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Claims Analyst I

Michigan Automobile Insurance Placement Facility
Livonia, MI Full Time
POSTED ON 10/4/2021 CLOSED ON 10/30/2021

What are the responsibilities and job description for the Claims Analyst I position at Michigan Automobile Insurance Placement Facility?

Who We Are:
The Michigan Automobile Insurance Placement Facility (MAIPF) is Michigan's residual market mechanism for automobile insurance and was established in 1943 under Chapter 33 of the Michigan Insurance Code to ensure automobile insurance is available to Michigan citizens who are unable to obtain automobile insurance in the voluntary market. Since 2012, the MAIPF also oversees administration of the Michigan Assigned Claims Plan (MACP). The MACP, created under Chapter 31 of the Michigan Insurance Code, provides a potential source of Michigan Personal Protection Benefits for claimants who have sustained injuries arising out of the ownership, operation, maintenance, or use of a motor vehicle as a motor vehicle when there is no automobile insurance available or which can be identified.

What We Offer:
In addition to a competitive salary, we offer a flexible working environment with a generous benefit package.

We’d love to speak with you about joining our team today!

The Right Candidate:
The MAIPF is seeking a claims analyst to handle Michigan Assigned Claims application processes and audits. The candidate should be experienced with handling Personal Injury Protection claims and should have a desire to work with people, think outside the box, work independently, have strong written and verbal communication skills and is comfortable with a multifaceted position. Responsibilities will include the examination of Assigned Claims applications, guiding claimants through the claim process and conducting audits as required.

Claims Analyst I:

Essential Duties and Responsibilities :
    • Uses discretion and independent judgment in claims handling.
    • Possess basic functional knowledge and skills reflective of study and/or on job development.
    • Analyzes and evaluates applications for benefits, proof of loss and claimant’s eligibility for benefits.
    • Phone contact with customers, servicing insurers and any other applicable parties is required.
    • Trains other staff members as required.
    • Work with the servicing insurers as needed to resolve claims.
    • Evaluate query results to determine files that will be audited.
    • Conduct file review of selected files, including verification of the amounts billed for internal expenses, external expenses, legal costs and injured party expenses paid by the carriers.
    • Attend legal proceedings as required, including depositions and trials.

Education:
Four-year bachelor’s degree from a college or university required. Additional appropriate experience may be considered in lieu of a degree.

Experience:
Minimum of two years’ experience in Michigan auto PIP claims handling required. Ability to negotiate skillfully in difficult situations with both internal and external groups.

Skills/Knowledge::
    • Proficient in the use of Microsoft Office productivity tools (e.g. Outlook, Word, Excel) to manage work.
    • Effective problem-solving skills, including ability to analyze issues, find the root cause of the problem and consider a wide range of alternatives before acting.
    • Demonstrate strong, clear verbal and written communication skills, including ability to effectively present information and respond to questions from groups or individuals.
    • Ability to multi-task and demonstrate flexibility while maintaining attention to detail.
    • Demonstrate excellent organizational skills.
    • Demonstrate excellent customer service skills with ability to follow directions and interpret customer needs.
    • Ability to work independently and interact professionally and effectively in a team environment.

Our company is an equal opportunity employer. To this end, all employment related decisions are made on a non-discriminatory basis and in full compliance with federal, state, and local laws prohibiting discrimination in employment.
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