Entry-Level Medical-Only Claims Specialist (WC)

Blue Cross Blue Shield of Michigan; Lansing (MI); On-site; USD 60,000 - 75,000; Full time

Job summary

Blue Cross Blue Shield of Michigan is seeking Medical Only Claims Specialists I/II to manage workers’ compensation claims, document files, and verify coverage. The role requires licensing in Michigan or Texas within a defined period and knowledge of medical treatment coordination.

I roles focus on supervision and adherence to policy, while II roles add mentoring and broader jurisdictional work. The position emphasizes investigation, documentation, and collaboration with employers, employees,

Qualifications

• High school diploma required for MOCS I role; MI or TX license within 180 days.
• MOCS II requires an Associate degree and MI/TX license; progress toward IIA designation encouraged.
• Experience and/or training in workers' compensation and insurance concepts are expected.

Responsibilities

• Investigate workers’ compensation claims with required employer contact within set time frames.
• Document and maintain claim files; verify coverage and medical treatment plans.
• Manage medical treatment programs, coordinate with providers, and monitor return-to-work efforts.

Skills

Claims knowledge

Communication skills

Analytical thinking

Team collaboration

Education

High school diploma

Associate degree in insurance / related field

License in MI or TX

IIA designation progress/completion

Job description

Blue Cross Blue Shield of Michigan is seeking Medical Only Claims Specialists I/II to manage workers’ compensation claims, document files, and verify coverage. The role requires licensing in Michigan or Texas within a defined period and knowledge of medical treatment coordination.

I roles focus on supervision and adherence to policy, while II roles add mentoring and broader jurisdictional work. The position emphasizes investigation, documentation, and collaboration with employers, employees,