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Insurance Claims Processing Jobs in Michigan (NOW HIRING)

CSAA

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 ...

Great American Insurance Group

$69K - $92K/yr

Summit provides independent insurance agents and their clients with market-leading workers' comp ... process. Learn more at *Excludes seasonal employees and interns.

thg

Auto PD - Adjuster Service Claims

Richmond, VA · Hybrid

$49K - $63K/yr

Our Claims team is currently seeking an Auto PD Adjuster - Service Claims. This is a full-time, ... Knowledge of insurance products, processes, and relevant laws. * Learn and handle negotiations ...

Squaremouth

Claims Advocate

Troy, MI · On-site

HUB is a leading global insurance and employee benefits broker, providing a broad array of property ... Good computer skills with proficiency in email, word processing and spreadsheet software as well as ...

Squaremouth

Claims Advocate

Brighton, MI · On-site

HUB is a leading global insurance and employee benefits broker, providing a broad array of property ... Good computer skills with proficiency in email, word processing and spreadsheet software as well as ...

thg

Auto PD - Adjuster Service Claims

Richmond, VA · Hybrid

$49K - $63K/yr

Our Claims team is currently seeking an Auto PD Adjuster - Service Claims. This is a full-time, ... Knowledge of insurance products, processes, and relevant laws. * Learn and handle negotiations ...

Squaremouth

Claims Advocate

Kalamazoo, MI · On-site

HUB is a leading global insurance and employee benefits broker, providing a broad array of property ... Good computer skills with proficiency in email, word processing and spreadsheet software as well as ...

HUB

Claims Advocate

Troy, MI

HUB isthealeadingglobal insurance and employee benefits broker, providing a broad array of property ... Good computer skills with proficiency in email, word processing and spreadsheet software as well as ...

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All JobsInsurance Claims Processing JobsInsurance Claims Processing Jobs in Michigan

Insurance Claims Processing information

Is claims processing a stressful job?

Insurance claims processing can be stressful due to tight deadlines, high workload, and the need for accuracy in evaluating claims. The role often requires strong attention to detail, communication skills, and the ability to handle difficult or emotional situations with claimants. However, workload and stress levels can vary depending on the employer and specific job environment.

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.

How to get a job as a claims adjuster with no experience?

To become a claims adjuster with no experience, focus on obtaining relevant certifications such as the Property and Casualty (P&C) license, which is often required. Gaining entry-level positions or internships in insurance companies can also help build industry knowledge and skills like communication and attention to detail, increasing your chances of starting a claims adjusting career.

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 does an insurance claims processor do?

An insurance claims processor reviews and evaluates insurance claims to determine coverage and payout amounts. They verify policy details, gather necessary documentation, and ensure claims are processed accurately and efficiently, often using specialized software. Strong attention to detail and knowledge of insurance policies are essential for this role.
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:
Insurance Claims Processing jobs near you
PIP - Consultant Casualty Claims

PIP - Consultant Casualty Claims

The Hanover Insurance Group, Inc.

Richmond, VA • On-site

$58K - $72K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 12 days ago

Hanover Insurance rating

8.3

Company rating: 8.3 out of 10

Based on 26 frontline employees who took The Breakroom Quiz

108th of 277 rated insurance

Job description

For more than 170 years, The Hanover has been committed to delivering on our promises and being there when it matters the most. We live our values every day, demonstrating we CARE through our values, Sustainability initiatives and inclusive corporate culture.
Our Claims team is currently seeking a Consultant Casualty Claims.
This is full-time, exempt role with a hybrid work schedule (two days in the office) in one of our Hanover offices:
Howell, MI
Richmond, VA
Worcester, MA
Syracuse, NY
Chicago IL
Itasca, IL
POSITION OVERVIEW:
The Consultant Casualty Claims is responsible for managing a caseload of moderate complexity claims from start to finish. This includes conducting thorough investigations, assessing liability, negotiating settlements within defined authority limits, and maintaining clear communication with claimants, third parties, and legal representatives. The role requires strong analytical skills, sound judgment, and adherence to company policies and regulatory standards throughout the claims process.
IN THIS ROLE, YOU WILL:
  • Manage a caseload of moderately complex casualty claims from intake through resolution.
  • Conduct thorough investigations, assess liability, and evaluate damages using established procedures.
  • Collaborate with underwriting, legal, and internal/external stakeholders as needed to ensure comprehensive claim evaluation.
  • Identify and refer potentially suspicious claims to the Special Investigations Unit.
  • Apply comparative negligence laws and state-specific regulations to claim assessments.
  • Set reserves, authorize payments, and demonstrate financial acumen within scope of authority.
  • Utilize technology and data tools to enhance claims processing efficiency and accuracy.
  • Communicate directly with claimants, legal representatives, and third parties to negotiate fair resolutions.
  • Maintain detailed and compliant documentation of claim activities and communications.
  • Participate in team collaboration, problem-solving discussions, and cross-functional coordination.
  • Support subrogation efforts and risk transfer opportunities to benefit insureds and business partners.
  • Handle sensitive communications professionally and translate complex information for diverse audiences.
  • Mentor entry-level claim handlers and share best practices learned through training and experience.
  • Attend ongoing training and education to maintain licensing and stay current on industry standards.
  • Independently manage indemnity, medical, and basic arbitration or mediation components of claims with supervisory support.
  • Must possess or obtain and maintain appropriate state adjuster licenses.

WHAT YOU NEED TO APPLY:
  • Associate degree required; bachelor's degree preferred or combination of education and experience.
  • Typically has 1-4 years of relevant claims handling experience.
  • Conduct independent analysis of contractual indemnification.
  • Independently execute indemnity, medical, litigation/resolution management.
  • Proficient with basic computer navigation; ability to use basic software systems/applications (Suite of MS Office Products) and use of internet.
  • Learn and handle negotiations independently within authority, understand common tactics for moderately complex claim resolution.
  • Use judgement and effectively utilize the most suitable communication channel while displaying empathy towards all stakeholders.
  • Knowledge of various types of insurance products and processes.
  • Conduct thorough investigations; identify key issues and gather evidence.
  • Provide effective empathetic customer service; handle routine inquiries and issues.

Core Capabilities:
  • Analytical Reasoning: The ability to identify problems, understand your impact, gather input and data, and develop an effective solution.
  • Customer Centricity: Makes customers/clients and their needs a primary focus of one's actions; shows interest in and understanding of the needs and expectations of internal and external customers; gains customer trust and respect; meets or exceeds customer expectations.
  • Digital Fluency: Effectively uses digital tools and technology appropriately to find, evaluate, create, and communicate information understands how to navigate digital platforms, use software applications, and leverage technology for productivity and communication purposes.
  • Persuasion and Influence: Uses appropriate interpersonal skills and techniques to gain acceptance for ideas or solutions; uses influencing strategies to gain genuine agreements; seeks to persuade rather than force solutions or impose decisions or regulations.
  • Professional Insurance Acumen: Demonstrates a deepening understanding of the insurance industry and the ability to apply specialized technical skills to address complex challenges, adapt to industry trends, and drive value for the organization.
  • Planning and Execution: Plans, prioritizes and manages resources and time effectively to achieve specific goals or deadlines.

CAREER DEVELOPMENT:
It's not just a job, it's a career, and we are here to support you every step of the way. We want you to be successful and fulfilled. Through on-the-job experiences, personalized coaching and our robust learning and development programs, we encourage you - at every level - to grow and develop.
BENEFITS:
We offer comprehensive benefits to help you be healthy, build financial security, and balance work and home life. At The Hanover, you'll enjoy what you do and have the support you need to succeed.
Benefits include:
  • Medical, dental, vision, life, and disability insurance
  • 401K with a company match
  • Tuition reimbursement
  • PTO
  • Company paid holidays
  • Flexible work arrangements
  • Cultural Awareness Day in support of IDE
  • On-site medical/wellness center (Worcester only)
  • Click here for the full list of Benefits

EEO statement:
The Hanover values diversity in the workplace and among our customers. The company provides equal opportunity for employment and promotion to all qualified employees and applicants on the basis of experience, training, education, and ability to do the available work without regard to race, religion, color, age, sex/gender, sexual orientation, national origin, gender identity, disability, marital status, veteran status, genetic information, ancestry or any other status protected by law.
Furthermore, The Hanover Insurance Group is committed to providing an equal opportunity workplace that is free of discrimination and harassment based on national origin, race, color, religion, gender, ancestry, age, sexual orientation, gender identity, disability, marital status, veteran status, genetic information or any other status protected by law."
As an equal opportunity employer, Hanover does not discriminate against qualified individuals with disabilities. Individuals with disabilities who wish to request a reasonable accommodation to participate in the job application or interview process, or to perform essential job functions, should contact us at:HRServices@hanover.com and include the link of the job posting in which you are interested.
Privacy Policy:
To view our privacy policy and online privacy statement, click here.
Applicants who are California residents: To see the types of information we may collect from applicants and employees and how we use it, please click here
Compensation:
The target hiring range for this role may vary based on geographic location and other factors, including merit or performance, demonstrated proficiency, skills for the role, education, travel requirements, and experience. Additional compensation may include an annual bonus (which could take the form of a general bonus, sales incentive, or short-term incentive), long-term incentive or spot recognition awards. The posted range reflects our ability to hire at different position titles and levels depending on background and experience.

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