Claim Representative
Listed on 2026-07-29
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Insurance
Insurance Claims, Insurance Analyst, Insurance Agent & Advisor, Risk Manager/Analyst
Compensation:
Competitive Compensation and Benefits Package
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 entry level professional claim handler.
Handles medical only and indemnity benefits. Exercises some discretion in the determination of compensability of ...
Compensation
Actual compensation decision relies on the consideration of internal equity, candidate’s skills and professional experience, geographic location, market, and other ...
ResponsibilitiesClaims
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.
Manages medical bills for ...
Management
Concludes and closes files following resolution of claims to meet internal performance standards while complying with state legislation to avoid penalties and manage ...
Performance
Establishes and maintains effective working relationships with all internal and external customers.
Stays abreast of changes in workers’ compensation statutes, case law ...
Education
Bachelor’s degree in a related field. Relevant combination of education and experience may be considered in lieu of degree. Continuous learning, as defined by the ...
Experience
Minimum one-year relevant experience that provides the necessary skills, knowledge and abilities or completion of claims trainee program. Bilingual skills preferred.
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 ...
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.
Company:
AF Group
Location:
United States, USA
Level:
Full-Time
Compensation:
Competitive Compensation and Benefits Package
Job Family:
Industry:
Insurance Services
This is the entry level professional claim handler.
Handles medical only and indemnity benefits. Exercises some 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 and professional experience, geographic location, market, and other potential factors. It is not standard practice for an offer to be at or near the top of the range, and therefore a reasonable estimate for this role is between $48,200 and $80,750.
ResponsibilitiesVerifies workers’ compensation coverage of employers and injured employees.
Determines compensability under workers’ compensation by thorough investigation of the claim.
Determines causal relationship between the reported injury and the incident to ensure appropriate payment of benefits.
Fac…
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