- Plante Moran (Southfield, MI)
- …as of date of death Settlement of all debts and payment of all valid claims and costs of administration Distribution of assets pursuant to the terms of the Trust ... and collective development, but also encourage individuals to work with their supervisor and team to determine their optimal working environment each day. Plante… more
- ELECTRICAL COMPONENTS INTERNATIONALHOLDINGS COMPANY (Southfield, MI)
- …inventory issues, delivery schedules, technical specifications, or warranty claims affecting payments. Support Continuous Improvement: Participate in process ... Quantity & Quality of Work, Technical Skills & Continuous Learning Supervisor & Manager Job Competencies: Decision Making, Developing Others, Continuous Improvement… more
- Integra Partners (Troy, MI)
- …focus on metrics. Salary: $65,000.00/annual JOB QUALIFICATIONS: KNOWLEDGE/SKILLS/ABILITIES The Claims Supervisor 's responsibilities include but are not limited ... Integra is seeking a results-oriented, dynamic, proven Claims professional, capable of managing a leading team...to: * Leading a team consisting of 15+ claims representatives * Responsible for real time management of… more
- Sedgwick (Detroit, MI)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner | Multi-Line | Public Entity | Remote Are you looking for an ... the same assisting our public entity clients with their claims ! If you are an agile multi-line examiner with...coding is correct. + Refers cases as appropriate to supervisor and management. **ADDITIONAL FUNCTIONS and RESPONSIBILITIES** + Performs… more
- Sedgwick (Southfield, MI)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner - Workers Compensation **PRIMARY PURPOSE** : To analyze complex or ... technically difficult workers' compensation claims to determine benefits due; to work with high...coding is correct. + Refers cases as appropriate to supervisor and management. **ADDITIONAL FUNCTIONS and RESPONSIBILITIES** + Performs… more
- Sedgwick (Troy, MI)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner - Liability - Troy, MI - Hybrid Are you looking for an ... : To analyze complex or technically difficult general liability claims to determine benefits due; to work with high...coding is correct. + Refers cases as appropriate to supervisor and management. + Performs other duties as assigned.… more
- Lowe's (Brownstown Township, MI)
- The Branch Operations Supervisor is primarily responsible for supervising a high performing team responsible for handling product safely, efficiently, and ... effectively as it moves through the facility. The Operations Supervisor is a key member of the leadership team, coaching and training associates, delegating,… more
- Rock Family of Companies (Detroit, MI)
- As a Security Supervisor , you'll lead and inspire a team to create and maintain safety and security for all guests and team members while delivering unparalleled ... and comfort of all team members and guests + Investigate loss claims , conduct special investigations and surveillance for property operators when requested,… more
- Molina Healthcare (Detroit, MI)
- …member inquiries, questions and concerns in all areas including enrollment, claims , benefit interpretation, and referrals/authorizations for medical care. + Provides ... exemplary customer service to customers including members, co-workers, vendors, providers, government agencies, business partners, and general public. + Achieves individual performance goals as it relates to call center objectives. + Demonstrates personal… more
- Sedgwick (Detroit, MI)
- …- Hybrid **PRIMARY PURPOSE** : To analyze complex or technically difficult general liability claims to determine benefits due; to work with high exposure claims ... involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service… more
- Trinity Health (Farmington Hills, MI)
- …problem resolution as needed. This position reports directly to a Supervisor Billing & Follow-Up. **ESSENTIAL FUNCTIONS** Knows, understands, incorporates, and ... of the revenue cycle process for an assigned PBS location. Documents claims billed, paid, settled, and follow-up in appropriate system(s). Identifies and escalates… more
- Sedgwick (Southfield, MI)
- …Services & Insurance LTD Case Specialist **PRIMARY PURPOSE** **:** To analyze claims and determine benefits due ensuring compliance with plan provisions; to ... and collect overpayments. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Analyzes assigned claims and determines benefits due. + Informs claimants of documentation… more
- Command Investigations (Detroit, MI)
- …premier servicer for insurers and defense attorneys throughout Michigan, and our Assigned Claims Plan (ACP) unit is actively expanding to meet the increasing demand ... medical, wage loss, attendant care, replacement service and survivorship claims generated through the Michigan Assigned Claims ...direction of, and to the standards set by, their supervisor . Investigators will be required to record all… more
- Acosta Group (Southfield, MI)
- …clean and secured in the agreed upon area of the backroom. * When Supervisor is absent, communicate with store management about the upcoming events and the execution ... of past events in their store. * When Supervisor is absent, be the point person for all...the essential duties. _Responsibilities With Regard to Workers' Compensation Claims :_ You are responsible for reporting all employment related… more
- Trinity Health (Farmington Hills, MI)
- …problems, issues and general inquiries. This position reports to the Supervisor PFS Customer Service. **ESSENTIAL FUNCTIONS** Knows, understands, incorporates, and ... recommendations for resolutions of the issues and findings for the supervisor . Resolves independently or escalates issues affecting customer complaints and issues… more
- Henry Ford Health System (Troy, MI)
- …of patient financial, insurance and demographic patient information to ensure compliant claims to Third party payers. Resolves problem accounts from payer denials ... and follows up on any claims that require a payer response. Responsible for the...Administration, preferred. + Ability to communicate effectively with colleagues, supervisor , and manager. + Ability to work independently. +… more
- Walgreens (Sterling Heights, MI)
- …the pharmacist, including those to physicians. Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and ... Maintains knowledge of Company asset protection techniques, and files claims for warehouse overages (merchandise received, but not billed), shortages… more
- Elevance Health (Dearborn, MI)
- …service as required. + Conduct business in a professional manner. + Troubleshoot claims issues. + Investigate and research to resolve customer complaint problems and ... ethical manner. + Actively assess work area for non-compliance issues and notify supervisor or call Ethics Hotline. + Adhere to compliance training requirements and… more
- CVS Health (Detroit, MI)
- …* Conducts assessments that consider information from various sources, such as claims , to address all conditions including co-morbid and multiple diagnoses that ... to clinical resources and other interdisciplinary team members. * Collaborates with supervisor and other key stakeholders in the member's healthcare in overcoming… more
- AmeriHealth Caritas (Detroit, MI)
- …more about us at www.amerihealthcaritas.com. **Role Overview: ;** Reporting to the Supervisor of Medicare LTSS Operations, the Medicare LTSS Care Coordinator manages ... treatment plans. + Address service issues and assist with provider or claims -related problem-solving. + May oversee tasks assigned to other licensed or unlicensed… more
