Auto Claim Representative II Fremont What you will do The Auto Club Group is seeking prospectiveClaim Representative IIwho canwork under normal supervision with an intermediate level approval authority to handle moderately complex claims within Claim Handling Standards in the field or inside units, resolve coverage questions, take statements, and establish clear evaluatio

Responsible for the analysis, research and completion of complex member appeal investigations. Effectively administer all steps of the member appeal and fair hearing processes for all non Medicare products to thoroughly investigate appeal requests, leveraging critical thinking skills, gathering relevant information from enterprise wide systems, and collaboration to resolv

Content Claims Specialist Field Level II Requisition ID 2024 24436 Job Locations US MI Grand Rapids | US MI Kalamazoo | US MI Lansing Position Type Regular Full Time Category Claims Business Unit CUS_Loss Adjusting US Excellence In Everything We Touch Position Summary The role of Content Claims Specialists is a multi faceted role, which focuses primarily in the following

Promptly investigate all assigned claims with minimal supervision, including those of a more complex nature. Determine coverage, compensability, potential for subrogation recovery, and second injury fund (when applicable). Alert Supervisor and Special Investigations Unit to potentially suspect claims. Ensure timely denial or payment of benefits in accordance with jurisdic