Complex Claims Consultant - Epl, Private & NFP D&O CNA Financial Corp.Complex Claims Consultant - Epl, Private & NFP D&OSouthfield, MI$72,000–$141,000 / yearPerforms a combination of duties in accordance with departmental guidelines: Manages an inventory of highly complex Financial Lines claims, with large exposures that require a high degree of specialized 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 manage complex litigation and authorizing payments within scope of authority.
Complex Claims Consultant - Private & NFP D&O CNA Financial CorpComplex Claims Consultant - Private & NFP D&OSouthfield, MI$72,000–$141,000 / yearPerforms a combination of duties in accordance with departmental guidelines: Manages an inventory of highly complex Financial Lines claims, with large exposures that require a high degree of specialized 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 manage complex litigation and authorizing payments within scope of authority.
Claims Appraiser - Auto Estimatics State FarmClaims Appraiser - Auto EstimaticsDetroit, MI$64,965.62–$91,000 / yearWith the opportunity to initially earn up to 20 days annually plus parental leave, paid holidays, celebration day, life leave (40 hours/year), bereavement leave, and community service/education support days, there will be plenty of time for you! Additional Details: Employees must successfully complete all required training, including applicable proficiency, licensing exam(s), Motor Vehicle Record (MVR) checks, and background checks required of various state(s).
Claims Advocate Hub International LtdClaims AdvocateTroy, MIAssist the client in preparing special claims servicing instructions focusing on the client's specific needs and taking into consideration the structure of their insurance programs Assist the client in preparing special claims servicing instructions focusing on the client's specific needs and taking into consideration the structure of their insurance programs. Working within the Claims Department in a client-facing role, the successful candidate will apply their experience in providing interpretation of policy language, coverage analysis, advocacy, coverage and dispute resolution, act as liaison between clients, adjusters, lawyers and insurance companies, claims management and other related client services.
Sr Manager, Life & Annuities Claims DXC Technology CoSr Manager, Life & Annuities ClaimsDetroit, MIDXC Technology is a leading enterprise technology and innovation partner delivering software, services, and solutions to global enterprises and public sector organizations - helping them harness AI to drive outcomes at a time of exponential change with speed. With deep expertise in Managed Infrastructure Services, Application Modernization, and Industry-Specific Software Solutions, DXC modernizes, secures, and operates some of the world's most complex technology estates.
EPIC Applications Analyst (1-4): Hospital Billing Admin and Hospital Billing Claims - IT Services - Full Time SolutionHealthEPIC Applications Analyst (1-4): Hospital Billing Admin and Hospital Billing Claims - IT Services - Full TimeMIEpic Application Analysts 2-4 require current Epic training status (certification, accreditation, and/or proficiency) in primary application required, with a combination of current Epic training statuses in additional area(s) in application maintenance and development required in upper levels. Ideal candidates will possess strong experience as analyst with expert knowledge and experience in leading system analysis with special emphasis on system methodologies, projects management and business process reengineering related to information systems required.
NewSenior Personal Injury Protection Claims Analyst Amerisure Mutual InsuranceSenior Personal Injury Protection Claims AnalystFarmington Hills, MichiganRanked 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. 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.
NewSenior Provider Experience Program Manager - Healthcare Claims CVS Health CorpSenior Provider Experience Program Manager - Healthcare ClaimsMI$106,605–$284,280 / yearWhat you will do: Lead enterprise delivery of multiple, highly complex business process and technology initiatives aligned to the Provider Experience / Provider NPS program, supporting all lines of business. Drive Agile delivery of Provider Experience / Provider NPS initiatives, supporting business process and technology improvements across multiple lines of business.
Fixed Costs \u0026 Claims Analyst Stellantis NVFixed Costs \u0026 Claims AnalystAuburn Hills, MIManaging account reconciliations through GLCM for responsible key accounts and preparing period to period analysis and explain variances from actuals to budgets and forecasts Basic Qualifications: Bachelor's degree in Finance, Accounting or related degree. Managing the SCCS system and resolving any issues regarding buyer, supplier or management updates, including changes with buyers, role assignments, claim approvals and entering account information.
Supplier Claims Auditor Stellantis NVSupplier Claims AuditorAuburn Hills, MIThis individual will also coordinate audit efforts with dealer field auditors, Corporate Leadership Development (CLD) program participants, and other cross‑functional audit and operational teams, and prepare clear, concise management reporting to support leadership decision‑making. The Auditor will assess claims within the context of engineering program governance, tooling approval trails, supply chain compliance requirements, and commercial pricing mechanisms to ensure claims align with contractual terms, approved program decisions, and internal controls.
NewClaim Investigator (CSIU) AAA Southern New EnglandClaim Investigator (CSIU)MIRemoteInvestigative activities may also involve hiring experts for specialized tasks such as home fire cause and origin analysis, surveillance, vehicle accident reconstruction, forensic accounting, and legal counsel, and managing those vendors through setting clear expectations, monitoring results, and reviewing and paying associated expenses. Maintain a comprehensive understanding of claim fraud, including the fraud scenarios and methods by which insureds, claimants, service providers, and other parties may engage in opportunistic fraud, and also the ways in which businesses, professionals and organized crime groups, such as fraud rings, operate.
Senior Claim Representative Sharing Economy - Accident And Health (Hybrid) Intact InsuranceSenior Claim Representative Sharing Economy - Accident And Health (Hybrid)Southfield, MIRemote$88,000–$102,000 / yearSome of the Senior Claim Representative responsibilities include but are not limited to: Makes timely and appropriate contacts, determines and completes appropriate level of investigation to make determination of coverage, assess liability and determine damages. Determines whether additional evidence is required including but not limited to accident reports, accident scene reconstructions, witness statements, police reports, expert opinion, etc.
NewClaim Representative - Accident and Health (Hybrid) Onebeacon Professional Insurance IncClaim Representative - Accident and Health (Hybrid)Southfield, MI$79,000–$91,000 / yearWe currently have an opportunity for a Claim Representative to join our Claims Accident and Health based in our Plymouth, MN; Canton, MA; New York City, NY; Chicago, IL; Naperville, IL; Barrington, IL; Alpharetta, GA; Anaheim, CA; Irvine, CA; Southfield, MI; Mt Juliet, TN on a hybrid schedule. Some of the Claim Representative responsibilities include but are not limited to: Makes timely and appropriate contacts, determines and completes appropriate level of investigation to make determination of coverage, assess liability and determine damages.
NewClaim Representative - Accident And Health (Hybrid) Intact InsuranceClaim Representative - Accident And Health (Hybrid)Southfield, MI$79,000–$91,000 / yearWe currently have an opportunity for a Claim Representative to join our Claims Accident and Health based in our Plymouth, MN; Canton, MA; New York City, NY; Chicago, IL; Naperville, IL; Barrington, IL; Alpharetta, GA; Anaheim, CA; Irvine, CA; Southfield, MI; Mt Juliet, TN on a hybrid schedule. Some of the Claim Representative responsibilities include but are not limited to: Makes timely and appropriate contacts, determines and completes appropriate level of investigation to make determination of coverage, assess liability and determine damages.
Claim Specialist - Michigan PIP AAA Southern New EnglandClaim Specialist - Michigan PIPMI$67,300–$75,000 / yearBy continuing to invest in more advanced technology, pursuing innovative products, and hiring a highly skilled workforce, AAA continues to build upon its heritage of providing quality service and helping our members enjoy life's journey through insurance, travel, financial services, and roadside assistance. Important Note: ACG's Compensation philosophy is to provide a market-competitive structure of fair, equitable and performance-based pay to attract and retain excellent talent that will enable ACG to meet its short and long-term goals.
Michigan Personal Injury Protection Claim Specialist AAA Southern New EnglandMichigan Personal Injury Protection Claim SpecialistMI$67,300–$75,000 / yearWe're looking for candidates who: Required Qualifications (these are the minimum requirements to qualify): • Education: Complete ACG Claim Representative Training Program or demonstrate equivalent knowledge or experience • In states where an Adjuster's license is required, the candidate must be eligible to acquire a State Adjuster's license within 90 days of hire and maintain as specified for appropriate states • A valid drivers license is required if the primary responsibilities of the role involve conducting in-person inspections or frequent in-person meetings with members. Experience: • Three years of experience or equivalent training in the following: • Negotiation of claim settlements • Securing and evaluating evidence • Preparing manual and electronic estimates • Subrogation claims • Resolving coverage questions • Taking statements • Establishing clear evaluation and resolution plans for claims.
Intermediate Michigan PIP Claim Specialist AAA Southern New EnglandIntermediate Michigan PIP Claim SpecialistMI$67,300–$75,000 / yearKnowledge and Skills: Advance knowledge of: • Essential Insurance Act (Michigan) • Fair Trade Practices Act as it relates to claims • Subrogation procedures and processes • Intercompany arbitration • Handling simple litigation • Advance knowledge of: • Negligence Law • No-Fault Law • Medical terminology and human anatomy • MCCA and attorney represented claims. By continuing to invest in more advanced technology, pursuing innovative products, and hiring a highly skilled workforce, AAA continues to build upon its heritage of providing quality service and helping our members enjoy life's journey through insurance, travel, financial services, and roadside assistance.
PIP Claim Specialist - Michigan AAA Southern New EnglandPIP Claim Specialist - MichiganMIBy continuing to invest in more advanced technology, pursuing innovative products, and hiring a highly skilled workforce, AAA continues to build upon its heritage of providing quality service and helping our members enjoy life's journey through insurance, travel, financial services, and roadside assistance. Important Note: ACG's Compensation philosophy is to provide a market-competitive structure of fair, equitable and performance-based pay to attract and retain excellent talent that will enable ACG to meet its short and long-term goals.
Senior PIP Litigation Claim Specialist - Michigan AAA Southern New EnglandSenior PIP Litigation Claim Specialist - MichiganMIBy continuing to invest in more advanced technology, pursuing innovative products, and hiring a highly skilled workforce, AAA continues to build upon its heritage of providing quality service and helping our members enjoy life's journey through insurance, travel, financial services, and roadside assistance. Important Note: ACG's Compensation philosophy is to provide a market-competitive structure of fair, equitable and performance-based pay to attract and retain excellent talent that will enable ACG to meet its short and long-term goals.
Senior Claim Benefit Specialist - Remote CVS Health CorpSenior Claim Benefit Specialist - RemoteMIRemote$18.50–$42.35 / hourOur teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Applies medical necessity guidelines, determines coverage, verifies eligibility, identifies discrepancies, and implements cost‑containment measures to support accurate claim adjudication.