Medical Only Claims Trainee
1 month ago
SUMMARY: This is an entry-level position. This position leads to a Medical Only Claims Specialist I and is expected to last up to 12 months. Upon completion of the training plan the incumbent is expected to be proficient with the Medical Only Claims policies, processes, procedures, and terminology related to the job. In addition, the incumbent will be proficient in the job responsibilities and tasks of the Medical Only Claims Specialist I position description. The incumbent will be evaluated on their progress and successful completion of the training plan each quarter. Upon satisfactory completion, the incumbent will be eligible for the Medical Only Claims Specialist I position. Medical Only Claims Associate will work with all members of the team and may receive direction, support, and instruction from the Manager or Medical Only Claims Specialists depending on the assignment. PRIMARY RESPONSIBILITIES: * Assist Medical Only Claims Specialist with the investigation and management of workers compensation claims. * Assists with determining and managing the on-going medical treatment program including directing care, creating panels, and approving provider requests. * Evaluates medical reports and correspondence for appropriate action/documentation. * Supports the customer service work and processes for the multi-functional claims team; Communicates and collaborates with team members to ensure the appropriate and timely handling of claims in other states. * May be required to act as a back up to the MOCS. For items such as Verifies workers' compensation coverage of employers and injured employees. * Documents specifics of claims with potential for subrogation. * Approves payment based on knowledge of the treatment plan and medical support showing relationship of treatment to the injury. * Concludes and closes files following resolution of claims to meet internal performance standards while complying with state legislation to avoid penalties and manage expenses. * Coordinates with outside vendors to ensure cost containment efforts. * Establishes and maintains effective working relationships with all internal and external customers. Assists with determining appropriate response to regulatory inquiries. * Composes correspondence and various reports in the administration of workers compensation claims; sets appropriate diaries. * Reads, routes and keys incoming mail, runs reports and answers/responds to incoming phone calls on both direct and ACD line, faxes and emails. This may include completing work for peers during absences to provide uninterrupted service to customers. * Demonstrate growth of skills working towards the more complex responsibilities of the Medical Only Claims Specialist I position. * Increase knowledge of how Accident Fund Insurance Company of America runs and how Workers Compensation Insurance works. This description identifies the responsibilities typically associated with the performance of the job. The percentage of time in any responsibility may vary between positions. Other relevant essential functions may be required. A. EDUCATION REQUIRED: High school diploma B. EXPERIENCE REQUIRED: 2 years insurance experience ( finance, medical, or any other applicable experience) OR Associates degree in insurance, business administration, health administration and/or related field. Combination of education and experience may be considered in lieu of a degree. C. SKILLS/KNOWLEDGE/ABILITIES (SKA) REQUIRED: * General knowledge of insurance operations. * Ability to work effectively in a multifunctional business unit. * Excellent verbal and written communication skills. * Ability to use diplomacy, discretion, and appropriate judgment when responding to inquiries from staff and external customers as well as anticipating needs of the department. * Ability to effectively exchange information clearly and concisely, and present ideas, report facts and other information and respond to questions as appropriate. * Ability to nego
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Medical Only Claims Trainee
1 month ago
Lansing, United States Emergent Holdings Full timeJob DescriptionSUMMARY: This is an entry-level position. This position leads to a Medical Only Claims Specialist I and is expected to last up to 12 months. Upon completion of the training plan the incumbent is expected to be proficient with the Medical Only Claims policies, processes, procedures, and terminology related to the job. In addition, the...
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Medical Only Claims Spec I/II
1 month ago
Lansing, United States Accident Fund Holdings, Inc. Full timeJob DescriptionSUMMARY: The Medical Only Claims Specialist I is an entry level claims role. The incumbent is expected to be proficient with the Claims unit, policies, processes, procedures, and terminology. The Medical Only Claims Specialist II is an experienced level claims role. The incumbent is expected to perform at a high level with minimum...
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Medical Only Claims Spec I/II
1 month ago
Lansing, United States AF Group Full timeSUMMARY: The Medical Only Claims Specialist I is an entry level claims role. The incumbent is expected to be proficient with the Claims unit, policies, processes, procedures, and terminology. The Medical Only Claims Specialist II is an experienced level claims role. The incumbent is expected to perform at a high level with minimum supervision. Primarily...
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Office Claims Adjuster
4 weeks ago
Lansing, United States Ally Full timeGeneral information Ref # 18806 Remote? No Ally and Your Career Ally Financial only succeeds when its people do - and that’s more than some cliché people put on job postings. We live this stuff! We see our people as, well, people - with interests, families, friends, dreams, and causes that are all important to them. Our focus is on the health and...
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Office Claims Adjuster
4 weeks ago
Lansing, United States Ally Full timeGeneral information Ref # 18806 Remote? No Ally and Your Career Ally Financial only succeeds when its people do - and that’s more than some cliché people put on job postings. We live this stuff! We see our people as, well, people - with interests, families, friends, dreams, and causes that are all important to them. Our focus is on the health and...
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Sales / Management Trainee
5 months ago
Lansing, United States Furniture Row Full timeOur Furniture Row Center is now hiring! Be part of a growing company where the only place to go is up! Looking for: SALES/ MANAGEMENT TRAINEES (no previous exp. necessary – we will train you!) Looking for people who are --- Career Minded High in Integrity Ethical Energetic Available evenings, weekends, and holidays Looking for people who want --- ...
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Claims Advocate Specialist
4 weeks ago
Lansing, Michigan, United States Michigan Farm Bureau Full timeAbout UsMichigan Farm Bureau is a leading provider of insurance and financial services in the region. Our team is dedicated to delivering exceptional customer experiences while upholding our commitment to excellence.Job SummaryWe are seeking an experienced Claims Advocate Specialist to join our team. As a key member of our claims department, you will play a...
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Sales / Management Trainee
5 months ago
Lansing, United States Furniture Row Full timeOur Furniture Row Center is now hiring!Be part of a growing company where the only place to go is up! Looking for: SALES/ MANAGEMENT TRAINEES(no previous exp. necessary – we will train you!)Looking for people who are ---Career MindedHigh in IntegrityEthicalEnergeticAvailable evenings, weekends, and holidaysLooking for people who want ---Paid...
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Claims Processing Specialist
1 month ago
Lansing, Michigan, United States Michigan Farm Bureau Full timeMichigan Farm Bureau seeks a skilled Claims Processing Specialist to join our team in Lansing, MI.About the Role:We are seeking an experienced Claims Processing Specialist to handle First Notice of Loss (FNOL) claims for our Michigan Farm Bureau customers. The successful candidate will have excellent customer service skills, strong typing skills, and the...
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Claims Mail Handling Specialist
4 weeks ago
Lansing, Michigan, United States Michigan Farm Bureau Full timeJob OverviewThis role is an exciting opportunity to join the Michigan Farm Bureau team as a Claims Mail Handling Specialist. The ideal candidate will have a strong work ethic, excellent organizational skills, and a passion for delivering exceptional results.About the RoleWe are seeking a highly motivated individual to work in our Imaging & Mailing Services...
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Claims Specialist
4 weeks ago
Lansing, Michigan, United States Michigan Farm Bureau Full timeJob Summary:We are seeking an experienced Claims Specialist - Litigation Expert to join our team at Michigan Farm Bureau. As a key member of our litigation team, you will be responsible for investigating and managing first-party casualty claims in a fair and efficient manner.Key Responsibilities:Retain detailed knowledge of Michigan law, particularly the...
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Commercial Property Claims Expertise
4 weeks ago
Lansing, Michigan, United States Michigan Farm Bureau Full timeThe Commercial Property Claims Specialist role at Michigan Farm Bureau is an exciting opportunity for a highly skilled professional to join our team. With a strong focus on customer service and claims handling, this position requires exceptional communication and problem-solving skills.This is a regular full-time position with a salary of $123,000 per year....
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Automotive Damage Claims Adjuster
4 weeks ago
Lansing, Michigan, United States Michigan Farm Bureau Full timeJob OverviewWe are seeking an experienced Automotive Damage Claims Adjuster to join our team at Michigan Farm Bureau. As a key member of our staff, you will play a vital role in providing exceptional customer service and ensuring that claims are processed efficiently and fairly.This is a hybrid position, with both remote and on-site work requirements. The...
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Supervisor, Commercial and Farm Property Claims
4 weeks ago
Lansing, United States Michigan Farm Bureau Full timeOBJECTIVESupervisor, Commercial and Farm Property Claims Objective To assist the Director of Property & Casualty Claims and the Large Loss Property Claims Manager in managing all functions of a Property Claims Unit that are necessary to provide prompt and efficient handling, control, and disposition of claims in an assigned area. To establish and maintain...
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Lansing, Michigan, United States Michigan Farm Bureau Full timeMichigan Farm Bureau is seeking a skilled Insurance Claims Professional to join our team as a Commercial Property Claims Specialist. Based in Lansing, this role requires a strong background in multi-line or property claims, with a focus on complex commercial property losses.The ideal candidate will possess a Bachelor's degree in a relevant field, such as...
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Lansing, Michigan, United States Michigan Farm Bureau Full timeJob OverviewThis role is responsible for managing the handling of property claims, providing quality service to insureds, and maintaining an effective service operation. The ideal candidate will have a strong customer service background, a valid driver's license with an acceptable driving record, and experience working with property contracts, construction...
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Lansing, Michigan, United States Michigan Farm Bureau Full timeAbout the Role">We are seeking a Claims and Property Specialist to join our team at Michigan Farm Bureau. As a key member of our claims department, you will be responsible for investigating, evaluating, and resolving commercial, residential, farm property, and liability claims in a timely and professional manner.">Responsibilities">Investigate and evaluate...
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Lansing, Michigan, United States Ryder System Full timeRyder System OverviewRyder is a dynamic organization committed to providing excellent customer service and fostering a culture of integrity, family values, and innovation. As a leader in the transportation and logistics industry, we strive to create a work environment that encourages personal and professional growth.Compensation InformationThe estimated...
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Data Analyst for Healthcare Claim Processing
1 week ago
East Lansing, Michigan, United States All Star Operations Full timeAbout the RoleWe are seeking a highly detail-oriented and analytical individual to join our team as a Data Analyst for healthcare claim processing. This role will involve working with complex data sets to identify trends, discrepancies, and areas of improvement.ResponsibilitiesReview and process healthcare claims in accordance with established guidelines and...
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Medical Coder
1 month ago
Lansing, United States VitalCore Health Strategies Full timeVitalCore Health Strategies (VCHS), an industry leader in Correctional Health Care has an opening for a Full Time Medical Coder at the Regional Office in Lansing, MI.Looking for a rewarding career in the field of healthcare with competitive wages?At VitalCore we pride ourselves on retaining and acquiring hardworking ethical individuals who are committed to...
