28 provider relations specialist jobs found

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...

SUMMARY The Senior Commercial Insurance Field Underwriting Specialist (internal title: Senior Business Development Specialist) drives profitable growth, retention, and agency engagement for Accident Fund Commercial Markets Small Business across Western to Mid-Michigan. This field-based role develops and manages independent agency relationships, evaluates and underwrites complex commercial insurance risks within assigned authority, and identifies new business opportunities. Working closely with internal partners, the specialist delivers responsive solutions, supports territory strategy, and serves as a key market representative through regular agency visits and business development activities. ESSENTIAL DUTIES AND RESPONSIBILITIES  include the following. Other duties may be assigned. Evaluates prospective and existing accounts for eligibility, insurability, exposure, and pricing; prepares quotations and accepts or declines business within assigned underwriting...

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 Middle Market department is seeking a Senior Sales Underwriter to join our growing team for our Central/Western Michigan territory .   This is a Full-time, Exempt role.   This is a Hybrid position.     Position Overview/Summary: Responsible for identifying, soliciting, underwriting and selling new and renewal Middle Market accounts that drive profitable growth and align with Industry Segments, appetite and mix goals. Apply advanced technical, sales and analytical skills to provide insurance solutions that help Hanover’s customers manage risk. Demonstrates a thorough understanding of Hanover’s strategies and appetites and will use internal and external data to make...

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 Middle Market department is seeking a Senior Sales Underwriter to join our growing team for our Central/Western Michigan territory .   This is a Full-time, Exempt role.   This is a Hybrid position.     Position Overview/Summary: Responsible for identifying, soliciting, underwriting and selling new and renewal Middle Market accounts that drive profitable growth and align with Industry Segments, appetite and mix goals. Apply advanced technical, sales and analytical skills to provide insurance solutions that help Hanover’s customers manage risk. Demonstrates a thorough understanding of Hanover’s strategies and appetites and will use internal and external data to make...

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.    Associate Attorney – AAA/The Auto Club Group Reports to: Supervising Practice Leader Under moderate supervision, handle litigation and cases of intermediate-level exposure and complexity in which the insured or the Company is a defendant.  Able to transition from courts of limited exposure to courts of unlimited exposure.  Develops and applies skills to control all aspects of litigation, including trial preparation, discovery, negotiation, presentation and appeals from District to Circuit Court.  To support those duties, we are applying a monthly cap on new case assignments. Primary Duties and Responsibilities (details of the basic job functions): Reviews and analyzes files, insurance policies, all allegations and pertinent...

Job Type: Full time   Exempt/Non Exempt:   Salary Job Description:   Location Details: After in office training is completed, this position may be required to report to an office 1-2 times per month. Position Schedule Monday- Friday 9am-5pm Position Summary: 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. Key Responsibilities: Case Analysis and Preparation Analyzes, files, reviews all allegations, and renders legal opinions to Claims personnel regarding evaluation and disposition of injury cases....

SUMMARY: 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 CSRs 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 service to agencies and policyholders related to complex underwriting inquiries, policy, and audit information. Contacts include state rating bureaus, Business Development Consultants, Business Development Directors, Service Center Managers, Underwriting Technical Advisor, Service Center staff, Finance Department, Claims Department, agents and policyholders.   ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned....

Job Type: Full time   Exempt/Non Exempt:   Salary Job Description:   Location Details : Hybrid. The EADS must reside within Southeastern Michigan/Metro Detroit area.   Position Schedule: Monday through Friday, 8:30 a.m. to 5:00 p.m.   Position Summary: The Entrepreneurial Agent Development Specialist (EADS) serves as a business consultant and partner by providing tactical and strategic support to Entrepreneurial Agents (EA) in the assigned geography.  This position requires regular travel to agents’ office locations within assigned Metro Detroit geography.       Key Responsibilities:   Operate as a subject matter expert by becoming well versed on all components of the Connected Member Vision and product/sales knowledge.  Assist assigned EAs in the development and implementation of agency business goals.  Own and be accountable for agency success/retention and agent productivity and growth goals.  Support the acquisition of profitable new...

Job Type: Full time   Exempt/Non Exempt:   Salary Job Description:   Location Details: Hybrid Position Schedule / Shift: Monday-Friday 8am-5pm ET  Position Summary:    As a Claim Specialist, you will evaluate coverage, assess claim exposures, and make informed decisions that drive fair and timely resolutions. Working closely with members, medical providers, attorneys, and internal partners under minimal supervision, you'll manage challenging and complex claim scenarios while ensuring compliance with applicable regulations and company standards. The ideal candidate will have experience interpreting and applying Michigan No-Fault reform regulations to support accurate claim handling and benefit determinations. This role is ideal for a detail-oriented professional who thrives on problem-solving, sound judgment, and delivering positive outcomes for members.  Key Responsibilities:   Review assigned claims and initiate claim handling...

Job Description About Acrisure: A global fintech leader, Acrisure empowers millions of ambitious businesses and individuals with the right solutions. Bringing cutting-edge technology and top-tier human support together, it connects clients with customized solutions across a range of insurance, reinsurance, payroll, benefits, cybersecurity, mortgage services and more.   In the last eleven years, Acrisure has grown in revenue from $38 million to almost $5 billion and employs over 19,000 colleagues in 21 countries. Our culture is defined by our entrepreneurial spirit and all that comes with it: innovation, client centricity and an indomitable will to win. Job Summary: The Sr. Specialist, Sponsorships & Corporate Giving reports to the Manager, Sponsorships & Corporate Giving and is responsible for supporting the day-to-day administration, coordination, systems management, and operational execution of Acrisure's sponsorship, hospitality, partnership, and...

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. We are proud to support active-duty military spouses. USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with applicable policy and business needs. 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...

Job Type: Full time   Exempt/Non Exempt:   Salary Job Description:   Location Details: Hybrid Position Schedule / Shift: Monday-Friday 8am-5pm ET  Position Summary:    As a Claim Specialist, you will evaluate coverage, assess claim exposures, and make informed decisions that drive fair and timely resolutions. Working closely with members, medical providers, attorneys, and internal partners under minimal supervision, you'll manage challenging and complex claim scenarios while ensuring compliance with applicable regulations and company standards. The ideal candidate will have experience interpreting and applying Michigan No-Fault reform regulations to support accurate claim handling and benefit determinations. This role is ideal for a detail-oriented professional who thrives on problem-solving, sound judgment, and delivering positive outcomes for members.  Key Responsibilities:   Review assigned claims and initiate claim handling activities....

Job Type: Full time   Exempt/Non Exempt:   Salary Job Description:   Location Details: Hybrid Position Schedule / Shift: Monday-Friday 8am-5pm ET  Position Summary:    As a Claim Specialist, you will evaluate coverage, assess claim exposures, and make informed decisions that drive fair and timely resolutions. Working closely with members, medical providers, attorneys, and internal partners under minimal supervision, you'll manage challenging and complex claim scenarios while ensuring compliance with applicable regulations and company standards. The ideal candidate will have experience interpreting and applying Michigan No-Fault reform regulations to support accurate claim handling and benefit determinations. This role is ideal for a detail-oriented professional who thrives on problem-solving, sound judgment, and delivering positive outcomes for members.  Key Responsibilities:   Review assigned claims and initiate claim handling activities....

Position Title Business Development Officer - Business Banking-2   Location Grand Rapids, MI 49508   Job Summary The Business Development Officer is a key revenue-generating role within Flagstar's Business Banking division, responsible for the acquisition of new client relationships within the $10M–$50M annual revenue segment. This role operates within a collaborative pod structure alongside a Relationship Manager (RM) and Business Banking Specialist (BBS), ensuring a seamless client experience from prospecting through onboarding and long-term servicing. The BDO serves as the front line of growth for the bank—identifying, qualifying, and converting new business opportunities while representing Flagstar's brand and capabilities in the marketplace.   Job Responsibilities: JOB RESPONSIBILITIES New Client Acquisition & Prospecting Proactively identify, source, and pursue new business banking relationships within the $10M–$50M revenue segment Develop and...

Position Title Business Development Officer - Business Banking-3   Location Clinton Township, MI 48035-3548   Job Summary The Business Development Officer is a key revenue-generating role within Flagstar's Business Banking division, responsible for the acquisition of new client relationships within the $10M–$50M annual revenue segment. This role operates within a collaborative pod structure alongside a Relationship Manager (RM) and Business Banking Specialist (BBS), ensuring a seamless client experience from prospecting through onboarding and long-term servicing. The BDO serves as the front line of growth for the bank—identifying, qualifying, and converting new business opportunities while representing Flagstar's brand and capabilities in the marketplace.   Job Responsibilities: JOB RESPONSIBILITIES New Client Acquisition & Prospecting Proactively identify, source, and pursue new business banking relationships within the $10M–$50M revenue segment Develop...

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 eleven years, Acrisure has grown in revenue from $38 million to almost $5 billion and employs over 19,000 colleagues in more than 20 countries. Our culture is defined by our entrepreneurial spirit and all that comes with it: innovation, client centricity and an indomitable will to win. Job Summary: This is an exciting opportunity to join this growing team and immediately make an impact to the overall success of the company. If you are interested in collaborating with good people who celebrate entrepreneurialism and work with commonality of purpose, Acrisure is the place for you. To...

Job Type: Full time   Exempt/Non Exempt:   Salary Job Description:   Location Details: This is primarily a remote position reporting to an office roughly once every 6 weeks, in addition to any required in-person court appearances. Position Schedule Monday- Friday 9am-5pm Position Summary: 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. Key Responsibilities: Case Analysis and Preparation Analyzes, files, reviews all allegations, and renders legal opinions to Claims personnel regarding evaluation...

Job Type: Full time   Exempt/Non Exempt:   Salary Job Description:   Location Details: This is primarily a remote position reporting to an office roughly once every 6 weeks, in addition to any required in-person court appearances. Position Schedule Monday- Friday 9am-5pm Position Summary: Responsible for litigation of Circuit and Federal cases of unlimited exposure where there is a multiplicity of complicated legal and factual issues involving the more serious injuries, excess damages, and high exposure litigation of identified legal issues which the Company may pursue through the appeal process.  Key Responsibilities: Case Management and Preparation: Analyzes, files, reviews all allegations, and renders legal opinions to Claims personnel regarding evaluation and disposition of injury cases. Prepares responses to civil complaints, files and answers any appropriate motions when questions of law or liability are in dispute....