52 claims technician jobs found

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:  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...

We’re thrilled that you are interested in joining us here at the Amynta Group! Provides exceptional customer service to internal and/or external customers, including field technicians and business partners. Responsibilities include but are not limited to: providing standard information, completing forms, determining status of claims and cases based on plan guidelines and meeting or exceeding department metrics for productivity and quality. ESSENTIAL JOB FUNCTIONS: Assists consumers by providing highest level of customer service; remains professional and polite at all times. Provides primary dispatching and administrative duties related to scheduling requests for service to technicians. Creates, dispatches and processes work orders to field personnel while ensuring all appropriate documentation and data entry is completed in a timely manner; interprets and follows-up on technician reports. Develops strong relationships with technicians and business partners....

We’re thrilled that you are interested in joining us here at the Amynta Group! Provides exceptional customer service to internal and/or external customers, including retailers and business partners. Responsibilities include but are not limited to: providing standard information, completing forms, determining status of claims based on plan guidelines and meeting or exceeding department metrics for call handling, productivity and quality. ESSENTIAL JOB FUNCTIONS: Assists consumers by providing highest level of customer service; remains professional and polite at all times. Responds to standard questions and concerns in a timely manner from consumers requesting status updates; completes follow-up requests to ensure customer satisfaction; communicates in a clear and educated manner. Reviews protection plans, service requests and technician reports to confirm accurate plan coverage; determines appropriate next steps for claim resolution. Contacts retailers,...

Perform 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. Support highly complex business processes requiring design or integration of technical solutions that may cross multiple functions of the business. Design, create and implement technical solutions. Serve as a lead role.   Business Analysis 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...

Responsible to identify, prioritize and develop strategies to support Blue Cross Blue Shield of Michigan’s (BCBSM) competitive position, achieve positive business results, and improve the health and wellbeing of our members.  Responsible to make recommendations on consequential matters with long-term implications for the organization, including: setting enterprise aspirations and targets, developing enterprise-level strategies, assessing strategic investments and partnerships, and evaluating the enterprise’s overall portfolio of assets. Oversee or perform analyses including, but not limited to, financial modeling, claims analyses and complex statistical analyses.   Manage activities that are directly related to the corporate strategies, goals and objectives.     Utilize primary and secondary research to assist in identifying best practices and opportunities for the corporation.   Create executive level PowerPoint presentations and correspondence to...

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 role reports to the Meemic Insurance sector of AAA Auto-Club Group. Eligible candidates must reside within the state of Michigan for consideration and have a valid state driver's license. Sr. Michigan Large Loss Homeowner Claims Field Specialist– AAA The Auto Club Group Reports To: Claim Manager as appropriate What you will do: Work under less supervision with a high-level of authority to handle highly complex technical issues and the most 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 coverage analysis on the most...

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 across...

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...

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 Total Performance Manager PRIMARY PURPOSE : To monitor team and colleague technical and quality activities with a focus on trends and quality compliance; to recommend office needs for training to management; and to plan and initiate appropriate actions facilitating overall office performance, development and improvement. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Administers the COMPASS program; conducts local office file audits. Presents audit findings and results...

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 an Account Executive to join our growing team. Our Account Executives are pivotal in delivering exceptional service and innovative insurance solutions to our clients. In this role, you will be responsible for managing and growing a portfolio of...

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 Claims Consultant to join our growing team. This role acts as a strategic partner and risk advisor for all clients and service teams through a high level of service and analysis of claims data that helps shape client policies and...

Description Still in school but ready to launch your career? Be among the first to join our inaugural class of the Early Career Foundations Program! This unique experience is designed to give you hands-on exposure to the financial services industry while allowing you to provide invaluable feedback that will help shape the future of this program. Who should apply?   This program is ideal for ambitious sophomore undergraduates majoring in Human Resources or related fields, students studying Finance with an interest in Compensation, or anyone curious about other HR areas such as Talent Acquisition, Learning & Development, and more. If you are also curious about the financial services industry and eager to gain practical experience that goes beyond building a résumé, this role is for you! You’ll develop skills, expand your professional network, and open doors to future opportunities, both...

  Employer : Blue Cross Blue Shield of Michigan Job Title : Medical Informatics Analyst Job Location : 500 Renaissance Ctr. Detroit MI 48243 Job Type : Full-time, 40 hours a week, Monday – Friday Duties : Provide technical, data and software support to customer departments such as Analytics and Insights Clinical Data Analytics, Strategic Informatics and Biostatistics, Value Partnerships, Hospital Contracting, Care Management and HCV Analytical Center of Excellence. Lead data solution projects to maintain and enhance Clinical Data Programs for the enterprise. Provide programming and data expertise for simple and complex data solution projects and ad-hoc requests. Present data and solutions to internal and/or external customers in a logical way. Provide data support and analysis for programs supporting over 4 million BCBSM beneficiaries using administrative claims data totaling over $20 billion per year. Provide analysis and data support for various...

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 (Medical Management Unit) – The Auto Club Group 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: 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 coverage analysis on the most complex claims Ensure all possible policyholder benefits are identified. Create additional sub-claims if needed....

Amerisure creates exceptional value for its partners, policyholders, and employees. As a property and casualty insurance company, Amerisure’s promise to our partner agencies and policyholders begins with a comprehensive line of insurance products designed to protect businesses, as well as the health and safety of every employee. With an A.M. Best “A” (Excellent) rating, Amerisure serves mid-sized commercial enterprises focused in construction, manufacturing and healthcare. Ranked as one of the top 100 Property & Casualty companies in the United States, we proudly manage nearly $1 Billion of Direct Written Premium and maintain $1.21 billion in surplus. Amerisure is seeking a visionary Chief Architect, Enterprise Architecture to lead the development of our enterprise‑wide architectural strategy. This leader will design and guide technical architecture that aligns tightly with our business architecture , ensuring technology investments directly support business...

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 ­­­­­Personal Lines Account Manager to join our team. This position will report to our agency located in Standish, 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: Receive and process telephone service requests, including but not limited to, policy endorsements, cancellations, billing and identification card issuance Thoroughly and accurately document agency management system Maintain thorough knowledge of company procedures Process all in-coming and out-going mail Review insurance company communications daily Review account renewals and endorsements for accuracy...

At Allstate, great things happen when our people work together to protect families and their belongings from life’s uncertainties. And for more than 90 years, our innovative drive has kept us a step ahead of our customers’ evolving needs. From advocating for seat belts, air bags and graduated driving laws, to being an industry leader in pricing sophistication, telematics, and, more recently, device and identity protection.  Job Description A day in the life of a Field Property Adjuster, and what it takes to do the job! As a Field Property Adjuster, you will be dedicated to providing exceptional service to our policyholders. Your primary responsibility will involve traveling to our customers' homes to conduct on-site inspections, investigate coverage, prepare estimates, and settle claims promptly and efficiently. Additionally, you will handle virtual claims countrywide, leveraging various platforms and software such as Xactimate and ClaimsX Video Collaboration. Your...

Amerisure creates exceptional value for its partners, policyholders, and employees. As a property and casualty insurance company, Amerisure’s promise to our partner agencies and policyholders begins with a comprehensive line of insurance products designed to protect businesses, as well as the health and safety of every employee. With an A.M. Best “A” (Excellent) rating, Amerisure serves mid-sized commercial enterprises focused in construction, manufacturing and healthcare. Ranked as one of the top 100 Property & Casualty companies in the United States, we proudly manage nearly $1 Billion of Direct Written Premium and maintain $1.21 billion in surplus. Amerisure is currently recruiting for a Construction Defect Claims Manager that can do a 3-day hybrid schedule onsite in one of our offices but would consider remote for the right candidate. The ideal candidate will possess the following skill set.  Summary Statement Leads a team of technical Construction Defect...

Build Real-World Application Development Experience Spend your summer gaining hands-on experience supporting the technology that powers a modern insurance organization. Hastings Insurance’s Summer 2026 Application Development Internship is designed for students interested in how enterprise applications are designed, developed, and supported, with the flexibility to focus on the area that aligns most closely with their interests. This is a full-time, paid internship that combines practical, meaningful work with professional mentorship and exposure to how technology supports Hastings’ business and digital transformation efforts. About the Internship Experience: As an Application Development Intern, you will focus your internship in one of three technology areas based on your interests: Enterprise Architecture , Applications Development , or Data, Integration, BI & Reporting . While your primary work will be aligned to your selected focus area, you will also gain...