Top 17 Remote claim adjuster Jobs in Michigan

Senior Claim Benefit Specialist - Remote
CVS Health —Michigan
- $18.50 - $42.35 an hour
- Full-time
- Remote
- Mid-level
- High school diploma or GED
- Mentoring
- Health insurance
- Dental insurance
5d
Claims Analyst - REMOTE
Ryder System —Lansing, MI
- $90,000 - $100,000 a year
- Full-time
- Remote
- Bachelor's degree
- Experience equivalent to degree accepted
- Senior level
- Disability insurance
- Health insurance
6d
SIU Investigator
Centene —Michigan
- $56,200 - $101,000 a year
- Full-time
- Remote
- Mid-level
- Fair chance
- Associate's degree
- Paid holidays
- Health insurance
Senior Investigator, Special Investigations Unit (Aetna SIU)
CVS Health —Michigan
- $46,988 - $112,200 a year
- Full-time
- Remote
- Research
- Mid-level
- 3 years
- Health insurance
- Dental insurance
Property Claims Representative (Desk Adjuster)
Hastings Insurance —Michigan
- Full-time
- Remote
- Computer literacy
- Mid-level
- Bachelor's degree
- Health savings account
- Health insurance
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
Senior (Special Investigation Unit (SIU) Investigator
AAA Life Insurance Company —Livonia, MI
- Full-time
- Remote
- Finance
- 8 years
- Analysis skills
- Life insurance
Specialty Crop Claims Representative
American Farm Bureau Insurers, Inc. —Grand Rapids, MI
- $60,000 - $90,000 a year
- Online Application
- Remote
- Up to 50% travel
- Mid-level
- Driver's License
- Health savings account
- Paid holidays
Quick Apply
Commercial Casualty Litigation Adjuster - Remote
CSAA Insurance Services, Inc. —Okemos, MI
- $80,865 - $107,900 a year
- Full-time
- Remote
- Bilingual
- Bachelor of Science
- 3 years
- 401(k) matching
3d
Manager Claims Casualty
First Acceptance Services Inc —United States
- Remote
- High school diploma or GED
- Analysis skills
- Bachelor's degree
Casualty Specialist II
First Acceptance Services Inc —United States
- Remote
- Microsoft Excel
- Mid-level
- High school diploma or GED
Senior General Liability Adjuster
TheBest Claims Solutions —United States
- $100,000 - $115,000 a year
- Remote
- 5 years
- Bachelor's degree
- Senior level
3d

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Claims Analyst - REMOTE
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Interacts with Law Department on significant cases, and updates field operations personnel on claim status. Investigates and adjusts claims, as well as directs…
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Sr. Field Adjuster, Homeowner Claims - Columbus, OH (Local)
CSAA Insurance Group —Ohio
A valid driver’s license and insurable driving record or alternative transportation to safely transport large and/or heavy equipment between sites is required.
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Claims Analyst - REMOTE
Ryder System —Columbus, OH
Interacts with Law Department on significant cases, and updates field operations personnel on claim status. Investigates and adjusts claims, as well as directs…
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Senior Claim Benefit Specialist - Remote

CVS Health -
Michigan

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Job Details

Full-time
$18.50 - $42.35 an hour
5 days ago

Benefits

Health insurance
Dental insurance
Paid time off
Vision insurance

Qualifications

High school diploma or GED
Health insurance knowledge

Full Job Description

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.

Position Summary
Reviews and adjudicates complex, sensitive, and specialized medical claims in accordance with established plan processing guidelines. Functions as a subject matter expert by providing coaching, and offering guidance on escalated or technically challenging issues. Supports customer service operations by addressing inquiries and resolving issues to ensure a positive member experience.

Additional Responsibilities

Reviews pre‑specified claims and those that exceed specialist adjudication authority or processing expertise.
Applies medical necessity guidelines, determines coverage, verifies eligibility, identifies discrepancies, and implements cost‑containment measures to support accurate claim adjudication.
Ensures compliance with all regulatory requirements and confirms that payments align with company policies and procedures.
Identifies and reports potential overpayments, underpayments, and other claim irregularities.
Performs claim rework calculations as needed.
Trains and mentors as needed to enhance team performance and technical proficiency.
Conducts outbound calls to obtain required information for claims or reconsideration requests.

Required Qualifications

Minimum of 18 months of medical claim processing experience with a health insurance payor or third‑party administrator.
Proven success working in a high‑volume, production‑driven environment.
Demonstrated ability to manage multiple assignments with accuracy, efficiency, and attention to detail.

Preferred Qualifications

Self-Funding experience
DG system knowledge

Education

High School Diploma required
Preferred Associates degree or equivalent work experience.

Anticipated Weekly Hours

Time Type

Full time

Pay Range

The typical pay range for this role is:

$18.50 - $42.35

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors.

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.

This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.

Additional details about available benefits are provided during the application process and on Benefits Moments.

This job does not have an application deadline, as CVS Health accepts applications on an ongoing basis.

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Apply Now

Refine Your Search

remote claim adjuster jobs in michigan

Senior Claim Benefit Specialist - Remote

Claims Analyst - REMOTE

SIU Investigator

Senior Investigator, Special Investigations Unit (Aetna SIU)

Property Claims Representative (Desk Adjuster)

Auto Liability Specialist II

Senior (Special Investigation Unit (SIU) Investigator

Specialty Crop Claims Representative

Commercial Casualty Litigation Adjuster - Remote

Manager Claims Casualty

Casualty Specialist II

Senior General Liability Adjuster

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