Claims Adjuster for Casualty Insurance

2 weeks ago

East Lansing, Michigan, United States SET SEG Full time
Job Overview

Position: Casualty Claims Representative

Reports To: Claims Manager

Department: Property/Casualty and Workers' Compensation (PC/WC)

SET SEG is seeking a dedicated Casualty Claims Representative responsible for the thorough investigation, negotiation, adjustment, and resolution of assigned property/casualty claims. This role is essential in ensuring the effective management of claims and reports directly to the Claims Supervisor.


About SET SEG

School Employers Trust (SET) is a non-profit organization established to address the evolving needs of Michigan public schools. Since its inception in 1971, SET has focused on providing comprehensive employee benefit solutions. The organization has expanded its services to include workers' compensation and property/casualty insurance, adapting to the unique challenges faced by educational institutions.


At SET SEG, we pride ourselves on our commitment to delivering exceptional service and innovative solutions tailored to our members' needs. Our workplace culture emphasizes collaboration, respect, and a customer-first approach, which has earned us recognition as one of the best places to work in the industry.


Key Responsibilities:

  • Manage and investigate assigned claims, ensuring compliance with established guidelines.
  • Evaluate reserves and recommend adjustments as necessary.
  • Conduct outside investigations when required and oversee the work of external investigators.
  • Review medical and legal invoices for accuracy and relevance to claims.
  • Negotiate disputed bills to achieve resolution.
  • Assign litigated claims to approved legal representatives and monitor their progress.
  • Maintain a systematic approach to reserving and reporting on claims.
  • Facilitate settlements in alignment with claim handling standards while considering member preferences.
  • Participate in mediation and facilitation sessions as needed.
  • Utilize a diary system to ensure timely resolution of claims.
  • Collaborate with internal teams, including Underwriting and Loss Control, to develop effective strategies.
  • Perform additional duties as assigned by the Claims Manager.

Qualifications:

  • Bachelor's Degree with a minimum of three years of experience in adjusting general and professional liability claims, or equivalent experience.
  • In-depth knowledge of coverage, liability, and claims handling procedures.
  • Ability to manage complex tasks in a dynamic environment.
  • Strong interpersonal skills and a collaborative mindset.
  • Highly organized with attention to detail.
  • Professional demeanor when interacting with various stakeholders.
  • Commitment to confidentiality and handling sensitive information appropriately.
  • Strong analytical and cognitive abilities.
  • Effective communication skills, both written and verbal.
  • Willingness to travel and work remotely as needed.

Work Environment:

This position requires several hours of desk work, with the ability to move around an office setting. Occasional travel may be necessary. Consistent attendance and punctuality are essential.


SET SEG is an equal opportunity employer, committed to fostering a diverse and inclusive workplace.

  • Advanced Liability Claims Adjuster

    2 weeks ago

    Lansing, Michigan, United States Tower Hill Insurance Full time

    Position OverviewThis role is a hybrid opportunity based out of our Gainesville office. Tower Hill Insurance Group is seeking a dedicated and skilled Senior Liability Adjuster who thrives on intellectual challenges and is looking for a fulfilling career with a growing organization.About Tower Hill InsuranceAs one of Florida's most reputable names in...

  • Insurance Client Support Specialist

    2 weeks ago

    East Lansing, Michigan, United States Worthy Insurance Group, LLC Full time

    Insurance Client Support SpecialistWorthy Insurance Group, LLC is seeking an enthusiastic Insurance Client Support Specialist to assist our Servicing Department. This role is ideal for individuals with a service-oriented background who are looking to enter the insurance sector or embark on a new professional journey. We are in search of proactive and...

  • Insurance Client Support Representative

    2 weeks ago

    East Lansing, Michigan, United States Worthy Insurance Group, LLC Full time

    Insurance Client Support RepresentativeWorthy Insurance Group, LLC is seeking an Insurance Client Support Representative to enhance our Servicing Department. This role is ideal for candidates with a service-oriented background who are eager to explore opportunities within the insurance sector or embark on a new professional journey. We are looking for...

  • Premium Auditor

    7 days ago

    Lansing, Michigan, United States Michigan Millers Mutual Insurance Company Full time

    About the RoleMichigan Millers Mutual Insurance Company, a leading provider of property-and-casualty insurance, is seeking a skilled Premium Auditor to join our team in Lansing.Key ResponsibilitiesConduct thorough audits of Commercial Lines policies to ensure accurate risk classification and exposure.Review and verify financial and business records to...

  • Senior Claims Liability Consultant

    2 weeks ago

    Lansing, Michigan, United States Tower Hill Insurance Full time

    Position OverviewThis is a hybrid opportunity within our organization.Tower Hill Insurance Group is thrilled to present a remarkable opportunity for a skilled Senior Liability Adjuster who thrives on intellectual challenges and is eager to build a fulfilling career with a growing company. As one of Florida's most reputable names in homeowners insurance,...

  • Lead Liability Claims Specialist

    2 weeks ago

    Lansing, Michigan, United States Tower Hill Insurance Full time

    Position OverviewThis role is a hybrid opportunity that offers the chance to work with a reputable organization in the insurance sector.Company OverviewTower Hill Insurance Group is a leading name in homeowners insurance in Florida, known for its commitment to growth and employee development. We provide an environment that fosters career advancement and...

  • Insurance Claims Specialist

    2 weeks ago

    Lansing, Michigan, United States Sedgwick Full time

    PRIMARY OBJECTIVE:To evaluate and manage intricate auto and commercial transportation claims by assessing coverage, conducting investigations, determining liability, and appraising the extent of damages.KEY RESPONSIBILITIES:Handles complex auto and commercial claims, including bodily injury, ensuring accurate documentation and coding of claim files.Oversees...

  • Commercial Lines Insurance Account Executive

    2 weeks ago

    East Lansing, Michigan, United States Al Bourdeau Insurance Agency Full time

    Job OverviewAl Bourdeau Insurance Agency is seeking a skilled professional to fill the role of a Commercial Lines Account Manager. This position is essential for the agency's growth and success, focusing on providing exceptional support to our Commercial Lines Agents.Key ResponsibilitiesThe Commercial Lines Account Manager will be responsible for:Assisting...

  • Risk Management and Insurance Executive Director

    4 days ago

    East Lansing, Michigan, United States Michigan State University Full time

    Job SummaryThe Executive Director of Risk Management and Insurance is a key leadership position at Michigan State University, responsible for developing and implementing strategies to reduce risks associated with university operations and activities. This role requires a strong understanding of the property and casualty insurance industry, as well as...

  • Insurance Defense Attorney

    6 days ago

    Lansing, Michigan, United States Liberty Mutual Insurance Full time

    About the RoleWe are seeking an experienced Insurance Defense Attorney to represent Liberty Mutual and our policyholders in moderately complex civil litigation and workers' compensation matters involving claims for monetary damages or compensation for personal injuries or property damage of a moderate value.Key ResponsibilitiesManage the entire legal...

  • Claims Management Specialist

    2 weeks ago

    Lansing, Michigan, United States Auto-Owners Insurance Full time

    At Auto-Owners Insurance, we pride ourselves on offering a fulfilling and challenging career path. Our dedicated team members play a crucial role in providing financial stability by assisting individuals and businesses in recovering from losses. Position Overview We provide a merit-based remote work option tailored to job responsibilities. Following initial...

  • Senior Claims Specialist

    4 days ago

    Lansing, Michigan, United States Auto-Owners Insurance Full time

    Job SummaryA career at Auto-Owners Insurance is challenging and rewarding. Our team of caring professionals creates financial security by helping individuals and businesses make a new start when a loss occurs.Key ResponsibilitiesInvestigate and evaluate commercial auto claims arising out of the Company's business.Determine the appropriate disposition of...

  • Commercial Lines Insurance Account Executive

    2 weeks ago

    East Lansing, Michigan, United States Al Bourdeau Insurance Agency Full time

    Job OverviewAl Bourdeau Insurance Agency is seeking a skilled professional to fill the role of Commercial Lines Account Manager. This position is essential for the agency's operations, focusing on supporting our Commercial Lines Agents.As a Commercial Lines Account Manager, your contributions will be vital in managing and nurturing relationships with our...

  • Insurance Account Manager

    2 weeks ago

    East Lansing, Michigan, United States Meiers Lombardini Lemanski Insurance Full time

    Position OverviewJoin the esteemed team at Meiers Lombardini Lemanski Insurance, a distinguished independent insurance agency dedicated to exceptional client service and satisfaction. We are in search of a committed Personal Lines Account Manager/CSR to enhance our service delivery and maintain our high standards of client care.As an integral member of our...

  • Claims Specialist

    4 days ago

    Lansing, Michigan, United States Auto-Owners Insurance Full time

    Job SummaryAuto-Owners Insurance is seeking an experienced and motivated Claims professional to join our team. As a Claims Specialist, you will be responsible for developing and presenting educational materials to improve associate skills, working with branch management to reinforce training objectives, and reviewing the progress of meeting training...

  • Insurance Processing Specialist

    7 days ago

    Lansing, Michigan, United States Al Bourdeau Insurance Agency Full time

    Join a reputable insurance agency that values dedication and attention to detail. We are currently on the lookout for a driven and meticulous individual to become part of our team as a Personal Lines Account Coordinator. In this role, you will serve as the primary liaison between the agency and our valued clients, ensuring that services are delivered...

  • Construction Casualty Underwriter

    2 days ago

    Lansing, Michigan, United States Zurich Insurance Company Ltd Full time

    About the RoleZurich Insurance Company Ltd is seeking an experienced Construction Casualty Underwriter to join our team in Michigan. As a remote worker, you will have the opportunity to work with complex new and renewal accounts across Auto, GL, and Workers Compensation.Key ResponsibilitiesServe as a Customer Advocate: Understand customer risk and offer the...

  • Executive Director of Risk Management and Insurance

    4 days ago

    Lansing, Michigan, United States InsideHigherEd Full time

    Job SummaryWe are seeking a highly experienced and skilled Executive Director of Risk Management and Insurance to lead our risk management and insurance functions. The successful candidate will be responsible for developing and implementing strategies to reduce risks associated with our operations and activities, providing continuous support to stakeholders...

  • Fraud Claims Specialist

    2 weeks ago

    Lansing, Michigan, United States Auto-Owners Insurance Full time

    Become a vital part of the Auto-Owners team, where your contributions will significantly impact individuals and businesses navigating through financial uncertainties.Opportunity with Auto-Owners InsuranceWe offer a flexible remote work arrangement tailored to your responsibilities. After completing initial in-person training, you may have the opportunity to...

  • Property and Casualty Customer Service Associate

    2 weeks ago

    Lansing, Michigan, United States Michigan Farm Bureau Full time

    Objective:The role of the Property and Casualty Customer Service Associate is to function as an integral member of the Customer Service Team, delivering exceptional service to clients in a timely and professional manner. This position involves addressing inquiries and resolving issues related to billing accounts and various personal and commercial insurance...