OBJECTIVE
MACP Subrogation Claims Representative Objective
To maximize the recovery of Farm Bureau Insurance paid claims by handling Michigan Assigned Claims Plan (MACP) subrogation efforts for recovery cases, as well as provide technical support for the Assigned Claims Unit.
RESPONSIBILITIES
MACP Subrogation Claims Representative Responsibilities
Review and evaluate each subrogation file as directed to determine if all pertinent investigative information has been provided. Follow up with adjusters as necessary to obtain additional information.
Work with computer systems keying functions, including but not limited to, letter composition, log entry, time entry, diary entry, report of investigation composition, and draft production.
Handle subrogation claims on behalf of the Michigan Assigned Claims Plan. Confirm file closings and subrogation assignments.
Develop a working knowledge of the Michigan No-Fault Law and Statute of Limitations that apply and maintain timely payments.
QUALIFICATIONS
MACP Subrogation Claims Representative Qualifications
Required
· High school diploma or equivalent required.
· Minimum two years of experience in auto, property, or liability claims handling required.
Preferred
· Bachelor's degree or professional insurance designation preferred.
Note: Possible travel to court appearances.
Farm Bureau offers a full benefit package including medical, dental, vision, and 401K.
PM19
$49k-57k yearly est. Auto-Apply 43d ago
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Senior Claim Representative - Legal
Emergent Holdings Career Section
Claims adjuster job in Lansing, MI
This Senior Claims Representative position is within the company's complex claim handling unit. The primary responsibility of this position is the management and resolution of the company's most complex commercial casualty claims with minimal supervision. Claims managed by this position are among the most complex received by the claims department and often present the highest and most severe potential exposure. Further primary responsibilities include handling negotiations on any and all claims assigned, understanding and verifying coverage policy provisions, limitations, deductibles, and exclusions, taking statements or interviews when necessary, from all parties, coordinating referral of coverage requests, and assigning losses to defense firms and/or independent adjusters as necessary.
ESSENTIAL DUTIES AND RESPONSIBILITIES include the following:
Other duties may be assigned.
1. Promptly and efficiently adjust a caseload of the company's most complex and volatile casualty claim files in accordance with company policies and procedures. This caseload will represent suits and third-party liability claims where successful collaboration with outside counsel is required.
2. Maintain an active diary and updated plan of action on 100% caseload files.
3. Adhere to assigned authority limits for reserving and payments (including settlements).
4. Exercise independent decision-making skills with minimal to moderate supervision and direction on claims assigned, using knowledge of local codes, standards, and law.
5. Evaluate coverage thoroughly for each claim received and work closely with internal counsel to ensure each coverage position taken is correct.
6. Investigate the facts of each claim, including obtaining key documentation such as police reports, medical reports, appraisals, estimates, photographs, etc. to evaluate claims in accordance with company standards. This may include traveling to observe key locations or discuss the case with insureds, attorneys, or key witnesses and experts.
7. Evaluate each claim's value, recommend appropriate reserves, and ensure that reserves are maintained at appropriate levels as the claim develops.
8. Evaluate and make decisions regarding coverage, liability, and compensability.
9. Timely present cases to management and other relevant associates for the purpose of discussing strategy, setting reserves, and obtaining payment authority.
10. Negotiate settlements or deny payments where no coverage, liability, or compensability exists.
11. Attend mediations, settlement conferences, arbitrations, and trials when appropriate.
12. Identify and thoroughly investigate all recovery and subrogation opportunities for each claim.
13. Return all telephone calls within one (1) business day, when possible. All messages from customers and agents are to be returned by the end of the same business day on which the call was received. Report all service complaints to management immediately upon receipt.
14. Maintain personal compliance with all continuing education requirements as mandated by statute or by office policy.
15. Providing occasional training and mentoring for other members of the team as well as the claims department.
16. Adhere to the company's code of ethics.
17. Perform related duties assigned.
EDUCATION AND EXPERIENCE
Relevant combination of education and experience may be considered in lieu of degree.
1. Bachelor's degree from a 4-year college or university.
2. Juris Doctor degree (weighed favorably, but not a requirement)
3. Admission to the state bar preferred
4. At least 5 years of experience managing large and/or complex commercial casualty claims and demonstrated knowledge and ability to do so at a high level of performance.
QUALIFICATIONS
To perform this job successfully, an individual must be able to perform each essential duty.
satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or
ability required. Reasonable accommodation may be made to enable individuals with disabilities.
to perform the essential functions.
OTHER SKILLS AND ABILITIES
1. Excellent oral and written communication skills.
2. Excellent presentation and facilitation skills.
3. Ability to make competent, independent decisions.
4. Ability to analyze coverage submissions and help.
5. Ability to prioritize, organize and plan work for self and others.
6. Excellent customer service skills.
7. Superior problem-solving ability.
8. Thorough knowledge of claim procedures, policies, terminology, etc.
9. Computer proficient with Microsoft Office programs, such as Word, Excel, and Outlook.
10. Possess State adjusting license(s) as applicable.
11. Ensure assigned files are managed in good faith as defined by statute, case-law and Corporate
standards.
12. Ability to travel as required.
13. Ability to interact professionally with others
14. Sit, stand/walk ambulatory
15. Ability to lift ten pounds
ADDITIONAL INFORMATION
The above statements are intended to describe the general nature and level of work being.
performed by people assigned to this classification. They are not intended to be construed as an
exhaustive list of all responsibilities, duties and skills required of personnel so classified. This job
description does not constitute a contract for employment.
PAY RANGE
Actual compensation decision relies on the consideration of internal equity, candidate's skills and professional experience, geographic location, market, and other potential factors. It is not the standard practice for an offer to be at or near the top of the range, and therefore a reasonable estimate for this role is between $82,900 - $138,800.
We are an Equal Opportunity Employer. We will not tolerate discrimination or harassment in any form. Candidates for the position stated above are hired on an "at will" basis. Nothing herein is intended to create a contract.
#LI-CD1
#AFG
$82.9k-138.8k yearly Auto-Apply 52d ago
Senior Claim Representative - Legal
Emergent Holdings, Inc.
Claims adjuster job in Lansing, MI
This Senior Claims Representative position is within the company's complex claim handling unit. The primary responsibility of this position is the management and resolution of the company's most complex commercial casualty claims with minimal supervision. Claims managed by this position are among the most complex received by the claims department and often present the highest and most severe potential exposure. Further primary responsibilities include handling negotiations on any and all claims assigned, understanding and verifying coverage policy provisions, limitations, deductibles, and exclusions, taking statements or interviews when necessary, from all parties, coordinating referral of coverage requests, and assigning losses to defense firms and/or independent adjusters as necessary.
ESSENTIAL DUTIES AND RESPONSIBILITIES include the following:
Other duties may be assigned.
1. Promptly and efficiently adjust a caseload of the company's most complex and volatile casualty claim files in accordance with company policies and procedures. This caseload will represent suits and third-party liability claims where successful collaboration with outside counsel is required.
2. Maintain an active diary and updated plan of action on 100% caseload files.
3. Adhere to assigned authority limits for reserving and payments (including settlements).
4. Exercise independent decision-making skills with minimal to moderate supervision and direction on claims assigned, using knowledge of local codes, standards, and law.
5. Evaluate coverage thoroughly for each claim received and work closely with internal counsel to ensure each coverage position taken is correct.
6. Investigate the facts of each claim, including obtaining key documentation such as police reports, medical reports, appraisals, estimates, photographs, etc. to evaluate claims in accordance with company standards. This may include traveling to observe key locations or discuss the case with insureds, attorneys, or key witnesses and experts.
7. Evaluate each claim's value, recommend appropriate reserves, and ensure that reserves are maintained at appropriate levels as the claim develops.
8. Evaluate and make decisions regarding coverage, liability, and compensability.
9. Timely present cases to management and other relevant associates for the purpose of discussing strategy, setting reserves, and obtaining payment authority.
10. Negotiate settlements or deny payments where no coverage, liability, or compensability exists.
11. Attend mediations, settlement conferences, arbitrations, and trials when appropriate.
12. Identify and thoroughly investigate all recovery and subrogation opportunities for each claim.
13. Return all telephone calls within one (1) business day, when possible. All messages from customers and agents are to be returned by the end of the same business day on which the call was received. Report all service complaints to management immediately upon receipt.
14. Maintain personal compliance with all continuing education requirements as mandated by statute or by office policy.
15. Providing occasional training and mentoring for other members of the team as well as the claims department.
16. Adhere to the company's code of ethics.
17. Perform related duties assigned.
EDUCATION AND EXPERIENCE
Relevant combination of education and experience may be considered in lieu of degree.
1. Bachelor's degree from a 4-year college or university.
2. Juris Doctor degree (weighed favorably, but not a requirement)
3. Admission to the state bar preferred
4. At least 5 years of experience managing large and/or complex commercial casualty claims and demonstrated knowledge and ability to do so at a high level of performance.
QUALIFICATIONS
To perform this job successfully, an individual must be able to perform each essential duty.
satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or
ability required. Reasonable accommodation may be made to enable individuals with disabilities.
to perform the essential functions.
OTHER SKILLS AND ABILITIES
1. Excellent oral and written communication skills.
2. Excellent presentation and facilitation skills.
3. Ability to make competent, independent decisions.
4. Ability to analyze coverage submissions and help.
5. Ability to prioritize, organize and plan work for self and others.
6. Excellent customer service skills.
7. Superior problem-solving ability.
8. Thorough knowledge of claim procedures, policies, terminology, etc.
9. Computer proficient with Microsoft Office programs, such as Word, Excel, and Outlook.
10. Possess State adjusting license(s) as applicable.
11. Ensure assigned files are managed in good faith as defined by statute, case-law and Corporate
standards.
12. Ability to travel as required.
13. Ability to interact professionally with others
14. Sit, stand/walk ambulatory
15. Ability to lift ten pounds
ADDITIONAL INFORMATION
The above statements are intended to describe the general nature and level of work being.
performed by people assigned to this classification. They are not intended to be construed as an
exhaustive list of all responsibilities, duties and skills required of personnel so classified. This job
description does not constitute a contract for employment.
PAY RANGE
Actual compensation decision relies on the consideration of internal equity, candidate's skills and professional experience, geographic location, market, and other potential factors. It is not the standard practice for an offer to be at or near the top of the range, and therefore a reasonable estimate for this role is between $82,900 - $138,800.
We are an Equal Opportunity Employer. We will not tolerate discrimination or harassment in any form. Candidates for the position stated above are hired on an "at will" basis. Nothing herein is intended to create a contract.
#LI-CD1
#AFG
$82.9k-138.8k yearly Auto-Apply 52d ago
Senior Claim Representative - Legal
Blue Cross Blue Shield of Michigan 4.8
Claims adjuster job in Lansing, MI
This Senior Claims Representative position is within the company's complex claim handling unit. The primary responsibility of this position is the management and resolution of the company's most complex commercial casualty claims with minimal supervision. Claims managed by this position are among the most complex received by the claims department and often present the highest and most severe potential exposure. Further primary responsibilities include handling negotiations on any and all claims assigned, understanding and verifying coverage policy provisions, limitations, deductibles, and exclusions, taking statements or interviews when necessary, from all parties, coordinating referral of coverage requests, and assigning losses to defense firms and/or independent adjusters as necessary.
ESSENTIAL DUTIES AND RESPONSIBILITIES include the following:
Other duties may be assigned.
1. Promptly and efficiently adjust a caseload of the company's most complex and volatile casualty claim files in accordance with company policies and procedures. This caseload will represent suits and third-party liability claims where successful collaboration with outside counsel is required.
2. Maintain an active diary and updated plan of action on 100% caseload files.
3. Adhere to assigned authority limits for reserving and payments (including settlements).
4. Exercise independent decision-making skills with minimal to moderate supervision and direction on claims assigned, using knowledge of local codes, standards, and law.
5. Evaluate coverage thoroughly for each claim received and work closely with internal counsel to ensure each coverage position taken is correct.
6. Investigate the facts of each claim, including obtaining key documentation such as police reports, medical reports, appraisals, estimates, photographs, etc. to evaluate claims in accordance with company standards. This may include traveling to observe key locations or discuss the case with insureds, attorneys, or key witnesses and experts.
7. Evaluate each claim's value, recommend appropriate reserves, and ensure that reserves are maintained at appropriate levels as the claim develops.
8. Evaluate and make decisions regarding coverage, liability, and compensability.
9. Timely present cases to management and other relevant associates for the purpose of discussing strategy, setting reserves, and obtaining payment authority.
10. Negotiate settlements or deny payments where no coverage, liability, or compensability exists.
11. Attend mediations, settlement conferences, arbitrations, and trials when appropriate.
12. Identify and thoroughly investigate all recovery and subrogation opportunities for each claim.
13. Return all telephone calls within one (1) business day, when possible. All messages from customers and agents are to be returned by the end of the same business day on which the call was received. Report all service complaints to management immediately upon receipt.
14. Maintain personal compliance with all continuing education requirements as mandated by statute or by office policy.
15. Providing occasional training and mentoring for other members of the team as well as the claims department.
16. Adhere to the company's code of ethics.
17. Perform related duties assigned.
EDUCATION AND EXPERIENCE
Relevant combination of education and experience may be considered in lieu of degree.
1. Bachelor's degree from a 4-year college or university.
2. Juris Doctor degree (weighed favorably, but not a requirement)
3. Admission to the state bar preferred
4. At least 5 years of experience managing large and/or complex commercial casualty claims and demonstrated knowledge and ability to do so at a high level of performance.
QUALIFICATIONS
To perform this job successfully, an individual must be able to perform each essential duty.
satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or
ability required. Reasonable accommodation may be made to enable individuals with disabilities.
to perform the essential functions.
OTHER SKILLS AND ABILITIES
1. Excellent oral and written communication skills.
2. Excellent presentation and facilitation skills.
3. Ability to make competent, independent decisions.
4. Ability to analyze coverage submissions and help.
5. Ability to prioritize, organize and plan work for self and others.
6. Excellent customer service skills.
7. Superior problem-solving ability.
8. Thorough knowledge of claim procedures, policies, terminology, etc.
9. Computer proficient with Microsoft Office programs, such as Word, Excel, and Outlook.
10. Possess State adjusting license(s) as applicable.
11. Ensure assigned files are managed in good faith as defined by statute, case-law and Corporate
standards.
12. Ability to travel as required.
13. Ability to interact professionally with others
14. Sit, stand/walk ambulatory
15. Ability to lift ten pounds
ADDITIONAL INFORMATION
The above statements are intended to describe the general nature and level of work being.
performed by people assigned to this classification. They are not intended to be construed as an
exhaustive list of all responsibilities, duties and skills required of personnel so classified. This job
description does not constitute a contract for employment.
PAY RANGE
Actual compensation decision relies on the consideration of internal equity, candidate's skills and professional experience, geographic location, market, and other potential factors. It is not the standard practice for an offer to be at or near the top of the range, and therefore a reasonable estimate for this role is between $82,900 - $138,800.
We are an Equal Opportunity Employer. We will not tolerate discrimination or harassment in any form. Candidates for the position stated above are hired on an "at will" basis. Nothing herein is intended to create a contract.
#LI-CD1
#AFG
$82.9k-138.8k yearly Auto-Apply 52d ago
Field Claims Adjuster
EAC Claims Solutions 4.6
Claims adjuster job in Lansing, MI
At EAC Claims Solutions, we are dedicated to resolving claims with integrity and efficiency. Join us in delivering exceptional service while upholding the highest standards of professionalism and compliance. Explore more about our commitment to innovation and community impact at **********************
Overview:
Join EAC Claims Solutions as a Property Field Adjuster, where you will be managing insurance claims from inception to resolution.
Key Responsibilities:
- Planning and organizing daily workload to process claims and conduct inspections
- Investigating insurance claims, including interviewing claimants and witnesses
- Handling property claims involving damage to buildings, structures, contents and/or property damage
- Conducting thorough property damage assessments and verifying coverage
- Evaluating damages to determine appropriate settlement
- Negotiating settlements
- Uploading completed reports, photos, and documents using our specialized software systems
Requirements:
- Ability to perform physical tasks including standing for extended periods, climbing ladders, and navigating tight spaces
- Strong interpersonal communication, organizational, and analytical skills
- Proficiency in computer software programs such as Microsoft Office and claims management systems
- Self-motivated with the ability to work independently and prioritize tasks effectively
- High school diploma or equivalent required
- Previous experience in insurance claims or related field is a plus but not required
Next Steps:
If you're passionate about making a difference, thrive on challenges, and deeply value your work, we invite you to apply. Should your application progress, a recruiter will reach out to discuss the next steps.
Join us at EAC Claims Solutions, where your passion meets purpose, and where your contributions truly matter.
$48k-59k yearly est. Auto-Apply 9d ago
Independent Insurance Claims Adjuster in Jackson, Michigan
Milehigh Adjusters Houston
Claims adjuster job in Jackson, MI
IS IT TIME FOR A CAREER CHANGE? INDEPENDENT INSURANCE CLAIMSADJUSTERS NEEDED NOW! Are you ready to embark on a dynamic and in-demand career as an Independent Insurance ClaimsAdjuster? This is your chance to join a thriving industry with endless opportunities for growth and advancement.
Why This Opportunity Matters:
With the current surge in storm-related events sweeping across the nation, there's an urgent need for new adjusters to meet the escalating demand.
As a Licensed ClaimsAdjuster, you'll play a crucial role in helping individuals and businesses recover from unforeseen disasters and rebuild their lives.
This is not just a job-it's a rewarding career path where you can make a real difference in people's lives while enjoying flexibility, autonomy, and competitive compensation.
Join Our Team:
Are you actively working as a Licensed ClaimsAdjuster with 100 claims or more under your belt?
If so, that's great! If not, no problem! Let us help you on your career path as a Licensed ClaimsAdjuster.
You're welcome to sign up on our jobs roster if you meet our guidelines.
How We Can Help You Succeed:
At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claimsadjusting.
Our expert instructor, with years of industry experience, will provide you with hands-on training, insider tips, and practical insights to prepare you for real-world challenges.
Whether you're a seasoned professional or a newcomer to the field, our training programs are designed to meet you where you are and help you reach your full potential as a claimsadjuster.
Don't miss out on this opportunity-let us assist you in advancing your career in claimsadjusting and achieving your professional goals. With our guidance and support, you'll have the opportunity to thrive in a dynamic and rewarding industry, making a positive impact on the lives of others while achieving your professional goals.
Seize the Opportunity Today!
Contact us now at ************ or [email protected] to learn more about our training programs and take the first step towards a fulfilling career as a Licensed ClaimsAdjuster. Visit our website at ******************************** to explore our offerings and view our 375+ Five-Star Google Reviews.
You can also find us on YouTube at: (*********************************************************
and Facebook at: (************************************************** for additional resources and updates.
APPLY HERE
#AdjustersNeeded #CareerOpportunity #ClaimsAdjusterTraining #MileHighAdjustersHouston
By applying to this position, you consent to receive informational and promotional messages from MileHigh Adjusters Houston about training opportunities and related career programs. You may opt out at any time.
$47k-58k yearly est. Auto-Apply 60d+ ago
Experienced Catastrophe Claims Representative
Auto-Owners Insurance 4.3
Claims adjuster job in Lansing, MI
*There are multiple positions open across the 26 states in which we operate. The current locations for which we are seeking CAT Claim Reps are located in the job posting.*
Auto-Owners Insurance, a top-rated insurance carrier, is seeking an experienced and motivated claims professional to join our team. 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.
Can meet the physical demands required for the position including carrying and climbing a ladder.
Investigate and assemble facts, determine policy coverage, evaluate the amount of loss, analyze legal liability and pay or deny losses.
Familiar with insurance coverage by studying insurance policies, endorsements and forms.
Work towards the resolution of claims, possibly attending arbitrations, mediations, depositions or trials as necessary.
Ensure that claims payments are issued in a timely and accurate manner.
Desired Skills & Experience
Bachelor's degree or equivalent experience
Minimum of 2 years claims handling experience or comparable experience
Field claims experience with multi-line property and casualty claims and wind/hail
Proficient with Xactimate software
Above-average communication skills (written and verbal)
Ability to resolve complex issues
Organize and interpret data
Ability to handle multiple assignments
Possess a valid driver's license
Military experience is considered
Benefits
Competitive salary, matching 401(k) retirement plans, fully funded pension plan, bonus programs, paid holidays, vacation days, personal days, paid sick leave and a comprehensive health care plan.
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-KC1 #LI-Hybrid
$43k-55k yearly est. Auto-Apply 60d+ ago
Specialty Loss Adjuster
Sedgwick 4.4
Claims adjuster job in Lansing, MI
By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there's no limit to what you can achieve.
Newsweek Recognizes Sedgwick as America's Greatest Workplaces National Top Companies
Certified as a Great Place to Work
Fortune Best Workplaces in Financial Services & Insurance
Specialty Loss Adjuster
**Embark on an Exciting Career Journey with Sedgwick Specialty**
**Job Location** **: USA, Mexico, Brazil and strategic locations globally**
**Job Type** **: Permanent**
**Remuneration** **: Salaries can range from** **_$40,000.00USD to $250,000.00USD_** **taking into account skills, experience and qualifications.**
**We have a number of fantastic opportunities for Specialty Loss Adjusters across the US, Mexico and Brazil and a number of key locations**
We are looking for a variety of skill sets at all levels. Whether you have just started your career, you are a leader in the industry, or a claims management expert looking for a new challenge, this is your chance to showcase your skills and grow with a company that values innovation, excellence, and employee satisfaction.
Are you ready to be a part of providing a differentiated and best of class proposition to clients whilst working with like-minded colleagues? Sedgwick Specialty is thrilled to announce that we are investing in growth across Natural Resources, Property, Casualty, Technical and Special Risks and Marine. As we expand our operations, we are seeking individuals who are passionate about making a difference to the Adjusting industry.
**As a member of the Specialty platform, you will have the opportunity to:**
+ Work with a wide range of clients across the globe, handling complex cases and claims
+ Collaborate with a talented and supportive team of professionals who are dedicated to delivering exceptional results
+ Utilise state-of-the-art technology and resources to streamline processes and enhance efficiency
+ Receive ongoing training and development opportunities to further enhance your skills and knowledge in the marine industry
+ Enjoy a flexible work arrangement that allows you to maintain a healthy work-life balance while contributing to our global success
**The skills you will have when you apply:**
+ **Qualified** : it is important to us that you are either accredited, on your way to be accredited or qualified by experience
+ **Insurance claims experience:** it is imperative that you have experience working on insurance claims within you respective field. Full claims life cycle experience is a must
+ **Great communicator:** you will be constantly working with policy holders, brokers, carriers and various third parties, so being able to communicate accurately important. Providing an excellent customer service with our clients in mind. Able to approach issues empathetically
+ **Commercially minded:** An understanding of how the industry operates and where the role of a Loss Adjuster fits in. Being able to negotiate. Understanding how to market your services is a big advantage
**What we'll give you for this role:**
As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the annual salaries can range from _$40,000.00 to $250,000.00USD._ Bonus eligible role. A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits. Always Accepting Applications.
**This isn't just a position, it's a pivotal role in shaping our industry**
At Sedgwick, you won't just build your career; you'll cultivate a team of experts. Our Sedgwick University offering empowers you to excel as well as your team members, with the most comprehensive training program in the industry which includes more than 15,000 courses on demand, training specific to roles, and opportunities to continue formal education.
Together, we're not only reshaping the insurance landscape, we're building a legacy of talent. Come and be a catalyst for change within our industry.
**Next steps for you:**
**Think we'd be a great match? Apply now -** ** we want to hear from you.**
As part of our commitment to you, we are proud to have a zero tolerance policy towards discrimination of any kind regardless of age, disability, gender identity, marital/ family status, race, religion, sex or sexual orientation.
After the closing date we will review all applications and may select some applicants for an interview (which may be virtual, or in-person).
\#LI-HYBRID
Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.
**If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.**
**Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The company's expertise, combined with the most advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With over 33,000 colleagues and 10,000 clients across 80 countries, Sedgwick provides unmatched perspective, caring that counts, and solutions for the rapidly changing and complex risk landscape. For more, see** **sedgwick.com**
$51k-68k yearly est. 60d+ ago
Lansing, Michigan Field Property Claim Specialist
Acg 4.2
Claims adjuster job in Lansing, MI
Eligible candidates for this role should reside within a commutable distance of Lansing, Michigan.
Territory coverage includes Lansing, Jackson, Howell, and Flint Michigan areas.
Job Title- Field Property Claim Specialist
Reports to: Claim Manager as appropriate
What you will do:
Work under minimal supervision with a high-level approval authority to handle complex technical issues and complex claims.
Review assigned claims,
Contacting the insured and other affected parties, set expectations for the remainder of the claim process, and initiate documentation in the claim handling system.
Complete complex coverage analysis.
Ensure all possible policyholder benefits are identified.
Create additional sub-claims if needed.
Complete an investigation of the facts regarding the claim to further and in more detail determine if the claim should be paid, the applicable limits or exclusions and possible recovery potential.
Conduct thorough reviews of damages and determine the applicability of state law and other factors related to the claim.
Evaluate the financial value of the loss.
Approve payments for the appropriate parties accordingly.
Refer claims to other company units when necessary (e.g., Underwriting, Recovery Units or Claims Special Investigation Unit).
Thoroughly document and/or code the claim file and complete all claim closure and related activities in the assigned claims management system.
Utilize strong negotiating skills.
Employees will be assigned to the Michigan Homeowner claim unit and will handle claims generally valued between $10,000 and $75,000 and occasionally over $100,000 for field role. Investigate claims requiring coverage analysis. When handling claims in the field, must prepare damage estimates using Xactimate estimating software. Review estimates for accuracy. May monitor contractor repair status and updates.
Supervisory Responsibilities:
None
How you will benefit:
A competitive annual salary between $65,700 - $90,000
ACG offers excellent and comprehensive benefits packages, including:
Medical, dental and vision benefits
401k Match
Paid parental leave and adoption assistance
Paid Time Off (PTO), company paid holidays, CEO days, and floating holidays
Paid volunteer day annually
Tuition assistance program, professional certification reimbursement program and other professional development opportunities
AAA Membership
Discounts, perks, and rewards and much more
We're looking for candidates who:
Required Qualifications (these are the minimum requirements to qualify)
Education:
Associate degree in Business Administration, Insurance or a related field or the equivalent in related work experience
Completion of the Insurance Institute of America's: General Insurance Program, Associate in Claims, associate in management or equivalent
CPCU coursework or designation
Xactware Training
Complete ACG Claim Representative Training Program or demonstrate equivalent knowledge or experience.
In states where an Adjuster's license is required, the candidate must be eligible to acquire a State Adjuster's license within 90 days of hire and maintain as specified for appropriate states.
Must have a valid State Driver's License
Ability to:
Lift up to 25 pounds
Climb ladders.
Walk on roofs.
Experience:
Three years of experience or equivalent training in the following:
Negotiation of claim settlements
Securing and evaluating evidence
Preparing manual and electronic estimates
Subrogation claims
Resolving coverage questions
Taking statements
Establishing clear evaluation and resolution plans for claims
Knowledge and Skills:
Advanced knowledge of:
Fair Trade Practices Act as it relates to claims
Subrogation procedures and processes
Intercompany arbitration
Handling simple litigation
Advanced knowledge of building construction and repair techniques
Ability to:
Handle claims to the line Claim Handling Standards
Follow and apply ACG Claim policies, procedures and guidelines
Work within assigned ACG Claim systems including basic PC software
Perform basic claim file review and investigations
Demonstrate effective communication skills (verbal and written)
Demonstrate customer service skills by building and maintaining relationships with insureds/claimants while exhibiting understanding of their problems and responding to questions and concerns
Analyze and solve problems while demonstrating sound decision-making skills
Prioritize claim related functions
Process time sensitive data and information from multiple sources
Manage time, organize and plan workload and responsibilities
Safely operate a motor vehicle in order to visit repair facilities, homes (for inspections), patients, etc.
Research analyze and interpret subrogation laws in various states
May travel outside of assigned territory which may involve overnight stay
Preferred Qualifications:Education:
Associate degree in Business Administration, Insurance or a related field or the equivalent in related work experience
Completion of the Insurance Institute of America's: General Insurance Program, Associate in Claims, Associate in Management or equivalent
CPCU coursework or designation
Xactware/Xactimate Training or equivalent
Work EnvironmentThis 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 is specified by leadership. This is subject to change based on amendments and/or modifications to the ACG Flex Work policy.
Who We Are
Become a part of something bigger.
The Auto Club Group (ACG) provides membership, travel, insurance, and financial service offerings to approximately 14+ million members and customers across 14 states and 2 U.S. territories through AAA, Meemic, and Fremont brands. ACG belongs to the national AAA federation and is the second largest AAA club in North America.
By 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.
And when you join our team, one of the first things you'll notice is that same, whole-hearted, enthusiastic advocacy for each other.
We have positions available for every walk of life! AAA prides itself on creating an inclusive and welcoming environment of diverse backgrounds, experiences, and viewpoints, realizing our differences make us stronger.
To learn more about AAA The Auto Club Group visit ***********
Important Note:
ACG's Compensation philosophy is to provide a market-competitive structure of fair, equitable and performance-based pay to attract and retain excellent talent that will enable ACG to meet its short and long-term goals. ACG utilizes a geographic pay differential as part of the base salary compensation program. Pay ranges outlined in this posting are based on the various ranges within the geographic areas which ACG operates. Salary at time of offer is determined based on these and other factors as associated with the job and job level.
The above statements describe the principal and essential functions, but not all functions that may be inherent in the job. 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 accommodations will be made for otherwise qualified applicants, as needed, to enable them to fulfill these requirements.
The Auto Club Group, and all its affiliated companies, is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, gender identity, sexual orientation, national origin, disability or protected veteran status.
Regular and reliable attendance is essential for the function of this job.
AAA The Auto Club Group is committed to providing a safe workplace. Every applicant offered employment within The Auto Club Group will be required to consent to a background and drug screen based on the requirements of the position.
$65.7k-90k yearly Auto-Apply 43d ago
Lansing, Michigan Field Property Claim Specialist
AAA Southern New England 4.3
Claims adjuster job in Lansing, MI
Eligible candidates for this role should reside within a commutable distance of Lansing, Michigan. Territory coverage includes Lansing, Jackson, Howell, and Flint Michigan areas. Job Title- Field Property Claim Specialist Reports to: Claim Manager as appropriate
What you will do:
Work under minimal supervision with a high-level approval authority to handle complex technical issues and complex claims.
* Review assigned claims,
* Contacting the insured and other affected parties, set expectations for the remainder of the claim process, and initiate documentation in the claim handling system.
* Complete complex coverage analysis.
* Ensure all possible policyholder benefits are identified.
* Create additional sub-claims if needed.
* Complete an investigation of the facts regarding the claim to further and in more detail determine if the claim should be paid, the applicable limits or exclusions and possible recovery potential.
* Conduct thorough reviews of damages and determine the applicability of state law and other factors related to the claim.
* Evaluate the financial value of the loss.
* Approve payments for the appropriate parties accordingly.
* Refer claims to other company units when necessary (e.g., Underwriting, Recovery Units or Claims Special Investigation Unit).
* Thoroughly document and/or code the claim file and complete all claim closure and related activities in the assigned claims management system.
* Utilize strong negotiating skills.
Employees will be assigned to the Michigan Homeowner claim unit and will handle claims generally valued between $10,000 and $75,000 and occasionally over $100,000 for field role. Investigate claims requiring coverage analysis. When handling claims in the field, must prepare damage estimates using Xactimate estimating software. Review estimates for accuracy. May monitor contractor repair status and updates.
Supervisory Responsibilities:
None
How you will benefit:
* A competitive annual salary between $65,700 - $90,000
* ACG offers excellent and comprehensive benefits packages, including:
* Medical, dental and vision benefits
* 401k Match
* Paid parental leave and adoption assistance
* Paid Time Off (PTO), company paid holidays, CEO days, and floating holidays
* Paid volunteer day annually
* Tuition assistance program, professional certification reimbursement program and other professional development opportunities
* AAA Membership
* Discounts, perks, and rewards and much more
We're looking for candidates who:
Required Qualifications (these are the minimum requirements to qualify)
Education:
* Associate degree in Business Administration, Insurance or a related field or the equivalent in related work experience
* Completion of the Insurance Institute of America's: General Insurance Program, Associate in Claims, associate in management or equivalent
* CPCU coursework or designation
* Xactware Training
* Complete ACG Claim Representative Training Program or demonstrate equivalent knowledge or experience.
* In states where an Adjuster's license is required, the candidate must be eligible to acquire a State Adjuster's license within 90 days of hire and maintain as specified for appropriate states.
* Must have a valid State Driver's License
Ability to:
* Lift up to 25 pounds
* Climb ladders.
* Walk on roofs.
Experience:
* Three years of experience or equivalent training in the following:
* Negotiation of claim settlements
* Securing and evaluating evidence
* Preparing manual and electronic estimates
* Subrogation claims
* Resolving coverage questions
* Taking statements
* Establishing clear evaluation and resolution plans for claims
Knowledge and Skills:
Advanced knowledge of:
* Fair Trade Practices Act as it relates to claims
* Subrogation procedures and processes
* Intercompany arbitration
* Handling simple litigation
* Advanced knowledge of building construction and repair techniques
Ability to:
* Handle claims to the line Claim Handling Standards
* Follow and apply ACG Claim policies, procedures and guidelines
* Work within assigned ACG Claim systems including basic PC software
* Perform basic claim file review and investigations
* Demonstrate effective communication skills (verbal and written)
* Demonstrate customer service skills by building and maintaining relationships with insureds/claimants while exhibiting understanding of their problems and responding to questions and concerns
* Analyze and solve problems while demonstrating sound decision-making skills
* Prioritize claim related functions
* Process time sensitive data and information from multiple sources
* Manage time, organize and plan workload and responsibilities
* Safely operate a motor vehicle in order to visit repair facilities, homes (for inspections), patients, etc.
* Research analyze and interpret subrogation laws in various states
* May travel outside of assigned territory which may involve overnight stay
Preferred Qualifications:
Education:
* Associate degree in Business Administration, Insurance or a related field or the equivalent in related work experience
* Completion of the Insurance Institute of America's: General Insurance Program, Associate in Claims, Associate in Management or equivalent
* CPCU coursework or designation
* Xactware/Xactimate Training or equivalent
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 is specified by leadership. This is subject to change based on amendments and/or modifications to the ACG Flex Work policy.
Who We Are
Become a part of something bigger.
The Auto Club Group (ACG) provides membership, travel, insurance, and financial service offerings to approximately 14+ million members and customers across 14 states and 2 U.S. territories through AAA, Meemic, and Fremont brands. ACG belongs to the national AAA federation and is the second largest AAA club in North America.
By 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.
And when you join our team, one of the first things you'll notice is that same, whole-hearted, enthusiastic advocacy for each other.
We have positions available for every walk of life! AAA prides itself on creating an inclusive and welcoming environment of diverse backgrounds, experiences, and viewpoints, realizing our differences make us stronger.
To learn more about AAA The Auto Club Group visit ***********
Important Note:
ACG's Compensation philosophy is to provide a market-competitive structure of fair, equitable and performance-based pay to attract and retain excellent talent that will enable ACG to meet its short and long-term goals. ACG utilizes a geographic pay differential as part of the base salary compensation program. Pay ranges outlined in this posting are based on the various ranges within the geographic areas which ACG operates. Salary at time of offer is determined based on these and other factors as associated with the job and job level.
The above statements describe the principal and essential functions, but not all functions that may be inherent in the job. 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 accommodations will be made for otherwise qualified applicants, as needed, to enable them to fulfill these requirements.
The Auto Club Group, and all its affiliated companies, is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, gender identity, sexual orientation, national origin, disability or protected veteran status.
Regular and reliable attendance is essential for the function of this job.
AAA The Auto Club Group is committed to providing a safe workplace. Every applicant offered employment within The Auto Club Group will be required to consent to a background and drug screen based on the requirements of the position.
$65.7k-90k yearly Auto-Apply 55d ago
Part-Time RCIS Crop Claims Field Adjuster I
Zurich Na 4.8
Claims adjuster job in Lansing, MI
128055 Zurich is looking for a Part-Time RCIS Crop Claims Field Adjuster I to work out of Michigan state.This incumbent will work from a home-based office. This position is scheduled to work 20 hours per week. Approximately 50% travel is expected to cover the territory.
**The ideal candidate will need to live and service within a 50-to-60-mile radius of the following areas in Michigan: South of Grand Rapids in the locations of Allegan, Hamilton, and/or Hopkins.**
Zurich is currently looking for a Parti-Time RCIS Crop Claims Field Adjuster I to join our Rural Community Insurance Services (RCIS) team. RCIS provides insurance and superior services through leading agents to protect America's farmers and ranchers. It's been an innovator in crop insurance since the crop insurance business was privatized by the federal government in 1980. Today it's one of the nation's largest crop insurance providers, offering risk management protection in all 50 states through a national network of about 4,000 professionally trained and licensed agents.
This is a great opportunity to serve the agricultural community.
As a Part-Time Crop Adjuster, your primary responsibilities will include:
+ With minimal supervision, completes field inspections and related responsibilities such as reading maps and aerial photos, measuring fields, storage bins, and discussing findings of crop loss with farmers on the most complex non-routine, problematic claims including controversial claims.
+ Ability to convey complex regulations and interpretations to claimants, agents, and industry people on claim situations.
+ Performs fact finding regarding crop damage, records information and transmits loss information to accurately determine potential indemnities.
+ Gather relevant facts, utilizing applicable law and establishing basic principles of negligence.
+ Complete claim reviews and audits on lower-level adjusters as assigned.
+ Ensure legal compliance by maintaining a strong working knowledge of regulatory and company policies and procedures.
+ Contribute to the team effort by accomplishing related results and participating on projects as needed.
Basic Qualifications:
+ High School Diploma or Equivalent and 6 or more months of experience in the agricultural area
+ Crop Adjuster Proficiency Program Certification (CAPP) must be obtained with 180 days of hire date
+ Reliable personal transportation and travel within territory
+ Valid Driver's License
+ RCIS Crop Adjuster Physical Requirements:walk in agricultural fields up to 3 miles, climb agricultural storage bins up to 25 feet, lift 25 lbs. to 50 lbs., work outdoors in varying temperatures/weather conditions
Preferred Qualifications:
+ Excellent verbal, written and interpersonal communication skills
+ Strong organization and prioritization skills
+ Experience as a Crop Claims Field Adjuster
+ Intermediate Microsoft Office skills
At Zurich, compensation for roles is influenced by a variety of factors, including but not limited to the specific office location, role, skill set, and level of experience. In compliance with local laws, Zurich commits to providing a fair and reasonable compensation range for each role. For more information about our Total Rewards, please click here (****************************************** . Additional rewards may encompass short-term incentive bonuses and merit increases. We encourage candidates with salary expectations beyond the provided range to apply as they will be considered based on their experience, skills, and education.
The proposed hourly rate for this position is $22.40 - $30.86, with short-term incentive bonus eligibility set at 5%.
As an insurance company, Zurich is subject to 18 U.S. Code § 1033.
A future with Zurich. What can go right when you apply at Zurich?
Now is the time to move forward and make a difference. At Zurich, we want you to share your unique perspectives, experiences and ideas so we can grow and drive sustainable change together. As part of a leading global organization, Zurich North America has over 150 years of experience managing risk and supporting resilience. Today, Zurich North America is a leading provider of commercial property-casualty insurance solutions and a wide range of risk management products and services for businesses and individuals. We serve more than 25 industries, from agriculture to technology, and we insure 90% of the Fortune 500 . Our growth strategy is not limited to our business. As an employer, we strive to provide ongoing career development opportunities, and we foster an environment where voices are diverse, behaviors are inclusive, actions drive equity, and our people feel a sense of belonging. Be a part of the next evolution of the insurance industry. Join us in building a brighter future for our colleagues, our customers and the communities we serve. Zurich maintains a comprehensive employee benefits package for employees as well as eligible dependents and competitive compensation. Please click here (********************************* to learn more.
Zurich in North America is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race/ethnicity, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.
Zurich does not accept unsolicited resumes from search firms or employment agencies. Any unsolicited resume will become the property of Zurich American Insurance. If you are a preferred vendor, please use our Recruiting Agency Portal for resume submission.
Location(s): AM - MI Virtual
Remote Working: Yes
Schedule: Part-Time
Employment Sponsorship Offered: No
Linkedin Recruiter Tag: #LI-
EOE Disability / Veterans
$22.4-30.9 hourly 60d+ ago
Residential and Commercial Field Adjusters
RAC Adjustments
Claims adjuster job in Okemos, MI
Job Description
RESIDENTIAL AND COMMERCIAL FIELD ADJUSTERS
RAC Adjustments, Inc.
We are seeking Independent Daily Adjusters, and CAT Adjusters to subcontract with. Specifically for Field Property claims. Claims will typically be within a 100-mile radius from the listed location.
Adjusters should have a minimum of 2 years' property experience handling Homeowners and Commercial property claims that include theft, vandalism, fire, water as well as wind and hail.
Interested IA's please respond to posting with resume and copies of any adjuster licenses held.
This role does not include a benefits package. Subcontractors are required to obtain their own insurance for liability, automobile, and workers' compensation. The salary range is between $0 and $80,000, contingent upon the workload.
RAC Adjustments, Inc., has been a premier leader in the Insurance industry for adjusting, appraising and investigative services industry since 1980. To learn more about RAC visit *******************
Job Posted by ApplicantPro
$41k-57k yearly est. 8d ago
FNOL Claims Representative
Michigan Farm Bureau 4.1
Claims adjuster job in Lansing, MI
OBJECTIVE
FNOL Claims Representative Objective
To use outstanding customer service skills when taking new claims submitted to the First Notice of Loss (FNOL) Unit via telephone, website, and accord form from Michigan Farm Bureau and Great Lakes Agribusiness customers.
RESPONSIBILITIES
FNOL Claims Representative Responsibilities
Accurately capture the first notice of loss in a professional, empathetic, and courteous manner by fielding calls from policyholders, agents, attorneys and third parties. Engage in active listening with callers to confirm or clarify information.
Set proper expectations for the caller by providing a high-level explanation of the claims process as determined by the complexity of the claim.
Make decisions based on the facts presented whether to review the FB Auto Express triage point system with policyholder to determine if a vehicle is a total loss.
Promote the use of preferred auto vendors with customers. Review loss data to determine if claim qualifies for the Direct Repair Program. Extend offer to policyholder and provide nearby repair facility options. Explain benefits to customers if they use preferred vendors.
Learn how to identify all relevant claim exposures and accurate loss cause codes according to the description of loss, the No-Fault law, and the applicable policy language.
Assign claim to the appropriate claim handling unit or the automated workflow system depending on Best Practices for specific disciplines and exposures.
Build knowledge of auto and property/casualty insurance laws and Claims Division Best Practices as it relates to Michigan and Pennsylvania.
Develop knowledge of all property/casualty contracts written by the companies and their various endorsements and exclusion, as well as knowledge of company procedures and accepted claim practices.
Partner with the Property Claims Department to answer the existing property claims call line. Provide customers basic claim information and direct them to the adjuster, when warranted. This can be high volume during a storm related event.
Develop an understanding of all programs used by Farm Bureau to streamline the claims process or facilitate claim handling.
Develop a working knowledge of claim procedures and all internal systems required to support the claim process.
Stay current on changes as they relate to job functions.
Seek ways to foster self-development and growth.
QUALIFICATIONS
FNOL Claims Representative Qualifications
Required
High school diploma or equivalent required.
Minimum of one year of experience in call center or customer service environment required.
Excellent typing skills and minimum 50 wpm required.
Proven strong listening, verbal and written communication skills.
Preferred
Insurance-related classes preferred.
Note: Up to three/four months of virtual training from 8:00am-4:30pm, after that standard work hours will be 10:00am-6:30pm.
Farm Bureau offers a full benefit package including medical, dental, vision, and 401K.
PM19
$49k-57k yearly est. Auto-Apply 21d ago
Independent Insurance Claims Adjuster in Flint, Michigan
Milehigh Adjusters Houston
Claims adjuster job in Flint, MI
IS IT TIME FOR A CAREER CHANGE? INDEPENDENT INSURANCE CLAIMSADJUSTERS NEEDED NOW! Are you ready to embark on a dynamic and in-demand career as an Independent Insurance ClaimsAdjuster? This is your chance to join a thriving industry with endless opportunities for growth and advancement.
Why This Opportunity Matters:
With the current surge in storm-related events sweeping across the nation, there's an urgent need for new adjusters to meet the escalating demand.
As a Licensed ClaimsAdjuster, you'll play a crucial role in helping individuals and businesses recover from unforeseen disasters and rebuild their lives.
This is not just a job-it's a rewarding career path where you can make a real difference in people's lives while enjoying flexibility, autonomy, and competitive compensation.
Join Our Team:
Are you actively working as a Licensed ClaimsAdjuster with 100 claims or more under your belt?
If so, that's great! If not, no problem! Let us help you on your career path as a Licensed ClaimsAdjuster.
You're welcome to sign up on our jobs roster if you meet our guidelines.
How We Can Help You Succeed:
At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claimsadjusting.
Our expert instructor, with years of industry experience, will provide you with hands-on training, insider tips, and practical insights to prepare you for real-world challenges.
Whether you're a seasoned professional or a newcomer to the field, our training programs are designed to meet you where you are and help you reach your full potential as a claimsadjuster.
Don't miss out on this opportunity-let us assist you in advancing your career in claimsadjusting and achieving your professional goals. With our guidance and support, you'll have the opportunity to thrive in a dynamic and rewarding industry, making a positive impact on the lives of others while achieving your professional goals.
Seize the Opportunity Today!
Contact us now at ************ or [email protected] to learn more about our training programs and take the first step towards a fulfilling career as a Licensed ClaimsAdjuster. Visit our website at ******************************** to explore our offerings and view our 375+ Five-Star Google Reviews.
You can also find us on YouTube at: (*********************************************************
and Facebook at: (************************************************** for additional resources and updates.
APPLY HERE
#AdjustersNeeded #CareerOpportunity #ClaimsAdjusterTraining #MileHighAdjustersHouston
By applying to this position, you consent to receive informational and promotional messages from MileHigh Adjusters Houston about training opportunities and related career programs. You may opt out at any time.
$47k-59k yearly est. Auto-Apply 60d+ ago
Manager, Claims
Emergent Holdings Career Section
Claims adjuster job in Lansing, MI
Manages the daily operations of the Claims Department to achieve growth and underwrite profitability goals.
ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned.
Manages a multi-functional unit of claim professionals and support staff.
Leads claim team in support of department initiatives and strategies in cost containment, case file handling, customer service, and quality.
Consistently monitors workflows to maximize accuracy and efficiency. Maintains an acceptable level of service and customer satisfaction and retention.
Effectively manages the quality review process.
Develops unit goals, objectives, processes, procedures, and systems.
Stays abreast of changes in workers' compensation statutes, case law, and rehabilitation advancements.
Identifies team staffing needs and takes necessary measures to ensure appropriate levels of service. Mentors employees and develop career paths with growth opportunities.
Participates in development of annual departmental budget, monitors budget, and identifies budget discrepancies. Researches cause of discrepancies and makes recommendations.
Participates in special projects and serves on committees as needed.
EDUCATION AND EXPERIENCE
Relevant combination of education and experience may be considered in lieu of degree.
Bachelor's degree in a related field.
Seven (7) years of experience in a claim environment with demonstrated technical experience that provides the necessary knowledge, skills, and abilities.
Three (3) years of supervisory or leadership experience in claims required.
Previous workers' compensation claim management with multi-jurisdictional experience preferred.
Bilingual skills preferred.
QUALIFICATIONS
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.
OTHER SKILLS AND ABILITIES
Knowledge of team building and employee motivation theories with the ability to effectively manage multi-functional employee teams.
Demonstrated leadership abilities.
Knowledge of laws, regulations and compliance requirements related to workers' compensation insurance.
Demonstrated technical knowledge of insurance administration, claims management or relevant insurance expertise.
Ability to work with and empower others on a collaborative basis to ensure success of unit team.
Excellent oral and written communication skills.
Knowledge of insurance and underwriting techniques, agency, and policyholder needs.
Ability to effectively present budgetary and/or cost information and respond to questions as appropriate.
Ability to establish workflows, manage multiple projects and meet necessary deadlines.
Ability and proficiency in the use of computers and company standard software specific to position.
SUPERVISORY RESPONSIBILITIES
Directly supervises a varied number of employees in the designated department(s). Carries out supervisory responsibilities in accordance with the organization's policies and applicable laws. Responsibilities include interviewing, hiring, and training employees; planning, assigning, and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems.
ADDITIONAL INFORMATION
The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required of personnel so classified. This job description does not constitute a contract for employment.
PAY RANGE:
Actual compensation decision relies on the consideration of internal equity, candidate's skills and professional experience, geographic location, market, and other potential factors. It is not the standard practice for an offer to be at or near the top of the range, and therefore a reasonable estimate for this role is between $94,500 and $158,350.
We are an Equal Opportunity Employer. We will not tolerate discrimination or harassment in any form. Candidates for the position stated above are hired on an "at will" basis. Nothing herein is intended to create a contract.
#LI-CH1
#AFG
$38k-74k yearly est. Auto-Apply 42d ago
Manager, Claims
Emergent Holdings, Inc.
Claims adjuster job in Lansing, MI
Manages the daily operations of the Claims Department to achieve growth and underwrite profitability goals. ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned. * Manages a multi-functional unit of claim professionals and support staff.
* Leads claim team in support of department initiatives and strategies in cost containment, case file handling, customer service, and quality.
* Consistently monitors workflows to maximize accuracy and efficiency. Maintains an acceptable level of service and customer satisfaction and retention.
* Effectively manages the quality review process.
* Develops unit goals, objectives, processes, procedures, and systems.
* Stays abreast of changes in workers' compensation statutes, case law, and rehabilitation advancements.
* Identifies team staffing needs and takes necessary measures to ensure appropriate levels of service. Mentors employees and develop career paths with growth opportunities.
* Participates in development of annual departmental budget, monitors budget, and identifies budget discrepancies. Researches cause of discrepancies and makes recommendations.
* Participates in special projects and serves on committees as needed.
EDUCATION AND EXPERIENCE
* Relevant combination of education and experience may be considered in lieu of degree.
* Bachelor's degree in a related field.
* Seven (7) years of experience in a claim environment with demonstrated technical experience that provides the necessary knowledge, skills, and abilities.
* Three (3) years of supervisory or leadership experience in claims required.
* Previous workers' compensation claim management with multi-jurisdictional experience preferred.
* Bilingual skills preferred.
QUALIFICATIONS
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.
OTHER SKILLS AND ABILITIES
* Knowledge of team building and employee motivation theories with the ability to effectively manage multi-functional employee teams.
* Demonstrated leadership abilities.
* Knowledge of laws, regulations and compliance requirements related to workers' compensation insurance.
* Demonstrated technical knowledge of insurance administration, claims management or relevant insurance expertise.
* Ability to work with and empower others on a collaborative basis to ensure success of unit team.
* Excellent oral and written communication skills.
* Knowledge of insurance and underwriting techniques, agency, and policyholder needs.
* Ability to effectively present budgetary and/or cost information and respond to questions as appropriate.
* Ability to establish workflows, manage multiple projects and meet necessary deadlines.
* Ability and proficiency in the use of computers and company standard software specific to position.
SUPERVISORY RESPONSIBILITIES
Directly supervises a varied number of employees in the designated department(s). Carries out supervisory responsibilities in accordance with the organization's policies and applicable laws. Responsibilities include interviewing, hiring, and training employees; planning, assigning, and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems.
ADDITIONAL INFORMATION
The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required of personnel so classified. This job description does not constitute a contract for employment.
PAY RANGE:
Actual compensation decision relies on the consideration of internal equity, candidate's skills and professional experience, geographic location, market, and other potential factors. It is not the standard practice for an offer to be at or near the top of the range, and therefore a reasonable estimate for this role is between $94,500 and $158,350.
We are an Equal Opportunity Employer. We will not tolerate discrimination or harassment in any form. Candidates for the position stated above are hired on an "at will" basis. Nothing herein is intended to create a contract.
#LI-CH1
#AFG
$38k-74k yearly est. Auto-Apply 41d ago
Experienced Claims Investigator - SIU Claims
Auto-Owners Insurance 4.3
Claims adjuster job in Lansing, 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 an experienced and motivated Claims Investigator professional to join our Special Investigation unit. The position requires the following, but is not limited to:
Become familiar with the specialized investigation of claims
Meet with people involved with claims. This may be outside our office environment.
Increased role as a trainer/resource for branch associates in the Claims Department.
Develop and present educational materials to claim associates that focus on fraud awareness/investigation.
Desired Skills & Experience
Bachelor's degree or equivalent experience.
Ability to handle conflict comfortably.
Field Claim Rep with Auto and Field experience preferred.
Ability to read, interpret and react to documents such as insurance policies, procedures manuals, and legal documents.
Able to assemble information, develop opinions and clearly express decisions using sound reasoning and judgment.
Ability to write reports and compose correspondence.
Ability to communicate, both verbally and in writing, and possess good problem resolution skills and good interpersonal skills.
Able to accurately deal with mathematics and financial areas and develop an understanding of personal and business finance documents.
Can tactfully and effectively deal with all types of people.
Able to drive an automobile, possess a valid driver license, and maintain a driving record consistent with the Company's underwriting guidelines for coverage.
Ability to organize assigned work.
Ability to maintain a professional image.
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-AT1 #LI-Hybrid
$40k-50k yearly est. Auto-Apply 60d+ ago
Manager, Claims
Blue Cross Blue Shield of Michigan 4.8
Claims adjuster job in Lansing, MI
Manages the daily operations of the Claims Department to achieve growth and underwrite profitability goals.
ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned.
Manages a multi-functional unit of claim professionals and support staff.
Leads claim team in support of department initiatives and strategies in cost containment, case file handling, customer service, and quality.
Consistently monitors workflows to maximize accuracy and efficiency. Maintains an acceptable level of service and customer satisfaction and retention.
Effectively manages the quality review process.
Develops unit goals, objectives, processes, procedures, and systems.
Stays abreast of changes in workers' compensation statutes, case law, and rehabilitation advancements.
Identifies team staffing needs and takes necessary measures to ensure appropriate levels of service. Mentors employees and develop career paths with growth opportunities.
Participates in development of annual departmental budget, monitors budget, and identifies budget discrepancies. Researches cause of discrepancies and makes recommendations.
Participates in special projects and serves on committees as needed.
EDUCATION AND EXPERIENCE
Relevant combination of education and experience may be considered in lieu of degree.
Bachelor's degree in a related field.
Seven (7) years of experience in a claim environment with demonstrated technical experience that provides the necessary knowledge, skills, and abilities.
Three (3) years of supervisory or leadership experience in claims required.
Previous workers' compensation claim management with multi-jurisdictional experience preferred.
Bilingual skills preferred.
QUALIFICATIONS
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.
OTHER SKILLS AND ABILITIES
Knowledge of team building and employee motivation theories with the ability to effectively manage multi-functional employee teams.
Demonstrated leadership abilities.
Knowledge of laws, regulations and compliance requirements related to workers' compensation insurance.
Demonstrated technical knowledge of insurance administration, claims management or relevant insurance expertise.
Ability to work with and empower others on a collaborative basis to ensure success of unit team.
Excellent oral and written communication skills.
Knowledge of insurance and underwriting techniques, agency, and policyholder needs.
Ability to effectively present budgetary and/or cost information and respond to questions as appropriate.
Ability to establish workflows, manage multiple projects and meet necessary deadlines.
Ability and proficiency in the use of computers and company standard software specific to position.
SUPERVISORY RESPONSIBILITIES
Directly supervises a varied number of employees in the designated department(s). Carries out supervisory responsibilities in accordance with the organization's policies and applicable laws. Responsibilities include interviewing, hiring, and training employees; planning, assigning, and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems.
ADDITIONAL INFORMATION
The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required of personnel so classified. This job description does not constitute a contract for employment.
PAY RANGE:
Actual compensation decision relies on the consideration of internal equity, candidate's skills and professional experience, geographic location, market, and other potential factors. It is not the standard practice for an offer to be at or near the top of the range, and therefore a reasonable estimate for this role is between $94,500 and $158,350.
We are an Equal Opportunity Employer. We will not tolerate discrimination or harassment in any form. Candidates for the position stated above are hired on an "at will" basis. Nothing herein is intended to create a contract.
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$47k-67k yearly est. Auto-Apply 42d ago
Residential and Commercial Field Adjusters
RAC Adjustments
Claims adjuster job in Lansing, MI
RAC Adjustments, Inc.
We are seeking Independent Daily Adjusters, and CAT Adjusters to subcontract with. Specifically for Field Property claims. Claims will typically be within a 100-mile radius from the listed location.
Adjusters should have a minimum of 2 years' property experience handling Homeowners and Commercial property claims that include theft, vandalism, fire, water as well as wind and hail.
Interested IA's please respond to posting with resume and copies of any adjuster licenses held.
This role does not include a benefits package. Subcontractors are required to obtain their own insurance for liability, automobile, and workers' compensation. The salary range is between $0 and $80,000, contingent upon the workload.
RAC Adjustments, Inc., has been a premier leader in the Insurance industry for adjusting, appraising and investigative services industry since 1980. To learn more about RAC visit *******************
$41k-57k yearly est. 8d ago
Claims Specialist, Professional Liability (Medical Malpractice)
Sedgwick 4.4
Claims adjuster job in Lansing, MI
By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there's no limit to what you can achieve.
Newsweek Recognizes Sedgwick as America's Greatest Workplaces National Top Companies
Certified as a Great Place to Work
Fortune Best Workplaces in Financial Services & Insurance
Claims Specialist, Professional Liability (Medical Malpractice)
**PRIMARY PURPOSE** **:** To analyze complex or technically difficult medical malpractice claims; to provide resolution of highly complex nature and/or severe injury claims; to coordinate case management within Company standards, industry best practices and specific client service requirements; and to manage the total claim costs while providing high levels of customer service.
**ESSENTIAL FUNCTIONS and RESPONSIBILITIES**
+ Analyzes and processes complex or technically difficult medical malpractice claims by investigating and gathering information to determine the exposure on the claim; manages claims through well-developed action plans to an appropriate and timely resolution.
+ Conducts or assigns full investigation and provides report of investigation pertaining to new events, claims and legal actions.
+ Negotiates claim settlement up to designated authority level.
+ Calculates and assigns timely and appropriate reserves to claims; monitors reserve adequacy throughout claim life.
+ Recommends settlement strategies; brings structured settlement proposals as necessary to maximize settlement.
+ Coordinates legal defense by assigning attorney, coordinating support for investigation, and reviewing attorney invoices; monitors counsel for compliance with client guidelines.
+ Uses appropriate cost containment techniques including strategic vendor partnerships to reduce overall claim cost for our clients.
+ Identifies and investigates for possible fraud, subrogation, contribution, recovery, and case management opportunities to reduce total claim cost.
+ Represents Company in depositions, mediations, and trial monitoring as needed.
+ Communicates claim activity and processing with the client; maintains professional client relationships.
+ Ensures claim files are properly documented and claims coding is correct.
+ Refers cases as appropriate to supervisor and management.
+ Delegates work and mentors assigned staff.
**ADDITIONAL FUNCTIONS and RESPONSIBILITIES**
+ Performs other duties as assigned.
+ Supports the organization's quality program(s).
**QUALIFICATIONS**
**Education & Licensing**
Bachelor's degree from an accredited college or university preferred. Licenses as required. Professional certification as applicable to line of business preferred.
**Experience**
Six (6) years of claims management experience or equivalent combination of education and experience required.
**Skills & Knowledge**
+ In-depth knowledge of appropriate medical malpractice 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 application procedures as applicable to line-of-business
+ Excellent oral and written communication, including presentation skills
+ PC literate, including Microsoft Office products
+ Analytical and interpretive skills
+ Strong organizational skills
+ Excellent negotiation skills
+ Good interpersonal skills
+ Ability to work in a team environment
+ Ability to meet or exceed Performance Competencies
**WORK ENVIRONMENT**
When applicable and appropriate, consideration will be given to reasonable accommodations.
**Mental** **:** 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
**Physical** **:** Computer keyboarding, travel as required
**Auditory/Visual** **:** Hearing, vision and talking
_As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is_ **_$117,000 - $125,000_** _. A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits._
The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time.
Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.
**If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.**
**Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The company's expertise, combined with the most advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With over 33,000 colleagues and 10,000 clients across 80 countries, Sedgwick provides unmatched perspective, caring that counts, and solutions for the rapidly changing and complex risk landscape. For more, see** **sedgwick.com**
How much does a claims adjuster earn in Lansing, MI?
The average claims adjuster in Lansing, MI earns between $43,000 and $65,000 annually. This compares to the national average claims adjuster range of $40,000 to $64,000.
Average claims adjuster salary in Lansing, MI
$53,000
What are the biggest employers of Claims Adjusters in Lansing, MI?
The biggest employers of Claims Adjusters in Lansing, MI are: