11 claim service specialist jobs found

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...

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...

OBJECTIVE Complex Casualty Claims Specialist Objective To assure the consistent application of company procedures and practices in casualty claims handling and disposition of large complex casualty claims within the division. To ensure that claims are properly investigated, evaluated, and resolved within the company’s contractual and legal obligations. To provide appropriate and equitable resolution to claimants while protecting Farm Bureau insureds within the confines of the insurance policy and to aid in the retention and growth of business. RESPONSIBILITIES Complex Casualty Claims Specialist Responsibilities Investigate, control, and negotiate all casualty claims involving complex issues beyond the expertise of claim representative as such cases are discovered.   Understand and apply skills and awareness necessary to achieve effectual casualty claim settlements and remain current in the knowledge of the tools of...

The salary range for this job posting is $49,225.00 - $78,759.00 annually + bonus + benefits. Pay Type: Salary The above represents the full salary range for this job requisition. Ultimately, in determining your pay and job title, we'll consider your location, education, experience, and other job-related factors, and will fall within the stated range. Your recruiter can share more information about the specific salary range during the hiring process. While we prefer candidates who reside in Michigan or Illinois, we will consider those who reside in any of our listed payroll approved states with the related experience. Ideal candidates will have Workers' Compensation claims handling experience specifically in Illinois and /or Michigan. The position reports to the Director, Workers' Compensation Claims. Are you a Referral? If you know a current Encova Insurance associate and would like to apply as a referral, please encourage them to submit your referral...

Why USAA? At USAA, our mission is to empower our members to achieve financial security through highly competitive products, exceptional service and trusted advice. We seek to be the #1 choice for the military community and their families. Embrace a fulfilling career at USAA, where our core values – honesty, integrity, loyalty and service – define how we treat each other and our members. Be part of what truly makes us special and impactful. The Opportunity As a dedicated Property Adjuster Specialist , you will work within established guidelines and framework to investigate, evaluate, negotiate, and settle complex property insurance claims presented by or against our members. You will confirm and analyzes coverage, recognize liability exposure and negotiate equitable settlements in compliance with all state regulatory requirements. Property Adjuster Specialist focus on using technology and desk adjusting for a virtual first approach to inspections and claims handling....

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 Care Team Representative Entry-level, Care Team Representative Our teams thrive together! We collaborate in person and embrace a flexible hybrid work style. To join us, you’ll need to live near one of our dynamic Centers of Excellence📍 Southfield, MI : 300 Galleria Officentre, Southfield MI 48034 ✨ What we offer: A stable, consistent work environment —both in-office and virtual A comprehensive training program to help you support employees 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...

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 .   We are pleased to announce an exciting opportunity to join our Staff Counsel office as a Lead Attorney for our Michigan location. This full‑time, exempt role offers the flexibility of remote work while allowing you to contribute meaningfully to a high‑impact, growing legal team. As a Lead Attorney, you will provide legal representation to Hanover/Citizens insureds before courts and arbitration panels across all phases of litigation. The position is hybrid for those near the Michigan office, with fully remote candidates 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...

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 .   We are pleased to announce an exciting opportunity to join our Staff Counsel office as a Lead Attorney for our Michigan location. This full‑time, exempt role offers the flexibility of remote work while allowing you to contribute meaningfully to a high‑impact, growing legal team. As a Lead Attorney, you will provide legal representation to Hanover/Citizens insureds before courts and arbitration panels across all phases of litigation. The position is hybrid for those near the Michigan office, with fully remote candidates 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...

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, this specific role could have the flexibility to work from home up to 3 days per week. Auto-Owners Insurance, a top-rated insurance carrier, is seeking motivated nursing professional to join our team. The position requires the person to: Collaborate with claims associates to provide medical expertise in the investigation, evaluation, and appropriate resolution of injury claims including workers’ compensation, personal injury protection (no fault), and liability. Evaluate medical records for relatedness to the injury and appropriate utilization of medical treatment and services. Prepare and deliver trainings to claims staff via a variety of modalities...

Precision, care, and speed — the backbone of every great benefits experience. Who We Are Austin Benefits Group is a leading employee benefits firm delivering smart benefit solutions to private and publicly traded companies. Behind every seamless open enrollment and every resolved claim is a team that genuinely cares about doing the work right. Our Benefits Administration Specialists are the engine that keeps it all running. If you’re someone who takes pride in accuracy, loves solving problems, and wants to work somewhere your attention to detail actually matters — this is your team. The Opportunity As a Client Benefits Coordinator, you’ll be the operational heartbeat of our client service model. You’ll process enrollments, manage eligibility changes, conduct audits, and ensure every client and employee gets timely, accurate support. This is a high-impact role with direct ownership over outcomes that touch real people’s lives. What...