205 jobs found in Detroit, MI

  Status – Regular FT Hours of Operation: Monday-Friday 9am-5:30pm Site - Detroit Tower   This position is responsible for a variety of clerical duties in support of claims processing which requires a familiarization with standard work routines.  Receives sorts, ages and logs incoming mail/claims. Scans claim for completeness and aged multiple corporate receipt dates requiring priority. Checks basic subscriber, provider and eligibility information. Make corrections to claims. Handles general correspondence. Prepares internal claim forms and GI letters. Adhere to established standard as cited in Service Level Agreement. Process surveys and other seasonal corporate documents.  Prep internal documents from various departments for storage. Index claims for retrieval via Content Manager. Perform other related duties as assigned.    QUALIFICATIONS High school graduate or GED equivalent is required. Six (6) months experience in a high-volume processing area....

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:   This is a hybrid position reporting to an office once a month. Senior Trial Attorney – AAA/The Auto Club Group Reports to: Supervising Practice Leader Responsible for litigation of Circuit and Federal cases of unlimited exposure where there is a multiplicity of complicated legal and factual issues involving the more serious injuries, excess damages, and high exposure litigation of identified legal issues which the Company may pursue through the appeal process. To support those duties, we are applying a monthly cap on new case assignments. Primary Duties and Responsibilities: Case Management and Preparation: Analyzes, files, reviews all allegations, and renders legal opinions to Claims personnel regarding evaluation and disposition of...

Perform a broad range of administrative duties for Vice President. Performs advanced, diversified and confidential secretarial and administrative duties while working within general established guidelines, using judgment and discretion. Prepares correspondence, memoranda, reports, etc. Initiates routine and some non-routine correspondence and memoranda.  Screens telephone calls and visitors and resolves routine and some complex inquiries.  Schedules appointments, meetings and travel itineraries and coordinates related arrangements. May prepare and distribute minutes of meetings. Utilizes the assistance of one or more lower level secretaries on a reporting or project basis. May facilitate corporate programs within assigned departments.  Other duties may be assigned. " Qualifications " High School Graduate or GED equivalent required. Three (3) years of secretarial or related experience required. Proficient in the use of PC applications, i.e., Excel...

Responsible for planning, organizing and managing an assigned business unit.  Operate within broad objectives to ensure optimum utilization of resources; adapt business unit plans and priorities to address resource and operational challenges. Evaluate policies, procedures and business unit goals to make decisions and solve problems. Manage activities of a department including, but not limited to planning, problem solving, staff development and communication. Manage the evaluation of new and existing business processes to identify areas of opportunity and execute on business unit objectives, supporting continuous improvement. Lead, direct, evaluate and develop the work of assigned employees. Responsible for special projects, programs and initiatives to ensure successful delivery of business outcomes. Provide effective and efficient solutions to complex business problems Ensure that day to day business unit operations align with organizational objectives. " Qualifications...

Description Summary: Our Commercial Real Estate (CRE) Relationship Manager III will focus on developing, maintaining and expanding new and existing CRE customer relationships. Duties & Responsibilities: Serves as the point person in determining the customer's needs and meeting them through the seamless delivery of the Bank's products, services and associated resources. Develops and maintains profitable customer relationships within a specific targeted market segment by coordinating all sales and service efforts. Maintains knowledge of all Bank products and continually develops product expertise. Responsible for ensuring the optimizing of all customer relationships which entails developing revenue growth through generation and cross selling of all applicable Bank products including deposits, loans, and services within Huntington's other lines of business. With proficiency in credit fundamentals,...

Blue Cross Blue Shield of Michigan is seeking a Rating & Underwriting Analyst to help safeguard the financial health of the company through risk evaluation and sound business recommendations. In this role, you will calculate renewal rates and settlements, analyze projected financial impacts, and ensure the accuracy and quality of rate releases. You’ll prepare ERISA reports, create customer quotes using demographic and claims data, and review participation levels, contribution methodologies, and industry classifications. Supporting more senior analysts, you’ll help explain rate changes to stakeholders—such as customers, sales teams, agents, consultants, and employer groups. You’ll apply underwriting and rating policies when reviewing exception requests and prepare recommendations for leaders, considering both financial and operational impacts. Additional tasks may be assigned to support team goals. Qualified candidates will have a Bachelor’s degree in Finance, Accounting,...

The Enterprise Security Officer II position is an essential member of the enterprise security team and is focused on providing a safe, secure, and friendly environment for all individuals on our property.  The primary duties of a security officer II consist of Security Officer I responsibilities in addition to enterprise command center responsibilities.  Individuals in this position must be professional in their appearance and conduct and assist in the enforcement of corporate policies, guidelines, procedures, rules, regulations, laws, and ordinances. The security officer II will protect BCBSM property against damage, fire, theft, trespassing, and illegal or unauthorized entry. They will also provide an emergency response for major events and provide high quality customer service and educate stakeholders to take an active role in maintaining a secure workplace.  The Security Officer II must remain calm under pressure and can make decisions quickly to protect people or...

Responsible for planning, coordinating, and supervising all administrative, operative and employee functions within assigned area(s) to ensure an efficient and cost effective area in accordance with departmental and corporate standards and objectives. Supervise, coordinate, direct and monitor staff activities to ensure prompt, courteous and accurate response to customers; ensure an efficient and qualitative operation through effective planning, leading, controlling and organizing. Prioritize and assign work to employees and initiate corrective measures to resolve problems including scheduling or adjusting overtime requirements as necessary. Select, train, develop, appraise and counsel support staff personnel. Interface with diverse levels of internal and external personnel to develop and maintain effective rapport and to resolve issues and inquiries. Monitor and analyze proficiency and quality efforts subordinate personnel. Administer and adhere to...

Customer Service Rep I Full-time Shift: 8:00 am to 5:00 pm Detroit, 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 inquiries.  Primarily evaluates membership...

Employer : Blue Cross Blue Shield of Michigan Job Title : Director Job Location : 600 E. Lafayette Street, Detroit MI 48226 Job Type : Full-time, 40 hours a week, Monday – Friday Duties : Lead and direct an organization responsible for a segment of the work performed by the IS division. Identify the drivers, strategies and needs of clients' operations and lead internal change to support those operations. Provide consulting to business executives, management of multiple functions, services and units, organizational mission, vision, objectives, structure, policy setting, strategic planning. Have managers, support staff and senior technical personnel reporting to them. Influence and support the culture, values and standards of the organization. Direct, motivate and develop managers and other key personnel who report to them. Direct the development of corporate standards. Direct reviews of tools and technologies for improving performance and reducing costs....

Perform technology functions to include but not limited to business and systems analysis, application development and process improvement. Serve as a liaison between the business area and the IT organization when needed. Identify, document and communicate system and process changes necessary to improve system and operational performance measures.  Possess an in-depth knowledge of line of business while contributing to the identification, analysis and recommendation of technical process improvement initiatives. Design, create and implement technical solutions. Support complex business processes. Conduct data gathering and analysis to understand business strategy requirements. Provide direction for short and long-term planning sessions and provide direction to ensure understanding of business goals and direction. Evaluate ongoing department activity and propose new tools or technologies Assist in the business process redesign and documentation as needed for new technology....

SUMMARY    Responsible to plan, organize, direct, , and lead market research activities within the Medicare Strategy and Performance business unit; Use qualitative and quantitative methods to derive data and insights that support strategy, planning and performance activities.  The ideal candidate for this department will:  Be a strategic thinker with deep business and industry knowledge of government programs.   Use data and visualization tools to drive insights to support strategy.  Possess a willingness to learn in complex industry and adaptive landscape.    ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned.  1. Support activities that are directly related to the development, design, and administration of methods and procedures, including surveys, to assess consumer preferences, the health care environment and the competitive landscape.  2. Interpret and predict trends derived from the collection, study, and...

Departmental Summary Accountable for leading enterprise digital and automation initiatives from strategy through sustained execution. Owns multi‑year transformation efforts with complex scope that span processes, systems, and business functions. Delivers solutions that modernize how work gets done, reduce manual effort, and improve scale and consistency across the enterprise. Partners closely with business and technology leaders to align work to enterprise priorities and measurable outcomes. Monitor progress and produce project status reports, timelines, budget reports, and project metrics, including delivery, adoption, and automation outcomes. Plan projects, including concept, design, planning, project scope, cost and benefits, testing, acceptance, implementation, and post‑implementation review of digital, automation, and process transformation deliverables. Lead cross‑functional teams comprised of internal business partners, technology teams, and vendor resources....

Why GM Financial? GM Financial is the wholly owned captive finance subsidiary of General Motors and is headquartered in Fort Worth, U.S. We are a global provider of auto finance solutions, with operations in North America, South America, and the Asia Pacific region. Through our long-standing relationships with auto dealers, we offer attractive retail financing and lease programs to meet the needs of each customer. We also offer commercial lending products to dealers to help them finance and grow their businesses. At GM Financial, our team members define and shape our culture — an environment that welcomes new ideas, fosters integrity, and creates a sense of community and belonging. Here we do more than work — we thrive. Our Purpose: We pioneer the innovations that move and connect people to what matters This position will be posted until filled.   The Accountant III prepares journal entries, performs and assists others with difficult and involved reconciliations, researches...

Responsible for providing legal analysis and consultation to business partners on impacts in an environment that is continuously evolving. The Associate Attorney will partner closely with the business to determine its ultimate goals, assess risk, and provide creative solutions. Proactively identifies and analyzes legal issues and risks presents clear opinions, advice and recommendations, and helps ensure legal compliance across the full spectrum of the enterprise. Drafts a variety of legal documents and memos, opinions, and pleadings where appropriate, with direction from the attorney or senior attorney on more complex matters. Serves as internal counsel for substantive areas of law as required, with ability to quickly learn unfamiliar areas of law. Develops and maintains productive working relationship with business partners Assist business partners with identifying and evaluating business objectives, legal risks, and liabilities and provide support and...

Conduct compliance investigations and lead the execution of complex initiatives for Blue Cross Blue Shield of Michigan (BCBSM) and its subsidiaries. Support leadership in the design and implementation of compliance initiatives. Conduct comprehensive and complex regulatory analyses to include the review, summarization and dissemination of compliance reports. Lead privacy investigations to evaluate associated business risks and provide recommendations to leadership to maintain compliance. Facilitate government audit requests and inquiries by establishing timelines and deliverables. Maintain knowledge of insurance industry standards and monitor the regulatory environment to identify business vulnerabilities, conduct risk assessments and recommend process changes.  Support management in the determination of resource allocation for key compliance initiatives. Prepare executive-level compliance reports and presentations. May lead or direct the work of other compliance...

Description The Technical Consultant II provides highly complex consultative services to an assigned group of customers within a specialty segment or territory. Conducts on-site evaluations, evaluates data, and creates/implements service plans to control customer's source of risk, losses and costs. Provides risk assessment services and information to track progress and demonstrate the value of doing business with Liberty Mutual. Serves as a trainer/mentor to less experienced consultants in their specialty area at the discretion of their manager. Enhances the Company's leadership position in the safety field through speaking engagements at conferences and developing key relationships.   ***Must have property and casualty experience****   Responsibilities:   Provides an array of expert consultative services to an assigned group of customers within a specialized technical area or territory. Conducts on-site evaluations, evaluates...

SUMMARY:    The Senior Health Care Analyst is responsible for planning, organizing, directing, implementing, and leading department assignments.  This position operates within broad objectives to ensure optimum utilization of manpower and budget.  This role researches, compiles, and analyzes appropriate and relevant data and makes recommendations for operational improvements.  RESPONSIBILITIES/TASKS:  Support PBM transition tasks and participate in workstream meetings Supports PBM audit and analytics to support Medicare pharmacy services business team.  Builds and supports business reports to be included in executive dashboard. Leads in the research, analysis, identification, and evaluation of data from assigned problems to evaluate existing and potential trends and issues. Possesses and maintains an extensive comprehensive knowledge of BCBSM business, products, programs (including provider data, networks, etc.), corporate organizational structure (including functional...

Perform technology functions to include but not limited to business and systems analysis, application development and process improvement. Serve as a liaison between the business area and the IT organization when needed. Identify, document and communicate system and process changes necessary to improve system and operational performance measures.  Possess an in-depth knowledge of line of business while contributing to the identification, analysis and recommendation of technical process improvement initiatives. Design, create and implement technical solutions. Support complex business processes. Conduct data gathering and analysis to understand business strategy requirements. Provide direction for short and long-term planning sessions and provide direction to ensure understanding of business goals and direction. Evaluate ongoing department activity and propose new tools or technologies Assist in the business process redesign and documentation as needed for new technology....

Responsible for leading the development and implementation of programs and strategies by identifying insights that enhance business decision making capability. This includes developing or changing workflows and implementing process improvements to enhance organizational products, programs and service to our customers Identify and analyze operational data and develop insights in support of business objectives. Develop and improve work flows and business processes within defined areas to improve customer service, decrease operational costs and improve overall quality. Identify and/or analyze business problems and develop recommendations for solutions to problems. Lead the development and implementation of projects and/or teams in order to produce desired results. Document and communicate project concepts, milestones and results. Recommend and assist with implementing standard policies and procedures. Ensure that corporate compliance is communicated, implemented and monitored...