Claims adjuster jobs in Michigan

OBJECTIVE Medical Claims Representative Objective To provide efficient investigation, evaluation and negotiation of Michigan No-Fault and/or Michigan Assigned Claims Plan. RESPONSIBILITIES Medical Claims Representative Responsibilities Respond to and control the disposition of all assigned Michigan No Fault Michigan Assigned Claims Plan. Work with computer systems keying functions, including but not limited to letter composition, log entry, diary entry, report of investigation composition and draft production. Read and apply policy of Michigan No-Fault MACP acts as written. Mathematically calculate work loss benefits for Michigan No-Fault Michigan Assigned Claims Plan claimants. Conduct business via frequent use of telephone. Review, evaluate an adjust reserves within company guidelines. Develop professional relationships with attorneys, physicians, and claims related professionals both inside and outside of the company. Maintain a personal development program. Read and interpret medical reports. Gain a general understanding of Michigan No-Fault/Michigan Assigned Claims Plan and laws. Periodically attend trials and court appearances and give testimony as may be required. Actively participate in meetings, round table discussions, and other collaborative efforts. QUALIFICATIONS Medical Claims Representative Qualifications Required High school diploma or equivalent required. Minimum two to three years medical claims handling experience required, Must possess a valid drivers license with an acceptable driving record. Preferred Bachelor's degree in business administration preferred. Designation in claims insurance preferred. Note: Farm Bureau offers a full benefit package including medical, dental, vision, and 401K. PM19

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.

IS IT TIME FOR A CAREER CHANGE? INDEPENDENT INSURANCE CLAIMS ADJUSTERS NEEDED NOW! Are you ready to embark on a dynamic and in-demand career as an Independent Insurance Claims Adjuster? 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 Claims Adjuster, 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 Claims Adjuster 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 Claims Adjuster. 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 claims adjusting. 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 claims adjuster. Don't miss out on this opportunity-let us assist you in advancing your career in claims adjusting 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 Claims Adjuster. 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.

Elevate Claims Solutions is founded on the belief that human experience and claim quality are the essence of profitable growth and retention for our adjuster partners, our clients, and ourselves. Are you ready, willing, and able to Elevate? Elevate Claims Solutions is seeking an Independent Adjuster in Western Michigan. How will we Elevate you? We want to know and understand your unique skillset and goals. We are committed to receiving your feedback on how we can best support your progression and advancement towards those goals. Expand your career opportunities in a role where you can see that you are making a difference in people's lives. Meaningful work in a culture of continuous improvement. A diverse market of carriers Clear communication of service and quality expectations; internal and external. Guidelines that provide upfront understanding of each carrier's requirements. Continuous feedback, including real -time Quality Assurance and formalized quarterly coaching sessions to identify areas of strength and opportunity. Training and development opportunities tailored to individual growth objectives. A tenured foundation of industry experts with a wide knowledge base for you to consult. How will you Elevate? Prioritize policyholders during their time loss through demonstrated empathy and understanding. Valuing our partnerships with our carrier clients; recognizing and maximizing the ways in which our Elevated Claims Handling can support them and their policyholders. Outstanding work ethic. This is not a 9 -5 position and you will be called upon to maintain a flexible schedule to help meet the needs of insureds and carriers. Clear, consistent, and timely communication. We, and our carriers, want and need strong lines of communication. You must be open to receiving and providing feedback. The ability to effectively and independently manage workload while exercising good judgement. Strong written and verbal communication skills. Strong technological skills with the ability to work within various claims management systems. Minimum of three years of residential and commercial property adjusting experience. Carrier experience is desired. Liability experience is a plus. Current, active Xactimate license and experience writing both residential and commercial damage estimates in Xactimate. Ability to pass a background screen. Current, active license where required. Equipment and ability to access roofs. If you are ready to Elevate claims with a firm that truly values and supports you, let us know - we may be a fit.

Job DescriptionField Property Claims Adjuster / Restoration Project Manager (Property Claims Experience Required) We are seeking an experienced Field Property Claims Adjuster or Restoration Project Manager with a proven track record of managing residential and commercial property losses. This dynamic role is tailored for a proactive professional with industry expertise who excels at building and maintaining relationships. Explore the full details below and discover how you can make a transformative contribution to our team. Position Summary: The ideal candidate will have a strong background either in fire restoration project work as a supervisor or Project Manager, or a Field Property Claims Adjuster with property insurance experience. This position involves initial scope to project planning, execution, to completion and also requires a comprehensive understanding of fire restoration techniques, the claims process, and interacting with insureds, insurance adjusters, and restoration contractors. We will provide extensive training on our technology, application processes, and procedures. Company Description: We are a leading restoration company specializing in advanced fire restoration technology services for rapid and permanent odor removal from insurance losses throughout North America. Our process allows losses to proceed and conclude more rapidly by removing the odor component from the loss, saving time and money for the carrier and the insured. We currently work directly for over 100 of the nation's top carriers throughout the US and Canada. Many of these carriers are now mandating our use as a time and cost-saving technology. Additionally, we work under restoration contractors as subcontractors when asked. We also serve non-insurance loss markets such as multi-family homes, and residential & commercial real estate for odor removal. We offer excellent compensation to the right candidate, along with opportunities for advancement within our growing Nationwide service network. Responsibilities: - Oversee and coordinate all aspects of assigned restoration projects, including initial scoping, planning, budgeting, execution, and recordkeeping. - Build and maintain relationships with insurance adjusters and other groups in the subject markets. - Solicit business to adjusters and others as tasked. - Travel for regional projects, typically 2-4 days at a time, averaging 1 to 2 times per month. - Lead, collaborate, and serve under other corporate personnel to ensure project success. - Recruit and manage part-time assistants for project work in markets. Requirements: - Engage in physical tasks as needed, including repeatedly lifting up to 60 lbs. Some projects may require climbing ladders and accessing confined spaces, such as attics and crawl spaces, to oversee project activities. - Must be able to pass an annual respirator fit test (Quantitative), plus wear and work in a full-face respirator at times on projects. - Undergo and maintain a DOT (non-CDL) Driver Physical, operate a box truck as needed to transport equipment locally and regionally. - Undergo background checks and driving record checks, pre-employment and annually thereafter. - Overnight travel for regional projects. Initial travel is required for company training in several US locations. Desired Experience and Skills: Minimum 4 years in restoration project work as a contractor or as a property claims insurance adjuster. - Strong knowledge of fire losses and restoration techniques. - Contacts in the insurance industry in the subject market. Ability to network to solicit work from those contacts. - Excellent written and oral communication skills, experience with CRM, ideally Salesforce. - Professional demeanor and ability to work with diverse teams. - Ability to lead and be led by other corporate personnel. Compensation: - Base salary of $70,000, plus an initial startup bonus based on profits from the first 24 projects, after which an ongoing quarterly bonus is provided as a percentage of profits from prior quarters, with a target total annual compensation of up to $120,000. - Paid Time Off - Company Holidays

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 Senior Fast Track Auto Claims Representative. This position will handle commercial auto with a predominant focus on resolving the material damage components of the claim but does not include any aspect of bodily injury exposures. The role will be a hybrid approach with 2-days in the office. The ideal candidate will possess the following skills. Summary Statement Provides quality investigation and analysis to adjust claims at all levels to proper resolution. Promotes the success of the organization through development and advancement of relationships with agencies, policyholders and employees. Essential Tasks/Major Duties Collaborate proactively with agents, policyholders and internal stakeholders on claims and book of business as needed. Investigate losses, identify coverage, evaluate liability and damages. Develop plan of action to proactively conclude claims, timely evaluate damages, engage other parties in negotiations and settle claims pursuant to guidelines and delegated authority. Leverage past experience to review and analyze documents. Establish and maintain proper reserves for each claim to accurately reflect the financial exposure. Determine need for, identify and engage external resources as needed to execute proper resolutions while monitoring and controlling costs. Review and interpret commercial insurance policies and accordingly communicate coverage issues verbally and in writing. Knowledge, Skills & Abilities Bachelor's degree or equivalent combination of education and experience. 1 year commercial claims adjusting experience. AIC or SLA certification preferred. Ability to obtain appropriate state licensing as required. Proficient computer skills required including Microsoft Office Suite. 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. Ability to travel overnight up to 10% Ability to travel daily between locations. #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.

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 The Claims Division is seeking a team member to join the Casualty Team as Senior Claims Examiner, New York Labor Law. In this role, the responsibilities include but not limited to actively manage a caseload and provide oversight to third-party administrator claims handlers for commercial New York Labor Law cover, liability, and damage claims. 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 strategy to resolve matters of liability and damages of a particular case * Maintain contact with the TPA claim staff, business line leader, underwriter, and defense counsel, program manager and broker * Investigate claim and review the insureds' materials, pleadings, and other relevant documents * Identify and review of 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 evaluation 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 insured, counsel, underwriters, brokers, and senior management regarding claims Experience & Required Skills * Three to five (3-5) years of working experience with commercial accounts supporting primary and/or excess claims experience handling New York Labor Law claims * Energy Casualty, Construction and/or Rail experience is a plus * 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 * Ability to take part in active strategic discussions * 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 25% * This position is a hybrid role with 2 days in office Education and Experience * Bachelor's degree required; Juris Doctorate degree preferred * Proper 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. For NYC, Jersey City: $123,400 - $150,000/year * 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. 14400 Arch Insurance Group Inc.

This is the intermediate level of the claim handler career path. Handles moderate to difficult claims. Exercises progressively more discretion in the determination of compensability of claims. Considers many factors in the determination claim reserves. Negotiates and settles claims within given authority. Works remotely with occasional travel to on-site visits with insured municipalities. Is a resident in the State of Michigan RESPONSIBILITIES/TASKS: Verifies coverage of claimed property and casualty damage. Determines liability for covered claims by thorough investigation of the claim and applicable exclusions. Analyzes liability for claims pursuant to Michigan municipal liability statutes and caselaw. Establishes timely and appropriate reserves based on the profile of the claim within given authority based on anticipated financial exposure. Documents specifics of claims with potential for subrogation recovery, including amount of potential recovery monies. Manages estimates and invoices for property, casualty and automobile claims, and approves payments based on support showing relationship to the cause of loss and legal liability for payment. Concludes and closes files following resolution of claims to meet internal performance standards while complying with state legislation to avoid penalties and manage expenses. Negotiates settlements with attorneys or injured parties within given authority at the earliest possible point to bring cases to final disposition. Works closely with manager on complex files or files above settlement/reserve authority. Manages outside vendors to ensure cost containment efforts. Establishes and maintains effective working relationships with all internal and external customers. Stays abreast of changes in municipal liability statutes and case law in order to accurately interpret and apply relevant laws. ADDITIONAL RESPONSIBILITIES/TASKS: Administers complex claims and catastrophic exposures within authority, including claims from dedicated large accounts. Exercises independent judgment to settle cases prior to mediation or litigation. Actively participates in agent/client relationship management. Assists in mentoring team members. This position description identifies the responsibilities and tasks typically associated with the performance of the position. Other relevant essential functions may be required. EMPLOYMENT QUALIFICATIONS EDUCATION OR EQUIVALENT EXPERIENCE: Bachelor's degree in a related field. Relevant combination of education and experience may be considered in lieu of degree. Continuous learning, as defined by the Company's learning philosophy, is required. Certification or progress toward certification is highly preferred and encouraged. EXPERIENCE: Claim Representative II: Three years experience in property and casualty claims environment which provides the necessary skills, knowledge and abilities, such as experience in reviewing policy coverages and exclusions, drafting coverage letters, investigating and settling property and casualty losses, and adjusting claims through litigation and trial. Experience handling claims in multiple jurisdictions preferred. Bilingual skills preferred. SKILLS/KNOWLEDGE/ABILITIES (SKA) REQUIRED: Ability and proficiency in the use of computers and company standard software specific to position. Knowledge of medical and legal terminology related to the work. Knowledge of Michigan municipal liability. Knowledge of best practices for adjusting property losses. Effective oral and written communication skills. Effective customer service skills. Ability to negotiate, build consensus and resolve conflict. Ability to manage multiple priorities and meet established deadlines. Attention to detail and analytical skills. Ability to work independently as well as within a team. ADDITIONAL SKILLS/KNOWLEDGE/ABILITIES (SKA) REQUIRED: Claim Representative II Ability to make independent decisions. Ability to solve complex problems. WORKING CONDITIONS: Work is performed in an office setting with no unusual hazards. The qualifications listed above are intended to represent the minimal skills and experience levels associated with performing the duties and responsibilities contained in this position description. The qualifications should not be viewed as absolute standards, but as general guidelines that should be considered with other position-related criteria. 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 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 $55,300 and $92,600. 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

This is the intermediate level of the claim handler career path. Handles moderate to difficult claims. Exercises progressively more discretion in the determination of compensability of claims. Considers many factors in the determination claim reserves. Negotiates and settles claims within given authority. Works remotely with occasional travel to on-site visits with insured municipalities. Is a resident in the State of Michigan RESPONSIBILITIES/TASKS: Verifies coverage of claimed property and casualty damage. Determines liability for covered claims by thorough investigation of the claim and applicable exclusions. Analyzes liability for claims pursuant to Michigan municipal liability statutes and caselaw. Establishes timely and appropriate reserves based on the profile of the claim within given authority based on anticipated financial exposure. Documents specifics of claims with potential for subrogation recovery, including amount of potential recovery monies. Manages estimates and invoices for property, casualty and automobile claims, and approves payments based on support showing relationship to the cause of loss and legal liability for payment. Concludes and closes files following resolution of claims to meet internal performance standards while complying with state legislation to avoid penalties and manage expenses. Negotiates settlements with attorneys or injured parties within given authority at the earliest possible point to bring cases to final disposition. Works closely with manager on complex files or files above settlement/reserve authority. Manages outside vendors to ensure cost containment efforts. Establishes and maintains effective working relationships with all internal and external customers. Stays abreast of changes in municipal liability statutes and case law in order to accurately interpret and apply relevant laws. ADDITIONAL RESPONSIBILITIES/TASKS: Administers complex claims and catastrophic exposures within authority, including claims from dedicated large accounts. Exercises independent judgment to settle cases prior to mediation or litigation. Actively participates in agent/client relationship management. Assists in mentoring team members. This position description identifies the responsibilities and tasks typically associated with the performance of the position. Other relevant essential functions may be required. EMPLOYMENT QUALIFICATIONS EDUCATION OR EQUIVALENT EXPERIENCE: Bachelor's degree in a related field. Relevant combination of education and experience may be considered in lieu of degree. Continuous learning, as defined by the Company's learning philosophy, is required. Certification or progress toward certification is highly preferred and encouraged. EXPERIENCE: Claim Representative II: Three years experience in property and casualty claims environment which provides the necessary skills, knowledge and abilities, such as experience in reviewing policy coverages and exclusions, drafting coverage letters, investigating and settling property and casualty losses, and adjusting claims through litigation and trial. Experience handling claims in multiple jurisdictions preferred. Bilingual skills preferred. SKILLS/KNOWLEDGE/ABILITIES (SKA) REQUIRED: Ability and proficiency in the use of computers and company standard software specific to position. Knowledge of medical and legal terminology related to the work. Knowledge of Michigan municipal liability. Knowledge of best practices for adjusting property losses. Effective oral and written communication skills. Effective customer service skills. Ability to negotiate, build consensus and resolve conflict. Ability to manage multiple priorities and meet established deadlines. Attention to detail and analytical skills. Ability to work independently as well as within a team. ADDITIONAL SKILLS/KNOWLEDGE/ABILITIES (SKA) REQUIRED: Claim Representative II Ability to make independent decisions. Ability to solve complex problems. WORKING CONDITIONS: Work is performed in an office setting with no unusual hazards. The qualifications listed above are intended to represent the minimal skills and experience levels associated with performing the duties and responsibilities contained in this position description. The qualifications should not be viewed as absolute standards, but as general guidelines that should be considered with other position-related criteria. 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 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 $55,300 and $92,600. 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

Auto-Owners Insurance, a top-rated insurance carrier, is seeking a motivated and experienced field claims professional to join our team. This job handles insurance claims in the field under general supervision through the life-cycle of a claim including but not limited to: investigation, evaluation, and claim resolution. This job provides service to agents, insureds, and others to ensure claims resolve accurately and timely. This job requires mastery of claims-handling skills and requires the person to: Investigate and assemble facts, determine policy coverage, evaluate the amount of loss, analyze legal liability Handle multi-line property and casualty claims in an assigned territory with an emphasis on property claims Become familiar with insurance coverage by studying insurance policies, endorsements and forms Work toward the resolution of claims, and attend arbitrations, mediations, depositions, or trials as necessary Ensure that claims payments are issued in a timely and accurate manner Handle investigations by phone, mail and on-site investigations Desired Skills & Experience Bachelor's degree or direct equivalent experience handling property and casualty claims A minimum of 3 years handling multi-line property and casualty claims with an emphasis on property claims Field claims handling experience is preferred but not required Knowledge of Xactimate software is preferred but not required Above average communication skills (written and verbal) Ability to resolve complex issues Organize and interpret data Ability to handle multiple assignments Ability to effectively deal with a diverse group individuals Ability to accurately deal with mathematical problems, including, geometry (area and volume) and financial areas (such as accuracy in sums, unit costs, and the capacity to read and develop understanding of personal and business finance documents) Ability to drive an automobile, possess a valid driver license, and maintain a driving record consistent with the Company's underwriting guidelines for coverage 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

... The Workers' Compensation Claim Supervisor, working under general direction, is responsible for supporting the administration of workers' compensation policies and procedures related to claim filing, claim fulfillment, incident investigations, etc., with fairness and consistency in a timely manner. Additionally, the role is responsible for staying updated on trends and industry practices within the workers' compensation domain, collaborating with teams to implement training programs, and ensuring compliance with policies. The role would also maintain accurate and confidential records and data related to workers' compensation matters. You'll have... Bachelor's Degree in Human Resources, Risk Management, or any other related discipline or commensurate work experience in workers' compensation. Minimum 7 years of experience managing multi-state workers' compensation claims and navigating diverse regulatory environments. Work Requirements… Involves frequent (defined as one to two-thirds of the time) lifting of more than 10 to 25 pounds. Work performed requires a good deal of walking or standing and may include some sedentary work and working conditions that include moderate noise levels related to the use of office equipment or machinery. May involve exposure to varying outside temperatures. This description outlines the general nature and scope of work typically performed in this job. It is not intended to be an exhaustive list of all duties, responsibilities, knowledge, skills, work requirements, etc. It may vary slightly based on business or geographic needs and is subject to being reviewed and updated periodically. You may not check every box, or your experience may look a little different from what we've outlined, but if you think you can bring value to Ford Motor Company, we encourage you to apply! As an established global company, we offer the benefit of choice. You can choose what your Ford future will look like: will your story span the globe, or keep you close to home? Will your career be a deep dive into what you love, or a series of new teams and new skills? Will you be a leader, a changemaker, a technical expert, a culture builder…or all the above? No matter what you choose, we offer a work life that works for you, including: Immediate medical, dental, vision and prescription drug coverage Flexible family care days, paid parental leave, new parent ramp-up programs, subsidized back-up childcare and more Family building benefits including adoption and surrogacy expense reimbursement, fertility treatments, and more Vehicle discount program for employees and family members and management leases Tuition assistance Established and active employee resource groups Paid time off for individual and team community service A generous schedule of paid holidays, including the week between Christmas and New Year's Day Paid time off and the option to purchase additional vacation time. This position is a salary grade 7. For more information on salary and benefits, click here: New Hire Benefits Visa sponsorship is not available for this position. Candidates for positions with Ford Motor Company must be legally authorized to work in the United States. Verification of employment eligibility will be required at the time of hire. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, age, sex, national origin, sexual orientation, gender identity, disability status or protected veteran status. In the United States, if you need a reasonable accommodation for the online application process due to a disability, please call **************. This position is hybrid (onsite four days per week) for candidates who are in commuting distance to a Ford hub location. #LI-Hybrid #LI-LP3 What you'll do... Implements the execution of the organization's workers' compensation policies and procedures, with fairness and consistency in a timely manner. Ensures compliance with employment laws, regulations, and company policies. Offers expert technical and jurisdictional guidance to claim staff regarding complex compensability, investigation and litigation issues. Supports handling the workers' compensation claims from initial report to resolution and investigates accidents involving company staff, vehicles, and equipment. Performs regular workers' compensation operations review with each plant location to ensure each case has an action plan in place. Ensures necessary documentation is obtained and provided to the claim adjusters. Determines the need to report claims and maintains regular communication/review with claim adjusters to ensure excellent management of claims. Represents the company at workers' compensation claim review meetings as required. Coordinates modified duty return-to-work efforts with the claim adjusters, HR, and plant operations. Participates in the delivery of workers' compensation special projects by representing the team as the prime contact, coordinating with senior internal and industry personnel, integrating data and information from multiple sources to identify trends, and innovating solutions to minimize the overall cost of workers' compensation claims through effective claims management and loss prevention strategies. Stays updated on workers' compensation laws and regulations to ensure program compliance. Monitors claims status, maintains files, and provides necessary support in defense of claims. May maintain occupational safety and health agency records if necessary. Supports the preparation of regular reports on workers' compensation program performance, trends, and metrics for management. Compiles and analyzes data related to workplace injuries, claims, and costs. Maintains important records related to claim processing such as medical bills, treatment plans, etc. Provides input on risk assessments, development of strategies, action plans, and associated recommendations to move claims to settlement or closure. Participates in the annual audit process for the company's workers' compensation programs including claims administration, cost analysis, injured employee communications, and return-to-work programs, and updates existing policies related to the workers' compensation function, whilst maintaining compliance and consistency with relevant laws and companywide policies. Supports the development of trainings to educate employees about the workers' compensation processes, their rights, and responsibilities. Demonstrates full knowledge of industry best practices in workers' compensation subjects such as loss prevention and rehabilitation management programs along with a strong understanding and application of related concepts and principles. Attends conferences, and other trainings to stay current on risk, claims, and safety developments. Coaches and guides managers and employees on matters related to workers' compensation.

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requires a schedule of M-F till 8pm Primarily responsible for the customer service process associated with workers compensation claims which includes servicing customers who contact us via the ACD phone line and supporting the claims management process for all claims teams across the Enterprise. Acts as a back up to the claim's intake process. Acts as a backup to the Service Center Business Development and Provider Relations teams on the ACD phone line. PRIMARY RESPONSIBILITIES: * Supports the customer service work and processes for the Enterprise claims teams as well as the Subrogation Teams. * Answers claim inquiries from policyholders, agents, injured workers, attorneys, pharmacies, medical providers for multiple jurisdictions for the Enterprise claims teams. Provides verification of claim status for multiple jurisdictions using multiple technology sources. * Performs all facets of IME's, AME's, DDE's, QME's and any other independent type evaluation needed for the claim file. * Provides backup as needed to Claims Document Analysts to review and analyze incoming documents and assign the appropriate document sub type to them. * Reviews each document and adds pertinent information to the document keywords and to appropriate data fields in the claim system. * Re-indexes and appropriate routes documents that have been assigned an improper document type or have been attached to an incorrect claim. * Assists with the resolution of FROI errors. * Adds legal matters and pertinent litigation information to the claim system upon receipt of legal documents. * Reviews, researches, and properly routes all unidentified claims mail for all brands within the Enterprise. * Provides backup to the Claims Processing Associates for review, research, and proper routing of priority unidentified claims mail for all brands within the Enterprise. * Processes Claims Subpoenas. Performs all facets of the following referrals: Utilization review, Medical Management, Vocational Rehabilitation, Litigation, and all other Vendor Referrals as requested. * Participates in projects to improve processing and workflow. * Provides PPO, MPN, HCN provider names and/or general program information to customers * Updates claim system with vital information changes. * Updates document management system when claim number changes occur. * Provides backup to intake for multi-state claims processing. * Produces forms, memos, reports, information and letters as requested. * Provides policyholders, agents, and others as requested with copies of first report of injuries. * Corrects department and location information on loss runs as requested. * Inputs data into legal billing system. * Inputs notes into medical bill review web-based system for disputes/denials. * Manually produces claim welcome packets as requested. * Researches outstanding checks for escheatment process and mails form letter to check recipient if applicable. * Forwards travel documents back to sender requesting additional information. * Types, photocopies, faxes as necessary. * Organizes file materials in date order to be provided to various attorneys and vendors either via the vendor portal or another delivery method. * Assigns services requests to TPA and other vendors via the vendor portal. * Communicates with appropriate state WC division to discuss various issues. * Makes contact with employer and/or injured worker if necessary to obtain information. * May participate with training of team members. * Serves as a resource with creation of documentation of general and state specific procedures as it relates to this position. * Communicates and collaborates with team members to ensure the appropriate and timely handling of claims. * Performs all tasks specified for multiple jurisdictions for all Enterprise Claims Teams. EMPLOYMENT QUALIFICATIONS: A. EDUCATION REQUIRED: High School Diploma or G.E.D. required. Minimum of an Associate's degree in insurance or related field, but a combination of education and experience may be considered in lieu of formal education. B. EXPERIENCE REQUIRED: Minimum of three years' general office experience including a minimum of one year in workers' compensation insurance. Prior experience answering inquires over the phone at AF Group or equivalent relevant internal experience that would provide the required skills, knowledge and abilities. Relevant customer service experience exchanging information and answering basic inquiries over the phone is required OR Minimum of four years of general office experience. Two years of customer service experience answering inquiries over the phone in an insurance organization. Prior equivalent relevant experience that would provide the required skills, knowledge and abilities may be considered. C. SKILLS/KNOWLEDGE/ABILITIES (SKA) REQUIRED: * Basic knowledge of insurance claims excellent customer service skills. * Excellent telephone etiquette. * Excellent verbal and written communication skills. * Excellent organizational skills and ability to prioritize work. * Ability to manage multiple priorities and meet established deadlines. * Knowledge of multi-functional telephone system. * Ability to research information in multiple systems. * Ability to obtain pertinent and thorough information from customers. * Ability to be an independent thinker to solve issues. * Ability to work effectively with various business units. * Excellent organizational skills and ability to prioritize work to meet established deadlines. * Knowledge of computers and spreadsheet software. * Ability to proofread correspondence for accuracy of spelling, grammar, punctuation, and format. * Knowledge of word processing software with data entry ability of 40 w.p.m. * Ability to verify data for accuracy. * Knowledge of medical terminology. * Knowledge of legal terminology. * Ability to multi-task, i.e. interacts on telephone while entering data. * Ability to train and coach others to perform the core responsibilities. * Ability to work varied hours/days/shifts. * Ability to assist with the creation of procedural documentation and workflows. D. ADDITIONAL EDUCATION, EXPERIENCE, SKILLS, KNOWLEDGE AND/OR ABILITIES PREFERRED: * Insurance Institute of America (IIA) Certification * Experience handling claims in multiple states. * Experience on an ACD telephone system * Experience using a document management system with workflows * Knowledge of CPT, ICD9 and 10, and drug codes WORKING CONDITIONS: Work is performed in an office setting with no unusual hazards. REQUIRED TESTING: (For HR use only) Basic Word, Basic Excel, and Basic Windows. Reading Comprehension, Proofreading, Typing 40 wpm

Job Description CCMS & Associates is looking for a 1099 Field Adjuster in Michigan, specifically the Grand Rapids area. We are looking to add to our existing roster. The time is now to get on board with our team! We are seeking a residential or commercial field adjuster with at least 1 year of field experience. Requirements: Minimum 1 year first-party commercial and/or residential property adjusting experience Maintain own current estimating software - Xactimate preferred (Symbility experience a plus) Working computer - internet access and Microsoft Word required Must demonstrate strong time management and customer service skills Experience in preparing Statement of Loss, Proof of Loss, and denial letters Must have a valid drivers license Responsibilities: Complete residential and commercial field property inspections utilizing Xactimate software Investigate claims by obtaining recorded statements from insureds, claimants, or witnesses and by interviewing fire, police, or other governmental officials as well as inspecting claimed damages Recommend claim reserves based on investigation, through well-supported reserve report Obtain and interpret official reports Review applicable coverage forms and endorsements, provide a thorough analysis of coverage and any coverage issues in a well-documented initial captioned report to the client Maintain acceptable product quality through compliance with established best practices Knowledge and Skills: In-depth knowledge of property and liability insurance coverage and industry standards Ability to prepare full-captioned reports by collecting and summarizing required information Strong verbal and written communications skills Prompt, reliable, and friendly Preferred but Not Required: College degree AIC, IICRC, HAAG or other professional designations All candidates must pass a full background check (void in states where prohibited) CCMS & Associates offers multi-line claim adjusting and third-party administration services dedicated to solving the challenges of the complex claim in the property and casualty insurance industry. We create programs that drive a successful claim life cycle while strategically managing all aspects of the complicated issues carriers and policyholders are facing. Servicing excess and surplus/domestic carriers in the United States. Powered by JazzHR DxwYpIKhtn

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: ************

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: ************

The WC Claims Specialist is responsible for claims management and issues related to work comp. This position works under general supervision; exercises discretion and relies on experience and judgment to plan and accomplish goals; and requires a certain degree of creativity and autonomy to perform the job. Principal Duties and Responsibilities Serves as primary contact for the field operations on WC related claim procedures and claims management issues May serve as a back-up for FMLA, ADA, and disability related claim procedures and claims management issues Assists with updating documentation and communication associated with related leaves of absences Trains new plant HR/safety personnel, including acquisitions, on related leave of absence procedures Produces quarterly trend reports and other related reports as requested Assists with monitoring federal and state leave regulations and with working with vendors and plants to implement any necessary updates to existing procedures Monitors claim activity to ensure timely and accurate delivery of benefits Provides assistance to the field regarding medical management and return to work Reviews claim data to ensure that claims are managed, paid, and resolved according to service criteria Ensures that all claims are reviewed for appropriateness of acceptance or denial Advises the field in identifying and maintaining quality medical providers Assists in the identification of legal counsel with assistance from the claim managers/TPA Assists in developing legal strategy for each litigated case Advises the field in transitional and long-term return-to-work strategies Ensures that the claim managers/TPA pay medical bills and other related invoices promptly Provides guidance and related training to plant personnel with work comp responsibilities Helps maintain documentation, legal evidence, and other related file administration Maintains updated knowledge of state comp laws or other legal changes impacting areas of responsibility Advises the field and claim managers/TPA in investigating aspects of serious or questionable claims Acts as a liaison between injured worker and TPA/carrier Prepares and participates in strategic claim resolution meetings Assists with providing information to TPA/legal counsel in response to subpoena requests May assist with training for other related areas of responsibility May assist with policy updates for related areas of responsibility May serve as backup for Substance Abuse policy administration May serve as backup for other various safety related program administration Performs other duties as required. Job Specifications Knowledge Bachelor's degree or equivalent experience in a related field Formal, working knowledge of claims management protocol and related employment law Some knowledge and understanding of medical terminology Skills and abilities Ability to solve problems and apply knowledge and education in complex situations Ability to maintain and safeguard confidential information Verbal and written skills with the ability to communicate at all levels within the organization Interpersonal and problem-solving skills Demonstrated ability to use computers and related business software and experience with advanced excel or other report writing programs Ability to understand, analyze, and communicate financial information as a management tool Ability to coordinate and prioritize case load Ability to travel as required Conduct Team player and goal oriented Leads by example The Company is an Equal Opportunity Employer.

Job DescriptionBenefits: 401(k) Dental insurance Health insurance Paid time off Parental leave Vision insurance Who We Are Incingo is a medical cost containment company that helps manage everything from short-term post-op to catastrophic care for workers compensation claims. We use our nationwide network of proven, credentialed vendors and create customized programs for efficient authorizing and shipping of medical supplies. We also coordinate medical transportation, home health care and in-home modifications. We are located in the heart of downtown Ann Arbor and we are looking for a full-time Claims Specialist. Hybrid work is available, prefer candidates in Michigan. We offer a best-in-class benefits package with a flexible work environment. Our culture is one of caring and collaboration, and we enjoy a team-oriented environment. Visit our website or LinkedIn to learn more. What Youll Do Serve as primary contact for inbound and outbound customer support by phone, email, or instant message Facilitate resolution of open receivables by review of coding, product, contract, payment agreement, fee schedule and/or authorization terms. Work independently and as part of a team on invoice renegotiations, vendor management, and provider and patient relations Review EOBs and address denial and partial payment of invoices in a timely and accurate manner Maintain accurate documentation of workers compensation claim files in multiple databases Ensure quality components of service delivery and patient/payor satisfaction with services provided Establish and maintain strong vendor relationships Participate in process for continuous credentialing and quality monitoring of assigned accounts Work with team to conduct cost analysis and identify margin opportunities Demonstrate performance aligned with WRS guiding principles, including caring, collaboration, trustparency, and innovation What Youll Bring High School Diploma (or equivalent); college degree preferred 1+ year experience in a medical setting preferred A customer focused approach to tasks and responsibilities Must be analytical and solution-oriented with excellent problem-solving abilities, superior follow-up skills, and the ability to shift gears frequently throughout the day Intermediate MS Suite, typing and email skills Excellent verbal and written communication skills Familiarity of workers compensation state fee schedules preferred Flexible work from home options available.

We are seeking experienced Independent Field Adjusters to investigate and evaluate daily property claims on behalf of our clients. This role involves delivering timely, accurate, fair, and professional service while managing a high volume of claims independently. Contractors are expected to uphold the highest standards of service and professionalism, representing both the client and company with integrity. Essential Responsibilities Promptly and effectively manage all assigned claims with minimal oversight. Make claim decisions within delegated authority per company and carrier policies. Accurately interpret policy coverages and apply appropriate claims practices. Establish and communicate reserves in alignment with carrier expectations. Maintain up -to -date knowledge of insurance policies, guidelines, and industry practices. Understand local construction methods, pricing, and repair standards. Submit supplemental reports as needed (e.g., severe incident reports, ITV reports). Provide exceptional customer service to all insureds, clients, and stakeholders. Maintain high standards of professional conduct throughout all assignments. Perform additional responsibilities as assigned. RequirementsQualifications High school diploma or equivalent required; associate's or bachelor's degree preferred Minimum 2 years of experience handling property claims Minimum 2 years of experience using Xactimate and Symbility estimating software Strong understanding of insurance policies, practices, and procedures General construction knowledge strongly preferred BenefitsImportant: This is a 1099 Independent Contractor Opportunity This opportunity is classified as an independent contractor role under the IRS and applicable state laws, including New York. By applying, you acknowledge and agree to the following: You will not be classified as an employee of Ryze Claim Solutions, and no employer -employee relationship exists. You are responsible for your own taxes, insurance, and business expenses. You control the manner, timing, and method of completing your work, consistent with client expectations. You may provide services to other clients or entities, subject to applicable confidentiality or non -compete terms. To qualify as a 1099 contractor under the ABC test: (A) You must be free from company control and direction in how work is performed. (B) The work must be performed outside the usual course of our business. (C) You must be customarily engaged in an independently established trade or business. If you do not meet all three criteria, you may not be eligible for this engagement