Join Forbes' 2024 Best Employer for Diversity! As a senior medical representative, you'll analyze and adjust complex medical claims that involve multiple policies. In this role, you'll review and research policy contracts, regulations, and injury causation to make informed coverage decisions. You'll evaluate and resolve economic loss claims, such as attendant care and transportation costs. You'll also interpret medical records, understand medical terminology, and investigate various aspects of claims, including coverage, liability, fraud, and subrogation. Additionally, you'll maintain detailed documentation, adjust reserves based on potential exposure, and complete all necessary tasks to resolve claim files efficiently. Candidates must reside within 50 miles of one of our Michigan claims office locations. Must-have qualifications * Five years of relevant work experience with two years in claims handling * {OR} Associate's degree and four years relevant work experience with two years in claims handling * {OR} Bachelor's degree and two years in claims handling Preferred skills * Proficient in coverage and liability investigations * Catastrophic injury claims handling * Knowledge of medical coding rules and local statutes Office address This is a hybrid role, which means you'll work in-office 4 days per month * Plymouth, MI: 46333 Five Mile Rd Plymouth, MI 48170 * Sterling Heights, MI: 40770 Mound Rd Sterling Heights, MI 4831 * Grandville, MI: 2969 Prairie Ave SW Grandville, MI 49418 * Saginaw, MI: 5800 Gratiot Rd Saginaw, MI 48638 * Kalamazoo, MI: 6475 Technology Ave Kalamazoo, MI 49009 * Lansing, MI: 111 W Edgewood Blvd Lansing, MI 48911 Compensation * Salary is commensurate with experience, salary range for Saginaw, Lansing, Kalamazoo, or Grandville offices is $78,500-$96,000, for Plymouth or Sterling Heights offices, salary range is $86,400-$105,600 * Gainshare annual cash incentive payment up to 24% of your eligible earnings based on company performance Benefits * 401(k) with dollar-for-dollar company match up to 6% * Medical, dental & vision, including free preventative care * Wellness & mental health programs * Health care flexible spending accounts, health savings accounts, & life insurance * Paid time off, including volunteer time off * Paid & unpaid sick leave where applicable, as well as short & long-term disability * Parental & family leave; military leave & pay * Diverse, inclusive & welcoming culture with Employee Resource Groups * Career development & tuition assistance Equal Opportunity Employer Energage recognizes Progressive as a 2024 Top Workplace for: Innovation, Purposes & Values, Work-Life Flexibility, Compensation & Benefits, and Leadership. For ideas about how you might be able to protect yourself from job scams, visit our scam-awareness page at https://www.progressive.com/careers/how-we-hire/faq/job-scams/ Share: Apply Now