- Assemble facts, determine coverage, evaluate the amount of loss, and analyze legal liability.
- Make payments in accordance with coverage, damage, and liability determination and perform other functions or duties to properly adjust the loss.
- Become familiar with the auto provisions of our commercial insurance policies, endorsements, and forms and apply coverage analysis skills.
- Learn and comply with the Company's claim handling procedures.
- Continue to develop skills in claim negotiations and settlements.
- Effectively meet the service needs to agents, insureds, and others.
- Meet with people involved with commercial auto claims, sometimes outside of the office environment.
- Obtain and maintain appropriate adjuster's license(s) as required.
- Complete relevant continuing education programs as required.
- Handle claims activities and investigations by phone, mail, and occasional on-site investigations.
- Use computer-based information for reference; enter information into computer systems; develop specialized skills, including but not limited to property estimating, auto estimating, and use of computer-based programs as tools.
- Work closely with Underwriting to communicate issues potentially affecting policy rating or eligibility.
- Maintain punctual attendance according to an assigned work schedule at a Company approved work location.
- Bachelor's degree or direct equivalent experience
- Garage/dealership industry experience preferred
- Ability to read, interpret and react to documents such as contracts, insurance policies, procedure manuals, and legal documents.
- Ability to assemble information, develop opinions, and clearly express decisions using sound reasoning and judgment.
- Ability to write reports and compose correspondence.
- Ability to communicate, both oral and written formats, in a polite, clear, concise, and accurate way.
- Ability to demonstrate good problem-solving interpersonal skills.
- Ability to accurately deal with mathematics, including geometry (area and volume) and understanding of personal and business finance documents.
- Able to effectively deal with a diverse group of individuals and manage varied factual circumstances.
- Ability to organize assigned work.
- Ability to maintain confidentially and data security.
- Ability to maintain a professional image.
- Ability to demonstrate basic knowledge with insurance policy review and sound organization
-
Credit Claims Specialist
1 week ago
BlueHorizon Solutions Edgemont, United StatesThe VHV Group / is a well-established corporation of specialists in insurance, retirement, and wealth. With its brands VHV Versicherungen and Hannoversche, it is a competent and future-oriented partner for policyholders and intermediaries. Our success is based on the strengths of ...
-
Midwest Metal Products, Inc Michigan City, United StatesJob Description: Customer Service Representative Manufacturing/Shipping Specialist backup · Reports to: Office/Sales manager, Director of Sales and HR Manager · FLSA Status: Full-time, non-exempt · **Purpose**: · **CSR**: · 1. Provide customers quotes · a. Follow the quoting proc ...
-
Molina Healthcare Lansing, MI , USA, United States**JOB DESCRIPTION** · **Job Summary** · Utilizing clinical knowledge and experience, responsible for review of documentation to ensure medical necessity and appropriate level of care utilizing MCG/InterQual, state/federal guidelines, billing and coding regulations, and Molina pol ...
-
Collections Supervisor
6 days ago
Neogen Lansing, United StatesCome Be Part of a Mission that Matters · Come join a growing team Neogen is looking to add a Collections Supervisor to the team who will be responsible for supervising a team of Collection Specialists to implement Neogen's overall collection strategy. This individual will also m ...
-
Accident Fund Holdings, Inc. Lansing, United StatesJob Description · Accident Fund Insurance Company of America is one of the nation's leading workers' compensation insurance organizations, managing risk and minimizing loss for our policyholders, creating a safer environment for their workers and building businesses with our agen ...
-
Clinical Pharmacist/Pharmacist
6 days ago
w3r Consulting Lansing, United StatesEngagement Description - · The pharmacist will review Part B medical drug prior authorization requests according to CMS regulations and clinical coverage criteria. Call prescribers and infusion centers to confirm information, deliver case outcomes, and discuss clinical informatio ...
-
Revenue Specialist
6 days ago
Mid Michigan Recovery Services Inc Lansing, United StatesJob Description · Job DescriptionMission Responsibility · The Revenue Specialist is responsible for billing and invoicing accounts receivable for the agency. The Revenue Specialist collects and analyzes encounter data; corrects errors and omissions; submits by payor deadlines; re ...
-
Revenue Specialist
6 days ago
Mid-Michigan Recovery Services Inc Lansing, United StatesJob Description · Job Description · Mission Responsibility · The Revenue Specialist is responsible for billing and invoicing accounts receivable for the agency. The Revenue Specialist collects and analyzes encounter data; corrects errors and omissions; submits by payor deadline ...
-
Senior Med Bill Rev Specialist
4 days ago
Emergent Holdings Lansing, United StatesJob Description · SUMMARY: (Brief 3-5 sentence paragraph outlining the main purpose of the job) · Primarily responsible for analyzing complex billings including hospital, surgery center and surgeries by utilizing our medical bill review software to determine appropriateness of co ...
-
Clinical Pharmacist
1 week ago
Strategic Staffing Solutions Lansing, United StatesTitle: Clinical Pharmacist · Location: Lansing, MI (onsite) - Locals only. · Duration: 7-month assignment with chance of extending or converting. · Role Type: W2 Contract Engagement · Pay Rate: 60-65/HR · Industry: Healthcare · Engagement Description · The pharmacist will re ...
-
Provider Relations Specialist I/II
1 week ago
Emergent Holdings Lansing, United StatesJob Description · SUMMARY: · Provider Relations Specialist I · Responsible for servicing internal and external customers who contact AF Group via the ACD phone line. Responsible for providing quality, consistent and accurate medical payment information to internal and external c ...
-
Clinical Pharmacist
1 week ago
Strategic Staffing Solutions Lansing, United StatesSTRATEGIC STAFFING SOLUTIONS (S3) HAS AN OPENING · Strategic Staffing Solutions is currently looking for a Clinical Pharmacist for a contract opportunity with one of our largest clients located in Lansing, MI · Title: Clinical Pharmacist · Location: Lansing, MI (onsite) · Role ...
-
Accident Fund Holdings, Inc. Lansing, United StatesJob DescriptionREMOTE opportunity with required travel to the Lansing, MI office, as needed. The Medical Vendor Oversight Specialist will provide day to day monitoring of relationships and partnerships to ensure the effectiveness of the programs or services offered by the medical ...
-
Accident Fund Holdings, Inc. Lansing, United StatesJob Description · REMOTE opportunity with required travel to the Lansing, MI office, as needed. · The Medical Vendor Oversight Specialist will provide day to day monitoring of relationships and partnerships to ensure the effectiveness of the programs or services offered by the ...
-
Marketing Specialist
2 days ago
McNaughton-McKay Lansing, United StatesMcNaughton-McKay, 1357 E Lincoln Ave, MADISON HEIGHTS, Michigan, United States of America ● McNaughton-McKay, 2255 Citygate Drive, Columbus, Ohio, United States of America · Req #916 · Friday, May 10, 2024 · Join the company that helps make American manufacturing possible. You'l ...
-
shs-provider enrollment spec
3 days ago
Sparrow Health System Lansing, United States· Job Opportunity · Job ID:44007 Positions Location: Lansing, MI Job Description General Purpose of Job: · Description: · Positions Location: Lansing, MI · Job Description · General Purpose of Job: · The Provider Enrollment Specialist works to efficiently complete/maintain p ...
-
Assoc. Quality Practice Advisor
1 week ago
Centene Corporation Lansing, United StatesYou could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flex ...
-
Insurance AR Specialist
6 days ago
OneOncology Lansing, United StatesOneOncology is positioning community oncologists to drive the future of cancer care through a patient-centric, physician-driven, and technology-powered model to help improve the lives of everyone living with cancer. Our team is bringing together leaders to the market place to hel ...
-
Assoc. Quality Practice Advisor
6 days ago
Centene Corporation Lansing, United StatesYou could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, youll have access to competitive benefits including a fresh perspective on workplace flexi ...
-
Specialist, Abstracts
1 week ago
American College of Rheumatology Lansing, United States Full timeDetails Posted: 25-Apr-24 · Location: Remote · Type: Full Time · Salary: $65, annually · Categories: · Education and Training Health Membership Preferred Education: · 4 Year Degree Internal Number: · TITLE : Specialist, Abstracts & Submissions · STATUS : Non-Exempt · LEV ...
Experienced Commercial Auto Claims Specialist - Lansing, United States - Auto-Owners Insurance
Description
A career at Auto-Owners is challenging and rewarding. Our group of caring associates create financial security by helping individuals and businesses make a new start when a loss occurs.
Job Description
We offer a merit-based work-from-home program based on job responsibilities. After initial training in-person, you could have the flexibility of work-from-home time as defined by the leadership team.
Auto-Owners Insurance, a top-rated insurance carrier, is seeking a motivated claims professional to join our team. This job investigates, evaluates, and determines the appropriate disposition of primarily commercial auto claims arising out of the Company's business. Claims may be either first or third party in nature and may potentially be in litigation. Responsibilities also include providing service to agents, insureds, and others while handling claims to their conclusion. This job and requires the person to:
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.
