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Claim processor jobs in Southfield, MI - 67 jobs

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  • Claims Analyst

    Cherokee Insurance Company

    Claim processor job in Sterling Heights, MI

    Cherokee Insurance Company, a leading casualty insurance provider to the transportation industry is seeking an entry level liability adjuster for our Sterling Heights, MI office. Cherokee Insurance is rated ‘A' (Excellent) by A.M. Best Company. Now is your chance to join a team of trained professionals and enhance your skills. We are seeking detail-oriented individuals with superior customer service and negotiation skills to investigate and process both first- and third-party claims. Liability Adjusters are trained on site and are not required to travel. Based at our Corporate Office, this is an exceptional chance for learning, exposure, and career advancement. Job Responsibilities: Gather accident information and assist the insured to begin the claim process Take and organize detailed notes/information from all involved parties Ensure that all claims information is accurately input to claims system Prepare claim information Meet deadlines while making priority adjustments as needed Confidently and professionally work well with internal and external customers Handle matters according to various state regulatory requirements and respond to issues in a timely, appropriate fashion Stay abreast of and utilize claim handling best practices as directed by management and regulatory/professional organizations Maintain file communications and associated details to ensure that a complete file is available to the company at all times After appropriate training and foundational understanding (3 - 6 months), Liability Adjusters will be responsible for: Determining responsibility, coverages and coverage limits Consulting with all involved vendors and out of state contracted adjusters Reviewing and approving price quotes Settlement negotiation The ideal candidate will possess the following: Exceptional communication skills: listening, reading, writing, speaking Solid organizational, multi-tasking and time-management skills Strong analytical and problem-solving skills Ability to work both independently and in a team-oriented environment Intermediate knowledge of Microsoft Office Suite Strong sense of urgency Willingness to learn and desire for promotion/advancement Bachelor's Degree in business, economics, finance or related field Salary and Benefits: Competitive Salary Medical/dental benefits 401(k) Paid vacation Life Insurance Collaborative environment Opportunity for advancement
    $44k-76k yearly est. 2d ago
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  • Personal Injury Protection (PIP) Claims Analyst

    Amerisure Mutual Insurance 4.8company rating

    Claim processor job in Farmington Hills, MI

    Amerisure creates exceptional value for its partners, policyholders, and employees. 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. With an A.M. Best “A” (Excellent) rating, Amerisure serves mid-sized commercial enterprises focused in construction, manufacturing and healthcare. Ranked 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. Amerisure is currently recruiting for a Personal Injury Protection (PIP) Claims Analyst that can do a 2-day hybrid approach onsite in our Farmington Hills office. The ideal candidate will also possess the following skill set. Summary Statement Provides quality investigation and analysis to adjust commercial MI PIP and bodily injury auto claims. File handling includes litigated and non-litigated matters. Essential Tasks/Major Duties Investigate losses, verify coverage, evaluate liability, damages and determine compensability independently. Engage other parties in negotiations and settle claims pursuant to claims handling guidelines. Leverage expertise to review and analyze documents and legal pleadings. Establish and maintain proper reserves for each claim to accurately reflect the financial exposure. Collaborate and communicate with agents, policyholders and internal stakeholders on claims and book of business as needed. Partner with counsel to manage litigated claims. Knowledge, Skills & Abilities Bachelor's degree or equivalent combination of education and experience. 3 years Michigan PIP claims. Bodily injury preferred but not required. AIC or SCLA certification preferred. Ability to obtain appropriate state licensing as required. Proficient computer skills required including Microsoft Office Suite, Excel. Demonstrated successful ability to build positive relationships and partnerships within department, across the organization and with external customers. Ability to think strategically with supporting analytical skills. Excellent verbal and written communication skills with the ability to interact with internal and external customers. Proven negotiation skills. #LI-BR1 Just as we are committed to creating exceptional value for our Partners For Success agencies and policyholders, Amerisure also remains committed to being an employer of choice. We reinforce this commitment by adhering to an Employee Value Proposition that, in part, is provided through a competitive total rewards package. This package includes competitive base pay, performance-based incentive pay, comprehensive health and welfare benefits, a 401(k) savings plan with profit sharing, and generous paid time off programs. We also offer flexible work arrangements to promote work-life balance. Recognized as one of the Best and Brightest Companies to Work For in the Nation and one of Business Insurance magazine's Best Places to Work in Insurance , we provide a workplace that fosters excellence and professional growth. If you are looking for a collaborative and rewarding career, Amerisure is looking for you. Amerisure Insurance provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability or genetics. In addition to federal law requirements, Amerisure Insurance complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training. Amerisure Insurance expressly prohibits any form of workplace harassment based on race, color, religion, gender, sexual orientation, gender identity or expression, national origin, age, genetic information, disability, or veteran status. Improper interference with the ability of Amerisure's employees to perform their job duties may result in discipline up to and including discharge.
    $97k-136k yearly est. Auto-Apply 35d ago
  • Senior Claims Support Analyst

    AAA Life Insurance Company 4.5company rating

    Claim processor job in Livonia, MI

    Why AAA Life AAA Life is a respected and trusted American brand that has been focusing on Life Insurance and Annuity Products since 1969. At AAA Life we have over 1.8 million policies where we take pride in earning the trust of our policyholders who understand our promise to be there for them - and their families - when we're needed most. By joining the AAA Life team, you are joining a company that genuinely cares about helping each other, with a devotion to protect the lives of those around us. We embrace a diverse, equitable, inclusive culture where all associates can feel a sense of belonging and use their unique talents and perspective to influence, innovate, motivate, and thrive. The Senior Claims Support Analyst supports both the Claims and Treasury functions by ensuring the efficient flow of funds, accuracy of claims payments, and continuous improvement of claims financial processes. This role combines analytical and operational expertise to maintain regulatory compliance, improve claims payment accuracy, and optimize cash management procedures. The analyst develops, monitors, and reports on key performance metrics, reconciles payment and claims data, supports quality reviews, and collaborates cross-functionally with Finance, Treasury, and Claims Leadership to streamline processes and improve financial integrity in claims operations. Responsibilities How You'll Work Work Solution: Hybrid Relocation Eligibility: Available What You'll Do Perform analytical reviews of claims payment and financial transactions to ensure accuracy, compliance, and adherence to internal controls and resolve related issues. Compile and interpret data for claims-related financial and operational reports, including accuracy trends, payment reconciliation, and reserve management. Maintain and analyze spreadsheets and databases used for claims funding, payment tracking, and financial reconciliations. Partner with Treasury to forecast cash needs related to claims payouts and ensure adequate liquidity for daily claim obligations. Develop and maintain process documentation and financial models to improve claims funding and payment accuracy. Conduct quality audits for all claim types (Life, Annuity, A&H) to verify regulatory compliance and identify opportunities for improvement. Support service recovery and resolution for escalated claim issues; provide data and analysis for Department of Insurance or external audit responses. Collaborate with Finance to analyze trends, variances, and reconciliation discrepancies; recommend corrective actions. Identify and implement process improvements to reduce manual handling, improve automation, and enhance data accuracy. Prepare and present claims financial metrics and insights to management, highlighting process efficiencies and control improvements. Serve as liaison for audit-related requests (internal, reinsurer, or regulatory) and provide supporting documentation. Provide training, guidance, and feedback to claims staff on financial procedures and quality standards. Ensure compliance with MAR, internal audit requirements, and fair claims practices regulations. Qualifications Qualifications Bachelor's Degree in Business, Finance, Accounting, or related field (or equivalent work experience). Minimum 5 years of experience in Claims Operations, Treasury Support, or related insurance field. Strong understanding of claims processing systems, payment workflows, and audit requirements. Preferred Qualifications Proficiency in Microsoft Excel, Access, and financial modeling; familiarity with COGNOS or similar reporting tools preferred. Demonstrated experience in data analysis, reconciliation, and process improvement. Excellent communication and collaboration skills, with the ability to work effectively across departments. Strong organizational and time-management skills with attention to detail. Ability to manage multiple priorities in a fast-paced, deadline-driven environment. #LI-Hybrid While performing the duties of this job, the employee is frequently required to stand, walk, sit, use hands to finger, handle, or feel, talk, hear and concentrate. Specific vision abilities required by this job include close vision, distance vision, depth perception, and ability to adjust focus. This job requires the ability to perform duties contained in the job description for this position, including, but not limited to, the above requirements. Reasonable accommodation will be made for otherwise qualified applicants as needed to enable them to fulfill these requirements. We are committed to ensuring equal employment opportunities for all job applicants and employees. Employment decisions are based upon job-related reasons regardless of an applicant's race, color, religion, sex, sexual orientation, gender identity, age, national origin, disability, marital status, genetic information, protected veteran status, or any other status protected by law.
    $86k-125k yearly est. Auto-Apply 43d ago
  • Claims Processor

    EHIM 3.8company rating

    Claim processor job in Southfield, MI

    Receive, analyze and process assigned claims by product (medical, dental, vision, FSA or HRA) and group. Ensure accurate processing based on benefit plan design and/or regulations. Evaluate underpayments, resolve non-payments and rejected claims. Follow through until the claim is completely resolved and check is issued. Create appropriate Explanation of Benefits or letter to provider for each claim. Identify and escalate claims for review or audit based on business rules. Ensure required documentation or reporting is completed timely and accurately. Answer incoming telephone calls related to claim processing, provider support and member benefit coverage options. Make outgoing calls to members and providers to obtain additional information as needed. Retrieve and sort mail, fax and email to ensure timely and accurate handling and response. Perform clerical functions including data entry, filing, and sorting, typing, organizing, and recording information. Train co-workers and new employees, as required. Perform various related duties as assigned. Position Requirements: High school diploma or equivalent required, post high school education preferred. Minimum two years of experience as a medical claims processor, medical biller or a similar service position in the health care industry. Must be flexible with scheduled work hours. Must have strong customer service orientation and excellent communication skills, and the ability to work effectively with clients, medical providers and plan members. Proficient PC skills in Windows-based applications. Ability to be flexible and quickly adapt to the changing needs in the department. Must be highly organized with strong attention to detail. Must be dependable and demonstrate responsible work patterns. Must have a high level of professionalism and courtesy.
    $28k-45k yearly est. 20d ago
  • Claims Processor

    Procare Rx 4.0company rating

    Claim processor job in Southfield, MI

    Receive, analyze and process assigned claims by product (medical, dental, vision, FSA or HRA) and group. Ensure accurate processing based on benefit plan design and/or regulations. Evaluate underpayments, resolve non-payments and rejected claims. Follow through until the claim is completely resolved and check is issued. Create appropriate Explanation of Benefits or letter to provider for each claim. Identify and escalate claims for review or audit based on business rules. Ensure required documentation or reporting is completed timely and accurately. Answer incoming telephone calls related to claim processing, provider support and member benefit coverage options. Make outgoing calls to members and providers to obtain additional information as needed. Retrieve and sort mail, fax and email to ensure timely and accurate handling and response. Perform clerical functions including data entry, filing, and sorting, typing, organizing, and recording information. Train co-workers and new employees, as required. Perform various related duties as assigned. Position Requirements: High school diploma or equivalent required, post high school education preferred. Minimum two years of experience as a medical claims processor, medical biller or a similar service position in the health care industry. Must be flexible with scheduled work hours. Must have strong customer service orientation and excellent communication skills, and the ability to work effectively with clients, medical providers and plan members. Proficient PC skills in Windows-based applications. Ability to be flexible and quickly adapt to the changing needs in the department. Must be highly organized with strong attention to detail. Must be dependable and demonstrate responsible work patterns. Must have a high level of professionalism and courtesy.
    $26k-41k yearly est. 19d ago
  • Claims Examiner, Commercial Insurance

    Arch Capital Group Ltd. 4.7company rating

    Claim processor job in Garden City, MI

    With a company culture rooted in collaboration, expertise and innovation, we aim to promote progress and inspire our clients, employees, investors and communities to achieve their greatest potential. Our work is the catalyst that helps others achieve their goals. In short, We Enable Possibility℠. Position Summary Arch Insurance Group Inc., AIGI, has an opening with the Claims Division as a Claims Examiner, Casualty. In this role, the responsibilities include actively managing medium-high severity commercial liability claims in jurisdictions throughout the United States. Responsibilities * Identify and assess coverage issues, draft coverage position letters, and retain coverage counsel, when necessary, as well as review coverage counsel's opinion letters and analysis * Develop and implement strategy relative to coverage issues which correlate with the overall strategy of matters entrusted to the handler's care * Develop and implement timely and accurate resolution strategies to ensure mitigation of indemnity and expense exposures * Maintain contact with any/all associated claims carrier(s)' claims staff, business line leader, underwriter, defense counsel, program manager, and broker to communicate developments and outcomes as necessary * Investigate claims and review the insureds' materials, pleadings, and other relevant documents * Identify and review each jurisdiction's applicable statutes, rules, and case law * Review litigation materials including depositions and expert's reports * Analyze and direct risk transfer, additional insured issues, and contractual indemnity issues * Retain counsel when necessary and direct counsel in accordance with resolution strategy * Analyze coverage, liability and damages for purposes of assessing and recommending reserves * Prepare and present written/oral reports to senior management setting forth all issues influencing evaluations and recommending reserves * Travel to and from locations within the United States to attend mediations, trials, and other proceedings relevant to the resolution of the matter * Negotiate resolution of claims * Select and utilize structure brokers * Maintain a diary of all claims, post reserves in a timely fashion, and expeditiously respond to inquiries from the insured, counsel, underwriters, brokers, and senior management regarding claims Experience & Required Skills * Exceptional communication (written and verbal), evaluating, influencing, negotiating, listening, and interpersonal skills to effectively develop productive working relationships with internal/external peers and other professionals across organizational lines * Strong time management and organizational skills * Demonstrated ability to take part in active strategic discussions * Demonstrated ability to work well independently and in a team environment * Hands-on experience and strong aptitude with Microsoft Excel, PowerPoint and Word * Willing and able to travel 10% * Hybrid schedule, 3 days a week in office Education * Bachelor's degree required. * Minimum of 3 years of working experience with a primary and or excess carrier supporting commercial accounts for Casualty claims * Proper & active adjuster licensing in all applicable states #LI-SW1 #LI-HYBRID For individuals assigned or hired to work in the location(s) indicated below, the base salary range is provided. Range is as of the time of posting. Position is incentive eligible. $95,000 - $150,000/year based on experience level * Total individual compensation (base salary, short & long-term incentives) offered will take into account a number of factors including but not limited to geographic location, scope & responsibilities of the role, qualifications, talent availability & specialization as well as business needs. The above pay range may be modified in the future. * Arch is committed to helping employees succeed through our comprehensive benefits package that includes multiple medical plans plus dental, vision and prescription drug coverage; a competitive 401k with generous matching; PTO beginning at 20 days per year; up to 12 paid company holidays per year plus 2 paid days of Volunteer Time Offer; basic Life and AD&D Insurance as well as Short and Long-Term Disability; Paid Parental Leave of up to 10 weeks; Student Loan Assistance and Tuition Reimbursement, Backup Child and Elder Care; and more. Click here to learn more on available benefits. Do you like solving complex business problems, working with talented colleagues and have an innovative mindset? Arch may be a great fit for you. If this job isn't the right fit but you're interested in working for Arch, create a job alert! Simply create an account and opt in to receive emails when we have job openings that meet your criteria. Join our talent community to share your preferences directly with Arch's Talent Acquisition team.
    $39k-52k yearly est. Auto-Apply 2d ago
  • Bilingual Claims Examiner

    Healthcare Support Staffing

    Claim processor job in Troy, MI

    HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career! Job Description: Are you an experienced Claims Representative looking for a new opportunity with a prestigious healthcare company? Do you want the chance to advance your career by joining a rapidly growing company? If you answered “yes" to any of these questions - this is the position for you! Daily Responsibilities: • Resolves Provider Reconsideration Requests (PRR) from providers relating to claims payment and requests for claim adjustments • Researches claims processing guidelines, provider contracts, fee schedules and system configurations to determine root cause of payment error • Identifies potential Provider problems through a proactive approach in which data is mined and trended to identify and prevent provider problem areas Qualifications Hours for this Position: • Mon-Fri 8am-4:30pm Advantages of this Opportunity: • Competitive salary, negotiable based on relevant experience • Acquire new skills and learn new knowledge • Fun and positive work environment Qualifications/ Requirements: • Must be bilingual in Spanish • Claims, Appeals, Denials experience for an insurance company or hospital or medical office or financial company • HS Diploma/GED Additional Information Interested in hearing more about this great opportunity? If you are interested in applying to this position, please click Apply Now and email your resume to Michael Grifon.
    $27k-45k yearly est. 15h ago
  • Claims Analyst

    Global Information Technology

    Claim processor job in Southfield, MI

    The EDI Claims Analyst is responsible for analyzing and processing electronic data interchange (EDI) transactions, including claims and eligibility inquiries. This role involves reviewing and resolving claim rejections, ensuring accurate data submission, and supporting various EDI transactions. The analyst will work closely with provider relations, IT, and other internal teams to ensure smooth and efficient claims processing. Requirement: Strong understanding of EDI transactions and claims processing Proficiency in SQL and data analysis Knowledge of Edifecs Smart-Trading platform, Availity Essentials, Informatica, and Apigee Familiarity with CBH systems, including Connects and Flexicare Excellent problem-solving and analytical skills Ability to mentor and train team members Executive leadership client facing Interested candidates can send their updated resumes at *********************
    $45k-76k yearly est. Easy Apply 60d+ ago
  • ESIS Medical Claims Analyst

    Chubb 4.3company rating

    Claim processor job in Southfield, MI

    ESIS, Inc. (ESIS) provides sophisticated risk management services designed to reduce claims frequency and loss costs. ESIS, the Risk Management Services Company of ACE USA, provides claims, risk control & loss information systems to Fortune 1000 accounts. ESIS employs more than 1,500 professionals in nine regional centers and 15 major claims offices, as well as local representatives in select jurisdictions. We take our fiduciary responsibilities seriously and are proud to manage over $2.5 billion of customer losses and over 320,000 new claims annually. We specialize in large accounts which have multi-state operations. For information regarding ESIS please visit ************* Summary: ESIS is seeking an experienced workers' compensation Medical Claims Analyst for the Southfield MI. The person in this role will handle and maintain Medical Only Workers' Compensation claims and file reviews under the general supervision of a supervisor and as part of the ESIS team. Minimum Responsibilities: Receive new claim losses and verify accuracy of information submitted. Provide customer service to agents, insureds, clients and other customers. Process medical only claims that are clearly work related and do not require investigation. Process authorized payments. Input data entry correspondence into claim system, and review files at appropriate intervals determined by Best Practices. Complete required state forms. Typing, photocopying, indexing and filing. Maintain desk according to Best Practice Standards 1-2 years previous claims processing experience. Strong customer service background. Ability to operate and contribute positively in a team-based environment. Good written and oral communication skills including effective telephone skills. Ability to work independently under limited supervision. Superior organizational skills and the ability to effectively manage multiple priorities. Demonstrate initiative as evidenced by the ability to self-manage, organize and prioritize work. Strong working knowledge of computer systems and various Microsoft applications such as Word, Excel and Outlook Committed to high standards of behavior and performance. An applicable resident or designated home state adjuster's license is required for ESIS Field Claims Adjusters. Adjusters that do not fulfill the license requirements will not meet ESIS's employment requirements for handling claims. ESIS supports independent self-study time and will allow up to 4 months to pass the adjuster licensing exam.
    $55k-76k yearly est. Auto-Apply 60d+ ago
  • Mortgage Claims Default Specialist

    The EMAC Group

    Claim processor job in Troy, MI

    The EMAC Group is a provider of mortgage recruiting services, we offer an extensive network of mortgage professionals and proven expertise developed over 20 years of experience identifying, attracting and recruiting mortgage talent for our clients. Job Description POSITION SUMMARY The Claims Specialist is responsible for processing required claims to Fannie Mae, Mortgage Insurance Companies, FHA, VA or other investors to recover advances incurred throughout the default process. The Claims Specialist will file required claims; meet investor time frames, and complete audits of claims processes for validation. Responsibilities as well will entail tracking of claim payments received for proper application, and filing of any required supplemental claims as necessary, and respond regarding any contested claim information as required. ESSENTIAL POSITION FUNCTIONS • Review, analyze, and ensure timely settlement of investor and mortgage insurance claims and manage aging claims to determine status and bring to closure and request extensions as needed. • Document and maintain all systems necessary for proper claim handling and follow-up. • Research issues and obtain proper supporting documentation in a timely manner as requested by investor or mortgage insurance company. • Manage application of all claim funds received and provide additional information as necessary in order to validate all available funds received prior to claim being closed. • Monitor claim process reports to ensure all required responses are timely filed. • Complete timely audits of all assigned claims to ensure all requirements have been met, and claim process can be validated. Qualifications EDUCATION / EXPERIENCE REQUIREMENTS • Graduation from a 4-year college or university with major course work in a discipline related to the requirements of the position is preferred. Will consider the equivalent combination of job experience & education that demonstrates the ability to perform the essential functions of this job. • Knowledge of Microsoft Office a must; knowledge of YARDI, LoanSphere, VALERI, USDA LINC and Workout Prospector a plus. • Previous work with mortgage claim filing is a requirement. Additional Information Please contact Tabitha Wolf at: ************
    $41k-69k yearly est. 60d+ ago
  • Mortgage Claims Default Specialist

    The Emac Group

    Claim processor job in Troy, MI

    The EMAC Group is a provider of mortgage recruiting services, we offer an extensive network of mortgage professionals and proven expertise developed over 20 years of experience identifying, attracting and recruiting mortgage talent for our clients. Job Description POSITION SUMMARY The Claims Specialist is responsible for processing required claims to Fannie Mae, Mortgage Insurance Companies, FHA, VA or other investors to recover advances incurred throughout the default process. The Claims Specialist will file required claims; meet investor time frames, and complete audits of claims processes for validation. Responsibilities as well will entail tracking of claim payments received for proper application, and filing of any required supplemental claims as necessary, and respond regarding any contested claim information as required. ESSENTIAL POSITION FUNCTIONS • Review, analyze, and ensure timely settlement of investor and mortgage insurance claims and manage aging claims to determine status and bring to closure and request extensions as needed. • Document and maintain all systems necessary for proper claim handling and follow-up. • Research issues and obtain proper supporting documentation in a timely manner as requested by investor or mortgage insurance company. • Manage application of all claim funds received and provide additional information as necessary in order to validate all available funds received prior to claim being closed. • Monitor claim process reports to ensure all required responses are timely filed. • Complete timely audits of all assigned claims to ensure all requirements have been met, and claim process can be validated. Qualifications EDUCATION / EXPERIENCE REQUIREMENTS • Knowledge of Microsoft Office a must; knowledge of YARDI, LoanSphere, VALERI, USDA LINC and Workout Prospector a plus. • Previous work with mortgage claim filing is a requirement. Additional Information Please contact Tabitha Wolf at: ************
    $41k-69k yearly est. 15h ago
  • Claims Representative

    The Strickland Group 3.7company rating

    Claim processor job in Detroit, MI

    Join Our Dynamic Insurance Team - Unlock Your Potential! Are you ready to take control of your future and build a career in one of the most stable and lucrative industries? We are seeking driven individuals to join our thriving insurance team, where you'll receive top-tier training, support, and unlimited income potential. NOW HIRING: ✅ Licensed Life & Health Agents ✅ Unlicensed Individuals (We'll guide you through the licensing process!) We're looking for our next leaders-those who want to build a career or an impactful part-time income stream. Is This You? ✔ Willing to work hard and commit for long-term success? ✔ Ready to invest in yourself and your business? ✔ Self-motivated and disciplined, even when no one is watching? ✔ Coachable and eager to learn? ✔ Interested in a business that is both recession- and pandemic-proof? If you answered YES to any of these, keep reading! Why Choose Us? 💼 Work from anywhere - full-time or part-time, set your own schedule. 💰 Uncapped earning potential - Part-time: $40,000 - $60,000 /month | Full-time: $70,000 - $150,000+++/month. 📈 No cold calling - You'll only assist individuals who have already requested help. ❌ No sales quotas, no pressure, no pushy tactics. 🧑 🏫 World-class training & mentorship - Learn directly from top agents. 🎯 Daily pay from the insurance carriers you work with. 🎁 Bonuses & incentives - Earn commissions starting at 80% (most carriers) + salary 🏆 Ownership opportunities - Build your own agency (if desired). 🏥 Health insurance available for qualified agents. 🚀 This is your chance to take back control, build a rewarding career, and create real financial freedom. 👉 Apply today and start your journey in financial services! ( Results may vary. Your success depends on effort, skill, and commitment to training and sales systems. )
    $41k-54k yearly est. Auto-Apply 60d+ ago
  • Bodily Injury Claims Specialist

    Auto-Owners Insurance 4.3company rating

    Claim processor job in Village of Clarkston, MI

    We offer a merit-based work-from-home program based on job responsibilities. After initial training in-person, you could have the flexibility of work-from-home time as defined by the leadership team. Auto-Owners Insurance, a top-rated insurance carrier, is seeking a motivated individual to join our Claims department as a Bodily Injury Claims Representative. The 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. Study insurance policies, endorsements, and forms to develop an understanding of insurance coverage. Follow claims handling procedures and participate in claim negotiations and settlements. Deliver a high level of customer service to our agents, insureds, and others. Devise alternative approaches to provide appropriate service, dependent upon the circumstances. Meet with people involved with claims, sometimes outside of our office environment. Handle investigations by telephone, email, mail, and on-site investigations. Maintain appropriate adjuster's license(s), if required by statute in the jurisdiction employed, within the time frame prescribed by the Company or statute. Handle complex and unusual exposure claims effectively through on-site investigations and through participation in mediations, settlement conferences, and trials. Handle confidential information according to Company standards and in accordance with any applicable law, regulation, or rule. Assist in the evaluation and selection of outside counsel. Maintain punctual attendance according to an assigned work schedule at a Company approved work location. Desired Skills & Experience A minimum of three years of insurance claims related experience. The ability to organize and conduct an investigation involving complex issues and assimilate the information to reach a logical and timely decision. The ability to effectively understand, interpret and communicate policy language. The dissemination of appropriate claim handling techniques so that others involved in the claim process are understanding of issues. Benefits Auto-Owners offers a wide range of career opportunities, and we are seeking talent that will help us continue our long tradition of success. We offer a friendly work environment, structured training program, employee mentoring and an excellent compensation/benefits package. Along with a competitive base salary, matched 401(k), fully-funded pension plan (once vested), and bonus programs, Auto-Owners also provides generous paid time off including holidays, vacation days, personal time, and sick leave. If you're looking to do rewarding work alongside great people, Auto-Owners is the place for you! Equal Employment Opportunity Auto-Owners Insurance is an equal opportunity employer. The Company hires, transfers, and promotes on the basis of ability, without consideration of disability, age, sex, race, color, religion, height, weight, marital status, sexual orientation, gender identity or national origin, or any factor contrary to federal, state or local law. *Please note that the ability to work in the U.S. without current or future sponsorship is a requirement. #LI-DNI #IN-DNI
    $60k-81k yearly est. Auto-Apply 43d ago
  • Warranty Claims Specialist

    Brightwing

    Claim processor job in Auburn Hills, MI

    Job Title: Warranty Claims Specialist This role is responsible for reviewing and processing warranty claims, including conducting technical analyses to ensure compliance with established Warranty Policies and Procedures in effect at the time of repair. The position provides support to dealers, field staff, and corporate employees through phone and email to ensure claims are accurately submitted, reviewed, and paid in a timely manner. Key Responsibilities: Review and evaluate warranty claims for accuracy, compliance, and eligibility. Provide guidance and support to dealers, field staff, and internal employees regarding claim submission and processing. Clarify warranty coverage, policies, and procedures, including proper claim coding and documentation requirements. Adjust and approve claims for payment and ensure all updates are properly recorded in the Warranty Audit Trail. Maintain accurate data within the SAGA system to ensure smooth claim processing and reduce unnecessary rejections. Review and resolve claims that fail SAGA system edits. Track and analyze warranty trends to identify opportunities for improvement. Train dealer staff, new corporate employees, and field employees on warranty procedures and claim adjusting processes. Skills & Competencies: Strong analytical and problem-solving skills Excellent communication and customer service abilities Attention to detail and accuracy Ability to interpret warranty policies and technical documentation Experience working with claims processing systems preferred
    $40k-69k yearly est. 6d ago
  • Supplier Claims Auditor

    FCA Us LLC 4.2company rating

    Claim processor job in Auburn Hills, MI

    The Supplier Claims Auditor will be responsible for assisting with the performance of supplier cancellation claim audits. This individual will interact with suppliers, purchasing, and engineering to resolve disputed claims. The Supplier Claims Auditor will perform substantive testing of supplier claims, obtaining sufficient evidence to support the claim recommendation, document the results and findings and communicate the results to appropriate staff. The selected candidate will perform on-site verification of inventories, production tooling and other assets that may be included in a cancellation claim. This individual will also coordinate audit efforts with dealer field auditors, Chrysler Leadership Development program participants, and other groups within Chrysler. Prepare appropriate management reports as needed. Travel requirements up to 30% (focused primarily in the mid-west).
    $47k-64k yearly est. 3d ago
  • Supplier Claims Auditor

    Stellantis

    Claim processor job in Auburn Hills, MI

    The Supplier Claims Auditor will be responsible for assisting with the performance of supplier cancellation claim audits. This individual will interact with suppliers, purchasing, and engineering to resolve disputed claims. The Supplier Claims Auditor will perform substantive testing of supplier claims, obtaining sufficient evidence to support the claim recommendation, document the results and findings and communicate the results to appropriate staff. The selected candidate will perform on-site verification of inventories, production tooling and other assets that may be included in a cancellation claim. This individual will also coordinate audit efforts with dealer field auditors, Chrysler Leadership Development program participants, and other groups within Chrysler. Prepare appropriate management reports as needed. Travel requirements up to 30% (focused primarily in the mid-west).
    $39k-56k yearly est. 3d ago
  • Healthcare Claims Auditor

    Quantix

    Claim processor job in Ann Arbor, MI

    Since 2002, Quantix ProTech has successfully delivered IT resources and solutions to companies while building a solid reputation for integrity and consistent quality. Quantix ProTech continues to partner with the commercial sector for specialized IT placement and staffing services. Quantix ProTech was recently featured in US News and World Report and Forbes. Job Title: Healthcare Claims Auditor Location: Ann Arbor, MI Type: Contract Length: Through 12/22/2016 Job Description: Our client in the Ann Arbor, Michigan area is looking for Healthcare Claims Auditors to join their team on a short term contract basis. This candidates will translate client's healthcare Summary Plan Descriptions into plan builds in the the audit rules engine. Successful candidates will have a solid understanding of healthcare claims processing having gained experience working for a health plan or a TPA. Required Skills: 1) Healthcare Claims Auditing. 2) Helathcare Coding methods. Qualifications Required Skills: 1) Healthcare Claims Auditing. 2) Helathcare Coding methods. Additional Information All your information will be kept confidential according to EEO guidelines. If your interested, send a copy of your resume at henriquez@quantixinc. com or reach me at ************.
    $39k-56k yearly est. 60d+ ago
  • Certification Specialist - Section 8 / LIHTC Affordable Housing Community

    Independent Management Services 4.0company rating

    Claim processor job in Pontiac, MI

    Independent Management Services is a full-service property management and marketing firm, specializing in the revitalization of under-managed multifamily housing developments. Since our founding in 1989, we have expanded our nationwide presence to include over 100 sustainable communities in 11 states focusing exclusively in the affordable and workforce housing sectors. However, our total breath of experience also includes market rate and commercial property management. We offer competitive salaries commensurate with experience and a comprehensive benefit package. We intend to build a team of individuals, who are self-motivated, willing to learn and grow with our firm. We progressively uphold a professional management team to serve our clients, enhancing our management skills and capabilities. Your progress, training, experience, motivation, attitude, and goals may create many possibilities for career opportunities with our company. If you have superior attention to detail with outstanding communications skills and enjoy a challenging fast pace environment, join our team now! Responsibilities: Occupancy, marketing, leasing, and resident verification procedures. Collect information from residents for eligibility screening, rent calculation, and income verification. Initial and annual recertification of income for residents. Complete unit inspections prior to move in/out and ensure units are ready for occupancy within deadlines. Receive and resolve resident requests and concerns. Foster positive working relationships with residents while always maintaining a professional demeanor. Administrative support tasks such as filing, typing, answering telephones, and data entry. Reports directly to the Site Manager. Job Qualifications: Sales-minded individual with attention to detail and strong verbal/written communication skills. Excellent follow-up skills via telephone or email correspondence. Experience with Tax Credit Compliance, EIV, and HUD Section 8 subsidy programs. Knowledge of REAC and MOR compliance. Proficiency with Paycom software and Microsoft Office suite preferred. Experience with RealPage OneSite preferred. Demonstrated track record regarding work attendance and reporting to work timely. Must adhere to Federal Fair Housing Laws. Qualifications We offer a competitive salary plus benefits including: Employer paid health and dental insurance (100% employee only) with affordable dependent and family coverage. Voluntary insurance options: Vision, Life, Accident Injury, Long-Term Disability, and Identity Theft. 401(k) with above-average employer matching contribution. Generous paid time off package. Training and employee development program. Among many other employee benefits.
    $38k-70k yearly est. 9d ago
  • Mortgage Claims Specialist

    The Emac Group

    Claim processor job in Detroit, MI

    The EMAC Group is a provider of mortgage recruiting services, we offer an extensive network of mortgage professionals and proven expertise developed over 20 years of experience identifying, attracting and recruiting mortgage talent for our clients. Job Description POSITION SUMMARY The Claims Specialist is responsible for processing required claims to Fannie Mae, Mortgage Insurance Companies, FHA, VA or other investors to recover advances incurred throughout the default process. The Claims Specialist will file required claims; meet investor time frames, and complete audits of claims processes for validation. Responsibilities as well will entail tracking of claim payments received for proper application, and filing of any required supplemental claims as necessary, and respond regarding any contested claim information as required. ESSENTIAL POSITION FUNCTIONS • Review, analyze, and ensure timely settlement of investor and mortgage insurance claims and manage aging claims to determine status and bring to closure and request extensions as needed. • Document and maintain all systems necessary for proper claim handling and follow-up. • Research issues and obtain proper supporting documentation in a timely manner as requested by investor or mortgage insurance company. • Manage application of all claim funds received and provide additional information as necessary in order to validate all available funds received prior to claim being closed. • Monitor claim process reports to ensure all required responses are timely filed. • Complete timely audits of all assigned claims to ensure all requirements have been met, and claim process can be validated. Qualifications EDUCATION / EXPERIENCE REQUIREMENTS • Graduation from a 4-year college or university with major course work in a discipline related to the requirements of the position is preferred. Will consider the equivalent combination of job experience & education that demonstrates the ability to perform the essential functions of this job. • Knowledge of Microsoft Office a must; knowledge of YARDI, LoanSphere, VALERI, USDA LINC and Workout Prospector a plus. • Previous work with mortgage claim filing is a requirement. Additional Information Please contact Tabitha Wolf at: ************
    $41k-69k yearly est. 15h ago
  • Mortgage Claims Default Specialist

    The EMAC Group

    Claim processor job in Detroit, MI

    The EMAC Group is a provider of mortgage recruiting services, we offer an extensive network of mortgage professionals and proven expertise developed over 20 years of experience identifying, attracting and recruiting mortgage talent for our clients. Job Description POSITION SUMMARY The Claims Specialist is responsible for processing required claims to Fannie Mae, Mortgage Insurance Companies, FHA, VA or other investors to recover advances incurred throughout the default process. The Claims Specialist will file required claims; meet investor time frames, and complete audits of claims processes for validation. Responsibilities as well will entail tracking of claim payments received for proper application, and filing of any required supplemental claims as necessary, and respond regarding any contested claim information as required. ESSENTIAL POSITION FUNCTIONS • Review, analyze, and ensure timely settlement of investor and mortgage insurance claims and manage aging claims to determine status and bring to closure and request extensions as needed. • Document and maintain all systems necessary for proper claim handling and follow-up. • Research issues and obtain proper supporting documentation in a timely manner as requested by investor or mortgage insurance company. • Manage application of all claim funds received and provide additional information as necessary in order to validate all available funds received prior to claim being closed. • Monitor claim process reports to ensure all required responses are timely filed. • Complete timely audits of all assigned claims to ensure all requirements have been met, and claim process can be validated. EDUCATION / EXPERIENCE REQUIREMENTS • Graduation from a 4-year college or university with major course work in a discipline related to the requirements of the position is preferred. Will consider the equivalent combination of job experience & education that demonstrates the ability to perform the essential functions of this job. • Knowledge of Microsoft Office a must; knowledge of YARDI, LoanSphere, VALERI, USDA LINC and Workout Prospector a plus. • Previous work with mortgage claim filing is a requirement. Additional Information Please contact Tabitha Wolf at: ************
    $41k-69k yearly est. 60d+ ago

Learn more about claim processor jobs

How much does a claim processor earn in Southfield, MI?

The average claim processor in Southfield, MI earns between $21,000 and $58,000 annually. This compares to the national average claim processor range of $26,000 to $62,000.

Average claim processor salary in Southfield, MI

$35,000

What are the biggest employers of Claim Processors in Southfield, MI?

The biggest employers of Claim Processors in Southfield, MI are:
  1. EHIM
  2. Healthcare Support Staffing
  3. ProCare Rx
  4. State Bar of Michigan
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