Remote Claims Specialist & Customer Advocate – Michigan Claims Management & Customer Experience Excellence

About brighthush

brighthush is a leading provider of innovative insurance solutions that empower individuals and businesses across Michigan and beyond. With a legacy of integrity, customer focus, and technological advancement, brighthush has earned a reputation for delivering reliable, transparent, and personalized claims services. Our mission is simple: to protect what matters most to our clients while fostering a culture of continuous improvement, collaboration, and professional growth.

Why Join brighthush?

At brighthush, we believe that our people are our greatest asset. As a Remote Claims Specialist & Customer Advocate, you will be part of a dynamic team that values autonomy, creativity, and a customer‑centric mindset. You’ll work from the comfort of your own home while enjoying the same high standards, support, and career opportunities that our on‑site colleagues experience.

Key Responsibilities

• Claims Intake & Verification: Receive and review initial loss notices, verify policy coverage, and gather essential documentation.
• Claims Adjudication: Assess claim validity, determine settlement amounts, and coordinate with underwriters and adjusters to ensure timely resolution.
• Compliance & Regulatory Oversight: Maintain strict adherence to state and federal regulations, internal policies, and industry best practices.
• Customer Advocacy: Serve as the primary point of contact for claimants, providing clear communication, empathy, and proactive updates throughout the claims lifecycle.
• Data Management: Accurately enter and update claim information in our proprietary claims management system, ensuring data integrity and audit readiness.
• Process Improvement: Identify bottlenecks, recommend workflow enhancements, and participate in cross‑functional projects to streamline claims operations.
• Team Collaboration: Work closely with claims adjusters, legal counsel, and customer service teams to resolve complex cases and share best practices.
• Performance Metrics: Meet or exceed key performance indicators (KPIs) such as claim turnaround time, customer satisfaction scores, and compliance audit results.

Essential Qualifications

• High school diploma or equivalent; associate degree in business, finance, or related field preferred.
• Minimum of 2 years experience in a call center or customer service environment, preferably within the insurance or claims industry.
• Strong written and verbal communication skills, with the ability to explain complex information in a clear, concise manner.
• Proficiency with Microsoft Office Suite (Word, Excel, Outlook) and experience with CRM or claims management software.
• Demonstrated ability to work independently, manage multiple priorities, and maintain meticulous attention to detail.
• High level of integrity, confidentiality, and ethical judgment when handling sensitive client information.
• Valid Michigan driver’s license and reliable internet connection for remote work.

Preferred Qualifications

• Certification in Claims Management, Insurance, or related field (e.g., CPCU, AIC).
• Experience with data analytics tools (Power BI, Tableau) or advanced Excel functions.
• Knowledge of Michigan insurance regulations and compliance frameworks.
• Previous experience in a remote or virtual team environment.
• Multilingual abilities (Spanish, French, or other languages) to serve a diverse client base.

Core Skills & Competencies

• Customer‑Centric Mindset: Passion for delivering exceptional service and building lasting client relationships.
• Analytical Thinking: Ability to interpret data, identify trends, and make informed decisions.
• Problem‑Solving: Creative approach to resolving complex claims issues and mitigating risk.
• Time Management: Efficiently prioritize tasks and meet deadlines in a fast‑paced environment.
• Adaptability: Comfortable with change, new technologies, and evolving industry standards.
• Team Collaboration: Strong interpersonal skills to work effectively with cross‑functional teams.
• Ethical Judgment: Commitment to confidentiality, compliance, and ethical conduct.

Career Growth & Learning Opportunities

At brighthush, we invest in your professional development. As a Remote Claims Specialist & Customer Advocate, you will have access to:

• Structured onboarding program with mentorship from seasoned claims professionals.
• Continuous learning platform featuring courses on claims adjudication, regulatory updates, and customer experience excellence.
• Opportunities to transition into senior claims roles, claims management, or specialized areas such as fraud detection or risk assessment.
• Annual performance reviews with clear pathways for promotion and salary increases.
• Participation in cross‑departmental projects that broaden your skill set and visibility within the organization.

Work Environment & Company Culture

brighthush thrives on a culture of transparency, innovation, and mutual respect. Even as a remote team, we maintain strong connections through:

• Weekly virtual team huddles and monthly all‑hands meetings.
• Digital collaboration tools (Slack, Microsoft Teams, SharePoint) that keep everyone in sync.
• Regular virtual coffee breaks and social events to foster camaraderie.
• Inclusive policies that celebrate diversity, equity, and belonging.
• Commitment to work‑life balance, with flexible scheduling options and generous paid time off.

Compensation & Benefits

While specific figures may vary based on experience, brighthush offers a competitive salary package that includes:

• Base salary commensurate with industry standards and your qualifications.
• Performance‑based bonuses tied to key metrics such as customer satisfaction and claims turnaround.
• Health, dental, and vision insurance plans with employer contributions.
• 401(k) retirement plan with company match.
• Paid time off (vacation, sick leave, holidays) and flexible work arrangements.
• Professional development stipend and tuition reimbursement for relevant certifications.
• Employee wellness programs, including virtual fitness classes and mental health resources.

How to Apply

Ready to make a difference in the lives of Michigan’s residents while advancing your career? Submit your resume and a brief cover letter outlining why you’re the ideal fit for this role. We look forward to welcoming you to the brighthush family.