NewInsurance Claims Processor Global Channel ManagementInsurance Claims ProcessorMason, OhioResearch insurance claim payments in the AS/400 to identify correct claim based on customer information, date of service and service/material procedure codes and related charges. Process transactions apply cash, member bills, resubmit invoices, write-offs, etc.
NewCash Claims Processor Global Channel ManagementCash Claims ProcessorMason, OhioResearch insurance claim payments in the AS/400 to identify correct claim based on customer information, date of service and service/material procedure codes and related charges. Process transactions apply cash, member bills, resubmit invoices, write-offs, etc.
NewClaims Processor Global Channel ManagementClaims ProcessorMason, OhioReview incoming membership documents (Microsoft Excel and Word) to confirm accuracy in formatting and validity of data; includes communicating when updates are needed for successful membership enrollment and/or submission for processing. Monitor team shared Outlook mailbox for incoming membership documents sent from clients, brokers or Third Party Administrators.
Independent Medical Evaluators - Occupational Medicine, PM&R and Orthopedists MRG ExamsIndependent Medical Evaluators - Occupational Medicine, PM&R and OrthopedistsLatonia, KYCompany Overview: MRG Exams is a leading provider of Independent Medical Evaluations (IME) and Permanent Partial Impairment Ratings (PPIR) services for the Ohio Bureau of Workers' Compensation (BWC), third-party administrators, Managed Care Organizations (MCOs), and employers. Joining our team as an independent medical provider presents an excellent opportunity for both experienced providers seeking a new challenge and newly starting physicians looking to establish themselves in a unique field outside of patient care.
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.
NewData Entry/Claims Processor GlobalchannelmanagementData Entry/Claims ProcessorMason, OhioReview incoming membership documents (Microsoft Excel and Word) to confirm accuracy in formatting and validity of data; includes communicating when updates are needed for successful membership enrollment and/or submission for processing. Data Entry/Claims Processor duties: Monitor team shared Outlook mailbox for incoming membership documents sent from clients, brokers or Third Party Administrators (TPA's).
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.
Claims Specialist trak groupClaims SpecialistBlue Ash, OHKnown for its stability, strong company culture, and continued growth, the organization has earned recognition as one of the region's top workplaces and has built a reputation for providing exceptional employee benefits and long-term career opportunities. We are seeking a Claims Specialist to manage the end-to-end life insurance claims process while providing exceptional customer service to policyholders, agents, funeral homes, and internal stakeholders.
NewClaims testing Global Channel ManagementClaims testingMason, OhioClaims testing duties: Liaison to the Senior Analysts and Manager of the Claims Testing team to identify claims processing discrepancies due to system setup issues that require cross functional partnership and retesting. Work with cross functional departments to ensure system is ready for testing scenarios to be keyed.
NewAssociate Claims Attorney/Claims Attorney - Bond Division Great American Insurance CompanyAssociate Claims Attorney/Claims Attorney - Bond DivisionCincinnati, OHWhile the Division continues to be one of the largest writers of Contract bonding, they are also a leading provider of Commercial Surety bonds with an emphasis on Miscellaneous, License & Permit, Court, Fiduciary and Public Official bonds. With a highly diverse product line that includes both Commercial and Contract solutions, the division is one of the leading surety companies in the United States with loss results that are well below the industry average.
NewAssociate Claims Attorney/Claims Attorney - Bond Division Great American Insurance Group (DBA)Associate Claims Attorney/Claims Attorney - Bond DivisionCincinnati, OHWhile the Division continues to be one of the largest writers of Contract bonding, they are also a leading provider of Commercial Surety bonds with an emphasis on Miscellaneous, License & Permit, Court, Fiduciary and Public Official bonds. With a highly diverse product line that includes both Commercial and Contract solutions, the division is one of the leading surety companies in the United States with loss results that are well below the industry average.
Bond Redemption - Operations Processor U.S. BancorpBond Redemption - Operations ProcessorCincinnati, OH$20–$22.50 / hourIn addition, certain positions may also be subject to the requirements of FINRA, NMLS registration, Reg Z, Reg G, OFAC, the NFA, the FCPA, the Bank Secrecy Act, the SAFE Act, and/or federal guidelines applicable to an agreement, such as those related to ethics, safety, or operational procedures. Duties may include functions related to payment transactions or claim processing, data entry, archiving, researching, troubleshooting and vendor/client interaction.
NewBond Redemption - Operations Processor US BankBond Redemption - Operations ProcessorCincinnati, OH$20–$22.50 / hourIn addition, certain positions may also be subject to the requirements of FINRA, NMLS registration, Reg Z, Reg G, OFAC, the NFA, the FCPA, the Bank Secrecy Act, the SAFE Act, and/or federal guidelines applicable to an agreement, such as those related to ethics, safety, or operational procedures. Duties may include functions related to payment transactions or claim processing, data entry, archiving, researching, troubleshooting and vendor/client interaction.
NewClaims Auditor Senior Elevance Health IncClaims Auditor SeniorMason, OH$22.70–$37.44 / hourThe Claims Auditor Senior is responsible for pre and post payment and adjudication audits of high dollar claims across multiple lines of business, claim types and products including complex specialized claims within Service Experience. 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.
NewCasualty 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 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.
NewHealthcare Billing Invoicing Processor Global Channel ManagementHealthcare Billing Invoicing ProcessorMason, OhioBilling Invoicing Processor duties: Facilitates accurate invoicing by identifying high risk clients and validating billing process. Understanding of Insurance and Billing Procedures: Familiarity with different insurance plans, billing processes, and coding systems (e.g., ICD-10, CPT).
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 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.
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.
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:
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.
NewCasualty 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.
Head Of Claims, Alternative Markets Division Great American Insurance Group (DBA)Head Of Claims, Alternative Markets DivisionCincinnati, OHResponsibilities: As the leader of the Alternative Market claims department, this person will be responsible for these core functions, along with other duties as assigned: Overall management of the claims department of 54 claims professionals and support staff, located in our Cincinnati headquarters and in remote locations across the country. Provides advice on the resolution of claims files with ultimate authority over settlements / reserves within prescribed limits including oversight and strategy for large claims and overall litigation management.
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.
AVP Surety Claims Core Specialty Insurance Services, Inc.AVP Surety ClaimsCincinnati, OHFull timeA minimum of 10 years’ experience in the legal or surety profession dealing specifically with surety claims handling and litigation and their management and reporting requirements, and including all aspects of recovery from indemnitors, obligees, and third parties. Engage in rigorous ALAE control and management, by competently selecting, instructing and managing outside counsel, consultants, and 3rd party vendors, as appropriate.
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.
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 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.
NewTPL Claims Representative-Bilingual/Spanish Preferred Elevate Patient Financial Solutions IncTPL Claims Representative-Bilingual/Spanish PreferredOHSpecifically, this position is focused on the effort to obtain accident details and insurance information from hospital patients and from other sources (all contact being made over the telephone), to request hospital liens and bills to be submitted to identified insurance carriers, and to communicate with both insurance adjusters and personal injury attorneys during the claims adjudication process to ensure that the hospital receives payment on submitted bills and/or liens. Provide updates to Elevate PFS's account management system as account work is completed; this is done by selecting the applicable option from an account status menu and writing a detailed note explaining what information was obtained and what transpired during the act of working each account.
NewAdjuster Claims Representative - 11717 Metro Public AdjustmentAdjuster Claims Representative - 11717Cincinnati, OHIf you think you would be a great fit for our team, click Apply to seize this opportunity and shape your own future You will receive a link to schedule an informative interview session. Metro Public Adjustment is looking for people who are interested in helping homeowners receive the maximum amount they are entitled from their insurance claim.
Field Claims Adjuster III, Property Nationwide Mutual Insurance CoField Claims Adjuster III, PropertyCincinnati, OH$79,500–$148,500 / yearNationwide pays on a geographic-specific salary structure and placement within the actual starting salary range for this position will be determined by a number of factors including the skills, education, training, credentials and experience of the candidate; the scope, complexity and location of the role as well as the cost of labor in the market; and other conditions of employment. Able to make physical inspections of property loss sites; including climb ladders, balance at various heights and rooftops up to 8/12 pitch stoop, bend and/or crawl to inspect vehicles and structures; work outside in all types of weather.
NewClaims Auditor Senior Elevance HealthClaims Auditor SeniorMason, OH$22.70–$37.44 / hourThe Claims Auditor Senior is responsible for pre and post payment and adjudication audits of high dollar claims across multiple lines of business, claim types and products including complex specialized claims within Service Experience. 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.
AVP Surety Claims Core Specialty Insurance ServicesAVP Surety ClaimsCincinnati, OhioA minimum of 10 years’ experience in the legal or surety profession dealing specifically with surety claims handling and litigation and their management and reporting requirements, and including all aspects of recovery from indemnitors, obligees, and third parties. Engage in rigorous ALAE control and management, by competently selecting, instructing and managing outside counsel, consultants, and 3rd party vendors, as appropriate.
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.
Liability Senior Claim Representative/Claims Specialist Great American Insurance CompanyLiability Senior Claim Representative/Claims SpecialistCincinnati, 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.
NewSenior Casualty Claim Representative/Claims Specialist-Specialty Human Services Great American Insurance CompanySenior Casualty Claim Representative/Claims Specialist-Specialty Human ServicesCincinnati, OH$80,000–$120,000 / yearSHS 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 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).
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.
Claims Examiner II - Marine Personal Lines Markel CorporationClaims Examiner II - Marine Personal LinesNew, KYThis includes race; color; sex; religion; creed; national origin or place of birth; ancestry; age; disability; affectional or sexual orientation; gender expression or identity; genetic information, sickle cell trait, or atypical hereditary cellular or blood trait; refusal to submit to genetic tests or make genetic test results available; medical condition; citizenship status; pregnancy, childbirth, or related medical conditions; marital status, civil union status, domestic partnership status, familial status, or family responsibilities; military or veteran status, including unfavorable discharge from military service; personal appearance, height, or weight; matriculation or political affiliation; expunged juvenile records; arrest and court records where prohibited by applicable law; status as a victim of domestic or sexual violence; public assistance status; order of protection status; status as a smoker or nonsmoker; membership or activity in local commissions; the use or nonuse of lawful products off employer premises during non-work hours; declining to attend meetings or participate in communications about religious or political matters; or any other classification protected by applicable law. Provides timely service throughout the life cycle of the claim by meeting all service level agreements, initiating timely contact to all appropriate parties, and responding to incoming inquiries according to company policy and procedures.
Independent Insurance Claims Adjuster in Fairfield, Ohio MileHigh Adjusters HoustonIndependent Insurance Claims Adjuster in Fairfield, OhioFairfield, OhioHow We Can Help You Succeed: At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting. You can also find us on YouTube at: ( https://www.youtube.com/channel/UC9nTRXrwnbC2TuYphDUVhWg ) and Facebook at: ( https://www.facebook.com/milehighadjustershouston ) for additional resources and updates.
Independent Insurance Claims Adjuster in Hamilton, Ohio MileHigh Adjusters HoustonIndependent Insurance Claims Adjuster in Hamilton, OhioHamilton, OhioHow We Can Help You Succeed: At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting. You can also find us on YouTube at: ( https://www.youtube.com/channel/UC9nTRXrwnbC2TuYphDUVhWg ) and Facebook at: ( https://www.facebook.com/milehighadjustershouston ) for additional resources and updates.
Independent Insurance Claims Adjuster in Mason, Ohio MileHigh Adjusters HoustonIndependent Insurance Claims Adjuster in Mason, OhioMason, OhioHow We Can Help You Succeed: At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting. You can also find us on YouTube at: ( https://www.youtube.com/channel/UC9nTRXrwnbC2TuYphDUVhWg ) and Facebook at: ( https://www.facebook.com/milehighadjustershouston ) for additional resources and updates.
Independent Insurance Claims Adjuster in West Chester, Ohio MileHigh Adjusters HoustonIndependent Insurance Claims Adjuster in West Chester, OhioWest Chester, OhioHow We Can Help You Succeed: At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting. You can also find us on YouTube at: ( https://www.youtube.com/channel/UC9nTRXrwnbC2TuYphDUVhWg ) and Facebook at: ( https://www.facebook.com/milehighadjustershouston ) for additional resources and updates.
Independent Insurance Claims Adjuster in Batavia, Ohio MileHigh Adjusters HoustonIndependent Insurance Claims Adjuster in Batavia, OhioBatavia, OhioHow We Can Help You Succeed: At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting. You can also find us on YouTube at: ( https://www.youtube.com/channel/UC9nTRXrwnbC2TuYphDUVhWg ) and Facebook at: ( https://www.facebook.com/milehighadjustershouston ) for additional resources and updates.
Independent Insurance Claims Adjuster in Union, Kentucky MileHigh Adjusters HoustonIndependent Insurance Claims Adjuster in Union, KentuckyUnion, KentuckyHow We Can Help You Succeed: At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting. You can also find us on YouTube at: ( https://www.youtube.com/channel/UC9nTRXrwnbC2TuYphDUVhWg ) and Facebook at: ( https://www.facebook.com/milehighadjustershouston ) for additional resources and updates.
Independent Insurance Claims Adjuster in Erlanger, Kentucky MileHigh Adjusters HoustonIndependent Insurance Claims Adjuster in Erlanger, KentuckyErlanger, KentuckyHow We Can Help You Succeed: At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting. You can also find us on YouTube at: ( https://www.youtube.com/channel/UC9nTRXrwnbC2TuYphDUVhWg ) and Facebook at: ( https://www.facebook.com/milehighadjustershouston ) for additional resources and updates.
Independent Insurance Claims Adjuster in Florence, Kentucky MileHigh Adjusters HoustonIndependent Insurance Claims Adjuster in Florence, KentuckyFlorence, KentuckyHow We Can Help You Succeed: At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting. You can also find us on YouTube at: ( https://www.youtube.com/channel/UC9nTRXrwnbC2TuYphDUVhWg ) and Facebook at: ( https://www.facebook.com/milehighadjustershouston ) for additional resources and updates.
Independent Insurance Claims Adjuster in Lawrenceburg, Indiana MileHigh Adjusters HoustonIndependent Insurance Claims Adjuster in Lawrenceburg, IndianaLawrenceburg, IndianaHow We Can Help You Succeed: At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting. You can also find us on YouTube at: ( https://www.youtube.com/channel/UC9nTRXrwnbC2TuYphDUVhWg ) and Facebook at: ( https://www.facebook.com/milehighadjustershouston ) for additional resources and updates.