Top 38 Claims specialist Jobs in Lansing, Mi

Claims Payment Specialist
Emergent Holdings —Lansing, MI
- Full-time
- Word processing
- Basic math
- Research
7d
UMH Sparrow Health System - Provider Enrollment Specialist
University of Michigan Health Sparrow —Lansing, MI
- Full-time
- Microsoft Excel
- Hospital
- Medical office experience
12d
SHS-BILLING FOLLOW-UP SPECIALIST
University of Michigan Health Sparrow —East Lansing, MI
- Full-time
- Hospital
- High school diploma or GED
- Computer skills
Prior Authorization Specialist
Capital Internal Medicine Associates —Lansing, MI
- 8 hour shift
- Private practice
- Internal Medicine
- HIPAA
- Health insurance
- Dental insurance
Quick Apply
Auto Liability Specialist II
First Acceptance Services Inc —Lansing, MI
- Full-time
- Remote
- Customer service
- Mid-level
- High school diploma or GED
- Continuing education credits
Medical Bill Rev Specialist I/II
Emergent Holdings —Lansing, MI
- Full-time
- Anatomy knowledge
- Customer service
- Computer literacy
Provider Relations Specialist
Emergent Holdings —Lansing, MI
- Full-time
- Mid-level
- Office
- 3 years
Specialist I, Information Security
LG Energy Solution Michigan, Inc. —Lansing, MI
- Management
- Writing skills
- Maintenance
Quick Apply
Training Specialist - Soft Skills Training Focused
Emergent Holdings —Lansing, MI
- $56,700 - $80,700 a year
- Full-time
- Public speaking
- Mid-level
- Office
Training Specialist
Emergent Holdings —Lansing, MI
- Full-time
- Public speaking
- Mid-level
- Master's degree
9d
UMH Sparrow Health System - CONTINUING EDUCATION SPECIALIST
University of Michigan Health Sparrow —Lansing, MI
- Full-time
- Hospital
- Mid-level
- 3 years
- Continuing education credits
Audit Quality Specialist
Emergent Holdings —Lansing, MI
- Full-time
- Word processing
- Basic math
- Mid-level
Sr. Litigation Specialist -Remote
CSAA Insurance Services, Inc. —Okemos, MI
- $89,865 - $119,800 a year
- Extended hours
- Remote
- Bilingual
- Bachelor of Science
- High school diploma or GED
- 401(k) matching
4h
AI Content & Systems Specialist
Lansing Junk Removal —Lansing, MI
- $24 - $28 an hour
- Part-time
- Background check
- Software troubleshooting
- System design
- Paid time off
- Employee discount
Quick Apply
6d
Land Solutions, Right of Way Acquisition Specialist – Michigan
Atwell, LLC —Lansing, MI
- $35 - $40 an hour
- Bachelor of Science
- Research
- Mid-level
- Paid parental leave
- Health savings account
Quick Apply
Sr. Oncology Sales Specialist- S2 - (Lansing, MI) (field based)
Eisai —Lansing, MI
- $151,040 - $198,200 a year
- Full-time
- Hospital
- Bachelor's degree
- Neurology
Security Officer Access Specialist
Allied Universal —Lansing, MI
- $19 an hour
- Part-time
- 18 years or older
- Customer service
- Pass drug screening
- Paid training
- Opportunities for advancement
Quick Apply
Underwriting Technical Specialist I
Emergent Holdings —Lansing, MI
- Full-time
- Word processing
- Writing skills
- Basic math
13h
Underwriting Technical Specialist I
AF Group —Lansing, MI
- Word processing
- Writing skills
- Basic math
13h
Renewal Specialist - Lead Worker
AF Group —Lansing, MI
- Management
- Word processing
- Computer literacy
1d

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Claims Payment Specialist

Emergent Holdings -
Lansing, MI

Apply Now

Job Details

Full-time
7 days ago

Qualifications

Customer communication
High school diploma or GED
Office experience

Full Job Description

SUMMARY:
Responsible for all of the following duties Enterprise wide; Analysis and entry of detailed payment data into the claim system for all states including manual states, contact with employers to obtain missing payment information or to clarify information submitted, issuance of non-indemnity and non-medical payments and manual payments, processing of refunds and transfers, handling route back checks for distribution, posting manual payments, research and resolution of returned non-medical checks. Contacts include agents, policyholders, claimants, attorneys, and other Claims Department and Service Center staff.

ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned.

Review payment requests to ensure compliance with the Workers Compensation regulations.
Contact policyholder for payment clarification and to obtain necessary information.
Verifies, calculates, and pays approved injured worker travel and miscellaneous expenses.
Stops and voids payment checks as requested.
Sorts and distributes checks as requested.
Validates, investigates and completes refund and transfer documents.
Analyzes, validates, approves and processes attorney, legal, IME, vocational rehabilitation, medical management and all other vendor invoices.
Contacts agents, policyholders, and injured workers to verify or gather claim information.
Prepares form letters and composes general correspondence.
Alerts Claim Handlers on reserve deficiencies.
Participates on projects as requested.
Post Excess & TPA Payments to claim files.
Post internal claim costs.
Post manual payments.
Provides assistance as a Subject Matter Expert for procedures and workflow documentation.
Prepares form letters and composes general correspondence.

EDUCATION AND EXPERIENCE
Relevant combination of education and experience may be considered in lieu of degree. EDUCATION REQUIRED:
High School Diploma or G.E.D. Advanced training or college level coursework in business, accounting, or insurance. Combination of education and experience may be considered in lieu of additional training or coursework.

EXPERIENCE REQUIRED:
Two years general office experience performing relevant duties that provides the necessary skills, knowledge and abilities.

OTHER SKILLS AND ABILITIES

Basic knowledge of computers and spreadsheet software with data entry ability.
Basic knowledge of Word Processing software.
Excellent organizational skills and ability to prioritize work to meet established deadlines.
Math skills with the ability to use a ten-key calculator.
Demonstrated ability to proofread correspondence for accuracy of spelling, grammar, punctuation and format.
Excellent verbal and written communication skills.
Demonstrated ability to manage work with minimal direction.
Demonstrated ability to be an independent thinker to solve issues.
Ability to enter alpha-numeric data accurately.
Ability to verify data for accuracy.

ADDITIONAL EDUCATION, EXPERIENCE, SKILLS, KNOWLEDGE AND/OR ABILITIES PREFERRED:

Additional training, work experience, or course work in workers compensation, insurance or accounting.
Insurance Institute of America Certification (IIA certification).
Experience using a document management system with workflows.
Workers’ Compensation Experience.

ADDITIONAL INFORMATION
The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required of personnel so classified. This job description does not constitute a contract for employment.

WORKING CONDITIONS:
Work is performed in an office setting with no unusual hazards.

Apply Now

Refine Your Search

claims specialist jobs in lansing, mi

Claims Payment Specialist

UMH Sparrow Health System - Provider Enrollment Specialist

SHS-BILLING FOLLOW-UP SPECIALIST

Prior Authorization Specialist

Auto Liability Specialist II

Medical Bill Rev Specialist I/II

Provider Relations Specialist

Specialist I, Information Security

Training Specialist - Soft Skills Training Focused

Training Specialist

UMH Sparrow Health System - CONTINUING EDUCATION SPECIALIST

Audit Quality Specialist

Sr. Litigation Specialist -Remote

AI Content & Systems Specialist

Land Solutions, Right of Way Acquisition Specialist – Michigan

Sr. Oncology Sales Specialist- S2 - (Lansing, MI) (field based)

Security Officer Access Specialist

Underwriting Technical Specialist I

Underwriting Technical Specialist I

Renewal Specialist - Lead Worker

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