68 claims processor jobs found

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...

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:   Business Intelligence Support Analyst– The Auto Club Group What you will do: Support management and senior staff in the research, analysis and development of Business Intelligence (BI) solutions.  Identify areas for data quality improvement and provide support in the resolution of data quality problems.  Provide training and support to end users regarding BI solutions and the IBI data warehouse.  Assist management and senior staff with the development of proposals and business cases.  Develop end user documentation and communication plans.  Analyze and assess the impact of changes to Actuarial, Underwriting, Sales, Processing and Claims procedures/systems including rate revision changes on data and reporting requirements.  Assist in the development of data management...

Position Title Fraud Call Center Assistant Manager   Location Troy, MI 48098   Job Summary The Fraud Assistant Manager plays a key role in supporting the Fraud Manager with the oversight, strategy, and operational leadership of the Fraud Detection team. This role ensures high standards of fraud prevention and investigation by driving performance, maintaining compliance with banking regulations, and upholding quality controls. In addition to managing individual workload, the Fraud Assistant Manager mentors and develops team members, leads performance evaluations, contributes to training efforts across business units, and offers subject matter expertise on fraud-related matters. The role also contributes to the development of policies and procedures, performs detailed reporting and trend analysis, and assists in managing complex projects aimed at reducing loss and mitigating risk. Acting as a fraud prevention expert, this position fosters collaboration across departments...

By joining Sedgwick, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there’s no limit to what you can achieve. Newsweek Recognizes Sedgwick as America’s Greatest Workplaces National Top Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance Training Manager Our teams connect! We collaborate onsite and have a hybrid work arrangement. All candidates must live near one of our centers of excellence:       Dubuque, IA   : 4141 Westmark Drive, Dubuque, IA 52002   Cedar Rapids, IA   : 333 1 st   Street SE Ste. 200 Cedar Rapids IA 52401   Coralville, IA:    3273 Ridgeway Drive Coralville IA 52241   Dublin, OH   : 5500 Glendon Court Dublin OH 43016...

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 must reside within the state of Michigan for consideration. Fremont Michigan Property Desk Claims Specialist- AAA The Auto Club Group 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.  Claim handling responsibilities will include the following: reviewing assigned claims, contacting the insured and other affected parties, setting expectations for the remainder of the claim process, and initiating 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 investigation of the...

Grow With Us!  At Hilb Group, we recognize that our associates are our greatest asset. We promote a service-driven culture of high performance that encourages career and professional development. The Hilb Group is currently seeking a motivated and ambitious Senior Associate Account Manager to join our team. This position will report to our agency located in Lambertville, MI. The ideal candidate will be motivated to succeed, is well organized, able to prioritize, and able to work well with a team. This is an in-office position. Responsibilities: Respond to client inquiries via phone, email, or in-person regarding policies, coverages, billing, and claims. Process policy changes, endorsements, cancellations, and renewals accurately and promptly. Provide quotes for new business and remarket existing policies when appropriate. Build and maintain strong client relationships through professional, friendly service. Review coverage and policy details with...

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....

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....

By joining Sedgwick, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there’s no limit to what you can achieve. Newsweek Recognizes Sedgwick as America’s Greatest Workplaces National Top Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance Workforce Absence Team Lead Our teams connect! We collaborate onsite and have a hybrid work arrangement. All candidates must live near one of our centers of excellence: Southfield, MI : 300 Galleria Officentre Southfield MI 48034 PRIMARY PURPOSE :  To supervise the operations of multiple teams of examiners and technical staff for disability claims for clients; to monitor colleagues' workload, provide training, and monitor individual claim activities; to...

Job Description Are you looking for your next opportunity? Sompo has a unique opportunity for a VP, Underwriter in our U.S. Railroad Insurance team. Location: This position will be based remotely in Michigan. We strive for collaboration, which is why we offer a work environment where our employees thrive and develop long-lasting careers. Our business, your impact, our opportunity: As the VP, Underwriter, you will support the established Sompo Rail Unit evaluating complex railroad related liability risks.  You will build and manage partnerships with brokers and other distribution partners, leveraging strategic thinking to develop and maintain a strong pipeline of opportunities that support profitable growth in Sompo’s U.S. Railroad business. You will underwrite within your authority level and established guidelines while partnering across functions to deliver strong portfolio performance. What you’ll be doing: Underwrite complex accounts and...

Responsibilities We are looking for an IT Project Manager to join our growing team. This role is primarily responsible for the overall delivery and management of application development and technology projects/products and serves as the project management lead in working with enterprise skill teams touching different areas of IT and Business Solutions.  Ability to work on a hybrid model (couple days a month at HQ) located in Farmington Hills, MI.   Responsibilities In this role, you will report to the project management office (PMO) Provide leadership and support for the overall delivery and management of medium to high complexity projects This is a highly collaborative role that requires someone who is motivated with a positive demeanor, exhibits perseverance, collaboration, critical thinking, and problem-solving skills Responsible for project delivery, maintaining plans and processes, driving project...

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...

Grow With Us!  At Hilb Group, we recognize that our associates are our greatest asset. We promote a service-driven culture of high performance that encourages career and professional development. The Hilb Group is currently seeking a motivated and ambitious Account Manager to join our team. This position will report to our agency located in Lambertville, MI. The ideal candidate will be motivated to succeed, is well organized, able to prioritize, and able to work well with a team. This is an in-office position. Responsibilities: Respond to client inquiries via phone, email, or in-person regarding policies, coverages, billing, and claims. Process policy changes, endorsements, cancellations, and renewals accurately and promptly. Provide quotes for new business and remarket existing policies when appropriate. Build and maintain strong client relationships through professional, friendly service. Review coverage and policy details with clients to ensure...

Responsible for assisting and supporting management in the evaluation, recommendation, establishment, implementation and analysis of new and improved production workflows, work processes for systems, reporting and new products/programs to improve customer service levels and overall quality. Support the development, coordination, and implementation of projects to enhance the overall efficiency of operational procedures, methods, controls, and performance. Compile and analyze operational data to identify and resolve business problems. Utilize and maintain available reporting systems. Participate in systems testing, develop procedures/controls and provide recommendations for the ongoing improvement of the updated process. Provide leadership team with status updates on projects and issues. Communicate and recommend policy changes to achieve project objectives. Assist in documenting departmental procedures. Create and present reports and presentations to display operational...

We’re thrilled that you are interested in joining us here at the Amynta Group! The CUSTOMER SERVICE REPRESENTATIVE is responsible for handling all incoming calls to our call center. The Customer Service Representative is responsible for assisting callers regarding the company’s programs ESSENTIAL JOB DUTIES AND RESPONSIBILITIES* Receives incoming calls from customers, vendors, merchants, and service companies and resolve issues regarding specific products, terms and conditions, service calls, and general questions. Handles our customers’ first report of claims Maintains a continual working knowledge of our client’s products, services and promotions. Completes a variety of forms and documents that require limited to no judgment based on guidelines and customer responses, scripted documents and operational procedures. Delivers service utilizing prescribed standards to supply accurate information to callers and resolve their issues. Researches, responds to and...

By joining Sedgwick, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there’s no limit to what you can achieve. Newsweek Recognizes Sedgwick as America’s Greatest Workplaces National Top Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance ADA Accommodation Coordinator Our teams connect! We collaborate onsite and have a hybrid work arrangement. All candidates must live near one of our centers of excellence:       Dubuque, IA   : 4141 Westmark Drive, Dubuque, IA 52002   Cedar Rapids, IA   : 333 1 st   Street SE Ste. 200 Cedar Rapids IA 52401   Coralville, IA:    3273 Ridgeway Drive Coralville IA 52241   Dublin, OH   : 5500 Glendon Court Dublin...

Position Title Branch Banking Client Consultant II - Float   Location Novi, MI 48377-4545   Job Summary Branch Banking-Client Consultant II-Float travels between assigned branches in order to provide customers with high quality, prompt, and professional financial services. 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...

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 Director of Property Claims Objective To drive claims performance for the entire property team. To assure compliance and successfully balance adjusted loss expense, loss cost and customer satisfaction.  Directly responsible to ensure the prompt, efficient and consistent handling, operation, control and disposition of all first and third party personal and commercial property claims. To plan, organize and direct the implementation and usage of tools and emerging technology needed through innovation and the simplification of business processes.  To provide direction, leadership and technical services for property claims.  Responsible for ensuring quality and customer service standards are achieved.  Develop and be responsible for assigned division and corporate projects that contribute and support strategic goals. RESPONSIBILITIES Director of Property Claims Responsibilities Promote and champion corporate/divisional...