NewExperienced PIP Claims Representative Auto-Owners Insurance GroupExperienced PIP Claims RepresentativeTroy, MIAbility to accurately deal with mathematical problems, including, geometry (area and volume) and financial areas (such as accuracy in sums, unit costs, and the capacity to read and develop understanding of personal and business finance documents). This job includes training and development completion of the Company's claims training program for the assigned line of insurance and requires the person to: Investigate, evaluate, and settle entry-level insurance claims.
ESIS Claims Representative, AGL Chubb LtdESIS Claims Representative, AGLDetroit, MIWith more than 70 years of experience, and offerings in both the U.S. and globally, ESIS provides one of the industry's broadest selections of risk management solutions covering both pre- and post-loss services. The company is distinguished by its extensive product and service offerings, broad distribution capabilities, exceptional financial strength, underwriting excellence, superior claims handling expertise and local operations globally.
NewBodily Injury Claims Specialist Auto-Owners Insurance GroupBodily Injury Claims SpecialistNorthville, MIThe position requires the person to: Assemble facts, determine coverage, evaluate the amount of loss, analyze legal liability, make payments in accordance with coverage, damage and liability determination, and perform other functions or duties to properly adjust the loss. Our group of caring associates create financial security by helping individuals and businesses make a new start when a loss occurs.
Claims Coordinator BrightonClaims CoordinatorBrighton, Michigan$17–$20 / hourPosition Overview As the hub of all claims, the coordinator is responsible for speaking with the customer, ongoing customer follow up, handling service complaints, logistics of dispatching field personnel to jobs while ensures that the required Cycle Time and insurance Service Level Agreement tasks deadlines are met. Ensure that uploading photos, and other documents are appropriately described, titled and uploaded in real time, as well as follows up to get missing required data from homeowner and insurance/mortgage information not obtained on initial call.
Claims Coordinator ServiceMaster RestoreClaims CoordinatorBrighton, MIAs the hub of all claims, the coordinator is responsible for speaking with the customer, ongoing customer follow up, handling service complaints, logistics of dispatching field personnel to jobs while ensures that the required Cycle Time and insurance Service Level Agreement tasks deadlines are met. Ensure that uploading photos, and other documents are appropriately described, titled and uploaded in real time, as well as follows up to get missing required data from homeowner and insurance/mortgage information not obtained on initial call.
Claims Advocate HylantClaims AdvocateAnn Arbor, MichiganProactively manage the claims process for assigned clients/claims liaising with clients, adjusters, carriers, and other external parties as well as Hylant client executives and client services team members to advocate and facilitate claim resolution. The Claims Advocate is a client facing role providing interpretation of policy language, coverage analysis, advocacy, coverage and dispute resolution, specifically working with Clients in the Small Business and Personal Lines space.
Claims Coordinator ServiceMaster Restore - BrightonClaims CoordinatorBrighton, MIFull timeAs the hub of all claims, the coordinator is responsible for speaking with the customer, ongoing customer follow up, handling service complaints, logistics of dispatching field personnel to jobs while ensures that the required Cycle Time and insurance Service Level Agreement tasks deadlines are met. Ensure that uploading photos, and other documents are appropriately described, titled and uploaded in real time, as well as follows up to get missing required data from homeowner and insurance/mortgage information not obtained on initial call.
Field Claims Representative Auto-Owners Insurance CoField Claims RepresentativeClarkston, MIAbility to accurately deal with mathematical problems, including, geometry (area and volume) and financial areas (such as accuracy in sums, unit costs, and the capacity to read and develop understanding of personal and business finance documents). This job requires mastery of claims-handling skills and requires the person to: Investigate and assemble facts, determine policy coverage, evaluate the amount of loss, analyze legal liability.
NewAdjuster, Claims, Associate Amerisure Mutual Insurance CompanyAdjuster, Claims, AssociateFarmington Hills, MIObtain and verify information by gathering missing or incomplete details from relevant parties, including policyholders, claimants, witnesses, and external vendors, to support accurate claim processing. 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.
Orthodontic Claims Resolution Representative Great Expressions Dental Centers IncOrthodontic Claims Resolution RepresentativeSouthfield, MIOur recently appointed leadership team brings over a century of collective dental expertise and is backed by dynamic investment support to pave the way for groundbreaking changes. The Orthodontic Claims Resolution Representatives' primary role is to resolve high volumes of aging orthodontic insurance claims with payers and providers by calling insurance companies or by utilizing their websites when available.
Claims Resolution Representative Great Expressions Dental CentersClaims Resolution RepresentativeSouthfield, MIOur recently appointed leadership team brings over a century of collective dental expertise and is backed by dynamic investment support to pave the way for groundbreaking changes. We're channeling our resources and energy into revolutionizing our technology platform, expanding service offerings, and creating a personalized patient experience that goes beyond the expected.
Experienced Catastrophe Claims Representative Auto-Owners Insurance CoExperienced Catastrophe Claims RepresentativeClarkston, MIThe position requires the following, but is not limited to: Frequent travel up to 21 days at a time and is required upon short notice to location of catastrophe, which would most likely be out of state. Investigate and assemble facts, determine policy coverage, evaluate the amount of loss, analyze legal liability and pay or deny losses.
Commercial Claims Advocate Kapnick Insurance GroupCommercial Claims AdvocateTroy, MIOur 180+ colleagues provide expert guidance and creative problem solving pertaining to business insurance, risk solutions, employee benefits, worksite well-being, and personal insurance to a vast and diverse base of clients worldwide. For over 75 years, companies and individuals have looked to Kapnick as a trusted advisor, providing solutions that protect their operations and employees.
Property & Casualty Insurance Claims Operations Consultant, Manager PricewaterhouseCoopers LLPProperty & Casualty Insurance Claims Operations Consultant, ManagerDetroit, MI$99,000–$232,000 / yearPwC does not intend to hire experienced or entry level job seekers who will need, now or in the future, PwC sponsorship through the H-1B lottery, except as set forth within the following policy: https://pwc.to/H-1B-Lottery-Policy . You will analyze client needs, implement solutions, and provide training and support to validate seamless integration and utilization of business applications, enabling clients to achieve their strategic objectives.
Manager, Claims Operations - APD (Field) USAAManager, Claims Operations - APD (Field)Detroit Metro, MI$103,450–$197,730 / yearThis role manages and is accountable for auto operations member service employees who are responsible for serving our members, and providing appropriate solutions as they investigate, evaluate and negotiate the claim. We are seeking a Manager, Claims Operations to lead a team of Auto Physical Damage (APD) Field Appraisers and Virtual Total Loss Evaluators in the Detroit, MI Metro Area.
Claims Consultant, Life Sciences CNA Financial CorpClaims Consultant, Life SciencesSouthfield, MI$72,000–$141,000 / yearPerforms a combination of duties in accordance with departmental guidelines: Manages an inventory of highly complex commercial claims with large exposures that require a high degree of technical expertise and coordination, by following company protocols to verify policy coverage, conduct investigations, develop and employ resolution strategies, and authorize disbursements within authority limits. Resolves claims by collaborating with internal and external business partners to develop, own and execute a claim resolution strategy, that includes management of timely and adequate reserves, collaborating with coverage experts, negotiating complex settlements, partnering with counsel to complex manage litigation and authorizing payments within scope of authority.
Claims Consultant Tata Consultancy Services LtdClaims ConsultantPlymouth, MI$48,000–$55,000 / yearResponsibilities: To provide Absence case management and claim adjudications, based on medical documentation and the applicable Disability/FMLA/Paid Family Leave interpretation, including determining benefits due and making timely payments and adjustments. Determines benefits due, makes timely claims payments/approvals and adjustments for Workers Compensation, State Short Term Disability, and other disability offsets.
Bodily Injury Claims Specialist Auto-Owners Insurance CompanyBodily Injury Claims SpecialistTroy, MichiganThe position requires the person to: Assemble facts, determine coverage, evaluate the amount of loss, analyze legal liability, make payments in accordance with coverage, damage and liability determination, and perform other functions or duties to properly adjust the loss. Our group of caring associates create financial security by helping individuals and businesses make a new start when a loss occurs.
Healthcare Claims Quality Analyst Integra PartnersHealthcare Claims Quality AnalystTroy, MIRemoteFull timeThe Claims Quality Assurance Analyst is responsible for monitoring and documenting production quality in support of departmental goals and initiatives, with a primary focus on claims auditing and claims-related interactions within the Revenue Cycle Management (RCM) function. Working knowledge of Revenue Cycle Management (RCM) workflows and downstream impacts (e.g., clean claim submission, edits, denials, appeals, payment posting/reconciliation) across commercial, Medicaid, and Medicare.
NewEngineering Consultant - Claims Surety (Hybrid or Remote) Onebeacon Professional Insurance IncEngineering Consultant - Claims Surety (Hybrid or Remote)Southfield, MI$139,000–$163,000 / yearThe candidate will have the ability to create and maintain strong relationships with various stakeholders - both internal and external - while overseeing complex, end-to-end construction projects under the responsibility of the surety claims. For candidates located in San Francisco, CA; Washington DC; our Massachusetts based offices and the New York City metro area, the base salary range is $139,000 - $163,000.