InfuSystem is a leading national health care service provider, facilitating outpatient care for durable medical equipment manufacturers and health care providers by delivering ambulatory pumps and supplies, along with related clinical, biomedical and billing services, to practices and patients nationwide. With a comprehensive suite of services, InfuSystem improves clinician access to quality medical equipment and promotes patient wellness and safety while reducing the overall cost of infusion care.
InfuSystem offers Oncology, Pain Management and Wound Care therapies, including Negative Pressure Wound Therapy. The company's Durable Medical Equipment (DME) Services are composed of direct payer rentals, pump and consumable sales, and biomedical services and repair, including on-site and depot services. InfuSystem provides the sale, rental, lease and associated supplies, including infusion pumps, nerve blocks for acute pain, nerve block catheters, postoperative pain pumps, central venous catheters, IV pumps, pole-mounted pumps, syringe pumps, enteral pumps, Huber needles, clean room supplies, IV extension tubing, pump tubing, ambulatory pumps, replacement pumps, disposable products, central venous access devices, closed system transfer devices, negative pressure wound therapy vacs, wound vac, and chemotherapy and oncology infusion pumps. Biomedical services include both on-site and depot preventive maintenance, repair and warranty services, ranging from equipment inspections to extensive repairs, including compression device systems, defibrillators, EKG machines, electrosurgical units, external pacemakers, humidifiers, infusion pumps, LCDs, light sources, modules, patient monitors, printers, pulse oximeters, telemetry transmitters and tourniquets - all completed to factory specifications.
Headquartered in Rochester Hills, Michigan, InfuSystem delivers local, field-based customer support and operates Centers of Excellence in Michigan, Florida, Kansas, California, Massachusetts, Texas and Ontario, Canada.
SUMMARY:
The RCM Wound Care Claim Denial Specialist is responsible for the management of activities relative to third party payer collections. This includes, but is not limited to, performing accounts receivable management, following up on denials/non-payments, filing appeals for medical necessity, benefit coverage, etc. This position should have collections work experience in DME and wound care services. This position will have demonstrated proficiency in working a variety of payers and wound care services. Quality and productivity scores must be above average. This individual will also act as a knowledge source for the department for wound care services. ***Remote versus hybrid work eligibility will be evaluated based on the applicant's location***
IN THIS ROLE, THE IDEAL CANDIDATE WILL:
Monitor accounts receivable agings to ensure timely resolution of claims
Ability to identify and report any trends causing future potential denials
Ensure payment accuracy
Learn and assist with Collection processes for all business line or as assigned.
Must be able to interpret payer explanation of benefits (EOBs)
Review payer denials, analyze accounts, and determine the next appropriate steps to achieve payment success
This will include payer portal review and phone calls to payers. Successful candidates will have the ability to clearly and concisely communicate the issues that they are seeing and request payer representatives to assist with resolution.
Conduct insurance reverification as needed through various eligibility tools
Research, write, and submit appeals as appropriate
Process third party payer correspondence, refunds, and adjustments
Accurately and thoroughly document the pertinent collections activities in appropriate systems
Possess knowledge on billing guidelines and modifiers used for Advanced Wound Care and Negative Pressure Wound Therapy
Have experience in submitting appeals for Advanced Wound Care and Negative Pressure Wound Therapy
Respond to all patient inquiries timely
Remain up to date on payer medical policy notices and changes
Share information and ideas for process improvements with team
Comply with all work instructions, policies, and behavioral expectations
Performs other related duties as assigned and required
QUALITY AND QUANTITY OF WORK
Team members will be responsible for hitting regular productivity targets with a high level of quality. Quality audits will be performed on a regular basis and feedback and education will be provided to the team member to help support growth and development.
SUPERVISORY RESPONSIBILITIES:
This job has no supervisory responsibilities.
THE IDEAL CANDIDATE WILL HAVE THE FOLLOWING QUALIFICATIONS:
Associate degree or equivalent preferred; minimum five years related experience; or equivalent combination of education and experience
Five years of wound care billing/collections experience preferred
Organizational skills
Good troubleshooting skills
Strong attention to detail
Proficient with Word, Excel, Outlook
Operate Express/HDMS/Waystar proficiently
Understanding of insurance guidelines including Medicare, Medicaid, Workers Compensation, and all Commercial managed-care plans
Ability to handle inquiries and respond via telephone or in writing
Ability to explain and resolve collections-related questions/issues to patients, sales representatives, and facilities
Proper use of ICD-10, CPT, and HCPCS codes
Ability to independently meet tight deadlines in a project-based atmosphere
PERSONAL AND PROFESSIONAL ATTRIBUTES:
Required to understand and have a commitment to the philosophy, mission, values, and vision of the business and will be required to demonstrate these values with his/her daily actions. The ideal candidate must be a rigorous analytical thinker and problem solver with the following professional attributes:
Strong work ethic
Sound judgment
Proven written and verbal communication skills
Natural curiosity to pursue issues and increase expertise
Passionate about InfuSystem and serving customers and patients
Strives to make an impact on improving our business processes and results
Exemplary honesty and integrity
Ability to collaborate effectively and work selflessly as part of a team
PHYSICAL DEMANDS:
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
WORK ENVIRONMENT:
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
COMPREHENSIVE BENEFIT PACKAGE TO INCLUDE:
Health, Dental, Vision
Life Insurance, STD & LTD
401(k) with a specified Company Match
Employee Stock Purchase Program
Tuition Assistance
Generous Paid Time Off plan
Paid Parental Leave
Employee Assistance Program
Competitive Pay
Direct Deposit
Employee Referral Bonus
$45k-80k yearly est. 60d+ ago
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French & English Health & Disability Insurance claims Analyst
DXC Technology 4.6
Claims representative job in Farmington Hills, MI
DXC Technology (NYSE: DXC) helps global companies run their mission critical systems and operations while modernizing IT, optimizing data architectures, and ensuring security and scalability across public, private and hybrid clouds. The world's largest companies and public sector organizations trust DXC to deploy services across the Enterprise Technology Stack to drive new levels of performance, competitiveness, and customer experience. Learn more about how we deliver excellence for our customers and colleagues at DXC.com.
Location - Farmington Hills, MI. Employees located within 25 miles of a DXC office or client site will be required to work onsite at minimum 2 times per week.
Essential Job Functions: Bilingual French & English / Insurance transaction
• Execute and oversee Insurance business process transactions, focusing on quality and efficiency.
• Analyze data, contribute to process improvements, and assist in reporting.
• Collaborate with senior analysts, managers, and other team members.
• Assist in identifying process bottlenecks and opportunities for enhancement.
• Ensure compliance with quality and procedural standards.
• Contribute insights for improving process performance.
• Analyze data trends and patterns to support decision-making.
• Assist in maintaining and updating process documentation.
Basic Qualifications:
• Bachelor's degree in a relevant field or equivalent combination of education and experience
• Typically, 4+ years of relevant work experience in Insurance industry, with a minimum of 1+ years in a similar role
Biligual (French English) Verbal & Written skills
• Proven experience in Insurance business process transactions
• Proficiencies in business process management and optimization
• A continuous learner that stays abreast with industry knowledge and technology
Other Qualifications:
• Advanced degree in a relevant field a plus
• Relevant certifications (e.g., Six Sigma, PMP) or significant relevant work experience a plus
At DXC Technology, we believe strong connections and community are key to our success. Our work model prioritizes in-person collaboration while offering flexibility to support wellbeing, productivity, individual work styles, and life circumstances. We're committed to fostering an inclusive environment where everyone can thrive.
If you are an applicant from the United States, Guam, or Puerto Rico
DXC Technology Company (DXC) is an Equal Opportunity employer. All qualified candidates will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, pregnancy, veteran status, genetic information, citizenship status, or any other basis prohibited by law. View postings below .
We participate in E-Verify. In addition to the posters already identified, DXC provides access to prospective employees for the Federal Minimum Wage Poster, Federal Polygraph Protection Act Poster as well as any state or locality specific applicant posters. To access the postings in the link below, select your state to view all applicable federal, state and locality postings. Postings are available in English, and in Spanish, where required. View postings below.
Postings Link
Disability Accommodations
If you are an individual with a disability, a disabled veteran, or a wounded warrior and you are unable or limited in your ability to access or use this site as a result of your disability, you may request a reasonable accommodation by contacting us via email.
Please note: DXC will respond only to requests for accommodations due to a disability.
Recruitment fraud is a scheme in which fictitious job opportunities are offered to job seekers typically through online services, such as false websites, or through unsolicited emails claiming to be from the company. These emails may request recipients to provide personal information or to make payments as part of their illegitimate recruiting process. DXC does not make offers of employment via social media networks and DXC never asks for any money or payments from applicants at any point in the recruitment process, nor ask a job seeker to purchase IT or other equipment on our behalf. More information on employment scams is available here
.
$88k-129k yearly est. Auto-Apply 38d ago
Senior Claims Representative
Amerisure Mutual Insurance 4.8
Claims representative job in Farmington Hills, MI
Amerisure creates exceptional value for its partners, policyholders, and employees. As a property and casualty insurance company, Amerisure's promise to our partner agencies and policyholders begins with a comprehensive line of insurance products designed to protect businesses, as well as the health and safety of every employee. With an A.M. Best “A” (Excellent) rating, Amerisure serves mid-sized commercial enterprises focused in construction, manufacturing and healthcare. Ranked as one of the top 100 Property & Casualty companies in the United States, we proudly manage nearly $1 Billion of Direct Written Premium and maintain $1.21 billion in surplus.
Amerisure is currently recruiting for a Senior Fast Track Auto ClaimsRepresentative. 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.
$67k-134k yearly est. Auto-Apply 39d ago
Senior Claims Support Analyst
AAA Life Insurance Company 4.5
Claims representative job in Livonia, MI
Why AAA Life
AAA Life is a respected and trusted American brand that has been focusing on Life Insurance and Annuity Products since 1969. At AAA Life we have over 1.8 million policies where we take pride in earning the trust of our policyholders who understand our promise to be there for them - and their families - when we're needed most. By joining the AAA Life team, you are joining a company that genuinely cares about helping each other, with a devotion to protect the lives of those around us. We embrace a diverse, equitable, inclusive culture where all associates can feel a sense of belonging and use their unique talents and perspective to influence, innovate, motivate, and thrive.
The Senior Claims Support Analyst supports both the Claims and Treasury functions by ensuring the efficient flow of funds, accuracy of claims payments, and continuous improvement of claims financial processes. This role combines analytical and operational expertise to maintain regulatory compliance, improve claims payment accuracy, and optimize cash management procedures.
The analyst develops, monitors, and reports on key performance metrics, reconciles payment and claims data, supports quality reviews, and collaborates cross-functionally with Finance, Treasury, and Claims Leadership to streamline processes and improve financial integrity in claims operations.
Responsibilities
How You'll Work
Work Solution: Hybrid
Relocation Eligibility: Available
What You'll Do
Perform analytical reviews of claims payment and financial transactions to ensure accuracy, compliance, and adherence to internal controls and resolve related issues.
Compile and interpret data for claims-related financial and operational reports, including accuracy trends, payment reconciliation, and reserve management.
Maintain and analyze spreadsheets and databases used for claims funding, payment tracking, and financial reconciliations.
Partner with Treasury to forecast cash needs related to claims payouts and ensure adequate liquidity for daily claim obligations.
Develop and maintain process documentation and financial models to improve claims funding and payment accuracy.
Conduct quality audits for all claim types (Life, Annuity, A&H) to verify regulatory compliance and identify opportunities for improvement.
Support service recovery and resolution for escalated claim issues; provide data and analysis for Department of Insurance or external audit responses.
Collaborate with Finance to analyze trends, variances, and reconciliation discrepancies; recommend corrective actions.
Identify and implement process improvements to reduce manual handling, improve automation, and enhance data accuracy.
Prepare and present claims financial metrics and insights to management, highlighting process efficiencies and control improvements.
Serve as liaison for audit-related requests (internal, reinsurer, or regulatory) and provide supporting documentation.
Provide training, guidance, and feedback to claims staff on financial procedures and quality standards.
Ensure compliance with MAR, internal audit requirements, and fair claims practices regulations.
Qualifications
Qualifications
Bachelor's Degree in Business, Finance, Accounting, or related field (or equivalent work experience).
Minimum 5 years of experience in Claims Operations, Treasury Support, or related insurance field.
Strong understanding of claims processing systems, payment workflows, and audit requirements.
Preferred Qualifications
Proficiency in Microsoft Excel, Access, and financial modeling; familiarity with COGNOS or similar reporting tools preferred.
Demonstrated experience in data analysis, reconciliation, and process improvement.
Excellent communication and collaboration skills, with the ability to work effectively across departments.
Strong organizational and time-management skills with attention to detail.
Ability to manage multiple priorities in a fast-paced, deadline-driven environment.
#LI-Hybrid
While performing the duties of this job, the employee is frequently required to stand, walk, sit, use hands to finger, handle, or feel, talk, hear and concentrate. Specific vision abilities required by this job include close vision, distance vision, depth perception, and ability to adjust focus.
This job requires the ability to perform duties contained in the job description for this position, including, but not limited to, the above requirements. Reasonable accommodation will be made for otherwise qualified applicants as needed to enable them to fulfill these requirements.
We are committed to ensuring equal employment opportunities for all job applicants and employees. Employment decisions are based upon job-related reasons regardless of an applicant's race, color, religion, sex, sexual orientation, gender identity, age, national origin, disability, marital status, genetic information, protected veteran status, or any other status protected by law.
$86k-125k yearly est. Auto-Apply 23d ago
Claims Representative
The Strickland Group 3.7
Claims representative job in Detroit, MI
Join Our Dynamic Insurance Team - Unlock Your Potential!
Are you ready to take control of your future and build a career in one of the most stable and lucrative industries? We are seeking driven individuals to join our thriving insurance team, where you'll receive top-tier training, support, and unlimited income potential.
NOW HIRING:
✅ Licensed Life & Health Agents
✅ Unlicensed Individuals (We'll guide you through the licensing process!)
We're looking for our next leaders-those who want to build a career or an impactful part-time income stream.
Is This You?
✔ Willing to work hard and commit for long-term success?
✔ Ready to invest in yourself and your business?
✔ Self-motivated and disciplined, even when no one is watching?
✔ Coachable and eager to learn?
✔ Interested in a business that is both recession- and pandemic-proof?
If you answered YES to any of these, keep reading!
Why Choose Us?
💼 Work from anywhere - full-time or part-time, set your own schedule.
💰 Uncapped earning potential - Part-time: $40,000 - $60,000 /month | Full-time: $70,000 - $150,000+++/month.
📈 No cold calling - You'll only assist individuals who have already requested help.
❌ No sales quotas, no pressure, no pushy tactics.
🧑 🏫 World-class training & mentorship - Learn directly from top agents.
🎯 Daily pay from the insurance carriers you work with.
🎁 Bonuses & incentives - Earn commissions starting at 80% (most carriers) + salary
🏆 Ownership opportunities - Build your own agency (if desired).
🏥 Health insurance available for qualified agents.
🚀 This is your chance to take back control, build a rewarding career, and create real financial freedom.
👉 Apply today and start your journey in financial services!
(
Results may vary. Your success depends on effort, skill, and commitment to training and sales systems.
)
$41k-54k yearly est. Auto-Apply 49d ago
Sr. Claims Examiner, Casualty
Arch Capital Group Ltd. 4.7
Claims representative job in Garden City, MI
With a company culture rooted in collaboration, expertise and innovation, we aim to promote progress and inspire our clients, employees, investors and communities to achieve their greatest potential. Our work is the catalyst that helps others achieve their goals. In short, We Enable Possibility℠.
Arch Insurance Group Inc., AIGI, has an opening in the Claims Division is seeking a Senior Claims Examiner to join the Casualty Team. In this role, the responsibilities include actively managing commercial accounts claims caseload throughout the United States.
Primary Responsibilities
Specific duties include but not limited to the below:
* 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 business line leader, underwriter, 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 the insured, counsel, underwriters, brokers, and senior management regarding claims
Qualifications
* Proper adjuster licensing in all applicable states
* 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 20%
* This role is hybrid with 2 days in office
Education and Experience
* Bachelor's degree; Juris Doctorate degree preferred
* Five (5) years of working experience with a primary and / or excess carrier supporting commercial accounts for Casualty claims; Professional Liability claims
#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 Jersey City, Morristown, NYC: $123,400 - $166,633/year
For Hartford, Chicago, Long Island: $111,100 - $149,970/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.
For Colorado Applicants - The deadline to submit your application is:
December 08, 2025
14400 Arch Insurance Group Inc.
$123.4k-166.6k yearly Auto-Apply 23d ago
North America Transportation Claims Analyst
Ford Motor Company 4.7
Claims representative job in Livonia, MI
... As Business Owner of the Parts Claims System, administer claims for U.S Dealers and related Carrier Claims for Inbound and Outbound Transportation Network. This position manages the team who processes daily claims and serves as the escalation point for dealers, suppliers and field personnel. Additionally, while supporting the Virtual Traffic Office, you will be getting vehicle owners back on the road quicker with effective VOR resolution while looking for opportunities to streamline and improve processes.
This position also manages the relationship with U.S. Bank and the freight payment team. This involves working with the 3PL provider and Ford Finance on monthly freight payment alignment as well as MCRP and GAO audit support.
As the claims SME, there will be opportunities to interact with and support Parts & Service Clubs as well as working with PSMAC, both virtually and in person.
As North American Claims Analyst, you will be the Business Owner of the Parts Claims System, administering claims for U.S Dealers and related Carrier Claims for Inbound and Outbound Transportation Network. Additionally, you will support the Virtual Traffic Office (VTO) and manage the network freight payments.
What you'll do...
* Manage and own the Claims Processing and support teams
* The Claims Team are Schneider Logistics (SLI) employees and are based in the Czech Republic with other support personnel US based
* Serve as the Subject Matter Expert (SME) for claims administration and processing
* Administer dealer claims for U.S Dealers
* Lead PartTrac claims return process integration with DDS carriers
* Resolve Carrier Claims for inbound and outbound cargo shipments
* Serve as escalation point to customers: dealers, suppliers and field personnel
* Ensure superior performance in claims resolutions
* Review and improve claims processes that drive claims creation
* Support adherence to established claims procedures / requirements
* Monitor Metrics and ensure response times meet established KPI's
* Meet and work with suppliers to ensure performance standards and training requirements are being met
* Maintain and update the Parts Policy & Procedure Manual (PPP) and FMC Dealer as related to claims and freight payment
* Work closely with various departments, including Marketing & Sales organizations, Supply Chain, Depot Operations, Packaging Engineering, SDS Purchasing and Finance to ensure process improvements align with company objectives and business needs.
Virtual Traffic Office (VTO):
* Support the Virtual Traffic Office (VTO)
* Serve as escalation point for customers: dealers, suppliers and field personnel
* Support dealership inquiries with policy & process research and adherence
* Monitor dealer / customer inquiries, looking for patterns and issues to correct
* Work closely with Supply Chain and Depot Operations in support of VORs
Freight Payment:
* Manage relationship with U.S. Bank, including performance metrics
* Monitor feeds between systems and serve as liaison between Ford IT and vendors
* Maintain / establish business rules, such as Invoice Processing, performance metrics, rate matching, etc.
* Work closely with various buyers
* Supervise Freight Payment Team
* Work closely with 3PL and Ford Finance on monthly freight payment alignment
Purchase Order Management:
* Create purchase orders
* Pay supplier invoices
* Monitor for overruns and needed amendments
* Support MCRPs and GAO audits
What you'll do...
* Manage and own the Claims Processing and support teams
* The Claims Team are Schneider Logistics (SLI) employees and are based in the Czech Republic with other support personnel US based
* Serve as the Subject Matter Expert (SME) for claims administration and processing
* Administer dealer claims for U.S Dealers
* Lead PartTrac claims return process integration with DDS carriers
* Resolve Carrier Claims for inbound and outbound cargo shipments
* Serve as escalation point to customers: dealers, suppliers and field personnel
* Ensure superior performance in claims resolutions
* Review and improve claims processes that drive claims creation
* Support adherence to established claims procedures / requirements
* Monitor Metrics and ensure response times meet established KPI's
* Meet and work with suppliers to ensure performance standards and training requirements are being met
* Maintain and update the Parts Policy & Procedure Manual (PPP) and FMC Dealer as related to claims and freight payment
* Work closely with various departments, including Marketing & Sales organizations, Supply Chain, Depot Operations, Packaging Engineering, SDS Purchasing and Finance to ensure process improvements align with company objectives and business needs.
Virtual Traffic Office (VTO):
* Support the Virtual Traffic Office (VTO)
* Serve as escalation point for customers: dealers, suppliers and field personnel
* Support dealership inquiries with policy & process research and adherence
* Monitor dealer / customer inquiries, looking for patterns and issues to correct
* Work closely with Supply Chain and Depot Operations in support of VORs
Freight Payment:
* Manage relationship with U.S. Bank, including performance metrics
* Monitor feeds between systems and serve as liaison between Ford IT and vendors
* Maintain / establish business rules, such as Invoice Processing, performance metrics, rate matching, etc.
* Work closely with various buyers
* Supervise Freight Payment Team
* Work closely with 3PL and Ford Finance on monthly freight payment alignment
Purchase Order Management:
* Create purchase orders
* Pay supplier invoices
* Monitor for overruns and needed amendments
* Support MCRPs and GAO audits
$84k-129k yearly est. Auto-Apply 13d ago
Michigan Homeowners Claim Representative II
Auto Club Group 4.2
Claims representative job in Auburn Hills, MI
Eligible candidates for this role must reside in the state of Michigan.
Job Title- Michigan Homeowners Claim Rep II
Reports to: Claim Manager I
What you will do:
Work under normal supervision with an intermediate-level approval authority to handle moderately complex claims within Claim Handling Standards in the field or inside units, resolve coverage questions, take statements, and establish clear evaluation and resolution plans for claims.
Review assigned claims, contact the insured and other affected parties, set expectations for the remainder of the claim, and initiate documentation in the claim handling system.
Complete coverage analysis including a review of policy coverages and provisions, and the applicability to the reported loss.
Ensure all possible policyholder benefits are identified, create additional sub-claims if needed or refer complex claims to management or the appropriate claim handler.
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 assigned to the Homeowner/CAT claim unit will handle claims generally valued between $5,000 and $25,000 (for the inside desk role) and up to $100,000 (for field role). Investigate claims requiring coverage analysis. When handling claims in the field, prepare damage estimates using claims software. Review estimates for accuracy. May monitor contractor repair status and update.
Supervisory Responsibilities:
None
How you will benefit:
A competitive annual salary between $64,000 - $72,000
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:
Complete ACG ClaimRepresentative Training Program or demonstrate equivalent knowledge or experience in property adjusting
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
A valid driver's license is required if the primary responsibilities of the role involve conducting in-person inspections or frequent in-person meetings with members.
Experience:
One year of experience or equivalent training in the following:
Negotiating 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:
Advance knowledge of:
Essential Insurance Act (Michigan)
Fair Trade Practices Act as it relates to claims
Subrogation procedures and processes
Intercompany arbitration
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
Research, analyze, and interpret subrogation laws in various states
Strong negotiating skills
Ability to work outside normal business hours as needed
Preferred Qualifications:
Associate degree in Business Administration, Insurance or a related field or the equivalent in related work experience
Xactimate software experience/training or experience in an equivalent software
Claims adjuster experience specifically in home/property claims preferred
Experience working within a customer service setting
Call center experience or experience handling high volume calls preferred, but not required
Excellent communication skills both oral and written
Experience working within an insurance or claims-based role for one year or more
Full claims cycle experience preferred
Work Environment
This position is currently able to work remotely from a home office location for day-to-day operations unless occasional travel for meetings, collaborative activities, or 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.
$64k-72k yearly Auto-Apply 50d ago
Auto Claims Representative
Auto-Owners Insurance Co 4.3
Claims representative job in Southgate, MI
We offer a merit-based work-from-home program based on job responsibilities. After initial training in-person, this specific role could have the flexibility to work from home up to 3 days per week. Auto-Owners Insurance, a top-rated insurance carrier, is seeking a motivated claims trainee to join our team. This job handles entry-level insurance claims under close 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 includes training and development completion of the Company's claims training program for the assigned line of insurance and requires the person to:
* Investigate, evaluate, and settle entry-level insurance claims
* Study insurance policies, endorsements, and forms to develop foundational knowledge on Company insurance products
* Learn and comply with Company claim handling procedures
* Develop entry-level claim negotiation and settlement skills
* Build skills to effectively serve the needs of agents, insureds, and others
* Meet and communicate with claimants, legal counsel, and third-parties
* Develop specialized skills including but not limited to, estimating and use of designated computer-based programs for loss adjustment
* Study, obtain, and maintain an adjuster's license(s), if required by statute within the timeline established by the Company or legal requirements
Desired Skills & Experience
* Bachelor's degree or direct equivalent experience with property/casualty claims handling
* Ability to organize data, multi-task and make decisions independently
* Above average communication skills (written and verbal)
* Ability to write reports and compose correspondence
* Ability to resolve complex issues
* Ability to maintain confidentially and data security
* 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
* Continually develop product knowledge through participation in approved educational programs
Benefits
Auto-Owners offers a wide range of career opportunities, and we are seeking talent that will help us continue our long tradition of success. We offer a friendly work environment, structured training program, employee mentoring and an excellent compensation/benefits package. Along with a competitive base salary, matched 401(k), fully-funded pension plan (once vested), and bonus programs, Auto-Owners also provides generous paid time off including holidays, vacation days, personal time, and sick leave. If you're looking to do rewarding work alongside great people, Auto-Owners is the place for you!
Equal Employment Opportunity
Auto-Owners Insurance is an equal opportunity employer. The Company hires, transfers, and promotes on the basis of ability, without consideration of disability, age, sex, race, color, religion, height, weight, marital status, sexual orientation, gender identity or national origin, or any factor contrary to federal, state or local law.
* Please note that the ability to work in the U.S. without current or future sponsorship is a requirement.
#LI-DNI #IN-DNI
$43k-55k yearly est. Auto-Apply 60d+ ago
Claims Analyst
Global Information Technology
Claims representative job in Southfield, MI
The EDI Claims Analyst is responsible for analyzing and processing electronic data interchange (EDI) transactions, including claims and eligibility inquiries. This role involves reviewing and resolving claim rejections, ensuring accurate data submission, and supporting various EDI transactions. The analyst will work closely with provider relations, IT, and other internal teams to ensure smooth and efficient claims processing.
Requirement:
Strong understanding of EDI transactions and claims processing
Proficiency in SQL and data analysis
Knowledge of Edifecs Smart-Trading platform, Availity Essentials, Informatica, and Apigee
Familiarity with CBH systems, including Connects and Flexicare
Excellent problem-solving and analytical skills
Ability to mentor and train team members
Executive leadership client facing
Interested candidates can send their updated resumes at *********************
$45k-76k yearly est. Easy Apply 60d+ ago
Senior Litigation Adjuster
Hanover Insurance Group, Inc. 4.9
Claims representative job in Howell, MI
Our Claims team is currently seeking a Senior Litigation Adjuster for either Commercial General Liability (CGL) or Auto Bodily Injury (ABI). This is a full-time, exempt role with a hybrid work schedule (two days in the office) or fully remotely for those not near a Hanover office.
POSITION OVERVIEW:
This position requires daily telephone contacts with the policyholders, risk managers, and agents. Fully responsible for the analysis, investigation, evaluation, negotiation and resolution of complex claims requiring thorough investigations including telephone contacts with the involved parties; technical expertise and complex analysis. Claim assignments are multi-state and involve customers.
IN THIS ROLE, YOU WILL:
Must have or secure and maintain appropriate states adjuster license (s) and continuing education credits.
Responsible for the settlement of litigated cases, involving disputes over coverage, liability, and damages issues.
Gather the facts and analyze the statements/testimony and declaration of damages to develop claims resolution strategies.
Work in partnership with defense counsel and all other parties/vendors to bring about a timely cost effective conclusion.
Identifies possibly suspicious claimsClaims handled are transferred existing losses or first notice lawsuits over disputed issues of great complexity where the policyholder's coverage is in question.
These claims require the highest level of investigation, analysis, evaluation, and negotiation.
Responsible for all aspects of each claim, including informal hearings, arbitrations and claims litigation and maintaining a high level of productivity, confidentiality and customer service.
Will be utilized as a technical resource by adjusters.
Will represent the company at mediation, arbitration and trials.
Review and analyze contracts, leases, and identify risk transfer opportunities
Demonstrate ability to write positional coverage letters.
Manage litigation expenses.
Reports into Unit Manager
WHAT YOU NEED TO APPLY:
Typically has 5 + years of litigation experience with insurance carrier. (TPA experience will not be considered)
Bachelor's degree or equivalent experience, industry designation preferred.
Dedicated to meeting the expectations and requirements of internal and external customers
Makes decisions in an informed, confident and timely manner
Maintains constructive working relationships despite differing perspectives
Considers the perspectives of others and gives them credibility
Strong organizational and time management skills
Ability to negotiate skillfully in difficult situations with both internal and external groups. Demonstrates ability to win concessions without damaging relationships.
Demonstrates strong written and verbal communication skills. Promotes and facilitates free and open communication.
Understanding of applicable statutes, regulations and case law
Thinks critically and anticipates, recognizes, identifies and develops solutions to problems in a timely manner.
Easily adapts to new or different changing situations, requirements or priorities.
Cultivates an environment of teamwork and collaboration
Operates with latitude for un-reviewed action or decision.
Computer experience (MS Office, excel, word, etc)
Ability to work in a paperless environment.
This job posting provides cursory examples of some of the job duties associated with this position. The examples provided are not complete, and the position may entail other essential and job-related functions and responsibilities that employees will be required to perform.
$62k-111k yearly est. 45d ago
Claims Executive / Commercial Claims Adjuster - Grand River Services
Ima Financial Group 4.4
Claims representative job in Detroit, MI
As a third-party administrator, Grand River Services specializes in first party property and third-party casualty claims. We work directly with insureds and agencies to provide a level of high touch service rarely found in today's marketplace. We are looking for a Commercial Claims Adjuster who is focused on accountability, exceptionally accurate case reserves, and outstanding agent satisfaction.
What You'll Do
Supports and demonstrates IMA's core values
Values and understands the importance of diversity, equity, and inclusion among all IMA associates
Manages multiple jurisdictions and multiple lines of business
Works directly with insureds and agencies to provide excellent, high touch service
Thinks critically to evaluate coverage, investigate claims, and negotiate settlements
Maintains highly organized and detailed claims files
Communicates a clear, concise action plan for moving cases to conclusion
You Should Have
5-7+ years of claims handling experience
Need to be located in either the Eastern or Central Time Zone
Commercial General Liability experience required
Multi-state experience a plus
Multiple lines a plus
Must be a licensed adjuster with the ability to obtain licenses in other states
Ability to be cross trained to handle other lines of business
Experience in handling bodily injury, med pay, and property damage claims
Ability to handle and negotiate settlements on both non-litigated and litigated claims
Must be comfortable and self-directed to work independently in a remote, virtual office environment
Light to moderate travel to attend training, mediations, trials, and company functions
Bachelor's degree preferred
Valid driver's license required
Strong proficiency with Microsoft products and agency systems
#LI-JS1
If this role is hired in Los Angeles County, CA the following applies:
Qualified applicants with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act. Prior Criminal history will only be considered after a conditional job offer is made and accepted. Applicants will have the opportunity to explain the circumstances surrounding any convictions, provide mitigating evidence, or challenge the accuracy of the background report.
Salary Range$70,000-$90,000 USD
Compensation & Benefits
Being a part of IMA has its benefits. When you become part of the IMA family, you become eligible to take part in our valuable benefits and rewards package designed to benefit you, your family, and your life. Our plans are cost-effective, convenient and provide progressive ways for staying healthy, protecting loved ones, pursuing financial security and living a full and balanced life. This role is eligible for the following:
Annual Performance Bonus, Stock Purchase, Medical Plans, Prescription Drugs, Dental, Vision, Family Assistance Program, FSA, HSA, Pre-Tax Parking Plan, 401(k), Life/AD&D, Accident, Critical Illness, Hospital Indemnity, Long Term Care, Short-term Disability, Long-term Disability, Business Travel Accident, Identity Theft, Paid Time Off, Flexible Work Options, Paid Holidays, Sabbatical, Gift Matching, Health Club Reimbursement, Personal and Professional Development. In addition to our robust benefits package, the final offer amounts will depend on a variety of factors, including the candidate's geographic location, prior relevant experience, and their knowledge, skills, and abilities.
*These benefits do not apply to internship roles.
Why Join IMA?
We've built a reputation for putting our associates first
What if we told you that you could be an integral part of an entrepreneurial, expanding company, develop lasting relationships, earn competitive benefits, plus claim part ownership? It's this unique ownership business model that makes working at IMA so appealing.
We work in teams. We sell in teams. We win and prosper as a team
We provide support systems and resources that enable each of our associates to focus on what they do best. And as an independent company based in the Midwest, we're big enough to write business all over the world and small enough to implement your ideas quickly.
We are recognized nationally as a leader in our industry
2020-2023 Business Insurance Magazine Best Places to Work in Insurance
2023 Inc. Magazine's Best Workplaces
2023 Denver Business Journal's Best Places to Work
2022-2023 Connecticut Top Work Places
2021-2023 Inc. 5000's List of Fastest Growing Companies
2019-2022 Civic 50 Colorado Honoree Recognizing 50 Most Community-Minded Companies
2022-2023 Kansas City Business Journal's Best Places to Work
2021-2023 Charlotte Business Journal's Best Places to Work
2021-2023 Los Angeles Business Journal's Best Places to Work
2021-2023 The Salt Lake City Tribune Top Work Places
2021-2022 Puget Sound Business Journal's Washington's Best Workplaces
2021-2022 Wichita Business Journal's Best Places to Work, #1 in extra-large category
2021 Dallas Business Journal's Best Places to Work
2021 Alaska Journal of Commerce's Best Workplaces in Alaska
This Job Description is not a complete statement of all duties and responsibilities comprising this position.
The IMA Financial Group, Inc. 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, The IMA Financial Group, Inc. complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities.
$70k-90k yearly Auto-Apply 7d ago
North America Transportation Claims Analyst
Ford Global
Claims representative job in Livonia, MI
...
As Business Owner of the Parts Claims System, administer claims for U.S Dealers and related Carrier Claims for Inbound and Outbound Transportation Network. This position manages the team who processes daily claims and serves as the escalation point for dealers, suppliers and field personnel. Additionally, while supporting the Virtual Traffic Office, you will be getting vehicle owners back on the road quicker with effective VOR resolution while looking for opportunities to streamline and improve processes.
This position also manages the relationship with U.S. Bank and the freight payment team. This involves working with the 3PL provider and Ford Finance on monthly freight payment alignment as well as MCRP and GAO audit support.
As the claims SME, there will be opportunities to interact with and support Parts & Service Clubs as well as working with PSMAC, both virtually and in person.
You'll have...
Proven problem-solving skills to address customer concerns and communicate solutions & status to both customers and upper management
Understanding of PS&L / FCSD distribution network and channels
Ability to motivate both internal teams and external partners to resolve issues on time, within budgets and meeting process requirements
Proficiency with Microsoft Office Suite: Excel, PowerPoint, Word, Outlook
Ability to work in time sensitive situations and to prioritize with minimal supervision
Highly motivated self-started with excellent communication skills
Even better, you may have...
Experience with wide suite of systems, such as:
SAP
PCS
Ariba
Syncada
P44
PartTrac
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 of 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 child care 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.
Visa sponsorship is not available for this position.
For more information on salary and benefits, click here: *****************************
This position is a range of salary grades 6-8 .
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 **************.
Onsite work of up to four days per week may be required for candidates within commuting distance of a Ford hub location. #LI-Hybrid #LI-LB1
What you'll do...
Manage and own the Claims Processing and support teams
The Claims Team are Schneider Logistics (SLI) employees and are based in the Czech Republic with other support personnel US based
Serve as the Subject Matter Expert (SME) for claims administration and processing
Administer dealer claims for U.S Dealers
Lead PartTrac claims return process integration with DDS carriers
Resolve Carrier Claims for inbound and outbound cargo shipments
Serve as escalation point to customers: dealers, suppliers and field personnel
Ensure superior performance in claims resolutions
Review and improve claims processes that drive claims creation
Support adherence to established claims procedures / requirements
Monitor Metrics and ensure response times meet established KPI's
Meet and work with suppliers to ensure performance standards and training requirements are being met
Maintain and update the Parts Policy & Procedure Manual (PPP) and FMC Dealer as related to claims and freight payment
Work closely with various departments, including Marketing & Sales organizations, Supply Chain, Depot Operations, Packaging Engineering, SDS Purchasing and Finance to ensure process improvements align with company objectives and business needs.
Virtual Traffic Office (VTO):
Support the Virtual Traffic Office (VTO)
Serve as escalation point for customers: dealers, suppliers and field personnel
Support dealership inquiries with policy & process research and adherence
Monitor dealer / customer inquiries, looking for patterns and issues to correct
Work closely with Supply Chain and Depot Operations in support of VORs
Freight Payment:
Manage relationship with U.S. Bank, including performance metrics
Monitor feeds between systems and serve as liaison between Ford IT and vendors
Maintain / establish business rules, such as Invoice Processing, performance metrics, rate matching, etc.
Work closely with various buyers
Supervise Freight Payment Team
Work closely with 3PL and Ford Finance on monthly freight payment alignment
Purchase Order Management:
Create purchase orders
Pay supplier invoices
Monitor for overruns and needed amendments
Support MCRPs and GAO audits
$45k-76k yearly est. Auto-Apply 13d ago
Mortgage Claims Default Specialist
The Emac Group
Claims representative job in Troy, MI
The EMAC Group is a provider of mortgage recruiting services, we offer an extensive network of mortgage professionals and proven expertise developed over 20 years of experience identifying, attracting and recruiting mortgage talent for our clients.
Job Description
POSITION SUMMARY
The Claims Specialist is responsible for processing required claims to Fannie Mae, Mortgage Insurance Companies, FHA, VA or other investors to recover advances incurred throughout the default process. The Claims Specialist will file required claims; meet investor time frames, and complete audits of claims processes for validation. Responsibilities as well will entail tracking of claim payments received for proper application, and filing of any required supplemental claims as necessary, and respond regarding any contested claim information as required.
ESSENTIAL POSITION FUNCTIONS
• Review, analyze, and ensure timely settlement of investor and mortgage insurance claims and manage aging claims to determine status and bring to closure and request extensions as needed.
• Document and maintain all systems necessary for proper claim handling and follow-up.
• Research issues and obtain proper supporting documentation in a timely manner as requested by investor or mortgage insurance company.
• Manage application of all claim funds received and provide additional information as necessary in order to validate all available funds received prior to claim being closed.
• Monitor claim process reports to ensure all required responses are timely filed.
• Complete timely audits of all assigned claims to ensure all requirements have been met, and claim process can be validated.
Qualifications
EDUCATION / EXPERIENCE REQUIREMENTS
• Knowledge of Microsoft Office a must; knowledge of YARDI, LoanSphere, VALERI, USDA LINC and Workout Prospector a plus.
• Previous work with mortgage claim filing is a requirement.
Additional Information
Please contact Tabitha Wolf at: ************
$41k-69k yearly est. 17h ago
Mortgage Claims Default Specialist
The EMAC Group
Claims representative job in Troy, MI
The EMAC Group is a provider of mortgage recruiting services, we offer an extensive network of mortgage professionals and proven expertise developed over 20 years of experience identifying, attracting and recruiting mortgage talent for our clients.
Job Description
POSITION SUMMARY
The Claims Specialist is responsible for processing required claims to Fannie Mae, Mortgage Insurance Companies, FHA, VA or other investors to recover advances incurred throughout the default process. The Claims Specialist will file required claims; meet investor time frames, and complete audits of claims processes for validation. Responsibilities as well will entail tracking of claim payments received for proper application, and filing of any required supplemental claims as necessary, and respond regarding any contested claim information as required.
ESSENTIAL POSITION FUNCTIONS
• Review, analyze, and ensure timely settlement of investor and mortgage insurance claims and manage aging claims to determine status and bring to closure and request extensions as needed.
• Document and maintain all systems necessary for proper claim handling and follow-up.
• Research issues and obtain proper supporting documentation in a timely manner as requested by investor or mortgage insurance company.
• Manage application of all claim funds received and provide additional information as necessary in order to validate all available funds received prior to claim being closed.
• Monitor claim process reports to ensure all required responses are timely filed.
• Complete timely audits of all assigned claims to ensure all requirements have been met, and claim process can be validated.
Qualifications
EDUCATION / EXPERIENCE REQUIREMENTS
• Knowledge of Microsoft Office a must; knowledge of YARDI, LoanSphere, VALERI, USDA LINC and Workout Prospector a plus.
• Previous work with mortgage claim filing is a requirement.
Additional Information
Please contact Tabitha Wolf at: ************
$41k-69k yearly est. 60d+ ago
Independent Insurance Claims Adjuster in Clinton Township, Michigan
Milehigh Adjusters Houston
Claims representative job in Clinton, MI
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.
$47k-59k yearly est. Auto-Apply 60d+ ago
Claims Representative
Everstaff 3.8
Claims representative job in Troy, MI
Join a Leading Team - Direct Hire | Sign-On Bonus | Hybrid Opportunity! We're hiring detail-oriented and customer-focused ClaimsRepresentatives for a reputable client located in Troy. In this role, you'll be responsible for efficiently reviewing, processing, and resolving insurance claims while ensuring full compliance with internal policies and industry regulations.
What's In It for You?
Pay: $17
Direct hire opportunity with a stable organization
Sign-on bonus available
Hybrid schedule available after training
Comprehensive benefits package: medical, dental, and vision insurance
Ongoing professional development and training opportunities
Work Schedule
Training: Monday-Friday, 8:00 AM - 4:30 PM
Post-Training: Flexible shifts available between 6:00 AM - 8:00 PM
Key Responsibilities
Accurately review and process insurance claims within specified timeframes
Communicate with policyholders, claimants, and other involved parties to gather information and provide claim updates
Maintain thorough and accurate records in internal claims systems
Ensure adherence to regulatory guidelines and company policies
Keep current with industry standards and procedural updates
Qualifications & Skills
High school diploma or equivalent required
Experience in claims processing, insurance, or customer service is a plus
Strong problem-solving and analytical abilities
Clear and professional verbal and written communication skills
Ability to handle multiple tasks and prioritize effectively in a fast-paced environment
Proficiency in Microsoft Office Suite; experience with claims management software is a bonus
Familiarity with insurance procedures and compliance regulations is preferred
Ready to bring your attention to detail and customer service skills to a growing team? Apply today!
All qualified applicants will receive consideration for employment without regard to race, color, religion, ethnicity, national origin, sex, gender identity, sexual orientation, disability status, protected veteran status or any other protected status under the law. EverStaff is an equal opportunity employer (M/F/D/V/SO/GI).
$17 hourly 15d ago
Metro Detroit Field Property Claim Specialist
AAA Southern New England 4.3
Claims representative job in Troy, MI
Eligible candidates for this role should reside within the metro Detroit Michigan area. Preferred candidates should reside in Macomb or Oakland county. Job Title- Field Property Claim Specialist Reports to: Claim Manager II 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 $73,000 - $85,000
* 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 ClaimRepresentative 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
* Resides in the State of Michigan only (Territory Specific: Wayne County, Oakland County and Washtenaw County)
Preferred Qualifications:
* 1-2 years of full cycle homeowners claims handling experience
* Experience handling personal property and additional living expense claims
* Experience with internal water loss, fire, and smoke claims
* Michigan Adjuster's License preferred, but not required
* Associate degree in Claims
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.
$73k-85k yearly Auto-Apply 7d ago
Field Claims Adjuster
EAC Claims Solutions 4.6
Claims representative job in Detroit, 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. 20d ago
Metro Detroit Field Property Claim Specialist
Acg 4.2
Claims representative job in Detroit, MI
Eligible candidates for this role should reside within the metro Detroit Michigan area. Preferred candidates should reside in Macomb or Oakland county.
Job Title- Field Property Claim Specialist
Reports to: Claim Manager II
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 $73,000 - $85,000
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 ClaimRepresentative 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
Resides in the State of Michigan only (Territory Specific: Wayne County, Oakland County and Washtenaw County)
Preferred Qualifications:
1-2 years of full cycle homeowners claims handling experience
Experience handling personal property and additional living expense claims
Experience with internal water loss, fire, and smoke claimsMichigan Adjuster's License preferred, but not required
Associate degree in Claims
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.
How much does a claims representative earn in Troy, MI?
The average claims representative in Troy, MI earns between $35,000 and $73,000 annually. This compares to the national average claims representative range of $28,000 to $53,000.
Average claims representative salary in Troy, MI
$51,000
What are the biggest employers of Claims Representatives in Troy, MI?
The biggest employers of Claims Representatives in Troy, MI are: