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Insurance Claims Processing Jobs in Michigan (NOW HIRING)

Responsible for processing claims in a timely manner, verifying insurance coverage for date of service/diagnosis and reviewing all paperwork for proper documentation and payment of claims. Comply ...

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Insurance Claims Adjuster

Jackson, MI · On-site

$90K - $120K/yr

... and insurance metrics. The GM plays a critical role in coaching and empowering team members ... Deep understanding of vehicle repair processes, from mechanical to aesthetic repairs. * Strong ...

PIP Claims Representative

Detroit, MI · On-site

$58K - $76K/yr

PIP Claims Representative CURE Auto Insurance is a leading direct writer of auto insurance in New ... Ensure that claims are processed within company policies, procedures, regulatory requirements, and ...

In order for your application to be correctly processed please sign-in before you apply Internal ... Job Title Commercial Insurance Analyst, Claims Insights - Remote Requisition Number R7770 ...

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Insurance Claims Processing information

What is insurance claims processing?

Insurance claims processing is the procedure by which insurance companies review, investigate, and settle claims made by policyholders. This process involves verifying the details of a claim, ensuring it meets the terms of the policy, and determining the appropriate payout or action. Claims processors handle documentation, communicate with claimants, and may work with other parties like adjusters or healthcare providers. The goal is to ensure claims are resolved efficiently, accurately, and fairly according to policy guidelines.

What are some common challenges faced in insurance claims processing, and how can new team members effectively manage them?

In insurance claims processing, new team members often encounter challenges such as handling high volumes of claims, interpreting complex policy language, and communicating effectively with policyholders and other stakeholders. To manage these challenges, it's important to develop strong organizational skills, stay detail-oriented, and proactively seek clarification when unsure about policy terms or procedures. Collaborating with experienced colleagues and taking advantage of ongoing training opportunities can also help new processors build confidence and efficiency in their daily tasks.

What is the difference between Insurance Claims Processing vs Insurance Adjuster?

AspectInsurance Claims ProcessingInsurance Adjuster
CredentialsTypically requires a high school diploma or equivalent; certifications like CPCU or AIC are commonRequires a high school diploma; certifications like AIC or state licensing often needed
Work EnvironmentOffice-based, processing claims via computer systemsField and office work, inspecting damages and interviewing claimants
Employer & Industry UsageInsurance companies, third-party administratorsInsurance companies, independent adjusting firms
Primary FocusReviewing and processing insurance claims efficientlyAssessing damages and determining claim validity and payout

While both roles are essential in the insurance industry, Insurance Claims Processing focuses on handling and managing claims paperwork, whereas Insurance Adjusters evaluate damages and determine claim settlements. Understanding these differences helps job seekers identify the right career path within the insurance sector.

What are the key skills and qualifications needed to thrive in Insurance Claims Processing, and why are they important?

To excel in Insurance Claims Processing, you need strong attention to detail, analytical abilities, and a foundational understanding of insurance policies or claims procedures, often supported by a high school diploma or associate degree. Familiarity with claims management software, databases, and sometimes industry certifications like AIC (Associate in Claims) is common. Effective communication, problem-solving skills, and the ability to manage stressful situations make someone stand out in this role. These competencies are critical for ensuring claims are processed accurately, efficiently, and in compliance with regulatory standards.
What are popular job titles related to Insurance Claims Processing jobs in Michigan? For Insurance Claims Processing jobs in Michigan, the most frequently searched job titles are:
What job categories do people searching Insurance Claims Processing jobs in Michigan look for? The top searched job categories for Insurance Claims Processing jobs in Michigan are:
What cities in Michigan are hiring for Insurance Claims Processing jobs? Cities in Michigan with the most Insurance Claims Processing job openings:
Infographic showing various Insurance Claims Processing job openings in Michigan as of May 2026, with employment types broken down into 100% Full Time. Highlights an 82% In-person, 6% Hybrid, and 12% Remote job distribution.
Mortgage Claims Default Specialist

Mortgage Claims Default Specialist

The EMAC Group

Detroit, MI • On-site

Full-time

Posted 26 days ago


Job description

Company Description

The EMAC Group is a provider of mortgage recruiting services, we offer an extensive network of mortgage professionals and proven expertise developed over 20 years of experience identifying, attracting and recruiting mortgage talent for our clients.

Job Description

POSITION SUMMARY 
The Claims Specialist is responsible for processing required claims to Fannie Mae, Mortgage Insurance Companies, FHA, VA or other investors to recover advances incurred throughout the default process. The Claims Specialist will file required claims; meet investor time frames, and complete audits of claims processes for validation. Responsibilities as well will entail tracking of claim payments received for proper application, and filing of any required supplemental claims as necessary, and respond regarding any contested claim information as required. 
ESSENTIAL POSITION FUNCTIONS 
    Review, analyze, and ensure timely settlement of investor and mortgage insurance claims and manage aging claims to determine status and bring to closure and request extensions as needed. 
    Document and maintain all systems necessary for proper claim handling and follow-up. 
    Research issues and obtain proper supporting documentation in a timely manner as requested by investor or mortgage insurance company. 
    Manage application of all claim funds received and provide additional information as necessary in order to validate all available funds received prior to claim being closed. 
    Monitor claim process reports to ensure all required responses are timely filed. 
    Complete timely audits of all assigned claims to ensure all requirements have been met, and claim process can be validated. 
EDUCATION / EXPERIENCE REQUIREMENTS 
    Graduation from a 4-year college or university with major course work in a discipline related to the requirements of the position is preferred. Will consider the equivalent combination of job experience & education that demonstrates the ability to perform the essential functions of this job. 
    Knowledge of Microsoft Office a must; knowledge of YARDI, LoanSphere, VALERI, USDA LINC and Workout Prospector a plus. 
    Previous work with mortgage claim filing is a requirement.

Additional Information

Please contact Tabitha Wolf at: 303-953-4748


EMAC Group logo

About EMAC Group

Sourced by ZipRecruiter

The EMAC (Employment Management Advisory Consulting) Group was founded in 2004 as a mortgage industry executive search and recruitment training platform. Our client-focused and candidate-centric approach is evident in your commitment to collaborating with clients and professionals to help them achieve their aspirations. With over 20 years of experience, The EMAC Group has accumulated a wealth of stories and insights from professionals we represent. Our client-focused and candidate-centric approach is evident in your commitment to collaborating with clients and professionals to help them achieve their aspirations. We recruit amazing people to help your business reach new heights. Our team’s approach of not depending on job boards but focusing on direct recruitment and attracting passive candidates who prioritize their career aspirations is a distinctive and effective strategy. Passive candidates, often highly qualified and experienced, can be a valuable asset to organizations seeking top talent.

Industry

Recruiting and staffing services

Company size

1 - 10 Employees

Headquarters location

Palm Harbor, FL, US

Year founded

2004