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.
Cash/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. General Function : Accurately and efficiently processes client self-bill files and/or incoming payments to customer invoices/accounts in appropriate systems.
P&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.
Coordinator- Cash Applied - Cash/Claims Processor Assignment Diversity NexusCoordinator- Cash Applied - 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 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.
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.
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.
Property Adjuster Insurance Claims Elevate Claims SolutionsProperty Adjuster Insurance ClaimsCanton, 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.
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.
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!
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.
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.
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''.
Medical Claims Examiner Employ-TempsMedical Claims ExaminerUniontown, OHYou can view all our jobs by copying and pasting this link in your browser: https://employtemps.com/jobs/. Demonstrate a positive and cooperative work attitude and promote teamwork.
Claims Adjuster - Associate Independence Pet GroupClaims Adjuster - AssociateAkron, OhioRemoteEstablished in 2021, Independence Pet Holdings is a corporate holding company that manages a diverse and broad portfolio of modern pet health brands and services, including insurance, pet education, lost recovery services, and more throughout North America. Education: Must meet one of the following requirements: Associate’s Degree or equivalent work experience (One-year relevant experience is equivalent to one year college); or.
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 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.
Claims Specialist - Professional Liability Philadelphia Insurance CompaniesClaims Specialist - Professional LiabilityBeachwood, OH$95,000–$105,000 / yearEvaluates 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.
Claims Specialist - Property Philadelphia Insurance CompaniesClaims Specialist - PropertyDublin, OH$84,422–$99,320 / yearEvaluates 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.
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.
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.
Pharmacy Claims Adjudication Specialist Onco360Pharmacy Claims Adjudication SpecialistColumbus, OhioSkills/Knowledge Required: Pharmacy/NDC medication billing, Pharmacy claims resolution, PBM and Medical contracts, knowledge/understanding of Medicare, Medicaid, and commercial insurance, NCPDP claim rejection resolution, coordination of benefits, pharmacy or healthcare-related knowledge, knowledge of pharmacy terminology including sig codes, and Roman numerals, brand/generic names of medication, basic math and analytical skills, Intermediate typing/keyboarding skills. ensure prescription claims are adjudicated correctly according to the coordination of benefits, resolve any third-party rejections, obtain overrides if appropriate, and be responsible for patient outreach notification regarding any delay in medication delivery due to insurance claim rejections Pharmacy Adjudication Specialists at Onco360.
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.
Remote Claims Representative 613829 Metro Public AdjustmentRemote Claims Representative 613829Cleveland, OHRemoteIf 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.
Senior Counsel - Commercial Claims GEICO GENERAL INSURANCE COMPANYSenior Counsel - Commercial ClaimsBeachwood, OH$148,625–$260,350 / yearProvide legal advice to claims organization and business leaders on complex commercial insurance claims, including providing coverage advice, evaluating risk transfer demands and opportunities, and evaluating risk associated with potential extra-contractual exposure and alleged bad faith. A successful candidate should have ten or more years' experience advising claims organizations in insurance coverage and claims-related litigation arising from commercial insurance policies and ideally would have some familiarity with claims-related litigation risks across all fifty states.
Commercial Lines Claims Specialist AAA-Mid-Atlantic, Inc.Commercial Lines Claims SpecialistMaumee, 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.
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.
Claims Consultant Tata Consultancy Services LtdClaims ConsultantColumbus, OH$48,000–$55,000 / yearResponsibilities: To provide Absence case management and claim adjudications, based on medical documentation and the applicable Disability/FMLA/Paid Family Leave interpretation, including determining benefits due and making timely payments and adjustments. Determines benefits due, makes timely claims payments/approvals and adjustments for Workers Compensation, State Short Term Disability, and other disability offsets.
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''.
Commercial Claims Advocate Kapnick & Company, IncCommercial Claims AdvocateMaumee, OHOur 180+ colleagues provide expert guidance and creative problem solving pertaining to business insurance, risk solutions, employee benefits, worksite well-being, and personal insurance to a vast and diverse base of clients worldwide. For over 75 years, companies and individuals have looked to Kapnick as a trusted advisor, providing solutions that protect their operations and employees.
Senior Claims Representative Liberty Mutual Holding Company IncSenior Claims RepresentativeColumbus, OHResponsibilities: Investigates claim using internal and external resources including speaking with the insured or other involved parties, analysis of reports, researching past claim activity, utilizing evaluation tools to make damage and loss assessments. The full salary range for this role reflects the competitive labor market value for all employees in these positions across the national market and provides an opportunity to progress as employees grow and develop within the role.
CashClaims 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.
RCIS Crop Claims Field Adjuster I (Ohio) Zurich Insurance Group LtdRCIS Crop Claims Field Adjuster I (Ohio)OHAs a Crop Adjuster, your primary responsibilities will include: • With minimal supervision, completes field inspections and related responsibilities such as reading maps and aerial photos, measuring fields, storage bins, and discussing findings of crop loss with farmers on the most complex non-routine, problematic claims including controversial claims. Basic Qualifications: • High School Diploma or Equivalent and 6 or more months of experience in the agricultural area • Crop Adjuster Proficiency Program Certification (CAPP) must be obtained with 180 days of hire date • Reliable personal transportation and travel within territory • Valid Drivers License.
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.
Auto Claims Representative Auto-Owners Insurance CompanyAuto Claims RepresentativeAkron, OhioAbility to accurately deal with mathematical problems, including, geometry (area and volume) and financial areas (such as accuracy in sums, unit costs, and the capacity to read and develop understanding of personal and business finance documents). This job includes training and development completion of the Company’s claims training program for the assigned line of insurance and requires the person to: Investigate, evaluate, and settle entry-level insurance claims.
NewLong Term Care Claims Representative - Payment Servicing Genworth Financial IncLong Term Care Claims Representative - Payment ServicingOH$45,500–$66,000 / yearYou will work in a fast -paced environment across multiple products, ensuring claims handling follows policy provisions, internal guidelines, and Compliance requirements and will be responsible for the processing and payment of long-term care claims. Your experience or education has provided you with knowledge of medical terminology, diseases/diagnoses, and the ability to understand and interpret contract language, disability processes, nursing home licensing, and rehabilitative requirements.
NewAssistant Director, Data Science: Claims & Service Liberty Mutual Holding Company IncAssistant Director, Data Science: Claims & ServiceColumbus, OHLead end-to-end development of new predictive models for high-impact business outcomes (e.g., improving claims handling efficiency): frame and test hypotheses, design statistically rigorous experiments, assemble/label training data, engineer features, and train/validate models. D. degree (in Statistics, Mathematics, Economics, Actuarial Science or other scientific field of study) and a minimum of 2 years of relevant experience, a Master s degree (scientific field of study) and a minimum of 4 years of relevant experience or may be acquired through a Bachelor s degree (scientific field of study) and a minimum of 5+ years of relevant experience.
Claims Representative, Auto Sedgwick Claims Management Services, Inc.Claims Representative, AutoOH$50,000–$55,000 / yearProcesses auto property damage and lower level injury claims; assesses damage, makes payments, and ensures claim files are properly documented and correctly coded based on the policy. Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience.
Claims Representative , Auto Sedgwick Claims Management Services, Inc.Claims Representative , AutoOH$50,000–$55,000 / yearProcesses auto property damage and lower level injury claims; assesses damage, makes payments, and ensures claim files are properly documented and correctly coded based on the policy. Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience.
Claims Examiner, Auto | Bodily Injury Sedgwick Claims Management Services, Inc.Claims Examiner, Auto | Bodily InjuryOHTo analyze complex auto bodily injury claims on behalf of our valued clients by evaluating coverage, investigating liability, and managing damages, while ensuring timely resolution within service expectations, industry best practices, and specific client requirements. Education & Licensing: Five (5) years of claims management experience or equivalent combination of education and experience required to include in-depth knowledge of personal and commercial line auto policies, coverage's, principles, and laws.
Claims Representative, Auto | Property Damage Sedgwick Claims Management Services, Inc.Claims Representative, Auto | Property DamageOH$50,000–$55,000 / yearProcesses auto property damage and lower level injury claims; assesses damage, makes payments, and ensures claim files are properly documented and correctly coded based on the policy. Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience.
Bond 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.
Casualty Claims Specialist First Chicago Insurance CompanyCasualty Claims SpecialistColumbus, 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.
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.
Field Claims Representative Auto-Owners Insurance CompanyField Claims RepresentativeAkron, OhioAbility to accurately deal with mathematical problems, including, geometry (area and volume) and financial areas (such as accuracy in sums, unit costs, and the capacity to read and develop understanding of personal and business finance documents). This job requires mastery of claims-handling skills and requires the person to: Investigate and assemble facts, determine policy coverage, evaluate the amount of loss, analyze legal liability.
NewCommunication Effectiveness Trainer - Allstate Claims University Allstate Insurance CompanyCommunication Effectiveness Trainer - Allstate Claims UniversityOH$62,100–$105,300 / yearCoaching, Coaching, Coaching Techniques, Collaboration, Collaborative Development, Communication, Communication Strategy Development, Cultural Awareness, Design, Development Communication, Empathic Communication, Facilitating Learning, Facilitation, Indian Culture, Instructional Design, Leadership, Learning and Development (L&D), Learning Effectiveness, Learning Materials Development, Negotiation, Objection Handling, Performance Management (PM), Project Coordination, Project Planning, Results-Oriented {+ 7 more}. Develops, designs and delivers learning offerings that are aligned to business and enterprise strategy; Ensures talent management practices are understood and supported consistently within learning offerings; Drive adoption of skills-based culture to empower and develop meaningful business-relevant skills through design and delivery of learning.
Claims Facilitator Erie Indemnity CoClaims FacilitatorColumbus, OH$40,121–$64,090 / yearAdditional benefits that include company-paid basic life insurance; short-and long-term disability insurance; orthodontic coverage for children and adults; adoption assistance; fertility and infertility coverage; well-being programs; paid volunteer hours for service to your community; and dollar-for-dollar matching of your charitable gifts each year. This range represents a national range and the actual salary will depend on several factors including the scope and complexity of the role and the skills, education, training, credentials, location (State) based on ERIEs geographical differences, and experience of an applicant, as well as level of role for which the successful candidate is hired.
Claims Property Field Catastrophe (CAT) Representative (remote) Grange InsuranceClaims Property Field Catastrophe (CAT) Representative (remote)Cleveland, OHRemoteThese voluntary groups are open to all associates and have formed to celebrate similarities of ethnicity/race, nationality, generation, gender identity, and sexual orientation and include Multicultural Professional Network, Pride Partnership & Allies, Womens Group, and Young Professionals. In addition to competitive traditional benefits, Grange has also created unique benefits based on employee feedback, including a cultural appreciation holiday, family formation benefits, compassionate care leave, and expanded categories of bereavement leave.