Experienced Catastrophe Claims Representative Auto-Owners Insurance CoExperienced Catastrophe Claims RepresentativeClarkston, MIOur group of caring associates create financial security by helping individuals and businesses make a new start when a loss occurs. The 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.
Claims Customer Care Representative Amerisure Mutual Insurance CompanyClaims Customer Care RepresentativeFarmington 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. Demonstrated successful ability to build positive relationships and partnerships within department, across the organization and with external customers.
Senior Claims Customer Care Representative Amerisure Mutual Insurance CompanySenior Claims Customer Care RepresentativeFarmington 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. Answer phones for claims call center to set up new losses, route to appropriate claims adjuster, and handle medical bills for payment.
Auto Claims Representative Auto-Owners Insurance CompanyAuto Claims RepresentativeTroy, MichiganAbility 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.
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.
Claims Processor StratAcuity Staffing Partners IncClaims ProcessorAllen Park, MIIn terms of professional development, Everforth Apex hosts an on-demand training program, provides access to certification prep and a library of technical and leadership courses/books/seminars once you have 6+ months of tenure, and certification discounts and other perks to associations that include CompTIA and IIBA. Everforth Apex also offers a HSA (Health Savings Account on the HDHP plan), a SupportLinc Employee Assistance Program (EAP) with up to 8 free counseling sessions, a corporate discount savings program and other discounts.
Director, Claims AAA Life Insurance CompanyDirector, ClaimsLivonia, MIIf you are someone who thrives on purpose and wants to make a tangible difference in people's lives when it matters most, then join AAA Life who has the unique ability to access tens of millions of existing AAA customers powered by the strength of one of America's most trusted brands. The Director, Claims provides strategic leadership for AAA Life''s Claims organization, overseeing claims operations while driving operational excellence, digital transformation, analytics, automation, and customer experience.
Healthcare Claims Quality Analyst Integra PartnersHealthcare Claims Quality AnalystTroy, MIRemoteThe 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.
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.
Medicare Advantage (MA) Claims Analyst IconmaMedicare Advantage (MA) Claims AnalystDetroit, MI$33.83–$36.98 / hourThe ideal candidate will monitor regulatory and policy changes, analyze claims data to identify trends and root causes, develop solutions that improve payment accuracy and operational efficiency, and deliver meaningful reports and dashboards that provide stakeholders with insights into claim performance, defect resolution, and process improvement opportunities. This role is responsible for configuring MA benefit parameters in the claims platform to ensure compliance with CMS requirements, conducting detailed claim reviews to validate reimbursement accuracy, and identifying and resolving system defects in partnership with IT, NASCO, and vendor teams.
NewMedical Claims Resolution Specialist Metro Vein CentersMedical Claims Resolution SpecialistDetroit, MichiganRemoteYou’ll work directly with insurance payers, payer portals, billing systems, and internal operational teams to investigate claim issues, submit appeals, and reduce revenue delays across our growing national clinic network. Our board-certified physicians and expert staff are on a mission to improve people’s quality of life by relieving the painful, yet highly treatable symptoms of vein disease—such as varicose veins and heavy, aching legs.
Unemployment Claims Specialist HR-1Unemployment Claims SpecialistWarren, MichiganAs the Unemployment Claims Coordinator you'll help manage day-to-day activities related to unemployment claims, including: Communicate with HR-1 customers to collect information related to employee separations. Oversee unemployment insurance function on behalf of HR-1 customers to control unemployment insurance costs.
Medicare Advantage (MA) Claims Analyst Iconma LLCMedicare Advantage (MA) Claims AnalystDetroit, MIThe ideal candidate will monitor regulatory and policy changes, analyze claims data to identify trends and root causes, develop solutions that improve payment accuracy and operational efficiency, and deliver meaningful reports and dashboards that provide stakeholders with insights into claim performance, defect resolution, and process improvement opportunities. This role is responsible for configuring MA benefit parameters in the claims platform to ensure compliance with CMS requirements, conducting detailed claim reviews to validate reimbursement accuracy, and identifying and resolving system defects in partnership with IT, NASCO, and vendor teams.
NewClaims Representative, Auto | Property Damage Sedgwick Claims Management Services, Inc.Claims Representative, Auto | Property DamageMI$50,000–$55,000 / yearProcesses auto and general liability property damage claims; assesses damage, makes payments, and ensures claim files are properly documented and correctly coded based on the policy. Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience.
Claims Examiner - Bodily Injury Sedgwick Claims Management Services, Inc.Claims Examiner - Bodily InjuryMI$80,000–$85,000 / yearTo analyze complex auto bodily injury claims on behalf of our valued clients by evaluating coverage, investigating liability, and managing damages, while ensuring timely resolution within service expectations, industry best practices, and specific client requirements. Education & Licensing: Five (5) years of claims management experience or equivalent combination of education and experience required to include in-depth knowledge of personal and commercial line auto policies, coverage's, principles, and laws.
Claims Attorney (Municipal Entities) HCC Life Insurance CompanyClaims Attorney (Municipal Entities)Troy, MIRemoteThe Company will consider for employment all qualified applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state and local laws, such as the Violent Crime Control and Law Enforcement Act of 1994 (18 USC § 1033(e))(the "VCCLEA"), which restricts financial institutions and insurers such as TMHCC from employing individuals with certain types of criminal convictions. The Tokio Marine HCC - Public Risk Group is seeking a self-motivated Claims Attorney to join our growing Claims Department and handle litigated and non-litigated claims primarily arising under Auto and General Liability, as well as potentially some Law Enforcement, Public Officials, and Employment Practices liability policies in various jurisdictions.
Remote Claims Support Specialist Latitude Subrogation ServicesRemote Claims Support SpecialistBloomfield Hills, MichiganRemoteLSS has provided solutions for insurers, self-insured entities, third party administrators and specialty risk companies as a subrogation vendor and purchaser of subrogation assets. Come join our people first culture and enjoy excellent employee benefits such as comprehensive health, dental, vision, short and long term disability insurance, life insurance, and paid time off, (PTO).
Claims Representative Internship - Summer 2027 Auto-Owners Insurance GroupClaims Representative Internship - Summer 2027Troy, MIThe 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.
Manager, Chief Claims Examiner AAA Life Insurance CompanyManager, Chief Claims ExaminerLivonia, MILead claims transformation and modernization efforts, including workflow redesign, automation, AI-assisted capabilities, digital tools, and adoption of new ways of working. Serve as the senior claims subject-matter expert, providing guidance on policy interpretation, investigations, beneficiary issues, underwriting and medical evidence, fraud indicators, and regulatory requirements.
Claims Representative Internship - Summer 2027 Auto-Owners Insurance CoClaims Representative Internship - Summer 2027Troy, MIThe 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.