Claims Associate Adjuster – PIP

🔥 1 hour ago

🚗 Michigan – Remote

🚗 Michigan – Remote

⏰ Full Time

🟢 Junior

🟡 Mid-level

📋 Claims Specialist

👻 Ghost score 10%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

Apply Now

Find Similar Remote Jobs

Set Up Email Alert For New Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

Amerisure Insurance

WebsiteLinkedInAll Job Openings

501 - 1000 employees

🏭 Manufacturing

📦 Logistics

💼 Consulting

Manufacturing • Logistics • Consulting

Amerisure Insurance is a property and casualty insurance company established in 1912, dedicated to providing business insurance solutions with a strong emphasis on service and safety. The company specializes in various forms of insurance, including Workers' Compensation, Commercial Insurance, Property Insurance, Commercial Automobile Insurance, and General Liability Insurance. Amerisure partners with businesses in the manufacturing, construction, healthcare, and wholesale & distribution industries, promoting a team-oriented approach to service through local Core Service Centers across the United States, where they are licensed in all 50 states.

📋 Description

• Provide quality assistance to adjusters throughout the claim lifecycle • Respond to inquiries from policyholders, claimants, injured persons, medical providers and other stakeholders • Gather and verify missing or incomplete information to support accurate claim processing • Prepare and submit state filings, closing documents and administrative support requests • Draft and distribute correspondence in accordance with company standards and regulatory requirements • Enter data into the claims management system and maintain complete, accurate claim records • Coordinate external vendors, including appraisers, attorneys and contractors • Review and issue payments and invoices according to company policies and adjuster direction • Provide medical providers with billing instructions, EOBs and payment information • Explain coding and documentation denials and reconsideration processes • Assist with reimbursement capture from the MCCA for claims exceeding retention • Obtain HIPAA forms and order medical records for claim files • Handle incoming calls and mail for the claims department

🎯 Requirements

• Associate's degree or equivalent combination of education and experience • Registered Health Information Technician (RHIT) preferred • 1 year of experience in a healthcare setting, insurance or claims preferred • Knowledge of medical terminology, HIPAA compliance, medical billing (EOBS, HICFA, CMS 1500 and small business forms) and coding practices required • Ability to obtain appropriate state licensing as required • Proficiency in Microsoft Office Suite, with an emphasis on Excel, required • Familiarity with claims management software preferred • Demonstrated ability to build positive relationships and partnerships within the department, across the organization and with external customers • Excellent verbal and written communication skills • Ability to organize and prioritize work to ensure timely deadlines • Ability to critically think and independently investigate assigned tasks • Ability to input data with a high accuracy rating and strong attention to detail

🏖️ Benefits

• Competitive base pay • Performance-based incentive pay • Comprehensive health and welfare benefits • 401(k) savings plan with profit sharing • Generous paid time off programs • Flexible work arrangements • Professional growth opportunities • Collaborative and rewarding career environment