- Sedgwick (Lansing, MI)
- …Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Surety Claims Specialist **PRIMARY PURPOSE** **:** To analyze complex or technically ... and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans...for this role is_ **_$110,000- $120,000_** _. A comprehensive benefits package is offered including but not limited to,… more
- CVS Health (Lansing, MI)
- …clients and the stop loss administrators. Reviews and manages stop loss claim filings. Resolves discrepancies between the amount requested and the amount reimbursed ... carrier. Required Qualifications * 1+ years of experience in claims processing background preferred * 1+ years of experience...offers a full range of medical, dental, and vision benefits . Eligible employees may enroll in the Company's 401(k)… more
- Lincoln Financial Group (Lansing, MI)
- …73193 **The Role at a Glance** We are excited to bring on a highly motivated Life Claims Specialist to staff our ever-growing claims organization. As a Life ... responsible for the investigation, evaluation, interpretation, and payment or denial of life claims . You will leverage sound and impartial claim judgments by… more
- Crawford & Company (Kalamazoo, MI)
- …Content Claims Specialists are consistently (daily/weekly basis) assigned new claim files. + Operating from their home-based offices, edjuster's Content ... detailed work/time logs on a daily basis, for all claims processed. + Maintain claim related notes...Pay and incentive plans that recognize performance excellence + Benefit programs that empower financial, physical, and mental wellness… more
- Lincoln Financial Group (Lansing, MI)
- …at a Glance** We are excited to bring on a highly motivated Long-Term Disability (LTD) Claims Specialist to our claims organization. As an LTD Claims ... and reviewing medical records and making timely and ethical claim determinations. You'll complete a thorough training program that...and e-mail to gather information regarding Long Term Disability Claims and state and federal benefits when… more
- Lincoln Financial Group (Lansing, MI)
- …**The Role at a Glance** We are excited to bring on a highly motivated **Group Claims Specialist ** to support our ever-growing claims organization in a work ... west coast employer groups. _Background details_ As a Group Claims Specialist , you will support our Short...and reviewing medical records, and making timely and ethical claim determinations. You'll complete a thorough training to develop… more
- Lincoln Financial Group (Lansing, MI)
- …to staff our ever-growing claims organization. As a Short Term Disability Claims Specialist , you will be responsible for conducting initial and ongoing ... more about a Day in the Life (https://www.youtube.com/watch?v=vbSYiXOPSII&feature=youtu.be) of a Claims Specialist at Lincoln Financial Group! **What you'll be… more
- Robert Half Accountemps (Southfield, MI)
- Description We are seeking a Medical Insurance Claims Specialist to join our healthcare team in SOUTHFIELD, Michigan. In this role, you will primarily focus on ... resolving high volumes of aging insurance claims with payers and providers. This role offers a...We provide access to top jobs, competitive compensation and benefits , and free online training. Stay on top of… more
- CVS Health (Lansing, MI)
- …for invoice processing and member accumulators: eligibility, accumulators, invoices, and claims detail. Job Duties 1. New group and renewal group implementations ... communities. The Company offers a full range of medical, dental, and vision benefits . Eligible employees may enroll in the Company's 401(k) retirement savings plan,… more
- Lincoln Financial Group (Lansing, MI)
- … Specialists to staff our ever-growing claims organization. As a Leaves Claims Specialist , you will be responsible for administering and managing leave ... more about a Day in the Life (https://www.youtube.com/watch?v=vbSYiXOPSII&feature=youtu.be) of a Claims Specialist at Lincoln Financial Group! **What you'll be… more
- Randstad US (Howell, MI)
- …Insurance offers a collaborative environment that fosters development and growth. As an claims resolution specialist , you will play a vital role in Hanover's ... development within the organization. Responsibilities: + Trainee is responsible for performing claim processing and payment functions on non-complex claims for… more
- Robert Half Office Team (Lansing, MI)
- …We are offering a contract to hire employment opportunity for a Compensation & Benefits Specialist . This role is based in Lansing, Michigan, and involves ... managing and administering employee compensation and benefits . The specialist will also play a...using HRMS and About Time software * Understanding of Benefit Functions and Claim Administration * Experience… more
- Lincoln Financial Group (Lansing, MI)
- …multiple diagnoses and claim factors. + You will analyze and process claims by investigating and obtaining a wide range of complex information. You will apply ... to bring on a **Long Term Disability (LTD) Technical Specialist II** to our Group Protection Organization in a...will be responsible for managing highly complex Long-Term Disability claims for a variety of customers. These claims… more
- Henry Ford Health System (West Bloomfield, MI)
- …inpatient** **Eligible for Sign-on bonus of 2,500** The Pharmacy Benefits Specialist is responsible for handling drug claim adjudication issues, prescription ... individuals. Is a subject matter expert in the resolution of pharmacy benefit coverage issues and coordinating prior authorization and exception processes. PRINCIPLE… more
- Henry Ford Health System (Troy, MI)
- …for Full-Time Benefits Shift: Full-Time The Pharmacy Benefits Specialist is responsible for handling drug claim adjudication issues, prescription prior ... individuals. Is a subject matter expert in the resolution of pharmacy benefit coverage issues and coordinating prior authorization and exception processes. PRINCIPLE… more
- Trinity Health (Howell, MI)
- …for the purpose of establishing the patient and service specific record for claims processing and maintenance of an accurate electronic medical record. Registers and ... for and obtains authorization for treatment /procedures and assignment of benefits required. Provides information to patients concerning regulatory requirements. At… more
- University of Michigan (Ann Arbor, MI)
- Pre-Certification Specialist Apply Now **How to Apply** A cover letter is required for consideration for this position and should be attached as the first page of ... Work at Michigan Medicine and become a victor for the greater good. **What Benefits can you Look Forward to?** + Excellent medical, dental and vision coverage… more
- University of Michigan (Ann Arbor, MI)
- …competitive salary with excellent benefits ! **Hourly range for Clinical Nurse Specialist $46.27-$69.89 / hour** The benefit package includes: + Excellent ... CLINICAL NURSE SPECIALIST (CNS)- University Hospital- Medical Short Stay &...and become a victor for the greater good. **What Benefits can you Look Forward to?** Nursing at Michigan… more
- Trinity Health (Howell, MI)
- …for the purpose of establishing the patient and service specific record for claims processing and maintenance of an accurate electronic medical record. Registers and ... for and obtains authorization for treatment /procedures and assignment of benefits required. Provides information to patients concerning regulatory requirements. At… more
- University of Michigan (Ann Arbor, MI)
- Prior Authorization Specialist Apply Now **Summary** Processes referrals and prior authorizations using established insurance company guidelines. Obtains referrals, ... authorizations, pre-certifications, prescriptions for therapies, and benefit verification as required. Efficiently manages referral work queues. Responds to patient… more