183 case manager jobs found

CorVel Corporation is hiring a caring, self-motivated, energetic and independent registered nurse to fill a Medical Case Manager position in the Mid-Michigan/West Michigan area. Work from home, and on the road. Monday – Friday, regular business hours.   As a Medical Case Manager you will make a meaningful difference in the lives of injured workers and their families.  Your responsibilities include working closely with injured workers to facilitate their recovery. You will work collaboratively with the patient, their family, medical providers, members of our team, and others.  This is a heavy local travel role responsible for working with a caseload of workers compensation injured workers within a defined jurisdiction.   ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Provides in-person and telephonic Medical Case Management to individuals, involving the patient, physician, other health care providers, the employer, and the referral source Utilizes their medical 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 Field Case Manager This Field Case Manager will cover our Grand Rapids, MI region and MUST live in this area in order to be considered. Must be an RN and have as least 1.5 years of prior Field Case Manager workers compensation experience. PRIMARY PURPOSE OF THE ROLE: Sedgwick Field Case Managers work face to face with their injured workers and medical providers t o facilitate; though advocacy, progressive medical treatment, and timely return-to-work;...

Position Title Consumer Finance Loan Administrator   Location Troy, MI 48098   Job Summary The Consumer Finance Loan Administrator is responsible for supporting the Consumer Finance Performance Manager, Processors, Underwriters and other Consumer Finance teammates by aiding in departmental processes, production and customer service to consumer customers and internal colleagues. Responsibilities include investigating and routing customer issues or concerns regarding loans or other products or services, completing and analyzing reporting to ensure department SLAs (service level agreements) are met. This role will also support managers and relationship managers using Word, Excel, Power Point, Outlook, and Bank operating/sales management systems. This is a hybrid role based in Troy, MI.   Job Responsibilities: JOB RESPONSIBILITIES Loan Process Support: Assists the processors and underwriters with front-end and back-end process support, such as Mortgage recording,...

WHAT WE'RE LOOKING FOR Berkshire Hathaway Homestate Companies, Workers Compensation Division, is looking for a Business Development Manager in Michigan!  This individual will be responsible for business development efforts and brand strategy within a specified territory.  This involves evaluation of production patterns in new and renewal business to uncover opportunities for refinements to support profitable growth.  You will work collaboratively with other Business Development Managers, Underwriting management, and additional corporate resources to develop opportunities by industry, class code or segment, and to more effectively monitor/evaluate agency performance. You'll stay ahead of competitive intelligence and help prevent production barriers, as well as develop opportunities to improve ease of doing business with BHHC and provide input to improve overall customer experience.  Frequent travel within a specified territory required.   Must be legally authorized to...

WHAT WE'RE LOOKING FOR Berkshire Hathaway Homestate Companies, Workers Compensation Division, is looking for a Business Development Manager in Michigan!  This individual will be responsible for business development efforts and brand strategy within a specified territory.  This involves evaluation of production patterns in new and renewal business to uncover opportunities for refinements to support profitable growth.  You will work collaboratively with other Business Development Managers, Underwriting management, and additional corporate resources to develop opportunities by industry, class code or segment, and to more effectively monitor/evaluate agency performance. You'll stay ahead of competitive intelligence and help prevent production barriers, as well as develop opportunities to improve ease of doing business with BHHC and provide input to improve overall customer experience.  Frequent travel within a specified territory required.   Must be legally authorized to...

Position Title Branch Banking Client Consultant I   Location Troy, MI 48085   Job Summary Branch Banking Client Consultant I is responsible for interacting with clients and providing exceptional service by greeting them as they enter one of our branches and providing them with the services needed to meet their financial goals. This role will process financial transactions in an accurate, efficient, and friendly manner while maintaining operational standards, and assist the team in meeting branch goals.   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 member(s) to achieve growth targets and execute successful sales initiative Client Experience: Provide positive client experience by assisting with account...

Description Summary: The Commercial Portfolio Manager – Huntington Technology Finance (HTF) actively monitors an assigned portfolio and analyzes credit for large, complex customer relationships and circumstances.   Includes management of portfolio risk and adherence to all regulatory and compliance guidelines. A critical component of this role is early identification of emerging credit problems and industry trends. Duties and Responsibilities: Owns primary responsibility for the credit and monitoring of a leasing portfolio.  Responsible for portfolio administration and credit quality of assigned portfolio working directly with the Team Leader and Regional Credit Officer.  Possesses a mastery of client and industry expertise, analyzes company performance and the impact of industry and competitive dynamics and macroeconomic events on the creditworthiness of prospects and clients. Accountable for risk...

Description Actively works with under-performing and distressed companies in a range of strategic areas, including special situations investment banking; turnarounds; performance improvement; restructuring; and interim management. Candidates must have a willingness to take on challenging projects and work with clients and colleagues on a broad set of projects. Vice Presidents in the Financial Advisory Services group support new business development and client engagements, including managing the execution of the processes. Duties and Responsibilities: Prepare, analyze, and explain historical and projected financial information, including 13-week cash flow projections Coordinate and perform detailed business due diligence Execute engagements and manage day-today processes and maintain strict deadlines Organize and prepare forecasts, financial statements, management presentations and other deliverables...

OBJECTIVE To sell and provide marketing support for Medicare and Individual Health benefits offered by Farm Bureau Health Services, a division of Community Service Acceptance Company (CSAC) (aka FB Partners Group) including, but not limited to, Medicare Advantage and Medicare Supplemental products. To maintain an understanding of the Individual Qualified Health Benefit Program offered by Blue Cross Blue Shield of Michigan (BCBSM), Priority Health and additional carriers. To assist Farm Bureau members, prospects and staff in enrolling in health plans. To maintain a working knowledge of health sales and commissions in the defined market area. RESPONSIBILITIES Sell Medicare Advantage and Medicare Supplemental plans to those over the age of 65, focusing in specified counties. Manage books of business in both groups for all products sold and serviced by Farm Bureau Health Insurance. Assist in the sales and servicing of the Individual...

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 position is currently able to work remotely from a home office location for day-to-day operations unless occasional travel for meetings, collaborative activities, or team building activities is specified by leadership. This is subject to change based on amendments and/or modifications to the ACG Flex Work policy.*** Senior Claim Specialist Casualty– The Auto Club Group Report to: Claim Manager II What you will do: In this position, you will have the opportunity to: Review assigned claims, contact the insured and other affected parties, set expectations for the remainder of the claim process, and initiate documentation in the claim handling system.   Complete coverage analysis on the most complex claims. Handle large loss injury claims. Ensure...

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:   Hourly Job Description:   Eligible candidates must reside within the state of Michigan for consideration Michigan Claim Support Processor- AAA The Auto Club Group Reports to: Claim Manager or supervisor as appropriate What you will do: Provide daily support to the Claim department by completing well defined clerical tasks that require a general understanding of the Claims process, business context and the Claims department organization and workflow.  Day-to-day routine tasks include: Research and proper routing of mail, data entry of key information into claim systems for proper routing of documents including summons and complaints  Oversight for exception process of RPA functions, ordering police reports and paying low dollar, high volume invoices, generally associated...

Responsible for managing infrastructure that supports the Third-Party Administrators (TPA) product solution that allows BCBSM to bring competitive product offerings to market and support the product moving forward. Serve as a liaison between the group, operations, group account leaders and Information Technology to ensure roles, responsibilities, and performance expectations are clearly defined and followed by all for effective operations. Define and lead a process to support and manage FlexLink relationships that exist with TPAs as well as customer groups who support this solution. Work with operations to clarify roles, responsibilities and expectations; Support new programs, initiatives or regulations. Manage, create and enhance reporting for Flex Link related performance to ensure timely claim processing.  Partner with operations to establish an appropriate cadence and produce a performance tracking...

The Doctors Company is seeking an IT Cloud and Release Engineer to join our team. This is a hybrid opportunity based in East Lansing, MI, Napa, CA, or New York, NY. The IT Cloud and Release Engineer role will build and maintain the TDCG Azure environment, complete both operational and project-based responsibilities in pipeline design and deployment and execute release activities under heavily regulated conditions and governance.  Qualifications: Bachelor’s degree in Technology or Business and 1 to 2 years, or 3-5 years of progressively responsible experience, preferably within an insurance/medical industry. Excellent customer service skills. Excellent communication skills: verbal, face-to-face, and written. Strong, demonstrated experience in Infrastructure as Code techniques and implementations. Strong, demonstrated experience in heavily regulated code deployment and environment configuration. Experience with supporting data systems such as Databricks, Azure...

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:   Claim Specialist – Michigan PIP – The Auto Club Group Reports to: Claim Manager as appropriate What you will do : The Auto Club Group is seeking prospective Claim Specialist who will work under minimal supervision with a high-level approval authority to handle complex technical issues and complex claims. In this position, you will have the opportunity to: 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....

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:   Sr. Claim Specialist - MI PIP & Litigation – Meemic Reports to: Claim Manager as appropriate ****$5,000 Sign-On Bonus for qualified candidates. This Michigan-based position requires residency within the State of Michigan due to in-person court appearances. What you will do: The Auto Club Group is seeking prospective  Senior   Claim Specialist who can work under less supervision with a high-level of authority to handle highly complex technical issues and the most complex claims.  In this position, you will have the opportunity to: Review assigned claims, contact the insured and other affected parties, set expectations for the remainder of the claim process, and initiate documentation in the claim handling system.   Complete coverage analysis...

SUMMARY:  This position is responsible for the Medication Adherence program for BCBSM senior members. The Director will design and execute a multi-year strategy that improves adherence rates and achieves Star measure performance goals. The Director will report to the Managing Director of Pharmacy Quality and oversee a large, multidisciplinary team of pharmacists, pharmacy technicians, data analysts, and external vendors. This role requires strong cross‑functional collaboration with clinical, operations, IT, finance, and external partners to integrate adherence initiatives, drive performance, and apply emerging digital tools and analytics to scale impact. The ideal candidate combines deep pharmacy expertise with proven leadership, strategic thinking, change-management skills and the ability to influence stakeholders at all levels. RESPONSIBILITIES/TASKS: • Serves as the department lead and subject-matter expert for CMS Star Medication Adherence measure performance; interpret...

Position Title Fraud Detection Analyst   Location Troy, MI 48098   Job Summary The Fraud Detection Analyst plays a critical role in protecting the Bank’s assets by proactively identifying and mitigating fraudulent activity. This position is responsible for reviewing daily fraud detection reports, analyzing suspicious transactions, and making timely, risk-based decisions to prevent losses. The analyst follows established procedures to ensure timely and accurate resolution of fraud cases while supporting a secure and trustworthy banking experience for customers. The role also supports internal and external stakeholders by responding to fraud-related inquiries and collaborating with industry peers to strengthen fraud prevention efforts.   Job Responsibilities: Fraud Detection & Case Review Analyze daily detection reports to identify potential fraud. Make real-time decisions on transaction clearance, extended holds, account flags, and service restrictions....

Position Title Government Banking - Relationship Manager   Location Work From Home MI, MI 48098   Job Summary A Government Banking-Relationship Manager manages government sector relationships and is assigned to Government Banking in the Institutional Banking Solutions group. Responsible for new business development of relationships that will drive profitability from government entities (state, county, municipal, public school districts and public higher education) across their respective markets. Generates deal flow directly from these clients/prospects and orchestrates a team approach to the relationship. The position is supported by product specialists, portfolio managers (credit, underwriting, transaction approvals/processing) and operational support specialists but remains accountable for all aspects of the relationship. Responsible for; sourcing, deepening through effective cross-selling of municipal loans, treasury management and liquidity products and the...

Built on meritocracy, our unique company culture rewards self-starters and those who are committed to doing what is best for our customers. About the role: Absence Consultant will consult with internal sales and account management teams, as well as with external national account clients, on a wide variety of complex projects including: FMLA, State Leave Laws, ADA Pay, Salary Continuance, Statutory Disability, Short-term Disability, Long-term Disability, Vacation and Paid Time-off (PTO) and other employer sponsored leave programs.  The role will serve as the project manager and day-to-day communication liaison with Brown & Brown Strategic Non-Medical Solutions client service and sales team members, create client deliverables, contribute to client management and business activities, and participate in the creation of new intellectual capital. The position is also expected to be resource for the audit process. E xperience on the broker side of the business is a...