Top 8 Senior claims adjuster Jobs in Troy Mi

Senior PIP Litigation Claim Specialist - Michigan
ACS Auto Club Services, Inc. —Michigan
- $76,700 - $102,000 a year
- Weekends as needed
- Hybrid work
- Anatomy knowledge
- 5 years
- Writing skills
- Paid jury duty
- Health savings account
14d
Disability Representative Sr
Sedgwick —Southfield, MI
- Full-time
- Hybrid work
- Writing skills
- Office
- High school diploma or GED
13d
Senior Workers' Compensation Claims Adjuster (Hybrid)
Amerisure Insurance —Farmington Hills, MI
- Full-time
- Writing skills
- Mid-level
- Office
- Profit sharing
- Health insurance
11d
Senior (Special Investigation Unit (SIU) Investigator
AAA Life Insurance Company —Livonia, MI
- Full-time
- Remote
- Finance
- 8 years
- Analysis skills
- Life insurance

More jobs to discover

Find similar jobs that you might be interested in.

Commercial Credit Analyst
Michigan Business Connection, LC —Ann Arbor, MI
 Analyze credit data and financial statements for small business or less complex transactions to determine the degree of risk involved in extending credit or…
$70,000 - $80,000 a year
Quick Apply
Social Worker Adult Day Program
Jewish Senior Life of Metropolitan Detroit —West Bloomfield Township, MI
*Education/Licensure:* Bachelor’s (BSW) or master’s in social work (MSW) with licensure (LSW or LMSW). With input from the program team, develop and update care…
Quick Apply

Show more similar jobs

Explore jobs in cities nearby

Check out jobs in cities near your current location, Columbus

Senior Claims Adjuster I - Workers Compensation
Liberty Mutual —Columbus, OH
Demonstrates an advanced knowledge of claims case handling practices, legal liability, general insurance policy coverage, and the state`s tort laws as normally…
$67,000 - $126,000 a year
Disability Representative Sr
Sedgwick —Dublin, OH
State certification or licensing in statutory leaves is preferred or may be required based on state regulations. High School diploma or GED required.

I want to receive the latest job alert for senior claims adjuster in troy mi

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

senior claims adjuster jobs near troy mi

Senior PIP Litigation Claim Specialist - Michigan

ACS Auto Club Services, Inc. -
Michigan

Apply Now

Job Details

Full-time
$76,700 - $102,000 a year
14 days ago

Benefits

Paid jury duty
Health savings account
Paid holidays
Disability insurance
Health insurance
Dental insurance
Flexible spending account
Tuition reimbursement
Military leave
Paid time off
Adoption assistance
Employee assistance program
Vision insurance
Employee discount
Opportunities for advancement
Life insurance
Prescription drug insurance
Paid sick time
Pet insurance

Qualifications

Term negotiation
Customer communication
Anatomy knowledge
Customer relationship building
Motor vehicle insurance law
Regulatory compliance in claims processing
Claims negotiation
Litigation
Personal injury dispute resolution
Insurance claims arbitration
Insurance policy review
Insurance investigations
Cost estimate preparation
Cost estimates
Visual insurance inspections
Subrogation claims
Medical terminology

Full Job Description

Job Type:

Full time

Exempt/Non Exempt:

Salary

Job Description:

Location Details:

Hybrid

Position Schedule / Shift:

Monday-Friday 8am-5:30pm ET

Position Summary:

Join AAA – The Auto Club Group as a Senior Michigan PIP Claim Specialist, where you'll play a critical role in helping members navigate some of life's most challenging events. In this highly autonomous position, you'll leverage your investigative expertise, analytical thinking, and negotiation skills to manage complex Michigan Personal Injury Protection (PIP) claims from inception through resolution.

Key Responsibilities:

In this position, you will have the opportunity to:

Claim handling responsibilities will include the following: reviewing assigned claims, contacting the insured and other affected parties, setting expectations for the remainder of the claim process, and initiating documentation in the claim handling system.
Complete complex coverage analysis.
Ensure all possible policyholder benefits are identified.
Create additional sub-claims if needed.
Complete an investigation of the facts regarding the claim to further and in more detail determine if the claim should be paid, the applicable limits or exclusions and possible recovery potential.
Conduct thorough reviews of damages and determine the applicability of state law and other factors related to the claim.
Evaluate the financial value of the loss.
Approve payments for the appropriate parties accordingly.
Refer claims to other company units when necessary (e.g., Underwriting, Recovery Units or Claims Special Investigation Unit).
Thoroughly document and/or code the claim file and complete all claim closure and related activities in the assigned claims management system.
Utilize strong negotiating skills.

Senior Claims Specialists assigned to the PIP unit are responsible for claims involving the MCCA or quadriplegic, traumatic brain, amputations and other catastrophic injuries. The role will require proficiency in dealing with the MCCA and attorney represented claims. Work with insureds, guardians, conservators, attorneys, treatment teams and case managers to obtain necessary information to complete the claims review process and make the appropriate determinations.

Qualifications:

Required

Education (including minimum education and any licensing/certifications):

Complete ACG Claim Representative Training Program or demonstrate equivalent knowledge or experience
In states where an Adjuster’s license is required, the candidate must be eligible to acquire a State Adjuster’s license within 90 days of hire and maintain as specified for appropriate states.
A valid driver's license is required if the primary responsibilities of the role involve conducting in-person inspections or frequent in-person meetings with members.

Experience:

Five years of experience or equivalent training in the following:
negotiation of claim settlements
securing and evaluating evidence
preparing manual and electronic estimates
subrogation claims
resolving coverage questions
taking statements
establishing clear evaluation and resolution plans for claims

Knowledge and Skills:

Advance knowledge of:

Essential Insurance Act (Michigan)
Fair Trade Practices Act as it relates to claims
Subrogation procedures and processes
Intercompany arbitration
Handling simple litigation

Advance knowledge of:

Negligence Law
No-Fault Law
No-Fault Reform
medical terminology and human anatomy
MCCA and attorney represented claims

Skills:

handle claims to the line Claim Handling Standards
follow and apply ACG Claim policies, procedures and guidelines
work within assigned ACG Claim systems including basic PC software
perform basic claim file review and investigations
demonstrate effective communication skills (verbal and written)
demonstrate customer service skills by building and maintaining relationships with insured/claimants while exhibiting understanding of their problems and responding to questions and concerns
analyze and solve problems while demonstrating sound decision-making skills
prioritize claim related functions
process time sensitive data and information from multiple sources
manage time, organize and plan workload and responsibilities
safely operate a motor vehicle in order to visit repair facilities, homes (for inspections), patients, etc.
research analyze and interpret subrogation laws in various states
travel outside of assigned territory which may involve overnight stay
relocate, work evenings or weekends

Preferred

Education:

Associate degree in Business Administration, Insurance or a related field or the equivalent in related work experience
Completion of the Insurance Institute of America's: General Insurance Program, Associate in Claims, Associate in Management or equivalent
CPCU coursework or designation

Work Environment:

This position is currently able to work remotely from a home office location for day-to-day operations unless occasional travel for meetings, collaborative activities, or team building activities is specified by leadership. This is subject to change based on amendments and/or modifications to the ACG Flex Work policy.

Compensation & Benefits Overview:

ACG complies with all applicable state and local laws regarding required benefits (including PTO, paid sick leave, etc.).

Compensation

A Senior PIP Claim Specialist earns a competitive annual salary of $76,700-$102,000, along with the opportunity for an annual company bonus incentive.

Benefits

At ACG, we offer a comprehensive and flexible benefits package designed to support your health, financial well-being, and professional growth.

Health & Wellness

Medical plans with multiple coverage options, including HSA eligibility.
Prescription drug coverage.
Dental and vision benefits.
Employee Assistance Program (confidential support services).

Financial Protection & Insurance

Company-paid basic life insurance.
Optional supplemental life insurance and dependent coverage.
Short-term and long-term disability coverage.
Critical illness, accident, and pet insurance options.

Retirement & Savings

401(k) plan to support long-term financial goals.
- 3% automatic deferral upon eligibility; may contribute 1% to 50% of eligible earnings, either pre or post tax.
- Company match of 50% paid on employee contributions up to 6% of pay, payable to employees following the end of the year; immediate vesting.
- Additional company contribution of 4% of pay each pay day into your account; 100% vested after three (3) years of service.
Health Savings Account (HSA) and Flexible Spending Accounts (FSA) options.

Time Off & Leave

Paid Time Off (PTO): Accrual-based, increases with tenure, eligible at 90 days of employment.
Full-time new employees will receive up to 12 PTO days annually; accrual based on start date and may include additional PTO based on role and/or state & local requirements.
Part-time employee PTO hours are calculated based upon the standard weekly hours the employee is scheduled to work and will accrue at a minimum of 3 hours per month.
Paid holidays:
- Full-time employees are eligible for 10 company-paid holidays annually, in addition to 1 mental health day, 2 floating holidays, and 1 volunteer day. Holidays will vary by business schedules
- Part-time employees are eligible for 8 company-paid holidays annually, in addition to 1 mental health day and 2 floating holidays. Holidays will vary by business unit schedules.
Paid leave programs, including parental, bereavement, jury duty, and military leave.

Career Growth & Education

Tuition assistance (up to $5,250 annually; 80% covered by ACG).
Professional certification support with 100% reimbursement for eligible programs.
Opportunities for career development and advancement.

Additional Perks

Complimentary AAA membership with roadside assistance and travel discounts.
Adoption assistance program.

Job Posting Period:

This position is expected to remain posted through July 31, 2026; however, it may close at any time once a qualified candidate pool is identified.

#LI-AH2

#appcast

Who We Are

Become a part of something bigger.

The Auto Club Group (ACG) provides membership, travel, insurance, and financial service offerings to approximately 14+ million members and customers across 14 states and 2 U.S. territories through AAA, Meemic, and Fremont brands. ACG belongs to the national AAA federation and is the second largest AAA club in North America.

By continuing to invest in more advanced technology, pursuing innovative products, and hiring a highly skilled workforce, AAA continues to build upon its heritage of providing quality service and helping our members enjoy life’s journey through insurance, travel, financial services, and roadside assistance.

And when you join our team, one of the first things you’ll notice is that same, whole-hearted, enthusiastic advocacy for each other.

We have positions available for every walk of life! AAA prides itself on creating an inclusive and welcoming environment of diverse backgrounds, experiences, and viewpoints, realizing our differences make us stronger.

To learn more about AAA The Auto Club Group visit www.aaa.com

Important Note:

ACG’s Compensation philosophy is to provide a market-competitive structure of fair, equitable and performance-based pay to attract and retain excellent talent that will enable ACG to meet its short and long-term goals. ACG utilizes a geographic pay differential as part of the base salary compensation program. Pay ranges outlined in this posting are based on the various ranges within the geographic areas which ACG operates. Salary at time of offer is determined based on these and other factors as associated with the job and job level.

The above statements describe the principal and essential functions, but not all functions that may be inherent in the job. This job requires the ability to perform duties contained in the job description for this position, including, but not limited to, the above requirements. Reasonable accommodations will be made for otherwise qualified applicants, as needed, to enable them to fulfill these requirements.

The Auto Club Group, and all its affiliated companies, is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, gender identity, sexual orientation, national origin, disability or protected veteran status.

Regular and reliable attendance is essential for the function of this job.

AAA The Auto Club Group is committed to providing a safe workplace. Every applicant offered employment within The Auto Club Group will be required to consent to a background and drug screen based on the requirements of the position.

Apply Now

Refine Your Search

senior claims adjuster jobs in troy mi

Disability Representative Sr

Senior Workers' Compensation Claims Adjuster (Hybrid)

Senior (Special Investigation Unit (SIU) Investigator

More jobs to discover

Explore jobs in cities nearby

I want to receive the latest job alert for senior claims adjuster in troy mi

Explore jobs in more locations

Location Details:

Hybrid

Position Schedule / Shift:

Monday-Friday 8am-5:30pm ET

Position Summary:

Key Responsibilities:

In this position, you will have the opportunity to:

Claim handling responsibilities will include the following: reviewing assigned claims, contacting the insured and other affected parties, setting expectations for the remainder of the claim process, and initiating documentation in the claim handling system.

Complete complex coverage analysis.

Ensure all possible policyholder benefits are identified.

Create additional sub-claims if needed.

Complete an investigation of the facts regarding the claim to further and in more detail determine if the claim should be paid, the applicable limits or exclusions and possible recovery potential.

Conduct thorough reviews of damages and determine the applicability of state law and other factors related to the claim.

Evaluate the financial value of the loss.

Approve payments for the appropriate parties accordingly.

Refer claims to other company units when necessary (e.g., Underwriting, Recovery Units or Claims Special Investigation Unit).

Thoroughly document and/or code the claim file and complete all claim closure and related activities in the assigned claims management system.

Utilize strong negotiating skills.

Qualifications:

Required

Education (including minimum education and any licensing/certifications):

Complete ACG Claim Representative Training Program or demonstrate equivalent knowledge or experience

In states where an Adjuster’s license is required, the candidate must be eligible to acquire a State Adjuster’s license within 90 days of hire and maintain as specified for appropriate states.

A valid driver's license is required if the primary responsibilities of the role involve conducting in-person inspections or frequent in-person meetings with members.

Experience:

Five years of experience or equivalent training in the following:

negotiation of claim settlements

securing and evaluating evidence

preparing manual and electronic estimates

subrogation claims

resolving coverage questions

taking statements

establishing clear evaluation and resolution plans for claims

Knowledge and Skills:

Advance knowledge of:

Essential Insurance Act (Michigan)

Fair Trade Practices Act as it relates to claims

Subrogation procedures and processes

Intercompany arbitration

Handling simple litigation

Advance knowledge of:

Negligence Law

No-Fault Law

No-Fault Reform

medical terminology and human anatomy

MCCA and attorney represented claims

Skills:

handle claims to the line Claim Handling Standards

follow and apply ACG Claim policies, procedures and guidelines

work within assigned ACG Claim systems including basic PC software

perform basic claim file review and investigations

demonstrate effective communication skills (verbal and written)

demonstrate customer service skills by building and maintaining relationships with insured/claimants while exhibiting understanding of their problems and responding to questions and concerns

analyze and solve problems while demonstrating sound decision-making skills

prioritize claim related functions

process time sensitive data and information from multiple sources

manage time, organize and plan workload and responsibilities

safely operate a motor vehicle in order to visit repair facilities, homes (for inspections), patients, etc.

research analyze and interpret subrogation laws in various states

travel outside of assigned territory which may involve overnight stay

relocate, work evenings or weekends

Preferred

Education:

Associate degree in Business Administration, Insurance or a related field or the equivalent in related work experience

Completion of the Insurance Institute of America's: General Insurance Program, Associate in Claims, Associate in Management or equivalent

CPCU coursework or designation

Work Environment:

Compensation & Benefits Overview:

ACG complies with all applicable state and local laws regarding required benefits (including PTO, paid sick leave, etc.).

Compensation

A Senior PIP Claim Specialist earns a competitive annual salary of $76,700-$102,000, along with the opportunity for an annual company bonus incentive.