Claims Specialist — Moderate-Complexity Transactions

Jackson; Lansing (MI); On-site; USD 32,000 - 45,000; Full time

Job summary

Jackson in Lansing, Michigan is seeking a Claims Representative to independently process a range of non-contestable claim transactions, including moderately complex cases, using documented procedures and multiple software applications.

The role requires accurate documentation, timely resolutions, and effective communication with internal associates and external customers. A High School diploma or GED is required, with 0–1 years of experience; relevant LOMA classes are preferred.

Qualifications

• High School diploma or equivalent (G.E.D.).
• 0-1 years work experience.
• Relevant LOMA classes preferred.

Responsibilities

• Independently processes a range of transactions including those which are moderately complex using documented procedures and multiple software applications.
• Handles multiple processes/functions within the team.
• Identifies, investigates and evaluates questionable transactions. Researches policy transactions and history as required.
• Communicates with internal associates and external customers or agents regarding outstanding requirements, or transaction issues and problems. Resolves escalated calls and issues.
• Documents status of transactions and contacts received and initiated.

Skills

Claims processing

Communication skills

Mainframe applications

Independent work

Team collaboration

Training others

Quality standards

Education

High School diploma or equivalent

Job description

Jackson in Lansing, Michigan is seeking a Claims Representative to independently process a range of non-contestable claim transactions, including moderately complex cases, using documented procedures and multiple software applications.

The role requires accurate documentation, timely resolutions, and effective communication with internal associates and external customers. A High School diploma or GED is required, with 0–1 years of experience; relevant LOMA classes are preferred.