Claim Specialist

MI-HMMI Empl Work From Homehybridmid$67K – $104K

Posted yesterday · via Workday

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About this role

Job Type: Full time Exempt/Non Exempt: Salary Job Description: Location Details: Remote Position Schedule / Shift: Monday-Friday 8:30am-5:30pm ET Position Summary: As a Claim Specialist, you will evaluate coverage, assess claim exposures, and make informed decisions that drive fair and timely resolutions. Working closely with members, medical providers, attorneys, and internal partners under minimal supervision, you'll manage challenging and complex claim scenarios while ensuring compliance with applicable regulations and company standards. The ideal candidate will have experience interpreting and applying Michigan No-Fault reform regulations to support accurate claim handling and benefit determinations.…

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What we'd score you on

reqspace match rubric

Five dimensions, recruiter-grade. Upload your resume and we'll generate a written explanation of where you fit and where the gaps are.

Skills match

We compare your skills against the role requirements.

Level fit

This role is mid-level. We check your trajectory against it.

Domain experience

Your work in the role's domain matters more than your years total. We weight recent and direct experience.

Recency

A skill you used last quarter weighs more than one from five years ago. We grade on recency, not lifetime.

Location fit

This role is based in MI-HMMI Empl Work From Home. We weight your proximity and willingness to relocate.

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