Claims Associate Adjuster – PIP

Amerisure Insurance

. Provide quality assistance to adjusters throughout the claim lifecycle .

Posted 9/29/2026full-timeRemote • Michigan • United StatesJuniorMid-LevelWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in claims processing, including knowledge of medical terminology, HIPAA compliance, and medical billing practices. Proficient in Microsoft Office Suite, particularly Excel, with strong attention to detail and the ability to manage relationships with various stakeholders.

Highest-signal resume keywords

Medical Terminology KnowledgeHIPAA ComplianceMedical Billing ProficiencyClaims Management Software FamiliarityRegistered Health Information Technician (RHIT)

ATS Keywords

Tailor your resume

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Claims ProcessingData EntryMedical BillingCoding PracticesState Filings PreparationInvoice ReviewReimbursement CaptureAttention to DetailCritical ThinkingOrganizational Skills

Soft Skills

Verbal CommunicationWritten CommunicationRelationship BuildingPrioritizationIndependence

Tools & Technologies

Claims Management SystemMicrosoft Office SuiteExcel

Certifications & Qualifications

Associate's DegreeRegistered Health Information Technician (RHIT)

Industry Keywords

InsuranceHealthcareEOBsHICFACMS 1500MCCAAdjuster SupportStakeholder CommunicationAdministrative SupportVendor Coordination

About the role

Key responsibilities & impact

Provide quality assistance to adjusters throughout the claim lifecycle
Respond to inquiries from policyholders, claimants, injured persons, medical providers and other stakeholders
Gather and verify missing or incomplete information to support accurate claim processing
Prepare and submit state filings, closing documents and administrative support requests
Draft and distribute correspondence in accordance with company standards and regulatory requirements
Enter data into the claims management system and maintain complete, accurate claim records
Coordinate external vendors, including appraisers, attorneys and contractors
Review and issue payments and invoices according to company policies and adjuster direction
Provide medical providers with billing instructions, EOBs and payment information
Explain coding and documentation denials and reconsideration processes
Assist with reimbursement capture from the MCCA for claims exceeding retention
Obtain HIPAA forms and order medical records for claim files
Handle incoming calls and mail for the claims department

Requirements

What you’ll need

Associate's degree or equivalent combination of education and experience
Registered Health Information Technician (RHIT) preferred
1 year of experience in a healthcare setting, insurance or claims preferred
Knowledge of medical terminology, HIPAA compliance, medical billing (EOBS, HICFA, CMS 1500 and small business forms) and coding practices required
Ability to obtain appropriate state licensing as required
Proficiency in Microsoft Office Suite, with an emphasis on Excel, required
Familiarity with claims management software preferred
Demonstrated ability to build positive relationships and partnerships within the department, across the organization and with external customers
Excellent verbal and written communication skills
Ability to organize and prioritize work to ensure timely deadlines
Ability to critically think and independently investigate assigned tasks
Ability to input data with a high accuracy rating and strong attention to detail

Benefits

Comp & perks

Competitive base pay
Performance-based incentive pay
Comprehensive health and welfare benefits
401(k) savings plan with profit sharing
Generous paid time off programs
Flexible work arrangements
Professional growth opportunities
Collaborative and rewarding career environment