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Claim Representative II - Workers

Job in Northern, Floyd County, Kentucky, USA
Listing for: Blue Cross Blue Shield of Michigan
Full Time position
Listed on 2026-10-01
Job specializations:
  • Insurance
    Insurance Claims, Insurance Analyst, Risk Manager/Analyst, Insurance Agent & Advisor
Salary/Wage Range or Industry Benchmark: 56700 - 94900 USD Yearly USD 56700.00 94900.00 YEAR
Job Description & How to Apply Below

Compensation:
Competitive Compensation and Benefits Package

About Us

AF Group’s focused and passionate team uses industry-leading best practices, analytics and resources to manage risk and minimize loss for our policyholders while strengthening businesses with our valued independent agent partners.

We strive to continuously increase the long-term value of our organization by outperforming our industry peers and fostering a culture of underwriting and claims excellence.

This is the intermediate level of the claim handler career path. Handles moderate to difficult claims. Exercises progressively more discretion in the determination of ...

Compensation

Actual compensation decision relies on the consideration of internal equity, candidate’s skills and professional experience, geographic location, market, and other ...

Work is performed in an office setting or remote with no unusual hazards. Minimal travel required.

Responsibilities

Claims

Verifies workers’ compensation coverage of employers and injured employees.

Determines compensability under workers’ compensation by thorough investigation of the ...

Administration

Documents specifics of claims with potential for subrogation recovery, including amount of potential recovery monies.

Management

Negotiates settlements with attorneys or injured parties within given authority at the earliest possible point to bring cases to final disposition.

Works closely with manager ...

Performance

Stays abreast of changes in workers’ compensation statutes, case law and rehabilitation efforts/advancements in order to accurately interpret and apply relevant ...

Requirements

Education

Bachelor’s degree in a related field. Continuous learning, as defined by the Company’s learning philosophy, is required. Certification or progress toward certification is highly ...

Experience

Three (3) years of experience in a workers’ compensation claims environment which provides the necessary skills, knowledge and abilities, such as experience in reviewing ...

Skills

Effective oral and written communication skills.

Effective customer service skills.

Ability to negotiate, build consensus and resolve conflict.

Ability to manage ...

Knowledge

Ability and proficiency in the use of computers and company standard software specific to position.

Knowledge of medical and legal terminology related to ...

About Us

AF Group’s focused and passionate team uses industry-leading best practices, analytics and resources to manage risk and minimize loss for our policyholders while strengthening businesses with our valued independent agent partners.

We strive to continuously increase the long-term value of our organization by outperforming our industry peers and fostering a culture of underwriting and claims excellence.

AF Group (Lansing, Mich.) and its subsidiaries are a premier provider of innovative insurance solutions. Insurance policies may be issued by any of the following companies within AF Group:
Accident Fund Insurance Company of America, Accident Fund National Insurance Company, Accident Fund General Insurance Company, United Wisconsin Insurance Company, Third Coast Insurance Company, or Comp West Insurance Company.

View Summary

Company:
AF Group

Location:

United States, USA

Level:
Non-Manager

Compensation:
Competitive Compensation and Benefits Package

Job Family:
Claims Processing

Industry:
Insurance Services

Overview

This is the intermediate level of the claim handler career path. Handles moderate to difficult claims. Exercises progressively more discretion in the determination of compensability of claims. Considers many factors in the determination claim reserves. Negotiates and settles claims within given authority.
PAY RANGE:Actual compensation decision relies on the consideration of internal equity, candidate’s skills…

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