming calls and visitors and provide information or route to the appropriate person. · Inform appropriate staff of issues as necessary. · Maintain up to date expertise and broad knowledge in all facets of workers’ compensation litigation. · Update databases and prepares reports utilizing standard...

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...

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, 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 claims trainee to join our team. This job handles entry-level insurance claims under close supervision through the life-cycle of a claim including but not limited to: investigation, evaluation, and claim resolution. This job provides service to agents, insureds, and others to ensure claims resolve accurately and timely. This job includes training and development completion of the Company’s claims training program for the assigned line of insurance and requires the person to: Investigate,...

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 entry level PIP Claims Representative in MI PIP Claims. The position requires the person 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. Administer benefits payable under the Michigan No-Fault Statute, Work toward the...

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 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, 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, depositions, or...

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...

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...