18 senior claim 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:   *** This position requires you to reside in the State of Michigan, preferably within the Metro-Detroit Area. In this position you are currently able to work remotely from your home; for day-to-day operations, with occasional "TRAVEL" for meetings (mediation, depositions & more), collaborative activities, or team building activities specified by leadership. This is subject to change based on amendments and/or modifications to the ACG Flex Work policy. *** Senior Casualty Litigation Specialist (Michigan) – The Auto Club Group Reports to: Claim Manager II What you will do: (Primary Duties & Responsibilities) The Auto Club Group is seeking a prospective  Senior   Claim Specialist  to work under less supervision with a high-level of...

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:   Salary Job Description:   Sr. Claim Specialist - Michigan PIP & Litigation – The Auto Club Group ****$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 on the most complex...

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....

Who Are We? Taking care of our customers, our communities and each other. That’s the Travelers Promise. By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 170 years. Join us to discover a culture that is rooted in innovation and thrives on collaboration. Imagine loving what you do and where you do it. Job Category Risk Control Compensation Overview The annual base salary range provided for this position is a nationwide market range and represents a broad range of salaries for this role across the country. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment. As part of our comprehensive compensation and benefits program,...

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 Sedgwick your Career Starter- Hiring Event - Southfield, MI 🚀 Open House Hiring Event – Launch Your Career With Us! Sedgwick is a leading global provider of technology-enabled risk, benefits and integrated business solutions. The company provides a broad range of resources tailored to our clients’ specific needs in casualty, property, marine, benefits, brand protection and other lines. Every day, in every time zone, the most well-known and respected...

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:   Why Choose a Career with the AAA The Auto Club Group (ACG) Established brand that has been around for over 100 years.  Our members know and trust us! Branch Offices house travel, membership, insurance sales and support employees You will be challenged to drive new business with competitive products and help retain The Auto Club Group's 14+ million members. Excellent Opportunities to Build a Career Path: The Licensed Customer Service Representative can be the start of a long-term career with The Auto Club Group.   Your position could lead to a rewarding career and opportunities to grow and pursue other ACG roles such as:  Other Branch positions – Field Insurance Sales Agent, Travel Agent or Other Departments such as: Call Centers (ERS, Sales and...

SUMMARY Perform production and quality audits to ensure operations are effective, consistent and in compliance with business rules and processes.  Primary focus includes, but is not limited to auditing the Document Specialists, Claims Document Analysts, Senior Document Analysts, Mail Clerks, and Inserter Operators. Responsible for performing administrative and support tasks which may be highly confidential and sensitive in nature.   PRIMARY RESPONSIBILITIES    Completes production and quality audits, reviewing completed work in comparison to established documented procedures to determine accuracy while providing support to staff as an acting SME. Orients new employees to the departmental and unit procedures. Collaborate with management and stakeholders to ensure understanding, alignment, and consistency in workflow performance. Partner with training, management, and stakeholders to identify training needs based on quality assessment results Compiles, creates, prepares,...

SUMMARY: Primarily responsible for assisting Large Account Underwriters and Business Development Consultants in growing and maintaining a profitable book of business and assisting agents with inquiries related to underwriting rules, procedures and regulations. 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 inquiries, policy and audit information. Contacts include state rating bureaus, Large Account Underwriters, Business Development Consultants, Business Development Directors, Service Center Managers, Underwriting Technical Advisor, Service Center staff, Finance Department, Claims Department, agents and policyholders. PRIMARY RESPONSIBILITIES: This description identifies the responsibilities typically associated with the performance of the job. The percentage of time in any responsibility may vary between positions. Other...

SUMMARY:  Primarily responsible for supporting the document management including media by analyzing, processing, indexing, re-indexing and assigning a document type and/or sub-doc type to all documents received by all departments within the Enterprise. Documents are received via OnBase and/or paper, fax, media and email. The incumbent must distinguish what department a document belongs to, apply proper criteria to electronically route the document into an electronic database, and initiate workflow of these documents to appropriate core business units in an accurate and timely manner. Primary contacts include other departmental personnel, as well as external vendor contacts. This role is also responsible for processing of incoming documents for the Subrogation, Legal, Commercial Auto, Fronting Agreements, Assigned Risk, Regulatory, Investigations and Medicare/Medicaid teams. Subject matter expert for Document Specialists and Claims Document Analysts.   PRIMARY RESPONSIBILITIES:...

SUMMARY:  Perform production and quality audits to ensure operations are effective, consistent and in compliance with business rules and processes.  Primary focus includes, but is not limited to, auditing the Service Center teams Claims Support, Business Development, Billing Service Center.   Responsible for performing administrative and support tasks which may be highly confidential and sensitive in nature. PRIMARY RESPONSIBILITIES:  ·    Conducts and executes the production statistics and quality audits of completed work in comparison to established documented procedures to determine accuracy within the Service Center in a timely fashion while being in compliance with statutory regulations (30%). ·    Partner with management, union representatives, human resources, and team members to establish and maintain production and quality standards for Service Center teams (15%).  ·    Compile, create, prepare and review information, audits and reports for accuracy as requested or...

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...

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 metro Detroit Michigan area for consideration and have a valid state driver's license. Metro Detroit Field Property Claim 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.  Review assigned claims, Contacting the insured and other affected parties, set expectations for the remainder of the claim process, and initiate documentation in the claim handling system.   Complete complex coverage analysis. Ensure all possible policyholder benefits are identified....

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:   After in office training is completed, this position will report to an office 1-2 times per month. 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...

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...

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...

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...