Medical Claims Representative Trainee

As a Medical Claims Representative Trainee, you'll be instrumental in keeping the Medical Claims process efficient and supportive for our customers. Focusing on personal injury protection medical coverage, you'll analyze accident details, medical records and terminology. You'll also adjust claims while maintaining solid relationships with customers. Bring your passion for helping others and we'll teach you the insurance stuff - allowing you to be confident when speaking with customers.
This is a hybrid role, which means you'll work in-office two days that are selected by local leadership and choose where you want to work the other three days, whether that's at home or in the office, for a training period of about 12 weeks. After graduating from training, the days you'll be expected to report to an office for important meetings, training, and collaboration will vary based on business need. In this hybrid work environment, you'll be supported by your leaders and tenured colleagues to develop relationships, establish connections, and share practices that are important to your development. If you prefer an in-office environment, you're welcome to work in the office more than four days per month. Preferred location is Plymouth or Sterling Hts, MI, but position is open to Lansing, Grandville or Kalamazoo based on experience. Candidates must reside within 50 miles of one of the Michigan claims office locations.
Duties & responsibilities after training

• Research policy contract, regulation and cause of injury to make coverage decisions
• Conducts research to understand correlations between medical records and motor vehicle accidents, injuries or medical conditions
• Identify and research wage loss expenses and documentation for payment consideration
• Review and interpret policy language when subrogation demands are received

Must-have qualifications

• Three years of relevant work experience OR
• Bachelor's degree OR
• Two years relevant work experience and an associate degree

Schedule: Monday-Friday, 9am-6pm
Compensation

• Salary is commensurate with experience and office location. Once you complete training and pass any necessary testing requirements, salary range for Plymouth, Sterling Hts $55,000-$58,500/year, salary range for Grandville, Kalamazoo and Lansing is $50,000-$53,000/year, however, during training, you'll be paid hourly based on your annual salary.
• Gainshare bonus up to 16% of your eligible earnings based on company performance

Benefits

• 401(k) with dollar-for-dollar company match up to 6%
• Medical, dental & vision, including free preventative care
• Wellness& mental health programs
• Health care flexible spending accounts, health savings accounts, & life insurance
• Paid time off
• Paid & unpaid sick leave where applicable, as well as short & long-term disability
• Parental & family leave; military leave & pay
• Diverse, inclusive & welcoming culture with Employee Resource Groups
• Career development & tuition assistance

Equal Opportunity Employer
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