Top 9 Claims adjuster Jobs in Petoskey, Mi

Senior Claims Specialist
OpTech LLC —Michigan
- $75,000 - $85,000 a year
- Full-time
- Remote
- Background check
- Customer service
- Computer literacy
- Health insurance
- Dental insurance
Quick Apply
14d
Senior General Liability Litigation Specialist
TheBest Claims Solutions —United States
- $85,000 - $110,000 a year
- Remote
- Senior level
- 2 years
- Commercial

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Senior Claims Specialist

OpTech LLC -
Michigan

Quick Apply

Job Details

Full-time
$75,000 - $85,000 a year
14 days ago

Benefits

Health insurance
Dental insurance
Paid time off
Work from home
Vision insurance
401(k) matching
Life insurance

Qualifications

Customer communication
Customer service
Writing skills
Bachelor's degree
Organizational skills
Time management

Full Job Description

MUST HAVE MI STATE ADJUSTER LICENSE

Description

The WC Senior Claims Specialist handles complex and high-profile Workers' Compensation claims following company standards. This role works closely with case managers and attorneys, manages subrogation, and negotiates settlements. The Senior Claims Specialist ensures the best possible outcome for the claim, meeting customer service expectations, and supporting the goals of the Claims Department.

Position requires at a minimum of a MI State Adjuster license, candidate must be able to provide proof.

ESSENTIAL FUNCTIONS & RESPONSIBILITIES:

Receives Workers’ Compensation claim, confirms policy coverage and acknowledgement of the claim
Determines validity and compensability of the claim by investigating and gathering information regarding the claim and files necessary documentation with state agencies
Establishes reserves and authorizes payments within reserving authority limits
Develops and manages well documented action plans with the case manager and outcomes manager to reduce overall cost of the claim
Coordinates early return-to-work efforts with the appropriate parties
Manages subrogation and litigation of claim as it applies
Manages potential claim recoveries of all types
Reports claims to the excess carrier when applicable
Communicates claim status with the customer and claimant
Adheres to client and carrier guidelines and participates in claims review as needed
Develops and maintains professional customer relationships
Complies with rules and regulations of applicable state
Additional duties as assigned

KNOWLEDGE & SKILLS:

Excellent written and verbal communication skills
Ability to assist team members to develop knowledge and understanding of claims practice
Ability to identify, analyze and solve problems
Computer proficiency and technical aptitude with the ability to utilize Microsoft Office including Excel spreadsheets
Strong interpersonal, time management and organizational skills
Ability to work both independently and within a team environment
Knowledge of the entire claims administration, case management and cost containment solution as applicable to Workers’ Compensation

EDUCATION & EXPERIENCE:

MI Adjuster License and MI Workers Compensation proficiency
Bachelor's degree or a combination of education and related experience
Minimum of 3 years’ industry experience and claim handling
Self-Insured Certificate preferred
State Certification or license as an experienced claims adjuster
Current license or certification in Workers’ Compensation must be maintained throughout employment

Pay: $75,000.00 - $85,000.00 per year

Benefits:

401(k) matching
Dental insurance
Health insurance
Life insurance
Paid time off
Vision insurance
Work from home

Education:

Bachelor's (Preferred)

Experience:

Adjusting experience and claim handling: 3 years (Required)

License/Certification:

Self-Insured Certificate (Required)
MI Adjuster License (Required)

Work Location: Remote

Quick Apply

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claims adjuster jobs in petoskey, mi

Senior Claims Specialist

Senior General Liability Litigation Specialist

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