3 property claims specialist jobs found in Lansing

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 Large Loss Property Claims Manager Objective To manage all functions of the Property Specialists unit necessary to provide superior customer service by the prompt and efficient handling, control, and proper disposition of large and/or complex claims. To monitor the corporation's property policies and procedures under the direction of the Director of Property & Liability Claims. To aid in the assessment and adoption of Best Practices and Industry Benchmarks to continually improve customer service. To act as a liaison with other divisions. RESPONSIBILITIES Large Loss Property Claims Manager Responsibilities Coordinate, manage, and supervise the handling of large and/or complex property/casualty claims to have a significant effect on the overall profit picture of the company. Provide quality service to the insured and aid in the risk selection and retention of business by maintaining an effective service operation....

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...