Michigan Farm Bureau

Compensation

Full Description

Job Title: Senior Medical Claims Representative Company Overview: Michigan Farm Bureau is a leading agricultural organization dedicated to supporting Michigan's farming community through advocacy, education, and insurance services. With a strong commitment to integrity and customer service, we provide comprehensive insurance solutions tailored to the unique needs of our members. Role Overview: As a Senior Medical Claims Representative, you will play a critical role in managing and resolving complex medical claims related to Michigan No-Fault and Workers’ Compensation cases. Your expertise will ensure accurate evaluation, investigation, and negotiation of claims to support our members and uphold the company’s standards. What You'll Do: - You will investigate and evaluate medical claims to determine coverage and liability. - You will negotiate settlements with claimants, medical providers, and legal representatives. - You will review medical records and bills to ensure accuracy and compliance with policy terms. - You will collaborate with internal teams and external partners to facilitate claim resolution. - You will maintain detailed documentation and case files for all claims handled. - You will stay updated on relevant laws, regulations, and industry best practices. - You will provide guidance and mentorship to junior claims representatives. - You will contribute to process improvements to enhance claims handling efficiency. What You Bring: - Minimum of 5 years experience in medical claims handling, preferably with No-Fault and Workers’ Compensation claims. - Strong knowledge of Michigan No-Fault insurance laws and Workers’ Compensation regulations. - Excellent negotiation and communication skills. - Proficiency in claims management software and Microsoft Office Suite. - Detail-oriented with strong analytical and problem-solving abilities. - Ability to manage multiple cases and prioritize tasks effectively. Bonus Points If You Have: - Certification in claims management or related professional credentials. - Experience working in the agricultural insurance sector. - Familiarity with legal aspects of insurance claims. - Bilingual skills, particularly in Spanish. What We Offer: - We offer competitive salary and comprehensive benefits package including health, dental, and vision insurance. - We offer opportunities for professional development and career advancement. - We offer a supportive and collaborative work environment. - We offer flexible work schedules and remote work options. - We offer employee wellness programs and community involvement initiatives. Ready to Apply? Please submit your resume and cover letter through our online application portal at Michigan Farm Bureau’s careers page. We look forward to reviewing your application and potentially welcoming you to our team.