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. Valuing our partnerships with our carrier clients; recognizing and maximizing the ways in which our Elevated Claims Handling can support them and their policyholders.
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.
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.
Commercial Lines Claims Specialist AAA-Mid-Atlantic, Inc.Commercial Lines Claims SpecialistCincinnati, OH$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.
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.
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.
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.
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.
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.
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.
Property & Casualty Insurance Claims Operations Consultant, Manager PricewaterhouseCoopers LLPProperty & Casualty Insurance Claims Operations Consultant, ManagerOH$99,000–$232,000 / yearPwC does not intend to hire experienced or entry level job seekers who will need, now or in the future, PwC sponsorship through the H-1B lottery, except as set forth within the following policy: https://pwc.to/H-1B-Lottery-Policy . You will analyze client needs, implement solutions, and provide training and support to validate seamless integration and utilization of business applications, enabling clients to achieve their strategic objectives.
Assistant 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.
Senior Claims Specialist, Environmental Claims MSIG HoldingsSenior Claims Specialist, Environmental ClaimsCincinnati, OhioThe ideal candidate brings deep expertise in environmental law, coverage interpretation, and litigation management, with the ability to develop and execute thoughtful resolution strategies while effectively communicating with internal leadership and external stakeholders. Leveraging our 350-year heritage, MSIG USA brings the financial strength, expertise, and global footprint to offer commercial insurance solutions that address your business’s unique risks.
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.
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.
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.
Claims Representative/Sr. Claims Representative-Financial Institution Services Division Great American Insurance CompanyClaims Representative/Sr. Claims Representative-Financial Institution Services DivisionCincinnati, OHThis includes but is not limited to residential and commercial real property, commercial vehicles, commercial contents and equipment, motorcycles, recreational vehicles, watercraft and aircraft. Target clients include commercial banks, credit unions, finance companies, buy-here pay-here dealers and leasing and rental concerns.
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.
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.
Claims - Workers Compensation Specialist I-IV Cincinnati Financial CorpClaims - Workers Compensation Specialist I-IVCincinnati, OH$53,500–$90,000 / year165066'',''true'',''165066'',''false'',''Submission for the position: Claims - Workers Compensation Specialist I-IV - (Job Number: 2600472)'',''false'',''165066'',''false'',''true'',''Claims - Workers Compensation Specialist I-IV'',''2600472'',''US-OH-Fairfield'',''!*! '',''false'',''165066'',''165066'',''true'',''165066'',''false'',''Submission for the position: Claims - Workers Compensation Specialist I-IV - (Job Number: 2600472)'',''false'',''165066'',''false'',''true''.
NewClaims Auditor Lead Elevance Health IncClaims Auditor LeadCincinnati, OHMinimum Requirements: Requires a HS diploma or GED and a minimum of 6 years related experience in a quality audit capacity (preferably in healthcare or insurance sector); or any combination of education and experience which would provide an equivalent background. We 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.
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 - Reporting Specialist II Cincinnati Financial CorpClaims - Reporting Specialist IICincinnati, OH$40,000–$47,000 / yearProcess and submit data to state regulatory entities related to medical malpractice, workers compensation, catastrophe-related data, or other claim related reporting for statutory bodies, agents, and/or insureds. ''165567'',''true'',''165567'',''false'',''Submission for the position: Claims - Reporting Specialist II - (Job Number: 2600515)'',''false'',''165567'',''false'',''true'',''Claims - Reporting Specialist II'',''2600515'',''US-OH-Fairfield'',''!*!
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.
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.
Claims Examiner- Voluntary Benefits Accenture PlcClaims Examiner- Voluntary BenefitsCincinnati, OHAble to utilize strong organizational skills to manage multiple priorities while working under tight time constraints, possess the ability to work through ambiguity, and work effectively with various vendors with strong interpersonal skills. The Voluntary Benefits Claims Examiner will support a large Group Insurance Business contract is responsible for the calculation of Voluntary Benefits across limited products according to Plan Provisions.
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.
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 - Casualty Litigation Specialist II-IV Cincinnati Financial CorpClaims - Casualty Litigation Specialist II-IVCincinnati, OH$90,000–$150,000 / year165286'',''true'',''165286'',''false'',''Submission for the position: Claims - Casualty Litigation Specialist II-IV - (Job Number: 2600492)'',''false'',''165286'',''false'',''true'',''Claims - Casualty Litigation Specialist II-IV'',''2600492'',''US-OH-Fairfield'',''!*! Our Headquarters Claims Department is currently seeking a Casualty Litigation Specialist to handle and oversee the processing of large and complex casualty construction defect claims.
Claims - No-Fault Litigation Specialist I - IV Cincinnati Financial CorpClaims - No-Fault Litigation Specialist I - IVCincinnati, OH$60,000–$95,000 / year166372'',''true'',''166372'',''false'',''Submission for the position: Claims - No-Fault Litigation Specialist I - IV - (Job Number: 2600596)'',''false'',''166372'',''false'',''true'',''Claims - No-Fault Litigation Specialist I - IV'',''2600596'',''US-OH-Fairfield'',''!*! '',''false'',''166372'',''166372'',''true'',''166372'',''false'',''Submission for the position: Claims - No-Fault Litigation Specialist I - IV - (Job Number: 2600596)'',''false'',''166372'',''false'',''true''.
Liability Litigation Claims Examiner | Litigation, Premise, Auto, BI & Product Claims Experience Sedgwick Claims Management Services, Inc.Liability Litigation Claims Examiner | Litigation, Premise, Auto, BI & Product Claims ExperienceOH$63,404–$88,765 / yearTo analyze GL Litigated, Premise, Auto, Bodily Injury & Product claims on behalf of our valued dedicated client to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements. PRIMARY 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.
NewClaims Customer Service Representative Munchener Ruckversicherungs-Gesellschaft Aktiengesellschaft (Munich Re)Claims Customer Service RepresentativeOHAmerican Modern Insurance Group, Inc., a Munich Re company, is a widely recognized specialty insurance leader that delivers products and services for residential property - such as manufactured homes and specialty dwellings - and the recreational market, including boats, personal watercraft, classic cars, and more. Reliable high-speed internet connection and a dedicated home office space that is quiet, private, and free from distractions (for hybrid work arrangement).
Claims Appraiser - Auto Estimatics State FarmClaims Appraiser - Auto EstimaticsCincinnati, OH$59,059.65–$82,000 / yearWith 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.
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.
Program 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.
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:
Senior Advisor - Rx Claims & Adjudication (Business Architect) Elevance HealthSenior Advisor - Rx Claims & Adjudication (Business Architect)Mason, OhioThe Senior Advisor - Rx Claims & Adjudication (Business Architect) will be responsible for driving and completing the Business Architecture portion of business blueprints, including establishing guiding principles, defining capabilities, performing functional analysis/definition, analyzing and documenting the value chain, and assessing organizational impacts. We 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.
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.
Unemployment Claims Associate - OH - On Site Vensure Employer SolutionsUnemployment 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 - Field Claims Representative Cincinnati Financial CorpClaims - Field Claims RepresentativeCincinnati, OH$57,000–$76,000 / year166648'',''true'',''166648'',''false'',''Submission for the position: Claims - Field Claims Representative - (Job Number: 2600635)'',''false'',''166648'',''false'',''true'',''Claims - Field Claims Representative'',''2600635'',''US-NV-Las Vegas'',''!*! '',''false'',''166648'',''166648'',''true'',''166648'',''false'',''Submission for the position: Claims - Field Claims Representative - (Job Number: 2600635)'',''false'',''166648'',''false'',''true''.
Field Claims Manager I Cincinnati Financial CorpField Claims Manager ICincinnati, OH$115,000–$130,000 / year164926'',''true'',''164926'',''false'',''Submission for the position: Field Claims Manager I - (Job Number: 2600451)'',''false'',''164926'',''false'',''true'',''Field Claims Manager I'',''2600451'',''US-TX-Dallas'',''!*! '',''false'',''164926'',''164926'',''true'',''164926'',''false'',''Submission for the position: Field Claims Manager I - (Job Number: 2600451)'',''false'',''164926'',''false'',''true''.
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.
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.
Claims 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.
NewUnemployment Claims Associate DistroUnemployment Claims AssociateCincinnati, 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. #SolvoHRGlobal #LI-PROMOTED #LI-Onsite $23 - $25 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.
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.
NewRemote Auto Claims Estimator State FarmRemote Auto Claims EstimatorCincinnati, OHRemoteYou will collect vehicle information, prepare initial and supplemental estimates via photos or in person, and assist insureds through the claims process with remarkable service. You may meet with customers, explain coverage, and provide guidance while working from home or in a mobile office.
Content Claim Representative/Senior Claim Representative Great American Insurance CompanyContent Claim Representative/Senior Claim RepresentativeCincinnati, OHGreat American's Embedded Solutions group is a newly established team focused on launching innovative insurance products such as Single-Family Renters and Multi-Family Renters programs. Core in‑office days are Tuesday-Thursday, with the fourth day determined by business needs.
Consulting Manager, Healthcare Claims PM Cognizant Technology Solutions CorpConsulting Manager, Healthcare Claims PMMason, OHBy clicking "Accept All", you agree to the storing of cookies on your device to give you the most optimal experience using our website. We may also use cookies to enhance performance, analyse site usage and to personalise your experience.
Sr Claims Administrative Assistant First Student IncSr Claims Administrative AssistantCINCINNATI, OHIn the state of Washington, all technician and driving positions, including but not limited to van drivers and any other position requiring employees to drive a company-owned vehicle, are considered safety-sensitive and are therefore subject to drug and alcohol testing, including cannabis. Performs routine clerical and administrative functions such as drafting correspondence, scheduling appointments, organizing/maintaining paper and electronic files, and providing information to callers.