Claims Processor l Burgess Information Systems IncClaims Processor lSouthfield, MIMust have strong customer service orientation and excellent communication skills, and the ability to work effectively with clients, medical providers and plan members. Answer incoming telephone calls related to claim processing, provider support and member benefit coverage options.
NewSr 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.
NewMedical Claims Analyst CVS Health CorpMedical Claims AnalystMI$18.50–$35.29 / 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. At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do.
NewClaim Benefit Specialist CVS Health CorpClaim Benefit SpecialistMI$17–$31.30 / hourThe candidate will serve as a medical/hospital claim processor for rework projects, compliance, and complex issues for a specific provider/network or large-scale rework projects generated as a result of plan sponsor issues, release fallout and/or legal/regulatory/compliance concerns. CVS Health is currently looking for a highly motivated candidate who can effectively and accurately review and rework sensitive, complex medical and hospital claims for our rework project department.
NewLong Term Care Claims Representative - Payment Servicing Genworth Financial IncLong Term Care Claims Representative - Payment ServicingMI$45,500–$66,000 / yearYou will work in a fast -paced environment across multiple products, ensuring claims handling follows policy provisions, internal guidelines, and Compliance requirements and will be responsible for the processing and payment of long-term care claims. Your experience or education has provided you with knowledge of medical terminology, diseases/diagnoses, and the ability to understand and interpret contract language, disability processes, nursing home licensing, and rehabilitative requirements.
Sr Claims Business Analyst - General Motors Insurance General Motors Financial Company, Inc.Sr Claims Business Analyst - General Motors InsuranceDetroit, MIRemote$96,000–$177,500 / yearAbout the role: This role supports the development and optimization of General Motors Insurance operations by analyzing business needs, defining objectives, conducting gap and ROI analyses, and gathering requirements to drive effective solutions. Working at General Motors Insurance is a chance to help reinvent what insurance feels like for GM drivers - standing at the intersection of the larger GM enterprise and a growth business focused on safeguarding the GM consumer and their vehicles.
Claims Representative Jackson National Life Insurance CoClaims RepresentativeLansing, MIIndependently processes a range of transactions including those which are moderately complex using documented procedures and multiple software applications. Communicates with internal associates and external customers or agents regarding outstanding requirements, or transaction issues and problems.
Claims Representative Novelis North America HQClaims RepresentativeNovi, MichiganFull timeIt will have strong links to the NNA Automotive Commercial Team, including Customer Service, and provide key support functions for NNA Accounting, NNA Recycling, NNA Logistics, NNA Quality, NNA Operations and other NNA Value Streams. Champion and lead the coordination of the claims resolution process between Auto Customers and Novelis, specifically with Specialties Technical and Commercial, Novelis contracted tollers, Novelis plants, and NNA Accounting.
NewClaims Coordinator BrightonClaims CoordinatorBrighton, MichiganPosition 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.
NewClaims Coordinator ServiceMaster RestoreClaims CoordinatorBrighton, MI$17–$20 / hourAs 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.
Director Claims Administration Corewell HealthDirector Claims AdministrationGrand Rapids, MIThe leader is accountable for claim inventory, claim speed to process, claim auto adjudication rate, claim examiner quality scores, coordination of benefits savings, and third party liability savings. From workshops that develop cultural intelligence, to our inclusion resource groups for people to find community and empowerment at work, we are dedicated to ongoing resources that advance our values of diversity, equity, and inclusion in all that we do.
Auto PD - Adjuster Service Claims The Hanover Insurance Group IncAuto PD - Adjuster Service ClaimsMIDigital Fluency: Effectively uses digital tools and technology appropriately to find, evaluate, create, and communicate information understands how to navigate digital platforms, use software applications, and leverage technology for productivity and communication purposes. Customer Centricity: Makes customers/clients and their needs a primary focus of one's actions; shows interest in and understanding of the needs and expectations of internal and external customers; gains customer trust and respect; meets or exceeds customer expectations.
NewConsultant Casualty Claims The Hanover Insurance Group IncConsultant Casualty ClaimsHowell, MIDigital Fluency: Effectively uses digital tools and technology appropriately to find, evaluate, create, and communicate information understands how to navigate digital platforms, use software applications, and leverage technology for productivity and communication purposes. Customer Centricity: Makes customers/clients and their needs a primary focus of one's actions; shows interest in and understanding of the needs and expectations of internal and external customers; gains customer trust and respect; meets or exceeds customer expectations.
NewClaims First Notice of Loss (FNOL) Representative II - General Motors Insurance General Motors Financial Company, Inc.Claims First Notice of Loss (FNOL) Representative II - General Motors InsuranceDetroit, MIRemote$34,000–$84,000 / yearGM Financial is the wholly owned captive finance subsidiary of General Motors and is headquartered in Fort Worth, U.S. We are a global provider of auto finance solutions, with operations in North America, South America, and the Asia Pacific region. The position delivers exceptional customer service while coordinating claim initiation activities, supporting customers'' needs, and contributing to operational goals during both regular and catastrophe-related claim events.
Claims Advocate Hylant GroupClaims 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.
Catastrophe Field Claims Specialist AAA Southern New EnglandCatastrophe Field Claims SpecialistJackson, 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. Work Environment: This position is currently able to work remotely from a home office location for day-to-day operations, with traveling to field locations as necessary to complete job responsibilities, unless occasional team building activities are specified by leadership.
Catastrophe Field Claims Specialist Auto Club GroupCatastrophe Field Claims SpecialistMonroe, MichiganBy 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. This position is currently able to work remotely from a home office location for day-to-day operations, with traveling to field locations as necessary to complete job responsibilities, unless occasional team building activities are specified by leadership.
Property Claims Representative (Desk Adjuster) Hastings Mutual Insurance CompanyProperty Claims Representative (Desk Adjuster)MILocation & Work Eligibility Requirements: This position is posted at our base claim representative level, with flexibility to consider more experienced property adjusters for alignment at a higher level based on background and expertise. We invest in technology, strengthen partnerships with independent agents, and continuously refine our products to meet the evolving needs of today's customers.
Claims Expediter Auto-Owners Insurance GroupClaims ExpediterLansing, MIAcquiring knowledge of basic, limited, claim handling procedures; and have the ability to recognize when exceptional circumstances require involvement of the Branch Manager, Claim Supervisor, or a Branch, Field, or Senior Claim Representative. The position requires the person to: Contact involved parties, describe claim process, initiate completion of claim documentation, confirm the amount of loss, and pay the claim as dictated by Company guidelines.
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.
Government Programs Claims Analyst - Metrics and Monitoring Delta Dental Plan of MichiganGovernment Programs Claims Analyst - Metrics and MonitoringOkemos, MichiganPosition requires experience with data visualization tools, specifically Power BI and/or Tableau, SQL or similar querying tools, and proficiency in Excel and working with large datasets; strong analytical skills; strong attention to detail and data accuracy; the ability to work independently and as part of a team; the ability to manage multiple assignments with competing deadlines; effective verbal and written communication skills; and the ability to resolve complex problems using independent judgement. At Delta Dental of Michigan, Ohio, and Indiana we work to improve oral health through benefit plans, advocacy and community support, and we amplify this mission by investing in initiatives that build healthy, smart, vibrant communities.
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.
Senior Claims Examiner - Home Office Motor Carrier and Auto Liability Auto-Owners Insurance GroupSenior Claims Examiner - Home Office Motor Carrier and Auto LiabilityLansing, MIOur group of caring associates create financial security by helping individuals and businesses make a new start when a loss occurs. Auto-Owners offers a wide range of career opportunities, and we are seeking talent that will help us continue our long tradition of success.
Experienced PIP Claims Representative Auto-Owners Insurance GroupExperienced PIP Claims RepresentativeMIReview medical bills, authorize payments and ensure payments are issued in a timely and accurate manner in accordance with the Michigan No Fault Statute. Our group of caring associates create financial security by helping individuals and businesses make a new start when a loss occurs.
Claims Appraiser - Auto Estimatics State FarmClaims Appraiser - Auto EstimaticsDetroit, Michigan$64,965.62–$91,000 / yearFull timeWith 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).
Adjuster, Property Insurance Claims Elevate Claims SolutionsAdjuster, Property Insurance ClaimsDetroit, MichiganElevate Claims Solutions is founded on the belief that human experience and claim quality are the essence of profitable growth and retention for our adjuster partners, our clients, and ourselves. Valuing our partnerships with our carrier clients; recognizing and maximizing the ways in which our Elevated Claims Handling can support them and their policyholders.
Property Adjuster Insurance Claims Elevate Claims SolutionsProperty Adjuster Insurance ClaimsSaginaw, MichiganElevate Claims Solutions is founded on the belief that human experience and claim quality are the essence of profitable growth and retention for our adjuster partners, our clients, and ourselves. Valuing our partnerships with our carrier clients; recognizing and maximizing the ways in which our Elevated Claims Handling can support them and their policyholders.
Field Claims Representative - Manistee, Grand Traverse, and Leelanau Counties Auto-Owners Insurance GroupField Claims Representative - Manistee, Grand Traverse, and Leelanau CountiesTraverse City, 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.
Field Claims Representative - Emmet County Auto-Owners Insurance GroupField Claims Representative - Emmet CountyMIAbility 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.
Claims Representative II - REMOTE Ryder System IncClaims Representative II - REMOTELansing, MIRemoteCompensation Information: The compensation offered to a candidate may be influenced by a variety of factors, including the candidate's relevant experience; education, including relevant degrees or certifications; work location; market data/ranges; internal equity; internal salary ranges; etc. Current Employees: If you are a current employee at Ryder, please click here ( http://wd5.myworkday.com/ryder/d/task/1422$3.htmld ) to log in to Workday to apply using the internal application process.
NewClaims Analyst - REMOTE Ryder System IncClaims Analyst - REMOTELansing, MIRemoteCompensation Information: The compensation offered to a candidate may be influenced by a variety of factors, including the candidate's relevant experience; education, including relevant degrees or certifications; work location; market data/ranges; internal equity; internal salary ranges; etc. Current Employees: If you are a current employee at Ryder, please click here ( https://wd5.myworkday.com/ryder/d/task/2998$46522.htmld ) to log in to Workday to apply using the internal application process.
Claims Representative - Auto SET SEGClaims Representative - AutoEast Lansing, MIFull timeSET SEG is looking for an Auto Claims Representative that will be responsible for the end-to-end handling of assigned auto physical damage claims, with additional exposure to small property damage claims based on business needs. SET, which began in 1971, served as an employee benefits association focused on offering comprehensive and affordable employee benefit solutions to Michigan public schools and their employees.
Field Property Claims Adjuster (NW MI) Frankenmuth InsuranceField Property Claims Adjuster (NW MI)MISummary: Under limited supervision and with independent judgment, investigates, evaluates and resolves/disposes of general property claims to determine the extent of company liability; may include determination and evaluation of coverage, compensability liability and damage in accordance with policy provisions by performing the following duties. Investigates claims to determine validity and extent of liability, including: Obtains information necessary to properly investigate and evaluate each case by corresponding with agents, insureds, claimants, witnesses and others.
Casualty Claims Adjuster, Senior Frankenmuth InsuranceCasualty Claims Adjuster, SeniorMISummary: Under limited supervision and with independent judgment, investigates, evaluates and resolves/disposes of general property, casualty and/or workers compensation claims to determine the extent of company liability; may include determination and evaluation of coverage, compensability liability and damage in accordance with policy provisions by performing the following duties. Investigates claims to determine validity and extent of liability, including: Obtains information necessary to properly investigate and evaluate each case by corresponding with agents, insureds, claimants, witnesses and others.
Claims Examiner- Voluntary Benefits Accenture PlcClaims Examiner- Voluntary BenefitsDetroit, MIAble to utilize strong organizational skills to manage multiple priorities while working under tight time constraints, possess the ability to work through ambiguity, and work effectively with various vendors with strong interpersonal skills. The Voluntary Benefits Claims Examiner will support a large Group Insurance Business contract is responsible for the calculation of Voluntary Benefits across limited products according to Plan Provisions.
Claims Specialist One80 IntermediariesClaims SpecialistMichiganYou will provide this service daily through receiving and transmitting phone calls from retailers and customers alike, responding to emails, creating claims, reviewing documentation, monitoring progress queues, and authorizing services to facilitate the repair of furniture. Manage inbound customer/retailer inquiries and follow-up relating to entire claim processes (determine coverage, send inspection packets, authorize technicians, order parts, recommend exchanges, administer settlements, and collect complaints).
Senior Property Claims Coordinator Michigan Farm Bureau Family of CompaniesSenior Property Claims CoordinatorLansing, MichiganFull timeClarify with adjuster any questions regarding claim set-up, facts, documentation and payment/letter validity to ensure accurate processing before final issuance of the requested document. To be an effective senior team member of the Claims Division supporting the claims processing needs of the property claims team and other areas within the division as needed.
Claims Specialist - Bilingual (Spanish) One80 IntermediariesClaims Specialist - Bilingual (Spanish)MichiganYou will provide this service daily through receiving and transmitting phone calls from retailers and customers alike, responding to emails, creating claims, reviewing documentation, monitoring progress queues, and authorizing services to facilitate the repair of furniture. Manage inbound customer/retailer inquiries and follow-up relating to entire claim processes (determine coverage, send inspection packets, authorize technicians, order parts, recommend exchanges, administer settlements, and collect complaints).
Claims Consultant Tata Consultancy Services LtdClaims ConsultantWestland, 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.
Legal Analyst - Claims \u0026 Process Management Stellantis NVLegal Analyst - Claims \u0026 Process ManagementAuburn Hills, MIThis role works in close partnership with paralegals and warranty litigation attorneys to help drive consistent, efficient case handling and high-quality work product across a national portfolio of matters. Key Responsibilities: Manage and track warranty litigation claims and related arbitration matters, including intake, file setup, status updates, and maintenance of accurate case records.
Claims Representative Novelis IncClaims RepresentativeNovi, MIIt will have strong links to the NNA Automotive Commercial Team, including Customer Service, and provide key support functions for NNA Accounting, NNA Recycling, NNA Logistics, NNA Quality, NNA Operations and other NNA Value Streams. Champion and lead the coordination of the claims resolution process between Auto Customers and Novelis, specifically with Specialties Technical and Commercial, Novelis contracted tollers, Novelis plants, and NNA Accounting.
Senior Director, Insurance Claims Advisory NTT DATA Group CorpSenior Director, Insurance Claims AdvisoryMI$160,000–$296,000 / yearEcosystem & Partnership Leadership: Develop joint GTM motions with key alliance partners and Independent Software Vendors (ISVs) in the insurance space (e.g., Guidewire, Duck Creek, Majesco, Verisk). to amplify market reach and deliver integrated client solutions. A critical component of this role is serving as the primary pre-sales Claims domain expert for the North American P&C and L&A sales team, translating complex IT capabilities into tangible business outcomes (e.g., improved claims efficiency, lower loss ratio).
Claims Representative - Multi-Line SET SEGClaims Representative - Multi-LineEast Lansing, MIFull timeThe Multi-Line Property and Casualty Claims Representative is responsible for the prompt, fair, and efficient handling of a diverse caseload of Property and Casualty claims across multiple lines including general liability, auto liability, auto physical damage, personal injury protection (PIP), property, medical payments and select specialty coverages. This position requires independent judgment, strong documentation practices, and a customer-focused approach with the ability to balance efficiency with accuracy and compliance with applicable laws, regulations, and internal claims handling guidelines.
Technical Consultant Casualty Claims- CGL The Hanover Insurance Group IncTechnical Consultant Casualty Claims- CGLMIRemotePOSITION OVERVIEW: Make an Impact with our Complex Casualty Claims team where claims is more than managing losses, its about solving complex problems, delivering confidence in uncertain situations, and protecting what matters most to our customers. Interpret indemnity and hold harmless agreements, evaluate additional insured coverage, identify priority of coverage issues, and strategically leverage risk transfer strategies to mitigate exposure in multi-party, litigated CGL claims.
Loss Claims Specialist Fifth Third BancorpLoss Claims SpecialistGrand Rapids, MIGENERAL FUNCTION: Under moderate supervision, collects and documents accounts involved in total or repairable loss claims involving a primary insurance carrier and/or GAP company in accordance with departmental, investor, and legal guidelines. The base salary for this position is reflective of the range of salary levels for all roles within this pay grade across the U.S. Individual salaries within this range will vary based on factors such as role, relevant skillset, relevant experience, education and geographic location.
Claims Adjuster II, Field Property - National Catastrophe Nationwide Mutual Insurance CoClaims Adjuster II, Field Property - National CatastropheLansing, MI$62,500–$115,500 / yearNationwide pays on a geographic-specific salary structure and placement within the actual starting salary range for this position will be determined by a number of factors including the skills, education, training, credentials and experience of the candidate; the scope, complexity and location of the role as well as the cost of labor in the market; and other conditions of employment. In this role, you'll conduct on-site inspections, evaluate property damages, determine policy coverage, and make timely, accurate decisions using a variety of tools and resources, including vendor estimates, independent adjusters, and self-written assessments.
NewClaims 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.
Complex Claims Consultant - Private & NFP D&O CNA Financial CorpComplex Claims Consultant - Private & NFP D&OMI$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.
Medical Only Claims Trainee Emergent Holdings IncMedical Only Claims TraineeLansing, MIADDITIONAL EDUCATION, EXPERIENCE, SKILLS, KNOWLEDGE AND/OR ABILITIES PREFERRED: (Briefly detail the preferred education, experience, skills, knowledge and/or abilities desired to perform this job, including certifications). Reads, routes and keys incoming mail, runs reports and answers/responds to incoming phone calls on both direct and ACD line, faxes and emails.
Claims Adjuster II CARS Protection Plus IncClaims Adjuster IIDetroit, MIPart timeSpeak and write English (Spanish a plus); communicate effectively and build strong relationships with customers, peers, and management. Ability to read and interpret documents such as safety rules, operating and maintenance instructions, parts catalogs, and procedure manuals; ability to write simple correspondence.