Supervisor, Claims Provider Network Operations (Pno) Amerihealth Caritas Health PlanSupervisor, Claims Provider Network Operations (Pno)Southfield, MIRemoteRole Overview: The Provider Network Operations Supervisor supports the daily operations of the Provider Network Operations team by overseeing staff performance, ensuring operational efficiency, and maintaining compliance with internal policies and contractual requirements. Work Arrangement: Remote - This position is fully remote; the candidate must be located in Michigan (MI) and attend monthly meeting as needed in Southfield, MI.
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.
Medicare Claims Analyst Optech, LLCMedicare Claims AnalystDetroit, MIDeliver meaningful reports and dashboards that provide stakeholders with insights into claim performance, defect resolution, and process improvement opportunities. Organizational skills and ability to prioritize; must be able to work on multiple tasks with varying timelines.
WC Claims Resolution Specialist - Special Risk Policyholders Amerisure Mutual Insurance CompanyWC Claims Resolution Specialist - Special Risk PolicyholdersFarmington Hills, MIBuilds robust relationships by demonstrating strong analytical, negotiation, and communication skills, with a focus on delivering quality claim outcomes and excellent service. Establish and maintain accurate claim reserves to reflect financial exposure, ensuring clear and proactive communication with the insured regarding rationale and potential impact.
Commercial Auto/GL Claims Specialist Amerisure Mutual Insurance CompanyCommercial Auto/GL Claims SpecialistFarmington Hills, MIRanked 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.
Senior Personal Injury Protection Claims Analyst Amerisure Mutual Insurance CompanySenior Personal Injury Protection Claims AnalystFarmington Hills, MIRanked 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.
Claims - Liability Rotational Specialist Amerisure Mutual Insurance CompanyClaims - Liability Rotational SpecialistFarmington Hills, MIRanked 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.
Supervisor, Claims Provider Network Operations (PNO) AmeriHealth CaritasSupervisor, Claims Provider Network Operations (PNO)Southfield, MIRemoteRole Overview: The Provider Network Operations Supervisor supports the daily operations of the Provider Network Operations team by overseeing staff performance, ensuring operational efficiency, and maintaining compliance with internal policies and contractual requirements. + Ensure operational processes align with internal policies, contractual obligations, and service level agreements (SLAs).
Claims Examiner - Workers Compensation Epitec IncClaims Examiner - Workers CompensationDetroit, MIThe Claims Examiner will work closely with claimants, clients, legal teams, and vendors to drive timely resolution and maintain high-quality claim file documentation. This position is ideal for a claims professional with strong experience in workers' compensation, claim investigation, and settlement negotiation who can manage claims independently while maintaining compliance and cost effectiveness.
Sr. Claims Support Analyst Quality AAA Life Insurance CompanySr. Claims Support Analyst QualityLivonia, MIOversees the Claims quality program through developing and maintaining the process review criteria, establishing sample size and recommending approval authority changes to management, training the Claims Support Analyst on call monitoring and claim auditing techniques, identifies, trends, communicates and coaches claims staff on key quality development opportunities. Acts as a subject matter expert and provides technical expertise for all claim types and all administrative functions to aid in the development and training of claims staff to improve quality, judgement skills, decision making abilities, and productivity based on audit results.
Sr. Claims Support Analyst - Quality AAA Life Insurance CompanySr. Claims Support Analyst - QualityLivonia, MichiganFull timeOversees the Claims quality program through developing and maintaining the process review criteria, establishing sample size and recommending approval authority changes to management, training the Claims Support Analyst on call monitoring and claim auditing techniques, identifies, trends, communicates and coaches claims staff on key quality development opportunities. Acts as a subject matter expert and provides technical expertise for all claim types and all administrative functions to aid in the development and training of claims staff to improve quality, judgement skills, decision making abilities, and productivity based on audit results.
NewProgram Claims Manager Amerisure Mutual Insurance CompanyProgram Claims ManagerFarmington Hills, MIPartners closely with Amerisure Program (AMP) underwriting, Managing General Agencies (MGAs), agents, insureds, and internal claims leadership to align claim handling with program expectations, service commitments, and department goals. Provides day-to-day management, technical oversight, workload direction, coaching, and performance accountability to ensure timely, accurate, and customer-focused claim outcomes.
Claims Representative Internship - Summer 2027 Auto-Owners Insurance CompanyClaims Representative Internship - Summer 2027Troy, MichiganThe position requires the person to: Investigate and assemble facts, determine policy coverage, evaluate the amount of loss, analyze legal liability and pay or deny losses. Our group of caring associates create financial security by helping individuals and businesses make a new start when a loss occurs.
ESIS Senior Vice President, Specialty Claims Chubb LtdESIS Senior Vice President, Specialty ClaimsDetroit, MI$172,000–$258,000 / yearThis leader will oversee sales and marketing initiatives, strengthen client and broker relationships, and advance the business through innovative solutions that support profitable growth and long-term client value. 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.
Senior Claim Representative - Liability (Hybrid) Intact InsuranceSenior Claim Representative - Liability (Hybrid)Southfield, MI$88,000–$92,000 / 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. We currently have an opportunity for a Senior Claim Representative to join our Liability team based in our Plymouth, MN; Denver, CO; Canton, MA; New York City, NY; Chicago, IL; Alpharetta, GA; Irvine, CA; Southfield, MI offices on a hybrid schedule.
Senior Claim Representative - Liability (Hybrid) Onebeacon Professional Insurance IncSenior Claim Representative - Liability (Hybrid)Southfield, MI$88,000–$92,000 / 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. We currently have an opportunity for a Senior Claim Representative to join our Liability team based in our Plymouth, MN; Denver, CO; Canton, MA; New York City, NY; Chicago, IL; Alpharetta, GA; Irvine, CA; Southfield, MI offices on a hybrid schedule.
Senior Claim Representative - Workers Compensation Florida Or California - (Hybrid) Intact InsuranceSenior Claim Representative - Workers Compensation Florida Or California - (Hybrid)Southfield, MI$88,000–$92,000 / 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.
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 PIP Claim Specialist AAA Southern New EnglandMichigan PIP Claim SpecialistMichigan, MIBy 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 / 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.