511 Results for

Claims Specialist Jobs in Ohio

Jobs

New!

Chillicothe, OHToday

$59,059.65–$90,000 Per Year

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). With 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!

Findlay, Ohio30+ days ago

Duty 3: Corrects all claims issues prior to submission which may be, but are not limited to, quality audits of patient demographic information and insurance eligibility, cross referencing with previous services, verifying payer authorizations, identifies and bills missing and late charges and corrects all necessary discrepancies. Duty 9: Identifies high-risk accounts, prioritizes follow up efforts, efficiently contacts various insurance payors to determine reasons for outstanding claims and proactively communicates to facilitate timely payment of submitted claims.

Findlay, Ohio30+ days ago

Findlay, Ohio20 days ago

The primary purpose of the Professional Coding Integrity Specialist (PCIS) is to review, enter and/or modify charges as appropriate, including review of clinical documentation to ensure charge is supported and/or to determine specific charge/modifier assignments, for designated clinical areas. Duty 4: Identify opportunities related to clinical documentation and/or other system enhancements to support optimal and accurate charge processes; collaborate with CDI Specialist, Claims Resolution Specialist, Revenue Integrity Auditor, Revenue Integrity Educator, clinical area, and other areas to support resolution of issues.

New!

Dayton, OH1 day ago

$69,920–$133,620 Per Year

Proactively manages assigned claims caseload comprised of complex damages that require commensurate knowledge and understanding of claims coverage including potential legal liability. 2 years of relevant property claims adjusting experience of moderate complexity losses that includes writing estimates, involving dwelling and structural damages.

New!

Columbus, OHToday

$2,141–$2,141

A Registered Nurse (RN) – Outpatient Clinic provides direct nursing care and support to patients in an outpatient setting, focusing on preventive care, chronic disease management, and patient education. Key Responsibilities: Patient Assessment and Triage: Perform initial assessments for patients visiting the clinic, including taking medical histories, measuring vital signs (e.g., blood pressure, temperature, weight), and assessing current health status.

New!

Columbus, OH1 day ago

$2,127–$2,127

A Registered Nurse (RN) – Outpatient Clinic provides direct nursing care and support to patients in an outpatient setting, focusing on preventive care, chronic disease management, and patient education. This role involves performing assessments, administering treatments, educating patients, managing patient flow, and ensuring the smooth operation of the clinic while maintaining a compassionate and professional environment.

New!

Portsmouth, OHToday

$2–$4 Per Year

We are seeking a Board Certified or Board Eligible Non-Invasive Cardiologist who has completed a fellowship to join our established Heart & Vascular team within a hospital setting. Hospital Capacity:248 staffed beds | Service Area:250,000 | Established:1966 | Employees:over 2,700 | Medical Staff:300+.

Cincinnati, OH30+ days ago

Great American's Corporate Claims Resolution Services (CRS) team receives a variety of claims from numerous Great American Insurance Company divisions involving property, general liability, professional liability, ocean marine, commercial auto, employer's liability, aviation, and employment practices liability. At Great American, we value and recognize the benefits derived when people with different backgrounds and experiences work together to achieve business results.

Columbus, OH13 days ago

Remote

As a Workers Compensation Associate Claims Specialist, you will develops the knowledge and skills needed to conduct thorough investigations, make decisions about liability / compensability, evaluate losses, negotiate settlements and manage an inventory of commercial property/casualty and disability claims by participating in a comprehensive training program, one-on-one mentoring, and on-the-job training. Investigates new claims by reviewing first reports of loss and supporting materials, determines the best first point of contact (claimants, customers, witnesses, etc.) to gather information regarding injuries or loss refers tasks to auxiliary units as necessary and posts file accordingly.

Columbus, OH13 days ago

Remote

Responsibilities: Plans and conducts investigations of claims (including such activities as interviewing insureds, witnesses and claimants, collecting and evaluating appropriate documentation and securing evidence and protecting the chain-of-custody) to analyze and confirm coverage and to determine liability, compensability and damages; determines need for, and engages independent adjusters, cause and origin experts and independent medical examiners. Demonstrates an advanced knowledge of claims case handling practices, legal liability, general insurance policy coverage, and the states tort laws as normally acquired through a bachelors degree (or equivalent training) plus 3 to 5 years directly related work experience.

Akron, OH18 days ago

$22.61–$27.14 Per Hour

SummaCare has one of the highest rated Medicare Advantage plans in the state of Ohio, with a 4.5 out of 5-Star rating for 2026 by the Centers for Medicare and Medicaid Services (CMS). Known for its excellent customer service and personalized attention to members, SummaCare is committed to building lasting relationships.

Cleveland, OH20 days ago

They 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.

Columbus, OH19 days ago

They 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.

Dublin, OH30+ days ago

$84,422–$99,320 Per Year

Evaluates each claim in light of facts; Affirm or deny coverage; investigate to establish proper reserves; and settles or denies claims in a fair and expeditious manner. Marketing Statement: Philadelphia Insurance Companies, a member of the Tokio Marine Group, designs, markets and underwrites commercial property/casualty and professional liability insurance products for select industries.

Dayton, OH30+ days ago

$41,200–$66,000 Per Year

CareSource takes into consideration a combination of a candidates education, training, and experience as well as the positions scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. Ensure all assigned provider issues are resolved and communicated to the provider within appropriate timeframes and claims resolutions are coordinated with all appropriate departments in order to resolve.

Fredericktown, Ohio18 days ago

Kokosing'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.

Cincinnati, OH18 days ago

Remote

$34–$37 Per Hour

With over 20 years of expertise in diagnosing rare disorders and diseases, and pioneering work in the identification of new disease-causing genes, our commitment to genetic disease detection, discovery, and diagnosis is based on sound science and is focused on enhancing patient care. Through both internal research efforts and global collaborations, we have identified and published hundreds of new disease-gene relationships and developed novel tools for genomic data analysis.

Maumee, OH30+ days ago

$26–$28.50 Per Hour

At 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.

Cincinnati, OH30+ days ago

$100,000–$135,000 Per Year

At Great American, we value and recognize the benefits derived when people with different backgrounds and experiences work together to achieve business results. https://www.greatamericaninsurancegroup.com/about-us/business-operations/division/alternative-markets.

Fredericktown, OH15 days ago

New!

Lima, OHToday

$18–$20 Per Hour

Notify 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.

OH27 days ago

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 multiple web-based applications. ElevatePFS believes in making a positive impact not only within our industry but also with our employees -the organization's greatest asset!

Columbus, OH15 days ago

$69,500–$129,000 Per Year

Nationwide 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. As a Claims Specialist, you'll investigate and handle medical and/or loss-of-time workers compensation claims from multiple states to determine compensability, entitled benefits, average weekly wage and benefit rate according to applicable state workers' compensation statute.

Columbus, OH30+ days ago

Remote

Under direct supervision, develops the knowledge and skills needed to conduct thorough investigations, make decisions about liability / compensability, evaluate losses, negotiate settlements and manage an inventory of commercial property/casualty and disability claims by participating in a comprehensive training program, one-on-one mentoring, and on-the-job training. Investigates new claims by reviewing first reports of loss and supporting materials, determines the best first point of contact (claimants, customers, witnesses, etc.) to gather information regarding injuries or loss refers tasks to auxiliary units as necessary and posts file accordingly.

OH13 days ago

Remote

$137,496–$164,934 Per Year

Boston metro area, California outside of Los Angeles & San Francisco metro area, Connecticut, Chicago metro area, Denver metro area, New Jersey (outside of New York City metro area), New York State (outside of New York City metro area, including but limited to Albany county), Washington, D. C. Essential Responsibilities: Working under limited oversight under broad management direction, adjudicate construction defect claims at the highest authority limits on assignments reflecting the highest degree of technical complexity, potentially with major impact on departmental results.

Cincinnati, Ohio30+ days ago

At 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. Minimum of 2 years experience handling claimsfor Commercial Insurance - general liability, workers compensation, commercial auto, etc.

Cincinnati, OH30+ days ago

SHS 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.

Columbus, Ohio30+ days ago

The 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.

Dublin, Ohio22 days ago

Universal Shield Insurance Group offers an industry-competitive benefits package, including health insurance with a company-contributed HSA, dental insurance, vision coverage, short term disability insurance, long term disability insurance, AD&D insurance, Employee Assistance Program (EAP), and other lifestyle and family-friendly and work/life balance benefits. USIG and its insurance entities (Universal Fire & Casualty Insurance Company “UFCIC” and Shield Indemnity Incorporated “Shield”) maintain an AM Best Financial Strength Rating (FSR) of A- (Excellent) and the Long-Term Issuer Credit Ratings (Long-Term ICR) of “a-“.

Avon, Ohio30+ days ago

Estimates losses directly or working with consultants, independent adjusters and other experts to assess building, personal property, business income, heavy equipment, and other damages that can include losses which may range from moderate to large loss levels. The position requires the individual to apply common sense, understanding, reasoning and sound educated judgement coupled with sound Claims training and experience to properly evaluate and analyze claims for recommended action within assigned authority levels.

Cincinnati, OH30+ days ago

$53,500–$90,000 Per Year

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Cincinnati, OH25 days ago

For applicant support and additional information about employment with the State of Ohio, return to Careers. Ohio.

Highland Heights, OH12 days ago

$19–$21 Per Hour

For ideas about how you might be able to protect yourself from job scams, visit our scam-awareness page at https://careers.progressive.com/pages/how-we-hire-faq-job-scams/. In addition to ensuring essential administrative functions run smoothly, you may also interact with customers and medical providers by phone or in person when applicable.

Work At Home, OH11 days ago

$18.50–$42.35 Per Hour

Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Review and adjust SF (self-funded), FI (fully insured), Reinsurance, and/or RX claims; adjudicates complex, sensitive, and/or specialized claims in accordance with claim processing guidelines.

Wooster, Ohio30+ days ago

This role is responsible for determining coverage, assessing liability, establishing and adjusting reserves, evaluating claims, managing litigation, and negotiating settlements within assigned authority limits across multiple lines of business, including Homeowners, Personal Auto, Commercial Auto, Commercial Liability, Businessowners and Farm Liability. The position requires the individual to apply common sense, understanding, reasoning and sound educated judgement coupled with sound Claims training and experience to properly evaluate and analyze claims for recommended action within assigned authority levels.

Toledo, OH30+ days ago

The organization employs over 1,300 health care providers through ProMedica Physicians and has more than 2,300 physicians and advanced practice providers with privileges. It serves communities across nine states and provides a range of services, including acute and ambulatory care, a dental plan, and academic business lines.

OH30+ days ago

$80,000–$100,000 Per Year

164667'',''true'',''164667'',''false'',''Submission for the position: Claims -Workers' Compensation Litigation Specialist II-IV - (Job Number: 2600428)'',''false'',''164667'',''false'',''true'',''Claims -Workers' Compensation Litigation Specialist II-IV'',''2600428'',''US-OH-Fairfield'',''!*! '',''false'',''164667'',''164667'',''true'',''164667'',''false'',''Submission for the position: Claims -Workers' Compensation Litigation Specialist II-IV - (Job Number: 2600428)'',''false'',''164667'',''false'',''true''.

Cincinnati, OH30+ days ago

$90,000–$150,000 Per Year

165286'',''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.

Cincinnati, OH25 days ago

$35,000–$50,000 Per Year

Including but not limited to managing the group email inbox, processing incoming receipts, processing assignments to collection firms, arbitration assignments and managing incoming physical mail. Recovery Specialist role includes overseeing subrogation efforts on small and medium non-litigation auto losses as well as providing administrative support to the Claims Recovery area and its processes.

Middlefield, OH30+ days ago

Tarkett creates and manufactures solutions for hospitals, schools, housing, hotels, offices, stores and sports fields, serving customers in over 100 countries. To build The Way to Better Floors, the Group is committed to circular economy and sustainability, in line with its Tarkett Human-Conscious Design approach.

Cleveland, OH17 days ago

Ability to deal with problems involving few variables within familiar context; define problems, collect data, establish facts & draw valid conclusions; calculate fractions, decimals & percentages; use proper research methods in gathering data & make impartial decisions; check data against records for accuracy; operate VDT & PC; read & understand medical reference manuals; prepare meaningful, concise & accurate reports; gather collate & classify information about data, people or things; proofread technical materials & make corrections; handle sensitive inquiries from & contacts with officials & general public; comprehend computer generated reports, oral & written business communications. ''142288'',''true'',''142288'',''false'',''Submission for the position: Cleveland - Workers'' Compensation Claims Supervisor- PN: 20069011 - (Job Number: 2600046T)'',''false'',''142288'',''false'',''true'',''Cleveland - Workers'' Compensation Claims Supervisor- PN: 20069011'',''2600046T'',''Workers'' Compensation'',''Workers'' Compensation'',''Ohio Bureau of Workers'' Compensation Human Resources, Sierra.

Cincinnati, OH30+ days ago

$59,059.65–$82,000 Per Year

Physical agility to allow for: walking; bending, reaching, kneeling, squatting, stooping, frequent lifting, carrying, unfolding, and climbing a ladder; ability to utilizing appropriate equipment in accordance with safety guidelines to traverse roofs at various heights and pitches for inspection of both residential and commercial structures; ability to crawl in tight spaces to gather information needed during the adjustment of a claim. With 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!

Cincinnati, OH13 days ago

$90,000–$150,000 Per Year

165766'',''true'',''165766'',''false'',''Submission for the position: Claims - Surety Fidelity Litigation Specialist II-IV - (Job Number: 2600532)'',''false'',''165766'',''false'',''true'',''Claims - Surety Fidelity Litigation Specialist II-IV'',''2600532'',''US-OH-Fairfield'',''!*! '',''false'',''165766'',''165766'',''true'',''165766'',''false'',''Submission for the position: Claims - Surety Fidelity Litigation Specialist II-IV - (Job Number: 2600532)'',''false'',''165766'',''false'',''true''.

Cincinnati, OH11 days ago

Scope 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.

Columbus, OH13 days ago

$88,000–$164,000 Per Year

Nationwide 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. If you're passionate about helping people protect what matters most to them at a Fortune 100 company with nearly $70 billion in annual sales, as well as innovating and simplifying processes and operations to provide the best customer value, then Nationwide's Property and Casualty team could be the place for you!

Columbus, OH30+ days ago

$62,500–$115,500 Per Year

Nationwide 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. In this role, you'll conduct on-site inspections, evaluate property damages, determine policy coverage, and make timely, accurate decisions using a variety of tools and resources, including vendor estimates, independent adjusters, and self-written assessments.

Columbus, OH13 days ago

$17–$31.30 Per Hour

The candidate will serve as a medical/hospital claim processor for rework projects, compliance, and complex issues for a specific provider/network or large-scale rework projects generated as a result of plan sponsor issues, release fallout and/or legal/regulatory/compliance concerns. We are looking for a highly motivated candidate who can effectively and accurately review and rework sensitive, complex medical and hospital claims for our rework project department.

Independence, OH30+ days ago

$85,600–$141,200 Per Year

Directly investigate each claim through prompt and strategically-appropriate contact with appropriate parties such as policyholders, accounts, claimants, law enforcement agencies, witnesses, agents, medical providers and technical experts to determine the extent of liability, damages, and contribution potential. Actively engages in the identification, selection and direction of appropriate internal and/or external resources for specific activities required to effectively evaluate claims, such as Subrogation, Risk Control, nurse consultants, and fire or fraud investigators, and other experts.

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Claims Specialist Jobs in Ohio

Claim Specialist - Property Field Inspection State Farm Mutual Automobile Insurance Company

PFS Professional Medical Billing Specialist (PRN) Blanchard Valley Health System

PFS Facility Medical Billing Specialist (PRN) Blanchard Valley Health System

PFS Facility Medical Billing Specialist - 40 hrs/wk, 1st shift Blanchard Valley Health System

HIS - Professional Coding Integrity Specialist - 40 hrs/wk, 1st shift Blanchard Valley Health System

Property Adjuster Specialist - Field USAA

Travel Nurse RN - Outpatient Clinic - $2,141 per week in Columbus, OH TravelNurseSource

Travel Nurse RN - Outpatient Clinic - $2,127 per week in Columbus, OH TravelNurseSource

Non Invasive Cardiologist Southern Ohio Medical Center

Sr. Claims Representative / Claims Specialist-Corporate Claims Division Great American Insurance Company

Associate Claims Specialist - Workers Compensation - Central Region Liberty Mutual Holding Company Inc

Senior Claims Specialist I - Workers Compensation - Central Region Liberty Mutual Holding Company Inc

Claims Specialist SummaCare Inc

Casualty Claims Specialist First Chicago Insurance Company

Casualty Claims Specialist First Chicago Insurance Company (FCIC)

Claims Specialist - Property Philadelphia Insurance Companies

Claims Specialist III CareSource

Risk Insurance Claims Specialist Kokosing Industrial

Claims Specialist GeneDX LLC

Commercial Lines Claims Specialist AAA-Mid-Atlantic, Inc.

Claims Technical Director/Senior Claims Specialist-Alternative Markets Great American Insurance Company

Risk Insurance Claims Specialist Kokosing Construction Company Inc

P&C Insurance Claims Specialist Kesner Insurance Agency, Inc

Senior Claims Specialist (Appeals & Denials) Elevate Patient Financial Solutions Inc

Workers Compensation, Claims Specialist II Nationwide Mutual Insurance Co

Associate Claims Specialist Liberty Mutual Holding Company Inc

Senior Construction Defect Technical Claims Specialist Argo Group International Holdings Inc

Commercial Lines Claims Specialist AAA Club Alliance

Senior Casualty Claim Representative/Claims Specialist-Specialty Human Services Great American Insurance Company

Bodily Injury Claims Specialist Auto-Owners Insurance Company

Commercial Auto/Garage Claims Specialist Universal Shield Insurance Group

Property Claims Specialist Field Western Reserve Group

Claims - Workers Compensation Specialist I-IV Cincinnati Financial Corp

Cincinnati WC Claims Specialist (PN: 20069655) Highland County Joint Township District Hospital

Claims Administrative Support Specialist The Progressive Corp

Senior Claims Benefit Specialist CVS Health Corp

Casualty/Liability Claim Specialist Western Reserve Group

Claims Specialist, Workers'''' Compensation and Unemployment ProMedica Health System Inc

Claims -Workers' Compensation Litigation Specialist II-IV Cincinnati Financial Corp

Claims - Casualty Litigation Specialist II-IV Cincinnati Financial Corp

Claims - Recovery Specialist II Cincinnati Financial Corp

Claims & Quality Specialist Tarkett SA

Cleveland - Workers'''' Compensation Claims Supervisor- PN: 20069011 State of Ohio

Claim Specialist - WCCS Deployed State Farm

Claims - Surety Fidelity Litigation Specialist II-IV Cincinnati Financial Corp

Senior Casualty Claims Technical Director-Alternative Markets Great American Insurance Company

Claims Spec III, Coml Property - Farm and Agribusiness Nationwide Mutual Insurance Co

Claims Adjuster II, Field Property - National Catastrophe Nationwide Mutual Insurance Co

Claim Benefit Specialist CVS Health Corp

Technical Specialist, Construction Claim The Travelers Companies Inc

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