Claim Specialist - Property Field Inspection State Farm Mutual Automobile Insurance CompanyClaim Specialist - Property Field InspectionAshtabula, OH$59,059.65–$90,000 / yearCompetitive candidates should reside within one of the listed zip codes and will service this same territory: 44003 44004 44010 44021 44022 44023 44024 44026 44030 44032 44040 44041 44045 44046 44047 44048 44057 44060 44062 44064 44065 44068 44072 44076 44077 44081 44082 44084 44085 44086 44087 44092 44093 44094 44095 44099 44110 44117 44119 44122 44123 44124 44132 44139 44143 44201 44202 44231 44234 44241 44255 44260 44265 44266 44272 44285 44288 44401 44402 44403 44404 44410 44411 44412 44417 44418 44420 44425 44428 44429 44430 44437 44438 44440 44444 44446 44450 44451 44470 44473 44481 44482 44483 44484 44485 44491 44504 44505 44509 44510. Additional Details: Employees must successfully complete all required training, including applicable proficiency, licensing exam(s), Motor Vehicle Record (MVR) checks, and background checks required of various state(s).
NewCELIC Chief Operating Officer Michigan Farm BureauCELIC Chief Operating OfficerCincinnati, OH$143,206–$183,303 / yearMaintain and create strong internal controls around operational processes such as death claim processing, surrender processing, loan processing, and new business processing. Assist FBI CEO and Vice Presidents in developing and implementing marketing strategies for the future success of the Farm Bureau Insurance Companies.
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.
Cash/Claims Processor Tailored ManagementCash/Claims ProcessorMASON, OH$22.55 / hourResearches and resolves data issues through coordination and communication with internal and/or external clients and team members, ensuring timely application of payments on open receivables. Communicates with team lead and manager, team members, and clients regarding issues in a timely manner and escalates as necessary to management.
NewCash/Claims Processor BelcanCash/Claims ProcessorMason, OHMAJOR DUTIES AND RESPONSIBILITIES * Accurately and timely processes simple to complex incoming payments to customer invoices/accounts * Effectively researches and resolves cash application issues using appropriate systems and with internal teams as needed * Understands and quickly processes changes resulting from new systems, plans, benefit designs, etc. Researches and resolves data issues through coordination and communication with internal and/or external clients and team members, ensuring timely application of payments on open receivables.
Cash/Claims Processor Assignment Ava ConsultingCash/Claims Processor AssignmentMason, OHResearches and resolves data issues through coordination and communication with internal and/or external clients and team members, ensuring timely application of payments on open receivables. Detailed working knowledge of basic computer operations and systems, i.e. Web-based search engines, Windows, and Microsoft Office products.
NewCash/Claims Processor The Kemtah Group, Inc.Cash/Claims ProcessorMason, OHMAJOR DUTIES AND RESPONSIBILITIES Accurately and timely processes simple to complex incoming payments to customer invoices/accounts Effectively researches and resolves cash application issues using appropriate systems and with internal teams as needed Understands and quickly processes changes resulting from new systems, plans, benefit designs, etc. Researches and resolves data issues through coordination and communication with internal and/or external clients and team members, ensuring timely application of payments on open receivables.
Cash/Claims Processor Assignment BelcanCash/Claims Processor AssignmentMason, OHMAJOR DUTIES AND RESPONSIBILITIES * Accurately and timely processes simple to complex incoming payments to customer invoices/accounts * Effectively researches and resolves cash application issues using appropriate systems and with internal teams as needed * Understands and quickly processes changes resulting from new systems, plans, benefit designs, etc. Researches and resolves data issues through coordination and communication with internal and/or external clients and team members, ensuring timely application of payments on open receivables.
Office/Administration - Cash/Claims Processor Assignment MindlanceOffice/Administration - Cash/Claims Processor AssignmentMason, OHResearches and resolves data issues through coordination and communication with internal and/or external clients and team members, ensuring timely application of payments on open receivables. " Detailed working knowledge of basic computer operations and systems, i.e. Web-based search engines, Windows, and Microsoft Office products.
Cash/Claims Processor Assignment The Kemtah Group, Inc.Cash/Claims Processor AssignmentMason, OHMAJOR DUTIES AND RESPONSIBILITIES Accurately and timely processes simple to complex incoming payments to customer invoices/accounts Effectively researches and resolves cash application issues using appropriate systems and with internal teams as needed Understands and quickly processes changes resulting from new systems, plans, benefit designs, etc. Researches and resolves data issues through coordination and communication with internal and/or external clients and team members, ensuring timely application of payments on open receivables.
AVP Applied AI, Claims The Hartford Insurance Group IncAVP Applied AI, ClaimsColumbus, OH$182,400–$273,600 / yearEstablish and enforce evaluation, monitoring, and production readiness across solution types (classification, regression, retrieval/RAG/chat, forecasting), including metric taxonomies, thresholds, validation evidence, gold/synthetic test sets, A/B testing, drift detection, failure mode analysis, and incident response expectations. Be the senior business partner for Claims leaders: proactively understand short- and long-term goals, shape the problem statements, define success measures, and ensure solutions are adopted and embedded into core claim processes and colleague experiences.
NewCashClaims Processor Belcan LLCCashClaims ProcessorMason, OHResearches and resolves data issues through coordination and communication with internal and/or external clients and team members, ensuring timely application of payments on open receivables. Accurately and efficiently processes client self-bill files and/or incoming payments to customer invoices/accounts in appropriate systems.
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 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.
NewBond Redemption - Operations Processor U.S. BankBond Redemption - Operations ProcessorCincinnati, OhioIn 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.
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.
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.
Insurance Claims Office Intern Green Public Insurance AdjustingInsurance Claims Office InternColumbus, OHIn this role, you will be responsible for essential administrative support, including managing communications, scheduling, onboarding new clients, and assisting with report preparation. If you are detail-oriented, have strong communication skills, and are excited about contributing to a positive client experience at Green Public Insurance Adjusting, we’d love to hear from you!
Claims Benefit & Disability Analyst I Medical MutualClaims Benefit & Disability Analyst ICleveland, OhioResponsible for department administrative duties that may include departmental scanning projects, ordering supplies and purchase requests, check handling, preparing and mailing monthly, quarterly and annual statements. Whether you are working remote or in the office, employees have access to on-site fitness centers at many locations, or a gym membership reimbursement when there is no Medical Mutual facility available.
NewClaims 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 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 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.
Stop Loss Claims Analyst CVS Health CorpStop Loss Claims AnalystOH$18.50–$35.29 / hourThis role involves preparing, tracking, reconciling, and helping generate and marshal stop loss filings to completion while serving as a key liaison across internal business partners, external stakeholders, and stop loss carriers. The position offers exposure to many areas of healthcare claims administration, including stop loss and reinsurance policy, data analytics, underwriting, eligibility, finance, client management, and provider and broker relations.
Bank Statement Processor APS Medical BillingBank Statement ProcessorToledo, OhioBeginning service in 1960, APS has grown into one of the premier billing companies, currently billing for over 250 client locations throughout the United States. Ensure all payments are posted correctly, discrepancies are identified and resolved promptly and month-end closing deadlines are consistently met.
Claims Advocate - Commercial Insurance Hylant GroupClaims Advocate - Commercial InsuranceToledo, OhioProactively manage the claims process for assigned clients/claims liaising with clients, adjusters, third party administrators, and other external parties as well as Hylant client executives and client services team members to advocate and facilitate claim resolution. Actively research and obtain claims information from clients and carriers, monitor claims status and action plans, and proactively communicate with all interested parties.
NewP&C Insurance Claims Specialist Kesner Insurance Agency, IncP&C Insurance Claims SpecialistLima, OH$18–$20 / hourNotify producers and/or management of severe losses or reserves over $20,000, and provide quarterly updates for clients with severe and/or frequent losses. Provide prompt, courteous same-day service to all clients, and advise insureds and claimants on the process required for loss settlement.
Senior Full-Stack Engineer I: Claims Monitoring & Management Helm HealthSenior Full-Stack Engineer I: Claims Monitoring & ManagementColumbus, OhioRemoteYou'll be part of a newly forming Integration/Analytics team that will split off from our Frontend team in the coming months, giving you a chance to shape a product area from the ground up. Helm is a Series A start-up transforming health insurance with "Dynamic Copay" – a new insurance plan that allows members to see simple upfront prices for all medical care before making decisions.
Risk Insurance Claims Specialist Kokosing IndustrialRisk Insurance Claims SpecialistFredericktown, OhioKokosing's services include heavy civil/industrial construction such as highways, bridges, underground utilities, water/wastewater facilities, and marine construction. Kokosing (www.kokosing.biz) is one of America's 50 largest General Contractors and services a broad spectrum of clients in both the private and public business sectors.
Field Property Claims Adjuster-Cleveland, OH Farmers Group, Inc.Field Property Claims Adjuster-Cleveland, OHCleveland, OHRemotePersonal contacts are a major part of activity and include policyholders, claimants, agents, witnesses, repair facilities, contractors, police and fire departments, state and county fraud and arson personnel, special investigators, attorneys, expert witnesses, members of the medical profession and all other persons incident to the investigation and processing of claims. Investigates, confirms coverage, determines liability, establishes damages, reports status and negotiates the settlement of assigned cases (has authority to make payment of assigned claims within prescribed limits).
NewDirector II, Claims Process Liberty Mutual Holding Company IncDirector II, Claims ProcessColumbus, OHLead and support the RAIC intake process, working closely with C&S Insights & Solutions leadership and other stakeholders to clarify expectations, improve alignment, and ensure effective workflow management. Serve as process owner and leadership lead for Business Continuity Planning, including activation readiness, process coordination, and communication with senior leadership during disruptions.
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.
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.
Warranty Claims Analyst (In Person) DAYTON FREIGHT LINES, INCWarranty Claims Analyst (In Person)Dayton, OHDevelop a clear understanding of the warranty processes of Dayton Freight Lines, Inc. (DFL), its suppliers, and Original Equipment Manufacturers (OEMs) for vehicle equipment and component parts. Manages and oversees Warranty Operations to ensure timely and accurate processing of all warranty claims to meet suppliers and OEMs guidelines.
Claims Operations Associate II National Interstate CorporationClaims Operations Associate IIOhioOur steadfast focus on developing niche expertise in product design, loss control and claim services has made National Interstate one of the most respected names in commercial transportation insurance today. As one of the leading commercial transportation insurers in the nation, we offer risk financing solutions in all 50 states tailored to meet the needs of a wide variety of transportation classes.
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:
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.
Bodily Injury Claims Specialist Auto-Owners Insurance CompanyBodily Injury Claims SpecialistColumbus, OhioThe position requires the person to: Assemble facts, determine coverage, evaluate the amount of loss, analyze legal liability, make payments in accordance with coverage, damage and liability determination, and perform other functions or duties to properly adjust the loss. Our group of caring associates create financial security by helping individuals and businesses make a new start when a loss occurs.
NewClaims 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.
GAP & Theft Claims Administrator I Protective Life CorporationGAP & Theft Claims Administrator ICleveland, OH$19–$20 / hourClaims Administration: Maintain all new claims, assigned to you and/or your teammates, which includes reviewing and checking in files, updating checklist based on specifications which includes, legibility of files, content, new or used vehicle, underwriter, state, etc., updating required fields: date of loss, mileage at date of loss, type of loss, customer's address, email, and phone number, updating both online status comments and claim notes, sending courtesy notice and customer checklist. The GAP & Theft Claims Administrator I will provide support our claims by handling a large volume of claims calls and emails, opening new claims, thoroughly and accurately collecting, and reviewing all claim documents, verifying all requirements have been met, and providing claim status updates.
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 Operations Associate II Vanliner Insurance CompanyClaims Operations Associate IIOhioOur steadfast focus on developing niche expertise in product design, loss control and claim services has made National Interstate one of the most respected names in commercial transportation insurance today. As one of the leading commercial transportation insurers in the nation, we offer risk financing solutions in all 50 states tailored to meet the needs of a wide variety of transportation classes.
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 Insurance Claims Specialist Kokosing Construction Company IncRisk Insurance Claims SpecialistOHKokosing's services include heavy civil/industrial construction such as highways, bridges, underground utilities, water/wastewater facilities, and marine construction. Kokosing (www.kokosing.biz) is one of America's 50 largest General Contractors and services a broad spectrum of clients in both the private and public business sectors.
ADMINISTRATIVE ASSISTANT - CLAIMS & RISK COORDINATOR Premier Health PartnersADMINISTRATIVE ASSISTANT - CLAIMS & RISK COORDINATORDayton, OHThe Department Assistant is responsible for performing all duties associated with full secretarial support for the Director of Risk Management, Claims & Insurance for Premier Health Partners, the Risk Managers for the associated entities within Premier Health Partners, and the Manager of Insurance & Claims Support for Premier Health Partners with occasional assistance to the attorneys in the General Counsel's office. Duties will include greeting visitors, scheduling meetings, answering telephones and directing calls to the appropriate personnel, typing and copying documents, data entry, filing information in claim files and taking directions from the aforementioned individuals.
Supervisor, Claims A/R Signature Health IncSupervisor, Claims A/ROHThe Supervisor, Claims A/R oversees payer related functions, including provider enrollment, insurance account analysis, denial resolution, and payment posting, and ensures that staff are equipped with the knowledge, tools, and guidance needed to perform at a high level. Demonstrated ability to oversee daily team operations and maintain alignment with departmental goals, consistent with the requirement to oversee the daily objectives of the Billing & Claims team, ensuring efficiency and accuracy.
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.
Claims Representative II - REMOTE Ryder System IncClaims Representative II - REMOTEColumbus, OHRemoteCompensation Information: The compensation offered to a candidate may be influenced by a variety of factors, including the candidate's relevant experience; education, including relevant degrees or certifications; work location; market data/ranges; internal equity; internal salary ranges; etc. Current Employees: If you are a current employee at Ryder, please click here ( http://wd5.myworkday.com/ryder/d/task/1422$3.htmld ) to log in to Workday to apply using the internal application process.