15 medical case manager jobs found in Lansing, MI

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:  Provider Relations Specialist I Responsible for servicing internal and external customers who contact AF Group via the ACD phone line. Responsible for providing quality, consistent and accurate medical payment information to internal and external customers.  Provider Relations Specialist II Responsible for analyzing billings including outpatient hospital and multiple surgeries by utilizing our Medical Bill Review (MBR) software and reference library to determine appropriateness of codes and excessive charges. Responsible for making coding determinations according to state rules and regulations.  PRIMARY RESPONSIBILITIES:  PRIMARY RESPONSIBILITIES: Provider Relations Specialist I •    Utilizes ACD phone lines to manage incoming calls and inquiries. •    Provides high level of customer service for all internal or external customers thru telephonic, email and fax. •    Demonstrates dependable work ethic. •    Manages confidential client information with discretion and good...

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 Supervisor, Operational Support Objective To lead operational support functions, cross-functional strategic initiatives, and project coordination activities that support the overall success of the Property/Casualty Customer Service (PCCS) organization. This role oversees a team of Support Analysts and serves as a key liaison between Customer Service, Information Technology, Product Owners, and other business partners to ensure operational and technical excellence, process consistency, issue resolution, and successful execution of customer service-related initiatives.   To provide leadership and oversight for complex escalations, regulatory response processes, operational workflows, project resource prioritization, knowledge management, and continuous improvement efforts. To support strategic planning and implementation activities that improve service delivery, operational efficiency, employee effectiveness, and customer/member experience....

OBJECTIVE Associate Regional Manager (MFB - Central Region) Objective To work with the Field Operations Division director and the Member Engagement and Field Training Manager in building, maintaining, and servicing the largest possible membership in each assigned county Farm Bureau in order to implement county, state, and national policies and programs. RESPONSIBILITIES Associate Regional Manager (MFB - Central Region) Responsibilities Serve as the regional membership and retention manager assisting county Farm Bureaus to plan and implement an approved membership program that will result in membership growth, retention, and involvement.   Manage all organizational aspects of County Administrative Managers including, but not limited to, hiring, training and on-going coaching, performance appraisals, collaborating with county leadership to establish priorities, and providing coverage for all organizational aspects for County...

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:   Hourly Job Description:   Insurance Sales Agent - Lansing, MI AAA – The Auto Club Group | Full‑time | W‑2 | Base Pay + Incentives + Full Benefits $5,000 Ramp-up Compensation Support **To qualify applicants must be new to ACG.  There is a 1-year payback clause if your employment is terminated prior to completing 12 months of employment.  Additional details can be provided by our Recruiting Team at the time of application** This is a relationship driven sales role with long-term income potential through base and commissions. We know building a client base takes time, which is why we offer ramp-up earnings support during your first months as you grow your pipeline and book of business Success in this role comes from: Consistent outreach Strong follow-up Community...

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 Manager, Data Governance Objective Provide enterprise leadership for Data Governance (DG), data readiness for AI, and data protection by translating business needs, operational risks, and regulatory requirements into practical, scalable data practices. To develop strategies and best practices that ensure Farm Bureau’s data assets are well‑understood, fit for purpose, appropriately protected, and responsibly used to support business operations, decision‑making, and emerging technology use cases, including advanced analytics and AI. To partner closely with business and technology teams to embed governance, privacy‑aware data handling, and responsible data use into day‑to‑day workflows, enterprise initiatives, and various technologies. To manage the initiatives and day-to-day activities of the DG program. RESPONSIBILITIES Manager, Data Governance Responsibilities Lead and evolve Farm Bureau’s DG program to improve...

OBJECTIVE Senior Executive Assistant Objective Provides multi-faceted administrative support and assistance to ensure effective use of the CEO’s time and productive interactions with staff and the public. Handles a wide range of administrative and support tasks and independently initiates and implements processes to manage projects, information, and people. Manages the CEO’s schedule, meeting preparations, follow-up tasks, and complex travel arrangements. Conducts research and information gathering on behalf of the executive and prepares summaries and reports. Develops positive and strategic relationships at all levels of the organization. Uses discretion, judgment, and knowledge of the organization to facilitate the executive's activities and maintain confidentiality. May be responsible for directing and deploying support staff or other resources.  RESPONSIBILITIES Senior Executive Assistant Responsibilities Responsible for...

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...

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...

OBJECTIVE Senior Business and Technical Analyst Objective To analyze the existing or ideal organization and design of systems, including business, departments and organizations, as well as assess business models and their integration with technology. To support the operating efficiency and excellence of the organization through business analysis. To understand customer business requirements and business process management. To elicit requirements from business users, then translate these needs into software requirements. To manage and provide solutions to business ideas, trends and concepts appropriately through technology paths. To influence decision-makers with well-supported documentation. Guide junior analysts and analysis practices, stakeholder engagement, and documentation standards. RESPONSIBILITIES Senior Business and Technical Analyst Responsibilities Perform an internal consultancy role that has responsibility for...

Job Description Amazing Career Moments Happen Here        Transforming the insurance industry is ambitious, we know. That’s why at Applied, we’re building a team that shows up every day ready to learn, willing to try new things, and driven to deliver innovative software and services that make us indispensable to our customers – all within a culture built on values that make us indispensable to each other too. With 40+ years of experience in the Insurtech game, we’re not just redefining what’s achievable, we’re creating a place where amazing career moments are made possible.      Position Overview       Applied Systems, Inc., a worldwide leader in insurance technology, is currently searching for a  Sales Consultant Michigan to own and grow relationships within an assigned portfolio of existing customers. This role is responsible for retention, renewals, adoption, and expansion. You will serve as the primary point of contact for your...