Claims Processing Specialist - WC Intake & Routing
Blue Cross Blue Shield of Michigan
Blue Cross Blue Shield of Michigan in Lansing is seeking a dedicated individual for claims processing. Responsibilities include jurisdiction determination, issue resolution, and customer support in claims management. The ideal candidate will possess a high school diploma, with at least two years of experience in an office setting focused on customer service. Strong communication skills and the ability to multi-task are essential for this role. Knowledge of Workers’ Compensation and experience with document management systems will be advantageous. #J-18808-Ljbffr
- ...ESIS Senior Claims Representative, WC Are you ready to make a meaningful impact in the world of workers' compensation? Join ESIS, a leader in... ...per Jurisdiction. Maintains control of claim's resolution process to minimize current exposure and future risks Establishes...SuggestedFull timeContract workTemporary workLocal area
- ...Overview The Medical Only Claims Specialist II is an experienced level claims role. The incumbent... .... Support customer‑service processes for a multi‑functional claims team; collaborate... ...to workers’ compensation claims. Read, route, and file incoming mail; run reports; answer...SuggestedWork at office
$67.3k - $75k
...FORWARD Job Type: Full time Exempt/Non-Exempt: Job Description: Claim Specialist – Michigan PIP – The Auto Club Group Reports to: Claim... ...parties, setting expectations for the remainder of the claim process, and initiating documentation in the claim handling system. Complete...SuggestedFull timeTemporary workWork experience placementRemote workWork from homeHome officeFlexible hours- ...Level: Non-Manager Compensation: Competitive Compensation and Benefits Package Job Family: Claims Processing Industry: Insurance Services Overview Medical Bill Review Specialist I Primarily responsible for analyzing bills for multi-state Workers' Compensation medical claims...Suggested
$23 - $26 per hour
...amazing team and work remote from home! The Loss Mitigation FHA Claims Specialist will be responsible for preparing, filing, and following up... ...error files when identified by cancelling claim and/or processing a refund request to HUD. Provide posting instructions for...SuggestedTemporary workWork experience placementImmediate startRemote workWork from home$67k - $80k
...Catastrophe Field Claims Specialist – The AAA Auto-Club Group Join AAA The Auto Club Group during a pivotal time. This full‑time, exempt... ...service; problem solving; prioritization; time‑sensitive data processing; time management; safe vehicle operation; research and analysis...Full timeFor contractorsRemote workWork from homeRelocationHome officeNight shiftWeekend workAfternoon shift$18.5 - $42.35 per hour
...CVS Health® is seeking a dedicated Claims Specialist to review and adjudicate complex medical claims. The ideal candidate will have at least 18 months of medical claim processing experience and the ability to work efficiently in a high-volume environment. Responsibilities...Hourly pay$18.5 - $42.35 per hour
...adjudicates complex, sensitive, and specialized medical claims in accordance with established plan processing guidelines. Functions as a subject matter expert by... ...Reviews pre‑specified claims and those that exceed specialist adjudication authority or processing expertise....Hourly payFull timeWork experience placementLocal areaRemote work$68k - $80k
...Work® Fortune Best Workplaces in Financial Services & Insurance Claims Adjuster - Workers Comp This role requires direct experience... ...return-to-work efforts, and approves claim payments. Approves and processes assigned claims, determines benefits due, and manages action...Contract workFlexible hours$10k - $75k
...Job Description Position: Field Property Claim Specialist - AAA The Auto Club Group. Reports to: Claim Manager as appropriate. Location... ...and other affected parties, set expectations for the claim process, and initiate documentation in the claim handling system....For contractorsRemote workHome officeFlexible hoursNight shift$93.38k - $122.56k
...The Doctors Company is seeking an experienced Claims Specialist for our Region II team. This is a remote or hybrid opportunity, depending on... ...optimize results of the overall investigation and discovery process Interfaces with insured member to provide ongoing support and...Casual workWork at officeRemote work$10k - $75k
...and Flint Michigan areas. Job Title- Field Property Claim Specialist Reports to: Claim Manager as appropriate What you will... ...parties, set expectations for the remainder of the claim process, and initiate documentation in the claim handling system....Full timeTemporary workFor contractorsWork experience placementRemote workWork from homeHome officeFlexible hoursNight shift$62.4k - $91.52k
...Summary The Customer Marketing Specialist is responsible for the day-to-... .... You will manage the intake, coordination, and fulfillment... ...Coordination Manage the intake and processing of customer referrals Coordinate referral routing to Sales and ensure proper...Local area- ...Complex Casualty Claims Specialist US-MI-Lansing Job ID: 2026-8627 # of Openings: 1 Category: Claims Farm Bureau Center Overview Complex Casualty Claims Specialist Objective To assure the consistent application of company procedures and...Work at office
- ...organized, and passionate about making a difference in healthcare? As an Insurance Specialist, you'll play a vital role in our Revenue Cycle team, ensuring smooth and accurate claims processing. From handling claims creation to following up with providers, patients, and...Work at office
$75k - $85k
...Fortune Best Workplaces in Financial Services & Insurance Claims Examiner | No Fault- PIP | Lit Required | New York PRIMARY PURPOSE... ...data and guiding insureds and claimants through the claim process and options. ESSENTIAL RESPONSIBLITIES MAY INCLUDE: Manages...Local areaFlexible hours$60.23k - $85k
...Fortune Best Workplaces in Financial Services & Insurance Claims Examiner Workers' Compensation to help solve problems for some... ...requirements. ESSENTIAL RESPONSIBLITIES MAY INCLUDE Analyzing and processing claims through well-developed action plans to an appropriate...Remote workFlexible hours- ...Authorization & Insurance Verification Specialist . This role is an... ...and overall revenue cycle process. The Authorization & Insurance... ...supports our clinics, providers, intake team, and billing team by... ...insurance information before claims are submitted Assist with...Full timeWork at office
- ...join our team. This job performs and applies insurance coverage, rules and guidelines to execute the underwriting decision-making process according to Company underwriting philosophy. This job includes training and development through completion of the Company's underwriter...TraineeshipLocal areaWork from home
$27.02 per hour
..., type of industry, characteristics of employee groups, or past claim experience to determine what benefits can be offered, which is a... ...effectively with various internal departments to manage risk through process/guideline improvements, referrals and project work. ESSENTIAL...For contractorsWork at officeLocal area$54k - $90.5k
...areas Supports schedule for large account service plans with claims, loss control, premium audit, and other departments as needed... ...consensus. Ability to understand and implement audit procedures and processes for agencies. Ability to relocate. Working Conditions:...Contract workTraineeshipWork at officeRelocationNight shift$82.4k - $138.05k
...organizational skills with the ability to shift priorities appropriately. Ability to understand and implement audit procedures and processes for agencies. Ability to exercise excellent judgment in evaluating and determining the proper pricing for prospective...Contract workWork at officeShift workNight shift- ...someone who excels in structured environments, has strong attention to detail, and is experienced with Microsoft tools and office-based processes. The contractor will play a key role in standardizing documentation, ensuring consistency in formatting, and supporting the...Contract workFor contractorsWork at office
- ...Title: Auto Claims Representative Reports To: Claims Manager Location: East Lansing, MI Department: Property/Casualty &... ...roles. Primary Responsibilities: Investigate, evaluate and process assigned auto physical damage and small property damage claims....Work at officeShift work
- Sedgwick is seeking a Claim Examiner - Liability to work remotely from Michigan. The role involves analyzing complex water damage claims and determining benefits due. Responsibilities include managing claims, assessing liability, and negotiating settlements. Candidates...Remote workFlexible hours
$63.4k - $85k
...Claims Examiner - Workers Compensation (Remote) Primary Purpose of the Role We are looking for driven individuals that embody our caring... ...service requirements. Essential Responsibilities Analyzing and processing claims through well-developed action plans to an appropriate...Remote workFlexible hours$67.3k - $75k
...A prominent auto club is seeking a Claim Specialist to handle complex technical claims. This full-time position offers a competitive salary range of $67,300 to $75,000 and includes comprehensive benefits. Claim Specialists are responsible for managing Michigan PIP claims...Full timeRemote work$67k - $80k
...A leading insurance company is seeking a Catastrophe Field Claims Specialist to manage complex field and inside claims with minimal supervision. The ideal candidate will have experience in negotiation, be eligible for a state adjuster license, and possess advanced knowledge...Full timeRemote work$85k - $100k
...Work Fortune Best Workplaces in Financial Services & Insurance Claims Examiner | General Liability BI | Captive | Remote As a Claims... ...settlements. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Analyzes and processes complex or technically difficult general liability claims by...Work at officeLocal areaRemote workWork from homeFlexible hours$50k - $55k
...Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance Claims Representative, Auto PRIMARY PURPOSE OF THE ROLE: To analyze and process low to mid-level auto and transportation claims. ESSENTIAL RESPONSIBLITIES MAY INCLUDE Processes...Contract workWork at officeFlexible hours
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