Senior Remote Claims Specialist & Customer Experience Champion – Driving Michigan Insurance Claims Management & Advocacy Excellence at brighthush

About brighthush

brighthush is more than an insurance provider; it is a movement toward a future where technology, empathy, and data-driven insight converge to protect what matters most to our clients. With a proud legacy rooted in Michigan, we have evolved from a local insurer into a national leader in claims management, leveraging artificial intelligence, predictive analytics, and a customer‑centric philosophy to deliver faster, fairer, and more transparent outcomes. Our mission is simple yet profound: to safeguard the lives and livelihoods of our policyholders while fostering a culture of continuous learning, collaboration, and innovation.

Why brighthush Is the Ideal Place for Your Career

At brighthush, we believe that our people are the engine of our success. We invest in your growth, celebrate your achievements, and encourage you to bring fresh ideas to the table. Whether you are a seasoned claims professional or a recent graduate eager to learn, brighthush offers:

• Competitive Compensation: A base salary that reflects industry standards, coupled with performance‑based bonuses that reward your impact.
• Comprehensive Benefits: Health, dental, vision, and retirement plans designed to support you and your family.
• Flexible Work Arrangements: Remote work from anywhere in the U.S. with flexible scheduling that respects your personal commitments.
• Global Network: Access to a worldwide community of experts, mentors, and thought leaders who help you broaden your perspective.
• Diversity, Equity & Inclusion: A workplace that celebrates differences, promotes belonging, and empowers every voice.

Role Overview

As a Senior Remote Claims Specialist & Customer Experience Champion, you will be the linchpin that ensures every claim is processed with precision, empathy, and efficiency. You will act as the primary advocate for claimants, translating complex policy language into clear, actionable guidance while maintaining the highest standards of compliance and data integrity. Your work will directly influence customer satisfaction, operational efficiency, and the overall reputation of brighthush.

Key Responsibilities

Your day‑to‑day tasks will include, but are not limited to:

• Claims Intake & Verification: Receive initial loss notices, verify coverage, and gather essential documentation to establish a solid foundation for each claim.
• 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, safeguarding both the company and our clients.
• 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.
• Mentorship & Coaching: Guide junior team members, share knowledge, and foster a culture of continuous improvement.
• Technology Adoption: Evaluate and implement new tools, automation, and analytics to enhance claim processing efficiency.

Essential Qualifications

We’re looking for candidates who bring both skill and passion to the role. The following qualifications are essential:

• High school diploma or equivalent; associate degree in business, finance, or a 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

While not mandatory, the following qualifications will set you apart:

• 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

Success at brighthush requires a blend of technical know‑how and soft skills. The ideal candidate will demonstrate:

• 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 view every employee as a long‑term partner. Your career path will be shaped by:

• Structured onboarding 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.
• Access to industry conferences, webinars, and professional association memberships.

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.
• Access to a company‑wide employee assistance program and financial planning services.

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.

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