22 customer service representative i jobs found in Grand Rapids, MI

SUMMARY:     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. Trains and mentors other team members. Provides backup support to other...

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: (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: (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....

Job Type: Full time   Exempt/Non Exempt:   Hourly Job Description:   Location Details: Remote – ACG Footprint Eligible candidates must live within the following states for consideration: Colorado, Florida, Georgia, Iowa, Illinois, Indiana, Michigan, Minnesota, North Carolina, North Dakota, Nebraska, South Carolina, Tennessee, Wisconsin Position Schedule / Shift: Monday – Friday: 8:30 AM EST – 5:00 PM EST Position Summary: As a Salvage Claim Representative I, you will investigate and manage low complexity claims while identifying opportunities for recovery and ensuring accurate claim resolution. Working under close supervision, you will analyze coverage, evaluate damages, communicate with policyholders and involved parties, and document claim activity throughout the claim lifecycle. This role is ideal for detail-oriented professionals who enjoy problem-solving, customer interaction, and contributing to positive claim outcomes. Key...

SUMMARY:     Claim Representative I:  This is the entry level professional claim handler. Handles medical only and indemnity benefits. Exercises some discretion in the determination of compensability of claims. Considers many factors in the determination claim reserves. Negotiates and settles claims within given authority.    Claim Representative II:  This is the intermediate level of the claim handler career path. Handles moderate difficult claims. Exercises progressively more discretion in the determination of compensability of claims. Considers many factors in the determination claim reserves. Negotiates and settles claims within given authority.    Claim Representative III:  This is the advanced level of the claim handler career path. Investigates claims and exercises significant discretion in the determination of compensability of claims. May handle large, more complex customers requiring high touch, labor intensive claim service. Considers many factors...

Job Type: Full time   Exempt/Non Exempt:   Salary Job Description:   Location Details: Big Rapids/Mount Pleasant, Michigan Territory Position Schedule / Shift: Monday-Friday 8am-5pm ET Position Summary: A highly skilled Field Auto Appraiser responsible for inspecting, evaluating, and determining repair or total loss values for complex vehicle damage claims in the field. Operates with minimal supervision and is entrusted with a high degree of independent authority to resolve technically challenging and high-severity claims. Demonstrates advanced expertise in vehicle construction, damage analysis, repair methodologies, and estimating systems. Acts as a subject matter expert, making sound, timely decisions while ensuring accuracy, compliance, and cost efficiency. Effectively negotiates with repair facilities, customers, and vendors, and provides guidance on complex technical issues, policy interpretation, and claim...

Job Title: Account Specialist I - Affiliates FLSA Status: Non-Exempt Job Family: Brotherhood Works - Insurance Services Department: Brotherhood Works - Insurance Services Location: Corporate Office (Fort Wayne, IN)   JOB SUMMARY Responsible for delivering exceptional customer support through service enquiries, new business on-boarding, and policy renewals.   POSITION ESSENTIAL FUNCTIONS AND RESPONSIBILITIES To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Ensure timely and accurate policy renewals, process policy changes & identify and communicate coverage needs with existing clients or agents via phone, or email. Demonstrate procedural knowledge needed to respond to routine questions via phone and email from client or agent inquiries and resolve issues in a timely manner....

Job Title: Cloud Solutions Engineer I FLSA Status: Exempt Job Family: Information Technology Department: Cloud Applications Location: Corporate Office (Fort Wayne, IN) JOB SUMMARY Responsible for the administration, support, adoption, and continuous improvement of the Microsoft 365 ecosystem. Provides technical support, user enablement, and operational stewardship to ensure secure, reliable, and effective cloud-based productivity services that support organizational goals. POSITION ESSENTIAL FUNCTIONS AND RESPONSIBILITIES To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Build upon current administration and maintenance of Microsoft 365 apps (Outlook, Word, Excel, OneDrive, Stream, Forms, Teams, etc.), Power Platform, and/or Atlassian software products to ensure consistent and...

Job Title: App Support Analyst I FLSA Status: Exempt Job Family: Information Technology Department: IT - Technology Support Location: Corporate Office (Fort Wayne, IN)   JOB SUMMARY Responsible for providing technical support, troubleshooting, analysis, and training for insurance applications to independent agent partners, employees, and customers through phone, email, and in-person communication. POSITION ESSENTIAL FUNCTIONS AND RESPONSIBILITIES To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Provide technical support to end users on various issues relating to insurance software applications through prioritization, documentation, and resolution. Log, track, and test system bugs and feature enhancements while providing status updates and workarounds to end users. Assist in...

Job Title: Payroll Processor I FLSA Status: Non-Exempt Job Family: Brotherhood Works - Payroll & HR Department: Brotherhood Works - Payroll & HR Location: Corporate Office (Fort Wayne, IN)   JOB SUMMARY Responsible for entering data, processing payroll and providing customer support for Brotherhood Works clients and the Brotherhood Works department. POSITION ESSENTIAL FUNCTIONS AND RESPONSIBILITIES To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Process, verify and transmit payrolls accurately and in a timely manner on the software system for assigned Brotherhood Works clients. Input client data, process paperwork, coordinate meetings and calendars, and perform all administrative functions. Demonstrate procedural knowledge needed to respond to routine questions from...

Job Title: Implementation Specialist I FLSA Status: Non-Exempt Job Family: Affiliates Department: Brotherhood Works - Payroll & HR Location: Corporate Office (Fort Wayne, IN)   JOB SUMMARY Responsible for software configuration specific to each ministry including earnings, benefit deductions, and taxes to be withheld for payroll implementation. Record and reconcile pay history with associated filings. Educate and provide resources to clients to help them understand the unique taxation and payment topics.   POSITION ESSENTIAL FUNCTIONS AND RESPONSIBILITIES To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Conduct simple tax reconciliations for all applicable taxes. Provide recommendations to bring pay history and tax settings into compliance where necessary and achieve client...

We’re thrilled that you are interested in joining us here at the Amynta Group! This fully remote position is responsible for the new sales, growth & development of an assigned portfolio. Working with stakeholders from Underwriting, Legal, claims, Actuarial, Marketing, and IT, you will deliver world-class F&I sales for agricultural, construction, and material handling equipment. Under moderate supervision, this sales manager will drive and be accountable for execution of all aspects of sales growth for their portfolio. SEIS Sales –Sales Executive This fully remote position is responsible for the new sales, growth & development of an assigned portfolio. Working with stakeholders from Underwriting, Legal, claims, Actuarial, Marketing, and IT, you will deliver world-class F&I sales for agricultural, construction, and material handling equipment. Under moderate supervision, this sales manager will drive and be accountable for execution of all aspects...

SUMMARY:  Primarily responsible for the following:  Authority to evaluate which submitted vendor physical and phone audits and decide which require further analysis; approval, completion and processing mail audits; processing adjustments, and reviewing phone and physical audits requiring further review in a multi-functional business unit.  Provides direct customer service via phone, fax, and e-mail to internal and external customers including, but not limited to; Business Development Consultants and Service Center representatives, Finance, and other Premium Audit staff, as well as agents, attorneys, NCCI / regulatory bureaus, and policyholders. PRIMARY RESPONSIBILITIES: •   Actively engages in the identification of solutions for multiple or cross-functional business areas.  Has an understanding of the direction of the overall industry and evaluates the related impact. •   Evaluate and decide in a timely manner which vendor audits submitted require further review and provide...

SUMMARY: Level I is in a learning capacity and will progress to the senior level when the incumbent qualifies and is  able to provide coverage and assistance across all primary responsibilities and focus areas  independently. This job is primarily responsible for products and services underwritten by the Enterprise that require  manual processes due to the complex nature of the request or system limitations. Performs in-house  collection activity that ultimately determines financial resolution of delinquent funds owed to the  Enterprise. Services, bills and manages tasks related to “specialty” (i.e. Loss Sensitive, AccuPremium)  business underwritten by the Enterprise. Calculates commission owed to agencies on a monthly basis  and handles all servicing related to agency commissions. Contacts include: Enterprise employees,  agents and policyholders, external collection agencies, NCCI and legal representatives.  PRIMARY RESPONSIBILITIES:  • Maintains in-depth knowledge of policy...

You have a clear vision of where your career can go. And we have the leadership to help you get there.  At CNA, we strive to create a culture in which people know they matter and are part of something important, ensuring the abilities of all employees are used to their fullest potential.  Individual contributor responsible for the overall strategic management and resolution of highly complex claims that involve personal and advertising injury exposures, including but not limited to intellectual property, class action, and commercial disparagement. Review coverage and formulate coverage position letters based on jurisdictional issues and relevant case law. Responsibilities include the coordination of all claim resolution activities in accordance with company protocols, while achieving quality and customer service standards. Position requires regular communication with customers and insureds and may be dedicated to specific account(s). JOB DESCRIPTION: Essential...

You have a clear vision of where your career can go. And we have the leadership to help you get there.  At CNA, we strive to create a culture in which people know they matter and are part of something important, ensuring the abilities of all employees are used to their fullest potential.  CNA is a market leader in insuring healthcare providers and facilities, including nurses, nurse practitioners, aging services, dentists, physical therapists, counselors, pharmacists, massage therapists, and more than 100 other categories of medical service providers. This role will support the business and interact with these key customers. Our Healthcare Claims team is seeking Complex Claims Consultants to support varying segments such as Allied Healthcare Providers & Facilities, Aging Services and/or Dental Malpractice. As a Complex Claims Consultant, you will be responsible for the overall investigation, management and resolution of claims in multiple states within your assigned...

Job Title: Legal Analyst I FLSA Status: Exempt Job Family: Legal Department: Legal Location: Home Office (Fort Wayne, IN) JOB SUMMARY Responsible for assisting in the completion of routine legal department projects as assigned for the benefit of internal and external customers. Interact with company personnel on various legal or risk management issues, and assists in the development and communication of risk management information to external customers as directed. Effectively and efficiently analyze and resolve routine day-to-day matters as assigned in a manner consistent with company objectives. POSITION ESSENTIAL FUNCTIONS AND RESPONSIBILITIES To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Effectively and efficiently undertake legal projects as assigned (including, but not...

Description Are you looking for an opportunity to join a fast-growing company that consistently outpaces the industry in year-over-year growth? Liberty Mutual offers exciting openings for Workers Compensation Senior Claims Specialists within the Central Region!   As a Senior Claims Specialist, you will work within a Claims Team, using the latest technology to review, analyze and process claims that are routinely characterized as moderately complex to complex within assigned authority limits. This includes making decisions about liability/compensability, evaluating losses, negotiating settlements and managing an inventory of commercial property/casualty claims involving bodily injury or property loss. You may also assist the Claims Team Manager with assigning new claims to team members, providing technical direction, and monitoring caseloads.   Training is a critical component of your success, and that success starts with reliable attendance. Attendance...