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.
Specialty Operations Claims (Property& Casualty Reinsurance) Senior Consultant II Allstate Insurance CompanySpecialty Operations Claims (Property& Casualty Reinsurance) Senior Consultant IIMI$80,000–$125,000 / yearKey Responsibilities: Independently manage a portfolio of complex reinsurance claims involving asbestos, environmental, and other latent injury exposures-analyzing liability, damages, and contractual obligations to drive informed and strategic claim outcomes. Establish accurate case reserves, leveraging cedent reporting, internal assessment, and designated authority levels; seek management approval for exposures exceeding authority.
Seeking General Liability Claims Adjusters! Morgan & Morgan, P.A.Seeking General Liability Claims Adjusters!Detroit, MichiganThis employer participates in E-Verify and will provide the federal government with your Form I-9 information to confirm that you are authorized to work in the U.S. If E-Verify cannot confirm that you are authorized to work, this employer is required to give you written instructions and an opportunity to contact Department of Homeland Security (DHS) or Social Security Administration (SSA) so you can begin to resolve the issue before the employer can take any action against you, including terminating your employment. From attorneys in all 50 states, to client support staff, creative marketing to operations teams, every member of our firm has a key role to play in the winning fight for consumer rights.
Claims Director - Professional Liability CRC Insurance Services, LLCClaims Director - Professional LiabilityMI$140,000–$200,000 / yearPlease review the following job description: The position is responsible for maintaining active oversight of open claims and/or incident reports, driving regular communication with carrier claims departments and adjusters, and ensuring significant claim developments are promptly communicated to Negley management and underwriting personnel. The position is expected to dig into open files, challenge claim handling when appropriate, identify issues requiring escalation, and maintain continuous visibility into claim status, litigation strategy, reserves, settlement activity, coverage concerns, and emerging loss trends.
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.
Medicare Advantage (MA) Claims Analyst ICONMA, LLCMedicare 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.
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.
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).
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.
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.
Senior 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.
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.
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.
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.