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Posted: 10/16/2026Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates advanced knowledge of Michigan Personal Injury Protection (PIP) claims, including coverage analysis, negotiation of settlements, and compliance with state regulations. Proficient in managing attorney-represented claims and applying relevant laws such as the Essential Insurance Act and No-Fault Law.
Highest-signal resume keywords
Michigan Personal Injury Protection (PIP) Claims ManagementAdvanced Knowledge of Essential Insurance ActNegotiating Claim SettlementsClaim Documentation and ComplianceEffective Verbal and Written Communication Skills
About the role
Key responsibilities & impact- Review assigned claims and initiate claim-handling activities
- Contact insureds and affected parties to gather information and set expectations
- Document claim activity and maintain accurate records in the claims management system
- Perform complex coverage analysis and identify applicable policyholder benefits
- Establish and manage sub-claims as needed
- Investigate coverage applicability, claim validity, policy limits, exclusions, and recovery opportunities
- Analyze claim facts, damages, state laws, and other relevant factors affecting claim decisions
- Evaluate loss values and authorize appropriate claim payments
- Negotiate settlements and claim resolutions
- Refer claims to Underwriting, Recovery Units, and the Claims Special Investigation Unit when necessary
- Complete claim documentation, coding, closure activities, and compliance processes
- Handle intermediate to complex Michigan Personal Injury Protection (PIP) claims, including fractures, mild closed head injuries, surgical procedures, and attendant care claims
- Manage claims involving the Michigan Catastrophic Claims Association (MCCA)
- Handle attorney-represented claims and navigate legal involvement throughout the claim process
- Investigate and manage losses extending beyond standard PIP scenarios
- Collaborate with insureds, physician offices, medical providers, and insurance carriers to obtain documentation and information
- Review medical and claim-related information to make coverage and payment determinations
- Maintain compliance with state regulations, company policies, and claim-handling standards
Requirements
What you’ll need- Complete ACG Claim Representative Training Program or demonstrate equivalent knowledge or experience
- Eligible to acquire a State Adjuster’s license within 90 days of hire where required and maintain it as specified
- Valid driver's license required if responsibilities involve in-person inspections or frequent in-person meetings
- Three years of experience or equivalent training in negotiating claim settlements, securing and evaluating evidence, preparing manual and electronic estimates, subrogation claims, resolving coverage questions, taking statements, and establishing claim evaluation and resolution plans
- Advanced knowledge of Essential Insurance Act (Michigan)
- Advanced knowledge of Fair Trade Practices Act as it relates to claims
- Advanced knowledge of subrogation procedures and processes
- Advanced knowledge of intercompany arbitration
- Advanced knowledge of handling simple litigation
- Advanced knowledge of Negligence Law
- Advanced knowledge of No-Fault Law
- Knowledge of medical terminology and human anatomy
- Knowledge of MCCA and attorney-represented claims
- Ability to handle claims to Claim Handling Standards
- Ability to follow and apply ACG Claim policies, procedures and guidelines
- Ability to work within assigned ACG Claim systems, including basic PC software
- Basic claim file review and investigation skills
- Effective verbal and written communication skills
- Customer service and relationship-management skills
- Problem-solving and sound decision-making skills
- Ability to prioritize claim-related functions
- Ability to process time-sensitive data and information from multiple sources
- Ability to manage time, organize and plan workload and responsibilities
- Ability to safely operate a motor vehicle for visits to repair facilities, homes, patients, and other locations
- Ability to research, analyze, and interpret subrogation laws in various states
- Ability to travel outside assigned territory, potentially involving overnight stays
- Ability to work evenings or weekends
- Background and drug screen required upon offer of employment
Benefits
Comp & perks- Annual company bonus incentive
- Medical plans with multiple coverage options, including HSA eligibility
- Prescription drug coverage
- Dental and vision benefits
- Employee Assistance Program
- Company-paid basic life insurance
- Optional supplemental life insurance and dependent coverage
- Short-term and long-term disability coverage
- Critical illness, accident, and pet insurance options
- 401(k) plan
- 50% company match on employee contributions up to 6% of pay
- Additional company contribution of 4% of pay each pay day, 100% vested after three years of service
- Health Savings Account (HSA) and Flexible Spending Accounts (FSA) options
- Paid Time Off (PTO), increasing with tenure
- Up to 12 PTO days annually for full-time new employees
- 10 company-paid holidays annually for full-time employees
- 1 mental health day, 2 floating holidays and 1 volunteer day for full-time employees
- Paid parental, bereavement, jury duty, and military leave
- Tuition assistance up to $5,250 annually, with 80% covered by ACG
- Professional certification support with 100% reimbursement for eligible programs
- Career development and advancement opportunities
- Complimentary AAA membership with roadside assistance and travel discounts
- Adoption assistance program
- Remote work from a home office for day-to-day operations, subject to policy and occasional travel requirements
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Claim Handling ActivitiesCoverage AnalysisSubrogation ProceduresClaim Evaluation and ResolutionMedical Terminology KnowledgeBasic Claim File ReviewTime-Sensitive Data ProcessingInvestigating Coverage ApplicabilityNegotiating SettlementsAnalyzing Claim Facts
Soft Skills
Customer Service SkillsRelationship Management SkillsProblem-Solving SkillsSound Decision-Making SkillsOrganizational Skills
Tools & Technologies
Claims Management SystemBasic PC Software
Certifications & Qualifications
State Adjuster’s LicenseACG Claim Representative Training Program
Industry Keywords
Michigan Catastrophic Claims Association (MCCA)Fair Trade Practices ActNegligence LawNo-Fault LawIntercompany Arbitration