Claims Adjudication·Confirmed live in the last 24 hours·
Full-timeEast Lansing, MI, USANo salary listed
About the Job
Requirements
A minimum of two years of claims experience, with a strong preference for auto physical damage exposure.
Excellent verbal and written communication skills for clear, professional, customer-focused communication with members, vendors, and internal stakeholders.
Strong organizational and time-management skills, including prioritizing, multitasking, meeting deadlines, and independently following up on open items.
Maintain a high level of professionalism.
Proficiency in Microsoft Office applications, including Excel and Word, and ability to use technology to document, track, and communicate claim activity.
Willingness to participate in ongoing education through industry-recognized training, such as IIA, AIC, INS, or other relevant claims designations.
Ability to travel to various locations throughout Michigan as needed.
Punctual, regular, and consistent attendance is required.
Responsibilities
Investigate, evaluate, and process assigned auto physical damage and small property damage claims.
Serve as a primary point of contact for members by phone, email, fax, and written correspondence regarding claim requests, status updates, and coverage explanations.
Provide high-quality customer service in a fast-paced environment.
Manage a high-volume claim workload and prioritize tasks to meet service expectations, regulatory requirements, and organizational standards.
Maintain accurate, timely, and well-organized documentation in the claims management system while managing multiple active claims concurrently.
Negotiate claims within established settlement authority and promptly notify leadership of any claim trending toward or exceeding authority limits.
Assign and coordinate vendors for claim-related activities and manage incoming vendor reports.
Handle claims in compliance with applicable laws, regulations, and internal claims-handling standards, emphasizing quality and consistency.
Monitor and coordinate work performed by outside investigators, auto appraisers, and independent adjusters.
Facilitate salvage and subrogation activities, including monitoring recoveries on assigned claims.
Deliver clear, accurate, customer-friendly coverage explanations and written correspondence to help members understand claim decisions and next steps.
Collaborate with internal teams, including risk control, underwriting, and claims leadership, to support effective claim outcomes.
Perform other duties as assigned by the supervisor.
Desired Qualifications
A bachelor's degree is preferred.
Auto physical damage claims exposure is strongly preferred.
SET SEG is looking for a Claims Representative that will be responsible for the end-to-end handling of assigned auto physical damage claims, property damage claims and additional exposure to other lines based on business needs. This role serves as a primary point of contact for members and plays a key role in delivering high-quality customer service through timely communication, sound judgement, and consistent adherence to organization standards. This position requires the ability to balance efficiency with accuracy while maintaining detailed documentation and compliance with applicable laws, regulations, and internal claims handling guidelines.
WHO WE ARE School Employers Trust (SET) is a non-profit company that was created after a monumental shift in school funding happened in 1965. SET, which began in 1971, served as an employee benefits association focused on offering comprehensive and affordable employee benefit solutions to Michigan public schools and their employees. Two years later, its partner organization School Employers Group (SEG) was formed to administer compensation and fringe benefits for SET. As schools were faced with more challenges related to insurance, SEG evolved and grew into a company that provides workers’ compensation and property/casualty services for Michigan public schools.
Today, SET SEG continues to expand and find creative ways to meet the specialized needs of its members. This, coupled with superior member experience, is why SET SEG has maintained its position as an industry leader in the school insurance market.
We value those who proactively solve challenges, simplify the complex, thrive in a fast-paced setting, have a customer-first mentality, and seek a collaborative and inclusive work environment. We offer 100% employer paid insurance (medical, dental, and vision), Paid Time off (PTO), and paid parental leave.
Our passion is delivering peace of mind to Michigan public schools, and we look for team members who are motivated by our cause. To learn more, visit: https://setseg.org.
WHO YOU ARE You are energized by working with a collaborative team and industry peers to support Michigan public schools through their challenges. You seek understanding and are motivated to tackle projects and problems with the customer in mind. You anticipate needs and preempt challenges and concerns, delivering increasingly relevant customer experiences over time. You value a culture that is rooted in mutual respect, where you can learn from different perspectives and roles.
Primary Responsibilities:
Investigate, evaluate and process assigned auto physical damage and small property damage claims.
Serve as a primary point of contact to members via phone, email, fax and written correspondence regarding claim requests, status updates, and coverage explanations.
Provide high-quality customer service in a fast-paced environment.
Manage a high-volume claim workload, prioritizing tasks to meet service expectations, regulatory requirements, and organizational standards.
Maintain accurate, timely, and well‑organized documentation within the claims management system while managing multiple active claims concurrently.
Negotiate claims within established settlement authority and promptly notify leadership of any claim trending toward or exceeding authority limits.
Assign and coordinate vendors for claim-related activities and manage incoming vendor reports.
Ensure claims are handled in compliance with applicable laws, regulations, and internal claims handling standards, with an emphasis on quality and consistency.
Monitor and coordinate work performed by outside investigators, auto appraisers, and independent adjusters.
Facilitate salvage and subrogation activities, including monitoring recoveries on assigned claims.
Deliver clear, accurate, and customer‑friendly coverage explanations and written correspondence, helping members understand claim decisions and next steps.
Collaborate closely with internal teams, including risk control, underwriting, and claims leadership to support effective claim outcomes.
Other duties as assigned by supervisor.
Required Qualifications:
Bachelor’s degree preferred; minimum of two (2) years of claims experience, with a strong preference for auto physical damage exposure.
Excellent verbal and written communication skills, with the ability to deliver clear, professional, and customer‑focused communication to members, vendors, and internal stakeholders.
Strong organizational and time‑management skills, including the ability to prioritize, multitask, meet deadlines, and independently follow up on open items.
Maintain a high level of professionalism.
Proficiency in Microsoft Office applications, including Excel and Word, with the ability to use technology effectively to document, track, and communicate claim activity.
Commitment to continuous learning including willingness to participate in ongoing education with industry recognized training (IIA, AIC or INS or other relevant claims designations).
Physical Demands / Work Environment Several hours per day at a sit/stand desk, average mobility to move around an office environment; able to spend several hours per day at a computer. Ability to travel to various locations throughout Michigan as needed. Punctual, regular, and consistent attendance is required.
We are committed to equal employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender, gender identity or expression, or veteran status. We are proud to be an equal opportunity workplace.