Michigan Claim Support Assistant II

Job Type: Full time Exempt/Non Exempt: Hourly Job Description: Location: Dearborn, Michigan Position Schedule / Shift: Rotating hybrid schedule Monday - Friday: 8:30 AM EST - 5:00 PM EST. In office reporting will rotate based on role responsibilities. All employees will be notified of in office reporting days as applicable. Training for this position will be in office for the first initial 90 days of employment. Rotating schedule will begin after training is completed. Position Summary: Join our Claims team in a role where your analytical skills, attention to detail, and problem-solving abilities make a direct impact on the customer experience and the financial integrity of our claims operations. As a claims operations professional, you'll take ownership of complex payment and reconciliation processes, resolve challenging issues, and serve as a trusted resource for teammates while helping ensure accurate, timely claim outcomes. If you enjoy working independently, collaborating across teams, and contributing to continuous operational excellence, this role offers an opportunity to make a meaningful difference every day. Key Responsibilities: Provide support to the Claim department by completing functions that require an advanced understanding of concepts, processes, and the organization and workflow for one or more claims lines of business and one or more claims systems Work independently with limited supervision to complete functions that may require analysis, research, calculations, or the synthesis of information from multiple sources Receive inbound and make outbound customer phone calls to resolve claims needs Review claim documents for accuracy and determine the next action within the process Train less senior staff members in departmental processes and procedures May be assigned tasks normally handled by the lower-level staff when necessary Process paperwork for outgoing checks Investigate stop pay requests for accuracy Accurately allocate funds to correct coverage in the appropriate Claim system Review checks and attempt to resolve prior to release of funds to the state for all claim systems, including redeposit funds to claim systems/accounts to avoid improper esheatment Review and research activity associated with positive pay processes Research incoming checks for proper allocation and process deposits including balancing accounts and resolving allocation issues Balance and reconcile all claim deposits Qualifications: Required Education: High School Diploma or equivalent OR Three years of experience in processing, customer service or business administration 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: Working with P.C. software applications Maintaining accurate files and records - Identification, investigation, and resolution of complex problems - Processing transactions and posting to appropriate accounts - Organizing and prioritizing multiple tasks - Communicating effectively (oral and written) Using automated processing and computer systems Gathering data and preparing reports Auditing records, products, and computer files - Compose routine correspondence including letters and memos Knowledge of: Claim processing functions Claim processing system Claim processing policy and procedures Data processing techniques Techniques used to audit data Skills and Ability to: Successfully complete General Claims Training Preferred Skills: The ability to multi-task various assignments at once Keen attention to details Excellent communication skills both oral and written 2+ years of customer service experience The ability to work independently Banking experience preferred The ability to work within a team environment Excellent technical skills Data entry skills Work Environment: This is a hybrid work arrangement (time spent in office and remote). Depending on the employee's role and leadership's assessment, some employees will come into an ACG facility on a weekly basis, a monthly basis, or on an "as needed" basis for key meetings and collaborative activities. Most employees will be required to come into the office, at a minimum, for important departmental meetings or team-building events . Compensation & Benefits Overview: Compensation A Michigan Claim Support Assistant II earns a competitive hourly salary of $19.00 - $23.00, along with the opportunity for an annual company bonus incentive. Benefits At ACG, we offer a comprehensive and flexible benefits package designed to support your health, financial well-being, and professional growth. Health & Wellness Medical plans with multiple coverage options, including HSA eligibility. Prescription drug coverage. Dental and vision benefits. Employee Assistance Program (confidential suppor #J-18808-Ljbffr