67 provider relations specialist jobs found in Lansing, MI

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...

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...

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...

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 an experienced and motivated Legal Specialist to join our team. We are looking for the right individual to join our team to assist our in-house attorneys in supervising claim files and undertaking related projects. The position requires the following, but is not limited to: Review and summarize complaints, claims files, medical records, employment files, and other documents. Assist with processes, workflows, tasks, diaries, and activities. Monitor and review laws and regulations. Assist with claims,...

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...

Note: This position has a schedule requirement of 8pm shift end time on Mondays, the remainder of the week will be 5:30 shift end time. SUMMARY:  Primarily responsible for supporting the billing needs of agents and policyholders providing accurate and consistent services regarding invoice inquiries and premium transaction activity.  Approve changes in accordance with billing rules and procedures in compliance with Accident Fund and/or bureau rules and regulations. Contacts include Service Center staff, Finance Department, Premium Audit Department, Claims Department, agents, and policyholders. ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned.  •    Answers inquiries from agents and policyholders regarding invoices, disbursements, payments, and other billing transactions. •    Requests write offs to resolve small balance and NSF fee discrepancies within guidelines. •    Initiates, reviews, and approves disbursements. •    Reconciles and...

SUMMARY:  In addition to fulfilling the primary responsibilities of a Renewal Specialist, this role will also focus on serving as a lead worker in the Renewal Specialist department by assisting with quality, compliance and customer facing measures. Assisting staff with technical questions and provide mentoring to current and new staff. This role will also serve as a Subject Matter Expert, as well as participating in enterprise projects. Primarily responsible for assisting Business Development Consultants (BDCs) in growing and maintaining a profitable book of business and assists agents with inquiries related to underwriting rules, procedures, and regulations. Manages renewal book in accordance with the needs of the region they are aligned with. Mentors Renewal Specialists with complex agency/insured questions and policy information. Reviews policy structures to determine if changes need to be made to stay in compliance with bureau rules and regulations. Provides customer...

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 Associate P/C Customer Service Specialist Objective To work as a member of the Property/Casualty (P/C) Customer Service Team to provide exemplary customer experiences to policyholders and over 400 agents and their field office staff in a prompt, professional manner. To address policy and billing-related questions and concerns from internal and external customers on all personal and commercial lines of business via the telephone, e-mail, and website. To follow department standards of metrics tracked to ensure quality service. To preserve the Customer Service relationship, gather information and improve the overall service. RESPONSIBILITIES Associate P/C Customer Service Specialist Responsibilities Provide timely assistance to existing and potential policyholders, agents, and lienholders by addressing their inquiries about billing, insurance coverage questions and changes, and member benefits via answering telephone...

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....

Position Title Senior Relationship Manager - Middle Market (Grand Rapids, MI)   Location Grand Rapids, MI 49546   Job Summary Responsible for new business development and relationship management targeted to middle market companies with sales of 30 million dollars or greater within West Michigan, targeting Grand Rapids, MI area. Generate revenue by developing and maintaining relationships with identified companies/sponsors/developers/managers, generating deal flow directly from these clients/prospects and orchestrating a team approach to the relationship. The position is supported by product specialists (capital markets, rates and FX derivatives, treasury management, etc.), portfolio managers (credit underwriting, transaction approvals/processing, portfolio management routines) and operational support specialists but remains accountable for all aspects of the relationship.   Job Responsibilities: New Business Origination:  Developing and maintaining relationships...

About Acrisure :   Acrisure is a global Fintech leader that combines the best of humans and high tech to offer multiple financial products and services to millions of businesses and individual clients. We connect clients to solutions that help them protect and grow what matters, including Insurance, Reinsurance, Cyber Services, Mortgage Origination and more.   Acrisure employs over 17,000 entrepreneurial colleagues in 21 countries and   have   grown from $38 million to   $4. 5   billion   in revenue in just over ten years. Our culture is defined by our entrepreneurial spirit and all that comes with it: innovation, client   centricity   and an indomitable will to win.      Position Overview :   This is a high-visibility role   that reports to the Group’s Global Chief Audit Executive (CAE)   that is critical to supporting senior management and the Audit Committee with independent and objective assurance, advice,...

About Acrisure    A global fintech leader, Acrisure empowers millions of ambitious businesses and individuals with the right solutions to grow boldly forward. Bringing   cutting-edge   technology and top-tier human support together, we connect clients with customized solutions across a range of insurance, reinsurance, payroll, benefits, cybersecurity, mortgage services – and more .       In the last twelve years, Acrisure has grown in revenue from $38 million to almost   $5 billion   and employs over 19,000 colleagues in more than 20 countries. Acrisure was built on entrepreneurial spirit. Prioritizing leadership, accountability, and collaboration, we equip our teams to work at the highest levels possible.     Job Summary   Acrisure is seeking a   S enior   Employee Relations Partner   to join our   team.   This role   serves as a trusted advisor and subject matter expert responsible for managing workplace...

Job Type: Full time   Exempt/Non Exempt:   Salary Job Description:   After in office training is completed, this position may be required to report to an office 1-2 times per month. Senior Attorney – AAA/The Auto Club Group Reports to: Supervising Practice Leader                                             Uses advanced specialized knowledge to handle complex to highly complex litigation of cases of unlimited exposure in which the insured or the Company is a defendant. Controls all aspects of litigation, including trial preparation, discovery, negotiation, presentation and appeals from District to Circuit Court.  Exercises discretion and judgment in performing all functions with minimal supervision. To support those duties, we are applying a monthly cap on new case assignments. Primary Duties and Responsibilities (details of the basic job functions): Case Analysis and Preparation Analyzes, files, reviews all allegations, and...

Description Summary: ​ Prepares and/or reviews loan documentation in accordance with legal requirements, regulatory statutes and Huntington credit policy and procedures. Advises lending personnel regarding credit policy, documentation and compliance. Determines deficiencies and exceptions in loan documentation for the purpose of exception reporting and/or correcting. Works with legal department and other outside professionals in coordinating efforts associated with loan documentation and exception clearing. May assist less experienced employees.               Duties and Responsibilities: Manage loan documentation processes and review/prepare loan documents. Ensure compliance with regulations and coordinate with internal departments/external partners. Resolve documentation issues and monitor loan documentation performance. Prepare and review loan reports and communicate with stakeholders. Track and...

For more than 170 years, The Hanover has been committed to delivering on our promises and being there when it matters the most. We live our values every day, demonstrating we  CARE  through our values,  Sustainability  initiatives and  inclusive corporate culture .   Our staff counsel team is currently seeking a Lead Attorney for its Michigan office.   As an insurance defense attorney in our Michigan office, you will be part of a team providing legal representation to Hanover/Citizens’ insureds and/or Hanover/Citizens Insurance before courts and arbitration panels in all aspects of litigation. This is hybrid/full time/exempt role. Fully remote candidates may be considered.   Position Overview: Investigates and manages and tries the most complex cases in the region. This attorney’s inventory will possess the largest and most complex matters referred from claims. Other attorney’s may be assigned to work under this attorney’s direction on case-by-case basis...

For more than 170 years, The Hanover has been committed to delivering on our promises and being there when it matters the most. We live our values every day, demonstrating we  CARE  through our values,  Sustainability  initiatives and  inclusive corporate culture .   Our staff counsel team is currently seeking a Lead Attorney for its Michigan office.   As an insurance defense attorney in our Michigan office, you will be part of a team providing legal representation to Hanover/Citizens’ insureds and/or Hanover/Citizens Insurance before courts and arbitration panels in all aspects of litigation. This is hybrid/full time/exempt role. Fully remote candidates may be considered.   Position Overview: Investigates and manages and tries the most complex cases in the region. This attorney’s inventory will possess the largest and most complex matters referred from claims. Other attorney’s may be assigned to work under this attorney’s direction on case-by-case basis...

Position Title Commercial Loan Operations Construction Specialist Sr   Location Troy, MI 48098   Job Summary The Commercial Loan Operations Construction Specialist Sr provides advanced operational support to Commercial Real Estate or the Homebuilder Finance Groups, focusing on the servicing of complex residential and commercial construction and development loans. This role ensures accuracy and timeliness in all draw, funding, and collateral activities while offering subject matter expertise and process leadership. The senior specialist works closely with internal stakeholders and external partners to drive efficiency, mitigate risk, and support large-scale projects from pre-close through project completion.   Job Responsibilities: Lead the servicing of complex and high-value construction and development loans, ensuring accurate closing, funding loans and disbursement of draws and tracking of budgets. Ensure flood certificates are ordered and/or reviewed to...

Position Title Senior Relationship Manager, Middle Market (Detroit, MI)   Location Troy, MI 48098   Job Summary Responsible for new business development and relationship management targeted to middle market companies with sales of 30 million dollars or greater, targeting Southeast Michigan / Metro Detroit area. Generate revenue by developing and maintaining relationships with identified companies/sponsors/developers/managers, generating deal flow directly from these clients/prospects and orchestrating a team approach to the relationship. The position is supported by product specialists (capital markets, rates and FX derivatives, treasury management, etc.), portfolio managers (credit underwriting, transaction approvals/processing, portfolio management routines) and operational support specialists but remains accountable for all aspects of the relationship.   Job Responsibilities: New Business Origination: Developing and maintaining relationships to generate direct...

Job Type: Full time   Exempt/Non Exempt:   Salary Job Description:   This is primarily a remote position reporting to an office roughly once every 6 weeks, in addition to any required in-person court appearances. Senior Attorney – AAA/The Auto Club Group Reports to: Supervising Practice Leader                                             Uses advanced specialized knowledge to handle complex to highly complex litigation of cases of unlimited exposure in which the insured or the Company is a defendant. Controls all aspects of litigation, including trial preparation, discovery, negotiation, presentation and appeals from District to Circuit Court.  Exercises discretion and judgment in performing all functions with minimal supervision. To support those duties, we are applying a monthly cap on new case assignments. Primary Duties and Responsibilities (details of the basic job functions): Case Analysis and Preparation...