Collections Claims Clerk GlobalchannelmanagementCollections Claims ClerkMason, OhioComplete all actions: write offs, resubmits, calls, e-mails and post V-lookup denials and action codes from denial log spreadsheet. Work with payer relations and/or payer directly to resolve outstanding issues affecting payment.
Claims Resolution Specialist Lee Hecht HarrisonClaims Resolution SpecialistCincinnati, OH$19–$23 / hourGeneral Description: This position focuses on following up on unpaid claims, utilizing aging reports, filing appeals when appropriate, and maintaining strong communication with insurance carriers, patients, and internal stakeholders. Available paid leave may include Paid Sick Leave, where required by law; any other paid leave required by Federal, State, or local law; and Holiday pay upon meeting eligibility criteria.
Property Adjuster Insurance Claims Elevate Claims SolutionsProperty Adjuster Insurance ClaimsCincinnati, OhioElevate Claims Solutions is founded on the belief that human experience and claim quality are the essence of profitable growth and retention for our adjuster partners, our clients, and ourselves. Elevate Claims Solutions is seeking an Independent Adjuster adjusters with commercial and residential property claims in Duluth, MN and surrounding area.
NewRisk & Claims Manager - On-Site HQ Rumpke Waste & RecyclingRisk & Claims Manager - On-Site HQCincinnati, OHThis role involves managing a team of claims professionals and analyzing trends in claims frequency to minimize risk exposure. Rumpke Waste & Recycling is seeking a Risk and Claims Manager to oversee claims activities in their Loss Control department.
Casualty Claims Representative/Senior Claim Representative-Specialty Human Services Great American Insurance CompanyCasualty Claims Representative/Senior Claim Representative-Specialty Human ServicesCincinnati, OHSHS works with agents to address the coverage needs and loss exposures of more than 16,000 social service and non-profit organizations across the country. Since 1980, we've been Protecting Those Who Improve Your Community and were one of the first carriers to offer niche coverage solutions to nonprofit and service organizations.
Casualty Claims Specialist First Chicago Insurance CompanyCasualty Claims SpecialistCincinnati, OHThey will settle complex liability claims which require greater investigation and verification, as well as casualty claims including severe injuries which may result in extended disability or bodily injury as well as coverage related litigation. The Casualty Claims Specialist will have the following duties and responsibilities: Review & determine course of action on each file assigned, utilizing technical knowledge & experience for the purpose of supporting final disposition of a loss.
TPL Claims Representative Elevate Patient Financial Solutions IncTPL Claims RepresentativeOH1-2 years working knowledge of computer functions including the internet and computer software such as Microsoft Office Suite and the ability to learn in-house computer applications. TPL Representatives are healthcare heroes in a different way - by resolving TPL claims for patients and the hospitals who care for them.
NewClaims Billing Manager Tailored ManagementClaims Billing ManagerMASON, OH$41.55 / hourIn this role, you will be responsible for driving team performance, ensuring billing accuracy, monitoring productivity and quality, and coaching employees to achieve departmental goals. The ideal candidate is a results-driven leader with strong analytical, communication, and problem-solving skills who thrives in a fast-paced environment.
AVP Claims - Financial Services Core Specialty Insurance Services, Inc.AVP Claims - Financial ServicesCincinnati, OHFull timeGather and analyze information to make an accurate evaluation of claims by delivering effective resolution of claims, make decisions within established authority levels and identify settlement issues. Ensure TPAs and internal employees comply with established claim handling guidelines regarding coverage, investigation, liability, damages, evaluation and resolution.
Workers' Compensation Delegated Claims Audit Specialist MSIG HoldingsWorkers' Compensation Delegated Claims Audit SpecialistCincinnati, OhioThe Workers’ Compensation Delegated Claims Audit Specialist conducts comprehensive audits of workers’ compensation claims administered under delegated authority by third-party administrators (TPAs) on behalf of the company and its insureds/clients. The role evaluates the quality, accuracy, compliance, and financial integrity of delegated claim handling, ensuring adherence to company guidelines, client-specific service instructions, jurisdictional statutes, and industry best practices.
NewBusiness Analyst II- Data Mining Overpayment and Operations/Payment Integrity-WGS Commercial Claims Elevance Health IncBusiness Analyst II- Data Mining Overpayment and Operations/Payment Integrity-WGS Commercial ClaimsMason, OHWe are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. How you will make an impact: Analyze claims data and contract/policy guidelines to identify and assess overpayment and prevention opportunities, including researching leads and evaluating complex scenarios.
Claims Trainee MassMutual Ascend Life Insurance CompanyClaims TraineeCincinnati, OHThis means offering innovative products that fit our customers' unique needs - whether it's protecting their hard-earned savings, receiving guaranteed income or providing for loved ones. Prepares well written communication to all clients, internal and external, and conveys simple to moderately complex information to all appropriate parties while maintaining a professional demeanor in all situations.
NewHybrid VP, Property Claims Practices SUMMIT CONSULTINGHybrid VP, Property Claims PracticesCincinnati, OHThis role involves leading a team that manages complex property claims and collaborates with multiple business units. Candidates should have at least ten years of experience in P&C claims, excellent management skills, and a Bachelor's degree.
Unemployment Claims Associate - OH - On Site VensureUnemployment Claims Associate - OH - On SiteCincinnati, OH$17.79–$22.60Vensure Employer Solutions is the largest privately held organization in the HR technology and service sector, providing a comprehensive portfolio of solutions, including HR/HCM technology, managed services, and global business process outsourcing (BPO). Other Benefits : Life insurance, short term disability, long term disability, employee assistance program (EAP), flexible spending account (FSA), health savings account (HSA), Identity theft protection, critical illness, accident, cancer, hospital protection, legal and pet insurance.
Commercial Lines Claims Specialist AAA-Mid-Atlantic, Inc.Commercial Lines Claims SpecialistOH$26–$28.50 / hourAt ACA, we are committed to cultivating a welcoming and inclusive workplace of team members with diverse backgrounds and experiences to enable us to meet our goals and support our values while serving our Members and customers. Report claims to the appropriate carrier and maintain records in the agency management system by documenting claim actions in accordance with established procedures.
Workers Comp Claims Representative Elevate Patient Financial Solutions IncWorkers Comp Claims RepresentativeOHSpecifically, this position is focused on the effort to obtain Workers' Compensation injury details and insurance information from hospital, employers, patients and from other sources; submission of insurance bills and documentation to Workers' Compensation insurance carriers; review of payments and denials for potential appeal; writing and submitting appeals; and communication with insurance carriers, employers, attorneys and patients during the claims adjudication process to ensure that the hospital and/or medical providers receive appropriate payment on submitted bills and denied claims. Required computer skills: must have experience with data entry and word processing, be capable of operating routine office equipment, possess a working knowledge of MS Office applications, and understand how to navigate through web-based applications.
Claims Associate Total Quality Logistics LLCClaims AssociateCincinnati, OH$17.50–$22 / hourAs a company that operates 24/7/365, TQL manages work-life balance with sales support teams that assist with accounting, and after hours calls and specific needs. Contact carriers, insurance companies, salvage companies and internal/external customers regarding claims made by customers, receivers, or shippers.
NewProgram Manager, Risk & Claims Cost Management DHL GroupProgram Manager, Risk & Claims Cost ManagementErlanger, KYThe Program Manager, Risk & Claims Cost Management owns the DHL Express program to reduce Total Cost of Risk (TCOR) by improving claims outcomes and cycle times across Workers' Compensation, Auto Liability, Property Damage, and General Liability claims. This role leads cross-functional initiatives that accelerate First Notice of Loss, optimize Return-to-Work programs, improve litigation outcomes, and drive analytics-based decision making.
Claims Trainee MassMutual AscendClaims TraineeCincinnati, OhioThis means offering innovative products that fit our customers’ unique needs – whether it’s protecting their hard-earned savings, receiving guaranteed income or providing for loved ones. Prepares well written communication to all clients, internal and external, and conveys simple to moderately complex information to all appropriate parties while maintaining a professional demeanor in all situations.
NewAssistant General Counsel - Claims, Risk Management, and Insurance UC HealthAssistant General Counsel - Claims, Risk Management, and InsuranceWest Chester, OHThe AGC-RMCI will work closely with corporate risk management, clinical quality, and safety teams across the organization to (i) identify potential areas of risk and exposure related to legal claims and (ii) to coordinate the effective mitigation or elimination of such risks, (iii) manage litigation, (iv) analyze insurance policies to determine proper coverage and (v) provide education/training programs on relevant risk management topics across the organization. Managing legal aspects of risk management functions, including establishing training programs for clinical staff in preventing adverse outcomes, limiting potential liability, and managing/mitigating risk.
Risk and Claims Manager Rumpke of Ohio, Inc.Risk and Claims ManagerCincinnati, OHPart timeThis job description is intended to describe the general nature, complexity, and level of work to be performed by employees assigned to this position and is not to be construed as an exhaustive list of responsibilities, duties, and/or skills required. Support business continuity and catastrophe response planning for large-scale or catastrophic loss events, including coordination with TPAs and consulting experts.
Remote Claims Representative -581888 Metro Public AdjustmentRemote Claims Representative -581888Cincinnati, OHRemoteMetro Public Adjustment is looking for customer-oriented individuals to join our team of claims representatives. Once reviewed, If you want a face-to-face interview, we typically conduct them on Zoom: For Interview time and location, use the link below:
AR Claims Analyst Evenflo Company, Inc.AR Claims AnalystMiamisburg, OHThe ideal candidate excels in Excel, thrives in a fast-paced environment, and is confident navigating vendor portals and supporting documentation workflows. Evenflo Company, Inc. is seeking an analytical, detail‑driven AR Claims Analyst with advanced Excel expertise to support our Accounts Receivable operations.
Commercial Lines Claims Specialist AAA Club AllianceCommercial Lines Claims SpecialistCincinnati, OhioAt ACA, we are committed to cultivating a welcoming and inclusive workplace of team members with diverse backgrounds and experiences to enable us to meet our goals and support our values while serving our Members and customers. Report claims to the appropriate carrier and maintain records in the agency management system by documenting claim actions in accordance with established procedures.
NewCargo Claims Representative Great American Insurance CompanyCargo Claims RepresentativeCincinnati, OHThey are dedicated to writing only these coverages, which include: Commercial Property Coverage, Inland Marine Coverage, Builder's Risk, Contractor's Equipment and Motor Truck Cargo. To support this, employees in this role are expected to be on-site four days a week (Tuesday-Thursday), with the flexibility to work one day remotely.
Senior Casualty Claims Technical Director-Alternative Markets Great American Insurance CompanySenior Casualty Claims Technical Director-Alternative MarketsCincinnati, OHScope of Job/Qualifications: Operates at the highest authority level on complex, high-impact assignments, possessing extensive technical knowledge and skills in both product and industry. At Great American, we value and recognize the benefits derived when people with different backgrounds and experiences work together to achieve business results.
Claims Specialist, RCM - In-Office Mayfield Brain and SpineClaims Specialist, RCM - In-OfficeCincinnati, OHPrimary Responsibilities: The purpose of this position is to review, correct and prepare claims for accurate, efficient, and timely billing/filing while providing support and monitoring of the assigned area of the Revenue Cycle claims process. As part of the Coding and Charge Entry team, this role identifies and resolves claim edits and errors before submission to help ensure clean claims are filed the first time correctly.
Property Claims Leader, South & Central Regions Hub International LtdProperty Claims Leader, South & Central RegionsOH$150,000–$160,000 / yearABOUT HUB INTERNATIONAL: HUB International Limited (HUB) is one of the largest global insurance and employee benefits broker, providing a broad array of property, casualty, risk management, life and health, employee benefits, investment and wealth management products and services. The expected salary range for this position is $150,000 to $160,000 and will be impacted by factors such as the successful candidates skills, experience and working location, as well as the specific positions business line, scope and level.
Claims Analyst I Fifth Third BancorpClaims Analyst ICincinnati, OHGENERAL FUNCTION: Responsible for completing and filing investor/insurer claims within required guidelines in order to recoup 5/3's investment in the property, may include loan principal, accrued interest, and corporate or escrow advances, as well asbank incentives for timely filing, made during the life of the loan to properly protect the investors collateral interest in the property. The base salary for this position is reflective of the range of salary levels for all roles within this pay grade across the U.S. Individual salaries within this range will vary based on factors such as role, relevant skillset, relevant experience, education and geographic location.
NewClaims Processor Fifth Third BankClaims ProcessorCincinnati, OhioGENERAL FUNCTION: Responsible for completing and filing investor/insurer claims within required guidelines in order to recoup 5/3's investment in the property, may include loan principal, accrued interest, and corporate or escrow advances, as well asbank incentives for timely filing, made during the life of the loan to properly protect the investors collateral interest in the property. The base salary for this position is reflective of the range of salary levels for all roles within this pay grade across the U.S. Individual salaries within this range will vary based on factors such as role, relevant skillset, relevant experience, education and geographic location.
15876 - Unemployment Claims Associate - OH - On Site Distro15876 - Unemployment Claims Associate - OH - On SiteCincinnati, OhioCreate and assign tasks for unemployment POA (Power of Attorney) administration when necessary Marginal Functions • Build, maintain and promote relationships with team members, peers across disciplines, and all other company team members ensuring effective coordination of communications and services affecting clients. #VensureEmployerSolutions #LI-PROMOTED #LI-Onsite $17.79 - $22.60 an hour We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses and identifying potential inconsistencies or verification signals in application materials based on available information.
Risk and Claims Manager Rumpke Consolidated Companies IncRisk and Claims ManagerCincinnati, OHThis job description is intended to describe the general nature, complexity, and level of work to be performed by employees assigned to this position and is not to be construed as an exhaustive list of responsibilities, duties, and/or skills required. Support business continuity and catastrophe response planning for large-scale or catastrophic loss events, including coordination with TPAs and consulting experts.
Claims Examiner - Commercial Healthcare Core Specialty Insurance ServicesClaims Examiner - Commercial HealthcareCincinnati, TexasRemoteGather and analyse information necessary to make an accurate evaluation of the claim by delivering effective resolution of claims, make decision within established authority levels and identifying settlement issues. Proactively expanding and maintaining awareness of the current market/industry and attend continuing educations programs when available.
Casualty Claims Specialist First Chicago Insurance Company (FCIC)Casualty Claims SpecialistCincinnati, OHThey will settle complex liability claims which require greater investigation and verification, as well as casualty claims including severe injuries which may result in extended disability or bodily injury as well as coverage related litigation. Conduct thorough investigations and keep accurate and relevant documentation of file activity on each claim assigned including coverage, liability status, and damages that are applicable for each claim.
NewHybrid FNOL Specialist Fast, Customer-Focused Claims Great American Insurance CompanyHybrid FNOL Specialist Fast, Customer-Focused ClaimsCincinnati, OHSuccessful candidates will have a high school diploma, 1 to 3 years of experience in customer service, and strong interpersonal skills. Great American Insurance Group in Cincinnati, OH is seeking a Senior Customer Service Representative for their Claims team.
Unemployment Claims Associate - OH - On Site Vensure Employer ServicesUnemployment Claims Associate - OH - On SiteCincinnati, OH$17.70–$22.60 / hourVensure Employer Solutions is the largest privately held organization in the HR technology and service sector, providing a comprehensive portfolio of solutions, including HR/HCM technology, managed services, and global business process outsourcing (BPO). Other Benefits : Life insurance, short term disability, long term disability, employee assistance program (EAP), flexible spending account (FSA), health savings account (HSA), Identity theft protection, critical illness, accident, cancer, hospital protection, legal and pet insurance.
Supervisor - Claims EssilorLuxottica SASupervisor - ClaimsMason, OHWe offer our industry stakeholders in over 150 countries access to a global platform of high-quality vision care products such as the Essilor brand, with Varilux, Crizal, Eyezen, Stellest and Transitions, iconic brands that consumers love such as Ray-Ban, Oakley, Persol and Oliver Peoples, as well as a network that offers consumers high-quality vision care and best-in-class shopping experiences such as Sunglass Hut, LensCrafters, and Target Optical, and leading e-commerce platforms. If you would like to provide feedback regarding an active job posting, or if you are an individual with a disability who would like to request a reasonable accommodation, please call the EssilorLuxottica SpeakUp Hotline at 844-303-0229 (be sure to provide your name, job id number, and contact information so that we may follow up in a timely manner) or email HRCompliance@luxotticaretail.com.
Workers Compensation Claims Adjuster | Dedicated Client | CO, UT, WY Jurisdictions | License Preferred Sedgwick Claims Management Services, Inc.Workers Compensation Claims Adjuster | Dedicated Client | CO, UT, WY Jurisdictions | License PreferredOH$45,000–$60,000 / yearPRIMARY PURPOSE OF THE ROLE: We are looking for driven individuals that embody our caring counts model and core values that include empathy, accountability, collaboration, growth, and inclusion. Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience.
Liability Claims Representative | CA, OH, IN, KY Jurisdictional Knowledge | Licensing Required | Dedicated Client Sedgwick Claims Management Services, Inc.Liability Claims Representative | CA, OH, IN, KY Jurisdictional Knowledge | Licensing Required | Dedicated ClientCincinnati, OH$45,000–$63,000 / yearPRIMARY PURPOSE OF THE ROLE: We are looking for driven individuals that embody our caring counts model and core values that include empathy, accountability, collaboration, growth, and inclusion. To analyze Liability claims on behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements.
Pharmacy Claims Representative 2 Dragonfly HealthPharmacy Claims Representative 2West Chester, OhioBuilt on a 20-year history, Dragonfly Health uses advanced technology and robust analytics to manage DME and pharmaceutical services as part of a single, efficient solution for caregivers, patients, and their families. Compensation: $22.00/HR + 12% shift differential applied to all hours worked after 6:00PM on weekdays and 5% shift differential applied to all weekend hours worked .
Unemployment Claims Associate - OH - On Site Vensure Employer Services IncUnemployment Claims Associate - OH - On SiteCincinnati, OHVensure Employer Solutions is the largest privately held organization in the HR technology and service sector, providing a comprehensive portfolio of solutions, including HR/HCM technology, managed services, and global business process outsourcing (BPO). Other Benefits: Life insurance, short term disability, long term disability, employee assistance program (EAP), flexible spending account (FSA), health savings account (HSA), Identity theft protection, critical illness, accident, cancer, hospital protection, legal and pet insurance.
Claims Appraiser - Auto Estimatics State FarmClaims Appraiser - Auto EstimaticsCincinnati, Ohio$59,059.65–$82,000 / yearFull timeWith the opportunity to initially earn up to 20 days annually plus parental leave, paid holidays, celebration day, life leave (40 hours/year), bereavement leave, and community service/education support days, there will be plenty of time for you! 45013, 45011, 45251, 45247, 45015, 45030, 45239, 45248, 45102, 45103, 45106, 45112, 45120, 45121, 45122, 45147, 45150, 45153, 45154, 45156, 45157, 45158, 45160, 45176, 45244, 45245, 45255.
Independent Insurance Claims Adjuster in Oxford, Ohio MileHigh Adjusters HoustonIndependent Insurance Claims Adjuster in Oxford, OhioOxford, OhioIf you are interested in roster opportunities or would like to learn what licensing, training, and qualifications may be needed to pursue a career as an insurance adjuster, please apply today and schedule a brief informational meeting with our team. If additional licensing or training is needed, MileHigh Adjusters Houston offers career-entry training programs designed to help qualified individuals prepare for the industry.
Independent Insurance Claims Adjuster in Milford, Ohio MileHigh Adjusters HoustonIndependent Insurance Claims Adjuster in Milford, OhioMilford, OhioIf you are interested in roster opportunities or would like to learn what licensing, training, and qualifications may be needed to pursue a career as an insurance adjuster, please apply today and schedule a brief informational meeting with our team. If additional licensing or training is needed, MileHigh Adjusters Houston offers career-entry training programs designed to help qualified individuals prepare for the industry.
Independent Insurance Claims Adjuster in Franklin, Ohio MileHigh Adjusters HoustonIndependent Insurance Claims Adjuster in Franklin, OhioFranklin, OhioIf you are interested in roster opportunities or would like to learn what licensing, training, and qualifications may be needed to pursue a career as an insurance adjuster, please apply today and schedule a brief informational meeting with our team. If additional licensing or training is needed, MileHigh Adjusters Houston offers career-entry training programs designed to help qualified individuals prepare for the industry.
Independent Insurance Claims Adjuster in Middletown, Ohio MileHigh Adjusters HoustonIndependent Insurance Claims Adjuster in Middletown, OhioMiddletown, OhioIf you are interested in roster opportunities or would like to learn what licensing, training, and qualifications may be needed to pursue a career as an insurance adjuster, please apply today and schedule a brief informational meeting with our team. If additional licensing or training is needed, MileHigh Adjusters Houston offers career-entry training programs designed to help qualified individuals prepare for the industry.
Independent Insurance Claims Adjuster in Union, Kentucky MileHigh Adjusters HoustonIndependent Insurance Claims Adjuster in Union, KentuckyUnion, KentuckyIf you are interested in roster opportunities or would like to learn what licensing, training, and qualifications may be needed to pursue a career as an insurance adjuster, please apply today and schedule a brief informational meeting with our team. If additional licensing or training is needed, MileHigh Adjusters Houston offers career-entry training programs designed to help qualified individuals prepare for the industry.
Independent Insurance Claims Adjuster in Alexandria, Kentucky MileHigh Adjusters HoustonIndependent Insurance Claims Adjuster in Alexandria, KentuckyAlexandria, KentuckyIf you are interested in roster opportunities or would like to learn what licensing, training, and qualifications may be needed to pursue a career as an insurance adjuster, please apply today and schedule a brief informational meeting with our team. If additional licensing or training is needed, MileHigh Adjusters Houston offers career-entry training programs designed to help qualified individuals prepare for the industry.
Independent Insurance Claims Adjuster in Trenton, Ohio MileHigh Adjusters HoustonIndependent Insurance Claims Adjuster in Trenton, OhioTrenton, OhioIf you are interested in roster opportunities or would like to learn what licensing, training, and qualifications may be needed to pursue a career as an insurance adjuster, please apply today and schedule a brief informational meeting with our team. If additional licensing or training is needed, MileHigh Adjusters Houston offers career-entry training programs designed to help qualified individuals prepare for the industry.
Independent Insurance Claims Adjuster in Mason, Ohio MileHigh Adjusters HoustonIndependent Insurance Claims Adjuster in Mason, OhioMason, OhioIf you are interested in roster opportunities or would like to learn what licensing, training, and qualifications may be needed to pursue a career as an insurance adjuster, please apply today and schedule a brief informational meeting with our team. If additional licensing or training is needed, MileHigh Adjusters Houston offers career-entry training programs designed to help qualified individuals prepare for the industry.