Lansing, Michigan, United States · On-site
SUMMARY: (Brief 3-5 sentence paragraph outlining the main purpose of the job) This is an entry-level position. This position leads to a Medical Only Claims Specialist I and is expected to last up to 12 months. Upon compl…
Skills: Workers Compensation Claims Management, Medical Terminology, Analytical Skills, Problem Solving, Written Communication
Lansing, Michigan, United States · On-site
SUMMARY: (Brief 3-5 sentence paragraph outlining the main purpose of the job) The Medical Only Claims Specialist I is an entry level claims role. The incumbent is expected to be proficient with the Claims unit, policies,…
Skills: Workers Compensation Claims Management, Medical Treatment Program Management, Case Law Analysis, Reserve Calculation, Subrogation Investigation
Lansing, Michigan, United States · On-site
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 pay…
Skills: Claims Processing, Data Entry, Workers Compensation Regulations, Financial Analysis, Vendor Invoice Processing
Lansing, Michigan, United States · On-site
SUMMARY: Primarily responsible for evaluation, approval, completion, and processing of mail audits and reviewing phone audits in a multi-functional business unit. Provides direct customer service via phone, fax, and e-ma…
Skills: Premium Audit, Payroll Analysis, Customer Service, Underwriting Rules, Workers Compensation Classifications
Lansing, Michigan, United States · On-site
Hart Medical Equipment provides a full range of home care products and support services based on individual needs. We strive to conduct our patient care operation with the highest standards. We are a nationally accredite…
Skills: Interpersonal Communication, Written Communication, Oral Communication, Customer Service Orientation, Attention To Detail
Lansing, Michigan, United States · On-site
Nienhuis Financial Group is a rapidly growing accounting firm committed to delivering excellence in fractional and managerial accounting services. Our client base includes small businesses with revenues of $1 M to $75M, …
Skills: Data Entry, Accounts Receivable, Accounts Payable, Bank Reconciliation, Payroll Processing
Lansing, Michigan, United States · On-site
$50k–$55k/yr
Job Seekers can review the Job Applicant Privacy Policy by clicking here. Job Description: MOVE YOUR CAREER FORWARD WITH RYDER! Be a vital player for one of the largest and most recognizable names in Logistics, Transport…
Skills: Inventory Control, Material Availability, Supplier Management, Problem Solving, Time Management
Lansing, Michigan, United States · On-site
Overview Join a collaborative team dedicated to delivering exceptional patient care as a Physical Therapy Aide, while gaining valuable healthcare skills that can launch your career. Work alongside leading experts in Phys…
Skills: Patient Intake, Patient Registration, Scheduling, Benefit Verification, Patient Monitoring
Lansing, Michigan, United States · On-site
$19/hr–$23/hr
Description Who are we? Michigan Millers Mutual Insurance Company, an affiliate of Western National Mutual Insurance, is a mutual insurance company, rated A (Excellent) by A.M. Best, with over 140 years of experience ser…
Skills: Oral Communication, Written Communication, Attention To Detail, Data Entry, Core Systems Proficiency
Lansing, Michigan, United States · On-site
$15/hr–$18/hr
Dental Administrator Dental Dreams LLC desires to hire dental professionals who are passionate about their role in providing healthcare to others. Dental Administrators are a very key and integral part to dental healthca…
Skills: Patient Scheduling, Payment Collection, Insurance Coordination, Patient Chart Management, Customer Service
Lansing, Michigan, United States · On-site
$15/hr–$18/hr
Dental Dreams desires to hire dental professionals who are passionate about their role in providing healthcare to others. Dental Administrators are a very key and integral part to dental healthcare operations and success…
Skills: Patient Scheduling, Phone Etiquette, Payment Collection, Insurance Coordination, Patient Chart Management
Lansing, Michigan, United States · On-site
Xanitos is seeking a 2nd Shift EVS Assistant Director in Lansing, MI As an Assistant Director, you will be responsible for overseeing the operational needs of the EVS Department. Coordinate the tasks of the subordinate s…
Skills: EVS Healthcare, Union Experience, Leadership, Team Management, Customer Service
Lansing, Michigan, United States · On-site
$13/hr–$16/hr
Why Technicians Choose PeakGain Valuable Clinical ExperienceWork directly alongside licensed Physical Therapists in an outpatient orthopedic setting.Develop hands-on experience with therapeutic exercise, patient care, an…
Skills: Patient Care, Therapeutic Exercise, Clinic Operations, Patient Scheduling, HIPAA Compliance
Lansing, Michigan, United States · On-site
Job ID: 55043 Positions Location: Lansing, MI Job Description General Purpose of Job: Perform Description: Positions Location: Lansing, MI Job Description General Purpose of Job: Perform general clerical duties associate…
Skills: Patient Scheduling, Medical Records Maintenance, Insurance Billing, EMR Proficiency, Medical Terminology
Lansing, Michigan, United States · On-site
Job ID: 55084 Positions Location: Lansing, MI Job Description General Purpose of Job: The Description: Positions Location: Lansing, MI Job Description General Purpose of Job: The Community Outreach Assistant supports the…
Skills: Project Management, Community Outreach, Event Coordination, Data Collection, Interpersonal Communication
Lansing, Michigan, United States · On-site
Job ID: 55039 Positions Location: Lansing, MI Job Description General Purpose of Job: Description: Positions Location: Lansing, MI Job Description General Purpose of Job: Responsible for the efficient and effective proce…
Skills: Patient Care, Vital Signs, Phlebotomy, Triage, Medication Administration
Lansing, Michigan, United States · On-site
Company Description Company: ARCH Physical Therapy Location: Lansing, MI ARCH Physical Therapy is an outpatient physical therapy Lansing clinic that specializes in orthopedic and sports injuries. Our licensed physical th…
Skills: Customer Service, Patient Intake, Scheduling, Insurance Verification, Payment Processing
Lansing, Michigan, United States · On-site
$21/hr–$24/hr
Description Ayers Basement Systems is a regional leader in foundation repair and waterproofing services, dedicated to doing things differently. Our mission is to redefine the industry by breaking free from the status quo…
Skills: Interpersonal Communication, Customer Service, Call Center Operations, CRM Systems, Logistics Management
Lansing, Michigan, United States · On-site
$17/hr–$18/hr
Optometric Technician I - Rule Eye Care in Lansing MI General Job Description & Responsibilities The primary responsibility of this position is to ensure that all patients are receiving the best quality of care at all ti…
Skills: Customer Service, Patient Care, Diagnostic Testing, Medical History Gathering, Insurance Verification
Lansing, Michigan, United States · On-site
$17/hr–$22/hr
Job Title: Dental Assistant Department/Location: Operations Reports to: Dental Practice Manager FLSA Status: Non-Exempt Company Overview Destiny Dental is an affiliate of ProSmile, one of the fastest-growing dental organ…
Skills: Chairside Assisting, Patient Care, Recordkeeping, Appointment Scheduling, Inventory Control
Lansing, Michigan, United States • On-site
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Assist in the investigation and management of medical-only workers compensation claims, including evaluating medical reports and approving treatment plans. Coordinate with vendors for cost containment and maintain effective relationships with internal and external customers.
Requires a high school diploma and 2 years of insurance experience, or an associate degree in a related field. Candidates must be able to obtain an adjuster license in Michigan or Texas within 180 days.
SUMMARY: (Brief 3-5 sentence paragraph outlining the main purpose of the job)
This is an entry-level position. This position leads to a Medical Only Claims Specialist I and is expected to last up to 12 months. Upon completion of the training plan the incumbent is expected to be proficient with the Medical Only Claims policies, processes, procedures, and terminology related to the job. In addition, the incumbent will be proficient in the job responsibilities and tasks of the Medical Only Claims Specialist I position description. The incumbent will be evaluated on their progress and successful completion of the training plan each quarter. Upon satisfactory completion, the incumbent will be eligible for the Medical Only Claims Specialist I position. Medical Only Claims Associate will work with all members of the team and may receive direction, support, and instruction from the Manager or Medical Only Claims Specialists depending on the assignment.
ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned.
Assist Medical Only Claims Specialist with the investigation and management of workers compensation claims.
Assists with determining and managing the on-going medical treatment program including directing care, creating panels, and approving provider requests.
Evaluates medical reports and correspondence for appropriate action/documentation.
Supports the customer service work and processes for the multi-functional claims team; Communicates and collaborates with team members to ensure the appropriate and timely handling of claims in other states.
May be required to act as a back up to the MOCS. For items such as Verifies workers’ compensation coverage of employers and injured employees.
Documents specifics of claims with potential for subrogation.
Approves payment based on knowledge of the treatment plan and medical support showing relationship of treatment to the injury.
Concludes and closes files following resolution of claims to meet internal performance standards while complying with state legislation to avoid penalties and manage expenses.
Coordinates with outside vendors to ensure cost containment efforts.
Establishes and maintains effective working relationships with all internal and external customers. Assists with determining appropriate response to regulatory inquiries.
Composes correspondence and various reports in the administration of workers compensation claims; sets appropriate diaries.
Reads, routes and keys incoming mail, runs reports and answers/responds to incoming phone calls on both direct and ACD line, faxes and emails. This may include completing work for peers during absences to provide uninterrupted service to customers.
Demonstrate growth of skills working towards the more complex responsibilities of the Medical Only Claims Specialist I position.
Increase knowledge of how Accident Fund Insurance Company of America runs and how Workers Compensation Insurance works.
EDUCATION AND EXPERIENCE
Relevant combination of education and experience may be considered in lieu of degree
High school diploma
2 years insurance experience (Could add finance, medical, or any other applicable experience)
OR
Associates degree in insurance, business administration, health administration and/or related field. Combination of education and experience may be considered in lieu of a degree.
QUALIFICATIONS
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.
OTHER SKILLS AND ABILITIES
General knowledge of insurance operations.
Ability to work effectively in a multifunctional business unit.
Excellent verbal and written communication skills.
Ability to use diplomacy, discretion, and appropriate judgment when responding to inquiries from staff and external customers as well as anticipating needs of the department.
Ability to effectively exchange information clearly and concisely, and present ideas, report facts and other information and respond to questions as appropriate.
Ability to negotiate, build consensus, and resolve conflict.
Excellent organizational skills and ability to prioritize work.
Ability to manage multiple priorities and meet established deadlines.
Ability to perform mathematical calculations.
Excellent analytical and problem solving skills.
Ability to use reference manuals.
Basic knowledge of medical terminology.
Ability to comprehend various issues, address them or refer them for appropriate decision-making.
Ability to work with minimal direction.
Ability to proofread documents for accuracy of spelling, grammar, punctuation, and format.
ADDITIONAL EDUCATION, EXPERIENCE, SKILLS, KNOWLEDGE AND/OR ABILITIES PREFERRED: (Briefly detail the preferred education, experience, skills, knowledge and/or abilities desired to perform this job, including certifications). These are in addition to the required qualifications - Do not state required qualifications.
Associates degree preferred
Progress towards or completion of Insurance Institute of America (IIA) or other insurance related designation(s) preferred
WORKING CONDITIONS:
Work is performed in an office setting with no unusual hazards.
REQUIRED TESTING: (For HR use only)
Reading Comprehension, Typing 35wpm, Basic Word, Math and Proofreading.
Internal Candidate: An incumbent who does not successfully obtain a MI or TX licenses at the end of the 180 days will not be placed in a MOCS role. If the Company is unable to return the incumbent to a bargaining-unit job the incumbent will then be placed on the recall list in accordance with Article 8.8 of the Collective Bargaining Agreement.
External Candidate: Initial probationary period 180 days. Successful completion of probationary period requires adjuster license obtained in either MI or TX.
NOTES:
An incumbent who does not successfully complete the training plan at the end of the 12 months will not be placed in a Medical Only Claims Specialist I position. If the Company is unable to return the incumbent to a bargaining-unit job the incumbent will then be placed on the recall list in accordance with Article 8.8 of the Collective Bargaining Agreement.
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.
Accident Fund has provided exceptional workers’ compensation insurance, loss prevention strategies and superior claims service for more than 100 years, with a focus on customer experience and innovation to achieve the best outcomes for customers and their injured workers. Accident Fund is a division of AF Group. All policies are underwritten by a licensed insurer subsidiary. For more information, visit afgroup.com. © AF Group.
Offices: 200 N. Grand Ave., P.O. Box 40790, Lansing, MI 48901, US
There are currently 193 open administrative positions in Lansing, MI listed on Clera. New openings are added daily as companies post roles.
Companies currently hiring include University of Michigan Health-Sparrow, Emergent Holdings, McLaren Health Care, Xanitos, Inc., Community Mental Health Authority of Clinton, Eaton and Ingham Counties, among others. Browse the listings above to see every active employer.
Yes — 17 of the 193 open administrative positions offer remote or hybrid work (6 remote, 11 hybrid).
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