11 Insurance Claims Management jobs in Detroit.

Hiring now: Spec Appeals Grievances @ Molina Hea, Investigator Sr @ Elevance H, Case Mgr @ Morgan Mor, Insurance Licensing Coord @ Sun Commun.Explore more at jobswithgpt.com.

🔥 Skills

appeals (4) resolution (4) case management (3) grievances (2) health claims processing (2) member communication (2) provider communication (2) research (2) documentation (2) compliance (2)

đź“Ť Locations

Detroit (4) Ann Arbor (2) Dearborn (2) Southfield (2) Sterling Heights (1)
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Molina Healthcare

Specialist, Appeals & Grievances Ann Arbor
Skills & Focus: appeals, grievances, health claims processing, member communication, provider communication, research, resolution, documentation, compliance, regulatory guidelines
About the Company: Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance.
Experience: Min. 2 years operational managed care experience (call center, appeals or claims environment). Health claims processing background.
Salary: $21.16 - $38.37 / HOURLY
Type: Full Time
Benefits: Molina Healthcare offers a competitive benefits and compensation package.
Specialist, Appeals & Grievances (Member Grievances/Disputes) Ann Arbor
Skills & Focus: member grievances, provider complaints, appeals, disputes, regulatory compliance, communication, claims processing, Medicaid, Medicare, resolution
About the Company: Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance.
Experience: Min. 2 years operational managed care experience (call center, appeals or claims environment)
Salary: $21.16 - $38.37 / HOURLY
Type: Full Time
Benefits: Molina Healthcare offers a competitive benefits and compensation package.

Elevance Health

Investigator Senior Dearborn
Skills & Focus: healthcare fraud, insurance investigation, law enforcement, claims handling, policy development, data mining, negotiation, health insurance policies, entity review, court representation
About the Company: Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler.
Experience: 5 years related experience in healthcare insurance and healthcare insurance investigation or any combination of education and experience.
Salary: $74,480 to $141,120
Type: Hybrid
Benefits: comprehensive benefits package, incentive and recognition programs, equity stock purchase, 401k contribution
Group Underwriter Sr Dearborn
Skills & Focus: insurance risks, premium rates, medical underwriters, commercial health coverage, account reporting, portfolio changes, risk selection, sales, demographic data, post-sale reviews
About the Company: Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler.
Experience: Minimum 4 years of related experience
Type: Hybrid
Benefits: We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and in…

Molina Healthcare

Specialist, Appeals & Grievances (Member Grievances/Disputes) Detroit
Skills & Focus: member grievances, provider complaints, appeals, disputes, regulatory compliance, communication, claims processing, Medicaid, Medicare, resolution
About the Company: Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance.
Experience: Min. 2 years operational managed care experience (call center, appeals or claims environment)
Salary: $21.16 - $38.37 / HOURLY
Type: Full Time
Benefits: Molina Healthcare offers a competitive benefits and compensation package.

Morgan & Morgan

Case Manager Detroit
Skills & Focus: case management, personal injury, negotiation, legal assistance, document preparation, client interaction, medical records, insurance negotiation, case files, communication skills
About the Company: Morgan & Morgan is a leading personal injury law firm dedicated to protecting the people, not the powerful.
Experience: At least 2 years of working in a legal position or insurance adjuster experience preferred.
Benefits: excellent benefits package including medical and dental insurance, 401(k) plan, paid time off and paid holidays.
Case Manager Detroit
Skills & Focus: Case Manager, Negotiating skills, Legal position, Personal Injury, Customer focused, Organized case files, Medical records, Insurance carriers, Settlements, Team player
About the Company: Morgan & Morgan is a leading personal injury law firm dedicated to protecting the people, not the powerful.
Experience: At least 2 years of working in a legal position or insurance adjuster experience preferred.
Benefits: Morgan & Morgan offers an excellent benefits package including medical and dental insurance, 401(k) plan, paid time off…
Case Manager Detroit
Skills & Focus: case management, customer focused, negotiating skills, legal position, insurance adjuster, medical records, case settlements, client interaction, organizational skills, team player
About the Company: Morgan & Morgan is a leading personal injury law firm dedicated to protecting the people, not the powerful.
Experience: At least 2 years of working in a legal position or insurance adjuster experience preferred.
Benefits: Morgan & Morgan offers an excellent benefits package including medical and dental insurance, 401(k) plan, paid time off…

Sun Communities, Inc.

Insurance & Licensing Coordinator Southfield
Skills & Focus: Insurance, Licensing, Coordinator, Invoices, Bonds, Email Management, Incident Reports, Communication, Insurance Policy Changes, Customer Service
Experience: 1 year working in an office environment, 1 year insurance industry experience
Type: Full Time
Benefits: Comprehensive Medical and Prescription coverage, Comprehensive Dental and Vision Plans, Employee Assistance Program, 40…

Morgan & Morgan

Personal Injury Litigation Attorney Southfield
Skills & Focus: personal injury, litigation, motor vehicle accident, trial preparation, depositions, plaintiff representation, case management, legal advocacy, writing skills, communication skills
About the Company: Morgan & Morgan is a leading personal injury law firm dedicated to protecting the people, not the powerful.
Experience: 2+ years of personal injury litigation experience, ideally in motor vehicle/automobile liability
Salary: Competitive base salary and uncapped commissions/bonuses
Type: Full-time
Benefits: Medical and dental insurance, 401(k) plan, paid time off, and paid holidays.

Molina Healthcare

Specialist, Appeals & Grievances Sterling Heights
Skills & Focus: appeals, grievances, health claims processing, member communication, provider communication, research, resolution, documentation, compliance, regulatory guidelines
About the Company: Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance.
Experience: Min. 2 years operational managed care experience (call center, appeals or claims environment). Health claims processing background.
Salary: $21.16 - $38.37 / HOURLY
Type: Full Time
Benefits: Molina Healthcare offers a competitive benefits and compensation package.