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.
NewBodily 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.
Director, Claims AAA Life Insurance CompanyDirector, ClaimsLivonia, MichiganFull timeIf 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.
Claims Consultant, Life Sciences CNA Financial Corp.Claims 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.
NewMedicare 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.
Senior Claims Specialist Optech, LLCSenior Claims SpecialistMichigan, MIThis role handles primarily indemnity and complex files, with limited medical-only exposure, and requires collaboration with internal leadership and external stakeholders to ensure high-quality, compliant claim outcomes. RESPONSIBILITIES: We are seeking an experienced Indemnity Adjuster to manage a complex workers' compensation desk with a strong emphasis on Michigan lost-time and litigated claims.
Claims Processing Representative Great Expressions Dental CentersClaims Processing 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.
Catastrophe Field Claims Specialist AAA Southern New EnglandCatastrophe Field Claims SpecialistTroy, 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.
NewClaims Examiner - Workers Compensation | Jurisdiction: MI & IL | Licensing: Required - Remote Sedgwick Claims Management Services, Inc.Claims Examiner - Workers Compensation | Jurisdiction: MI & IL | Licensing: Required - RemoteMIRemote$70,000–$85,000 / yearMental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines. PRIMARY PURPOSE OF THE ROLE To analyze Workers Compensation claims on behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements.
Engineering Consultant - Claims Surety (Hybrid or Remote) Onebeacon Professional Insurance IncEngineering Consultant - Claims Surety (Hybrid or Remote)Southfield, MIRemote$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.
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 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.
ESIS Senior Vice President, Specialty Claims Chubb LtdESIS Senior Vice President, Specialty ClaimsDetroit, MILead the strategic sales direction and initiatives of Specialty Claims (General Liability, Property, Professional and Management Liability, Medical Malpractice, Product Liability and Environmental Liability) through effective thought leadership while driving innovative initiatives all designed to support clients' needs. The ESIS Senior Vice President (SVP), Specialty Claims is responsible for leading the strategies, sales and marketing for the Specialty Claims businesses of ESIS, Inc., a wholly owned subsidiary of Chubb Insurance.
Claims Experience Spec Epitec IncClaims Experience SpecTroy, MIRemoteAs a Claims Experience Specialist, you will play a critical role in delivering best-in-class support and claims resolution while helping maintain trust across the Airbnb community. This role combines claims investigation, customer advocacy, risk mitigation, and operational excellence to ensure every claim is handled fairly, efficiently, and with empathy.
Property Field Claims Specialist - Michigan (Remote) Selective Insurance Group IncProperty Field Claims Specialist - Michigan (Remote)Michigan, MIRemote$83,000–$108,000 / yearSelective's unique position as both a leading insurance group and an employer of choice is recognized in a wide variety of awards and honors, including listing in Forbes Best Midsize Employers in 2025 and certification as a Great Place to Work in 2025 for the sixth consecutive year. We are committed to promoting a welcoming culture that celebrates diverse talent, individual identity, different points of view and experiences - and empowers employees to contribute new ideas that support our continued and growing success.
Claims Consultant - Ocean Marine (Hybrid) Onebeacon Professional Insurance IncClaims Consultant - Ocean Marine (Hybrid)Southfield, MI$143,000–$167,000 / yearWe currently have an opportunity for a Claim Consultant to join our Ocean Marine team based in our Plymouth, MN; Canton, MA; New York City, NY; Chicago, IL; Naperville, IL; Barrington, IL; Alpharetta, GA; Irvine, CA; Southfield, MI office on a hybrid schedule. In return, we promise you support, opportunities and performance-led financial rewards in a flexible work environment where you can: Shape the future: Help us lead an insurance transformation to better protect people, businesses and society.
National Complex Claims Leader Marsh & McLennan Companies IncNational Complex Claims LeaderTroy, MIRemote$93,700–$174,800 / yearReporting to the SVP, National Claims Director, you will serve as a senior resource and technical authority on complex and high-exposure claims, bringing deep expertise, strategic judgment, and a national perspective to drive resolution on complex, high-stakes commercial P&C claim situations across the organization. In this capacity, you will build and maintain strong relationships with national and regional leadership, industry vertical leaders, and Marsh Risk, ensuring MMA clients receive best-in-class advocacy at every level.
NewClaims Examiner - Workers Compensation Sedgwick Claims Management Services, Inc.Claims Examiner - Workers CompensationSouthfield, MIPRIMARY PURPOSE: To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service requirements; and to identify subrogation of claims and negotiate settlements. Subject matter expert of appropriate insurance principles and laws for line-of-business handled, recoveries offsets and deductions, claim and disability duration, cost containment principles including medical management practices and Social Security and Medicare application procedures as applicable to line-of-business.
Field Claims Representative - Oakland, Macomb, Wayne County Auto-Owners Insurance CompanyField Claims Representative - Oakland, Macomb, Wayne CountyTroy, 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 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.
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.