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, Life Sciences CNA Financial Corp.Claims Consultant, Life SciencesWesterville, OH$72,000–$141,000 / yearPerforms a combination of duties in accordance with departmental guidelines: Manages an inventory of highly complex commercial claims with large exposures that require a high degree of technical expertise and coordination, by following company protocols to verify policy coverage, conduct investigations, develop and employ resolution strategies, and authorize disbursements within authority limits. Resolves claims by collaborating with internal and external business partners to develop, own and execute a claim resolution strategy, that includes management of timely and adequate reserves, collaborating with coverage experts, negotiating complex settlements, partnering with counsel to complex manage litigation and authorizing payments within scope of authority.
Claims Consultant Tata Consultancy Services LtdClaims ConsultantWesterville, 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 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.
Claims Specialist - Professional Liability Philadelphia Insurance CompaniesClaims Specialist - Professional LiabilityDublin, 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.
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.
Property Claims Inspector - 533968 Metro Public AdjustmentProperty Claims Inspector - 533968Columbus, 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 to from their insurance claim.
Claims Manager/Customer Service Representative American Heartland InsuranceClaims Manager/Customer Service RepresentativeColumbus, Ohio$13.50–$15 / hourJob Duties include: Insurance Claims, Answer Phones, Help Walk In Customers, Accept Payments, Process Insurance Renewals, Changes, Cancellations, etc., Data Entry. Job requirements include High School Diploma or GED and Insurance License preferred (will assist new hire in obtaining license if needed).
NewClaims Assistant Sedgwick Claims Management Services, Inc.Claims AssistantDublin, OHMental: Clear and conceptual thinking ability; excellent judgment and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines. Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience.
Long 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.
Claims - Field Claims Representative Cincinnati Financial CorporationClaims - Field Claims RepresentativeColumbus, OH$57,000–$76,000 / yearThis territory allows either an experienced or entry-level representative the opportunity to investigate and evaluate multi-line insurance claims through personal contact to ensure accurate settlements. Share your talents to help us reach for continued success as we bring value to the communities we serve and demonstrate that Actions Speak Louder in Person.
Senior Construction Defect Technical Claims Specialist Argo Group International Holdings IncSenior Construction Defect Technical Claims SpecialistOHRemote$137,496–$164,934 / yearBoston 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.
NewNational Complex Claims Leader Marsh & McLennan Companies IncNational Complex Claims LeaderDublin, OH$93,700–$174,800 / yearReporting to the SVP, National Claims Director, you will serve as a senior resource and technical authority on complex and high-exposure claims, bringing deep expertise, strategic judgment, and a national perspective to drive resolution on complex, high-stakes commercial P&C claim situations across the organization. In this capacity, you will build and maintain strong relationships with national and regional leadership, industry vertical leaders, and Marsh Risk, ensuring MMA clients receive best-in-class advocacy at every level.
Claims Analyst Arrive LogisticsClaims AnalystColumbus, OHYou will leverage advanced industry knowledge and business acumen to optimize claims operations, ensure financial integrity, and mentor junior team members, acting as a key cross-functional leader to protect the company's interests and drive strategic outcomes. This includes skillfully negotiating settlements, precisely processing all related financial transactions, and analyzing claims trends to identify recurring issues and significant financial exposure, with actionable findings presented to leadership.
Workers Compensation Claims Examiner | MI, KY, IN & OH Jurisdictions | MI, IN & KY Licensing Preferred Sedgwick Claims Management Services, Inc.Workers Compensation Claims Examiner | MI, KY, IN & OH Jurisdictions | MI, IN & KY Licensing PreferredDublin, OHRemote$60,000–$70,000 / yearMental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines. PRIMARY PURPOSE OF THE ROLE To analyze Lost-Time Workers Compensation 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.
Complex Claims Consultant - Epl, Private & NFP D&O CNA Financial Corp.Complex Claims Consultant - Epl, Private & NFP D&OWesterville, OH$72,000–$141,000 / yearPerforms a combination of duties in accordance with departmental guidelines: Manages an inventory of highly complex Financial Lines claims, with large exposures that require a high degree of specialized technical expertise and coordination, by following company protocols to verify policy coverage, conduct investigations, develop and employ resolution strategies, and authorize disbursements within authority limits. Resolves claims by collaborating with internal and external business partners to develop, own and execute a claim resolution strategy, that includes management of timely and adequate reserves, collaborating with coverage experts, negotiating complex settlements, partnering with counsel to manage complex litigation and authorizing payments within scope of authority.
Complex Claims Consultant - Private & NFP D&O CNA Financial CorpComplex Claims Consultant - Private & NFP D&OWesterville, OH$72,000–$141,000 / yearPerforms a combination of duties in accordance with departmental guidelines: Manages an inventory of highly complex Financial Lines claims, with large exposures that require a high degree of specialized technical expertise and coordination, by following company protocols to verify policy coverage, conduct investigations, develop and employ resolution strategies, and authorize disbursements within authority limits. Resolves claims by collaborating with internal and external business partners to develop, own and execute a claim resolution strategy, that includes management of timely and adequate reserves, collaborating with coverage experts, negotiating complex settlements, partnering with counsel to manage complex litigation and authorizing payments within scope of authority.
Counsel, Auto PD Claims Strategy & Partnerships Nationwide Mutual Insurance CoCounsel, Auto PD Claims Strategy & PartnershipsColumbus, OH$138,000–$243,000 / 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. License/Certification/Designation: Associates reporting within Nationwide's Office of the Chief Legal Officer (OCLO) who are functioning in attorney roles must be fully licensed in accordance with OCLO policy, in good standing and in compliance with all continuing legal education requirements at all times in the state(s) in which they practice.
Senior Consultant, Claims Casualty - E&S/Specialty (Traditional Environmental Property Damage and Bodily Injury) Nationwide Mutual Insurance CoSenior Consultant, Claims Casualty - E&S/Specialty (Traditional Environmental Property Damage and Bodily Injury)Columbus, OHRemote$122,000–$214,000 / 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. 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!
Sr Consultant, Claims - Management Liability & Specialty Lines (Surety) Nationwide Mutual Insurance CoSr Consultant, Claims - Management Liability & Specialty Lines (Surety)Columbus, OH$122,000–$214,000 / 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. 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!