Claim processor jobs in Cincinnati, OH - 106 jobs

The Claim Specialist serves as the primary contact for the processing and management of company accidents, injuries, or other insurance related matters. Responsibilities * Manage accidents for all lines of coverage including workers compensation, liability, auto, and property for the company * Analyze and evaluate accident/claim reports and work with others internally to understand extent of loss and applicability to insurance and/or liability * Identify and analyze employee first report of employee injuries to determine if they are compensable * Work with third party administrators in managing all workers compensation injuries based on state laws * Assist the Risk Manager with the analysis of cost regarding workers compensation injuries * Assist in the development and implementation of an effective post-loss injury program * Manage and oversee and TWAP light duty program * Oversee claims management and claim litigation processes * Collaborate with legal counsel, adjusters, and other appropriate personnel on pertinent claims matters * Assist the Risk Manager on losses and negotiate settlements, within established authority Qualifications * Possess a High School Diploma. * Possess knowledge of multi-state workers' compensation laws, cost management and return to work practices. * Possess good written and oral communication skills and the ability to present information in an appropriate manner to various groups including executive management, peers and external partners. Benefits * Stable and growing organization * Competitive weekly pay * Quick advancement * Professional, positive and people-centered work environment * Modern facilities * Comprehensive benefits package: Health, Dental, Vision, AD&D, 401(k), etc. * Paid holidays (8); paid vacation and personal days transportation, trucking, LTL, culture, family oriented, claims, insurance, accidents, workers comp, workers compensation

Since 1991, Collabera has been a leading provider of IT staffing solutions and services. We are known for providing the best staffing experience and taking great care of our clients and employees. Our client-centric model provides focus, commitment and a dedicated team to help our clients achieve their business objectives. For consultants and employees, we offer an enriching experience that promotes career growth and lifelong learning. Job Description General Function: Provide exceptional customer service and aid in problem resolution of outstanding AR balances. Assist with lockbox activity assigned by the Accounts Receivable Manager or Team Lead; perform the processing and posting of US checks, wires and other bank activity. Maintain a high level of customer service for both internal and external customers, ensuring timely collection and payment application on open receivables. Qualifications MAJOR DUTIES AND RESPONSIBILITIES: Responsible for providing excellent customer service to internal and external customers (see communications with others below) Responds to phone calls and/or emails from customers, research questions and/or problems and bring resolution to those items Ensure that the Customers needs are being met Return phone calls and/or emails within 24 hours Troubleshoot and run necessary customer reports (using SAP, queries and/or Business Objects) Assist with the daily entry of all checks and wires activity from multiple lockboxes Balance and reconcile to the clearing account Assume additional responsibilities and performs special projects as needed or directed COMMUNICATION WITH OTHERS: INTERNAL - Customers include: Collections Team, Cash Team, Billing, Accounting, Account Management and various other internal management and operational areas/staff. EXTERNAL - Customers Additional Information KNOWLEDGE AND SKILLS: Oral and written communication Superior organizational skills Analytical Customer Focus Computer/Software Skills (Advance MS Excel, SAP) EXPERIENCE: • 2+ Years collections experience preferred EDUCATION: • High School Diploma If you have questions or clarifications feel free to reach me at my phone number ************ or email me your most updated resume together with the best time to call you back.

Make a difference with a career in insurance At The Cincinnati Insurance Companies, we put people first and apply the Golden Rule to our daily operations. To put this into action, we're looking for extraordinary people to join our talented team. Our service-oriented, ethical, knowledgeable, caring associates are the heart of our vision to be the best company serving independent agents. We help protect families and businesses as they work to prevent or recover from a loss. 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. If you're ready to build productive relationships, collaborate within a diverse team, embrace challenges and develop your skills, then Cincinnati may be the place for you. We offer career opportunities where you can contribute and grow. Build your future with us Our Cincinnati Life Insurance Company Life Claims department is currently seeking a claim processor to investigate and analyze life and annuity claims to determine liability. The position requires professional communication with beneficiaries, agents and other customers while providing fair adjudication of claims and acting as a resource to others. This position is based at our Headquarters in Fairfield, Ohio. The pay range for this position is $21.00 - $23.00 hourly. The pay determination is based on the applicant's education, experience, location, knowledge, skills, and abilities. Eligible associates may also receive an annual cash bonus and stock incentives based on company and individual performance. Be ready to: * review and investigate claim evidence to determine liability and prevent fraud * interpret and apply contract language to verify coverage * answer telephone inquiries regarding new, pending and settled claims * communicate with claimants, agents, beneficiaries, attorneys and others regarding claim requirements, settlement options, and claim decisions * approve claims accurately, promptly, and within scope of authority * maintain claim files in thorough, clear and objective manner * verify data in policy administration system and calculate benefit amount to ensure accurate claim payment and financial reporting * complete contestable claim investigations Be equipped with: * understanding of life and annuity claim processing * knowledge of basic life insurance contract language * familiarity with medical terminology * strong analytical and math skills * ability to work well independently and in teams * proficiency in Microsoft Word and Excel * strong attention to detail * customer service orientation * excellent verbal and written communication skills * a willingness to pursue education to enhance professional growth Bring education or experience from: * an associate degree or equivalent life/annuity or tax-related experience * knowledge of LifePro administration system (preferred) Enhance your talents Providing outstanding service and developing strong relationships with our independent agents are hallmarks of our company. Whether you have experience from another carrier or you're new to the insurance industry, we promote a lifelong learning approach. Cincinnati provides you with the tools and training to be successful and to become a trusted, respected insurance professional - all while enjoying a meaningful career. Enjoy benefits and amenities Your commitment to providing strong service, sharing best practices and creating solutions that impact lives is appreciated. To increase the well-being and satisfaction of our associates, we offer a variety of benefits and amenities. Embrace a diverse team As a relationship-based organization, we welcome and value a diverse workforce. We grant equal employment opportunity to all qualified persons without regard to race; creed; color; sex, including sexual orientation, gender identity and transgender status; religion; national origin; age; disability; military service; veteran status; pregnancy; AIDS/HIV or genetic information; or any other basis prohibited by law. All job applicants have rights under Federal Employment Laws. Please review this information to learn more about those rights.

Claims Processor | $22.00 | Onsite What Matters Most: Competitive Pay of $22.00 Schedule: Onsite- Tuesday, Wednesday and Thursday Remote Monday and Friday 8am to 5pm Location: Mason, OH Temporary-to-hire opportunity with career growth and stability Weekly Pay with direct deposit or pay card When you work through The Reserves Network, you are eligible to enroll in dental, vision and medical insurance as well as 401K, direct deposit and our referral bonus program. Job Description: The Claims Processor is responsible for reviewing, processing, and verifying insurance claims to ensure accuracy, compliance, and timely payment. This role requires strong attention to detail, organizational skills, and the ability to work with confidential information. Responsibilities: Daily processing of cash receipts and postings to customer accounts, including charging payments made by credit card, other adjustments to customer accounts for credits/debits and account write-offs Identify daily unapplied amounts, post to customer accounts, call on back-up and provide A.R Maintenance of records for auditing purposes (filing remittances, bank statements, approved write offs ) Support center management and the A/R Manager with respect to any relevant Qualifications and Requirements: Knowledge of US Trade and, export, and intercompany payments. 3 to 5 years of experience. Benefits and Perks:

Cash Claims Processor needs 1+ years experience Cash Claims Processor requires: experience applying cash against medical claims 8a-430p Working knowledge of mainframe computers and systems in general, ie: AS400. Understands third party benefits and administration. Minimum keystrokes per hour requirement of 10,000 with less than 2% error rate. High level of detail orientation. Flexibility working in both a team and individual environments. Proficient in Microsoft Excel applications. Understand and honor high level of confidentiality. Promote integrity. Strong work ethic. High school degree required, Cash Claims Processor duties: Research and apply insurance payments from clients to the appropriate system invoice. Research insurance claim payments in the AS/400 to identify correct claim based on customer information, date of service and service/material procedure codes and related charges. Continuously improve methods for research and in order to effectively and efficiently process transactions. Process transactions - apply cash, member bills, resubmit invoices, write-offs, etc. Follow data processing guidelines to meet established departmental standards. Communicate with supervisor regarding transactions processed in a timely manner.

**Cash/Claims Processor - Luxottica | Mason, OH** Finding a job that fits your lifestyle isn't always easy. Kelly is hiring a **Cash/Claims Processor** to join **Luxottica** , a global leader in eyewear, including brands like **Ray-Ban** and **Oakley** (Brand: EyeMed). **Why apply:** + **Pay:** $22/hr + **Hybrid:** On-site 3 days/week (Tue-Thu) + **Schedule:** 8:00 AM - 5:00 PM + **Employment:** 7-week assignment, with possible extension + Work with a world-class company and gain hands-on experience in cash and claims processing **What you'll do:** + Handle and post customer payments, make account adjustments, and maintain accurate records + Track unapplied payments and balance daily cash receipts + Support collections and accounts receivable teams with any issues + Process cash receipts, credit card payments, wire transfers, and intercompany payments + Maintain records for auditing purposes, including remittances, bank statements, and approved write-offs + Collaborate with Collections and Deductions Specialists, and support management on AR issues + Import and balance daily sales batches **Requirements:** **Basic Qualifications:** + Strong analytical and problem-solving skills + Advanced Microsoft Word and **Excel** skills ( **must know Pivot Tables and VLOOKUP** ) + Ability to work independently and in a team environment + Strong customer service and communication skills (oral and written) + High level of confidentiality and integrity + Quick learner, able to retain new information and concepts + Ability to multitask and prioritize tasks effectively + Experience in customer service or insurance-related processes **Preferred Qualifications:** + Self-starter with a sense of urgency; works well under pressure + Knowledge of vision and/or insurance benefits + Understanding of third-party benefits and administration + Strong work ethic and integrity + Knowledge of continuous improvement methods + Experience with SAP **Next Steps:** Apply today and our recruiters will review your profile. Even if this role isn't a fit, you'll stay in our network for future opportunities. **Apply to be a Cash/Claims Processor with Kelly now!** As part of our promise to talent, Kelly supports those who work with us through a variety of benefits, perks, and work-related resources. Kelly offers eligible employees voluntary benefit plans including medical, dental, vision, telemedicine, term life, whole life, accident insurance, critical illness, a legal plan, and short-term disability. As a Kelly employee, you will have access to a retirement savings plan, service bonus and holiday pay plans (earn up to eight paid holidays per benefit year), and a transit spending account. In addition, employees are entitled to earn paid sick leave under the applicable state or local plan. Click here (********************************************************************* for more information on benefits and perks that may be available to you as a member of the Kelly Talent Community. Get a complete career fit with Kelly . You're looking to keep your career moving onward and upward, and we're here to help you do just that. Our staffing experts connect you with top companies for opportunities where you can learn, grow, and thrive. Jobs that fit your skills and experience, and most importantly, fit right on your path of where you want to go in your career. About Kelly Work changes everything. And at Kelly, we're obsessed with where it can take you. To us, it's about more than simply accepting your next job opportunity. It's the fuel that powers every next step of your life. It's the ripple effect that changes and improves everything for your family, your community, and the world. Which is why, here at Kelly, we are dedicated to providing you with limitless opportunities to enrich your life-just ask the 300,000 people we employ each year. Kelly is committed to providing equal employment opportunities to all qualified employees and applicants regardless of race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, age, marital status, pregnancy, genetic information, or any other legally protected status, and we take affirmative action to recruit, employ, and advance qualified individuals with disabilities and protected veterans in the workforce. Requests for accommodation related to our application process can be directed to the Kelly Human Resource Knowledge Center. Kelly complies with the requirements of California's state and local Fair Chance laws. A conviction does not automatically bar individuals from employment. Kelly participates in E-Verify and will provide the federal government with your Form I-9 information to confirm that you are authorized to work in the U.S. Kelly Services is proud to be an Equal Employment Opportunity and Affirmative Action employer. We welcome, value, and embrace diversity at all levels and are committed to building a team that is inclusive of a variety of backgrounds, communities, perspectives, and abilities. At Kelly, we believe that the more inclusive we are, the better services we can provide. Requests for accommodation related to our application process can be directed to Kelly's Human Resource Knowledge Center. Kelly complies with the requirements of California's state and local Fair Chance laws. A conviction does not automatically bar individuals from employment.

Job Summary: The RTW Examiner will be the key contact between our clients and non-profit partners. They will need to be motivated, results-oriented and responsible for identifying light duty opportunities with nonprofit organizations. Principal Duties & Responsibilities: Effectively communicate the details of our services with nonprofit organizations to help build our national network. Review work restrictions provided by our clients and coordinate job offers with our network of nonprofit organizations. Follow client service instructions for identifying light duty opportunities. Effectively communicate the details of the program with case managers, employers, attorneys and injured workers. Maintain detailed and accurate records. Prepare documentation outlining job offer details. Understanding of employment labor issues as they relate to state jurisdiction, laws and regulations. Ability to problem solve and communicate effectively related to client issues. Provide outstanding customer service to our clients, injured workers' and non-profit organizations. Prepare client and company reports. Sell and market our business to prospects and nonprofit organizations. Qualifications: Associates Degree or bachelor's degree in Business, Human Resources, Communications or other related field preferred Requirements Bilingual and able to communicate (verbal and written) in English and Spanish. 1-year prior customer support experience Workers' compensation experience preferred but not required Strong communication skills Goal oriented Problem solver Skills, Specialized Knowledge and Abilities Excellent customer service and telephone skills. Ability to handle sensitive information and maintain a high level of confidentiality. Ability to type 40 WPM with accuracy: data entry skills, both accurate and efficient. Able to perform at high levels of efficiency in a fast-paced production environment. Proficient with Microsoft Office products - Outlook, Word, Excel, PowerPoint. Organization, attention to detail, flexibility, and strong ability to multi-task. Ability to work in a fast-paced environment without direct supervision. Effectively work with others to build consensus and rapport. This job description is not intended to be all inclusive and the employee will also perform other reasonably related business duties as assigned by the immediate supervisor and other management as required.

Provides support for provider claims adjudication activities including responding to providers to address claim issues, and researching, investigating and ensuring appropriate resolution of claims. * Provides support for resolution of provider claims issues, including claims paid incorrectly; analyzes systems and collaborates with respective operational areas/provider billing to facilitate resolution. * Collaborates with the member enrollment, provider information management, benefits configuration and claims processing teams to appropriately address provider claim issues. * Responds to incoming calls from providers regarding claims inquiries - provides excellent customer service, support and issue resolution; documents all calls and interactions. * Assists in reviews of state and federal complaints related to claims. * Collaborates with other internal departments to determine appropriate resolution of claims issues. * Researches claims tracers, adjustments, and resubmissions of claims. * Adjudicates or readjudicates high volumes of claims in a timely manner. * Manages defect reduction by identifying and communicating claims error issues and potential solutions to leadership. * Meets claims department quality and production standards. * Supports claims department initiatives to improve overall claims function efficiency. * Completes basic claims projects as assigned. Required Qualifications * At least 2 years of experience in a clerical role in a claims, and/or customer service setting, including experience in provider claims investigation/research/resolution/reimbursement methodology analysis within a managed care organization, or equivalent combination of relevant education and experience. * Research and data analysis skills. * Organizational skills and attention to detail. * Time-management skills, and ability to manage simultaneous projects and tasks to meet internal deadlines. * Customer service experience. * Effective verbal and written communication skills. * Microsoft Office suite and applicable software programs proficiency. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $21.65 - $38.37 / HOURLY * Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. About Us Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

- Adjust and manage claims brought against security companies, private investigators and alarm installation and monitoring companies, from receipt of claim or suit through resolution or trial/appeal. Key Accountabilities/Deliverables: Provide early contact with insured to identify witnesses, employees, contracts, other relevant documents and to obtain insured's knowledge of the allegations in the claim/suit. Analyze coverage for application to claim and prepare coverage position letters including reservation of rights, disclaimers, tender to other parties and acceptance of tenders to insured where appropriate. Confer with internal and external coverage counsel where necessary to clarify coverage position and coverage litigation. Communicate with underwriting as to insured's risk potential and for clarification of policy language intent. Maintain diaries for file tasks, settlement conferences, mediations, and trial. Oversee defense counsel from initial assignment of defense and throughout litigation to ensure timely reporting, confirmation of defense strategy and analysis of new developments. Collaborate with defense counsel to develop early litigation or settlement strategy. Ensured that Defense Counsel provides timely pretrial reports. Maintain claim files, notes and documentation which comply with both internal guidelines and external regulations to include analysis of liability, damages, adequacy of reserves and outline of plan or next steps. Prepare internal reports for file documentation and early identification of significant reserve increases for presentation to management and upper management for review. Communicate with manager as to critical new developments and significant reserve increase recommendations, and potential settlement recommendations above handler's settlement authority. Timely communication and reporting of critical or new developments to exterior carriers including coverage, litigation developments, reserves, and potential settlement opportunities. Review and approve litigation budgets submitted by Defense Counsel. Regular review and updating of claim files that remain open but currently inactive and are not generating claim activity. Evaluate inactive claims for closure and removal of reserves. Attend mediation and settlement conferences when required to facilitate and negotiate settlement. Monitor and approve/reject litigation expenses recommended by Defense Counsel. Prepare settlement drafts and review of releases for accuracy. This role may require occasional travel for matters that cannot be handled through video conference. Technical Knowledge and Understanding: Licenses to be obtained where required by a state to adjust claims within that state. Knowledge of third-party liability claims handling and risk transfer analysis / coverage analysis required. Knowledge of first party commercial auto claims and security guard claims handling preferred. Experience: Bachelor's degree required. Minimum 5 plus years of claims experience preferred. Law degree strongly preferred. Previous experience in a similar role. Applicants must be authorized to work for any employer in the U.S. We are unable to sponsor or take over sponsorship of an employment Visa for this position. #LI-Hybrid - At Core Specialty, you will receive a competitive salary and opportunities for professional development and advancement. We offer medical, dental, vision, and life insurances; short and long-term disability; a Company-match of 100% of a 6% contribution 401(k) plan; an Employee Assistance Plan; Health Savings Account, Flexible Spending Account, Health Reimbursement Account, and a wellness program

Be Here. Be Great. Working for a leader in the insurance industry means opportunity for you. Great American Insurance Group's member companies are subsidiaries of American Financial Group. We combine a "small company" culture where your ideas will be heard with "big company" expertise to help you succeed. With over 30 specialty and property and casualty operations, there are always opportunities here to learn and grow. At Great American, we value and recognize the benefits derived when people with different backgrounds and experiences work together to achieve business results. Our goal is to create a workplace where all employees feel included, empowered, and enabled to perform at their best. Great American is one of the few carriers with a dedicated Property & Inland Marine Division and, in the industry segments it covers, with expertise second to none. From the underwriters to claims representatives, the focus is strictly on property and inland marine coverages. They are dedicated to writing only these coverages, which include Commercial Property Coverage, Inland Marine Coverage, Builder's Risk, Contractor's Equipment and Motor Truck Cargo. They specialize in the construction, energy & renewables, and transportation industries. **************************************************************************************************** Our Property & Inland Marine Division is looking for a Claims Supervisor/Claims Manager to work a hybrid schedule out of our downtown Cincinnati, OH office. Essential Job Functions and Responsibilities Coordinates the daily operations of the Claims team, ensuring efficient workflow and productivity. Supervises the investigation of claims to confirm coverage and to determine liability, compensability and damages. Reviews and approves appropriate claim settlements/reserves within prescribed authority. Provides guidance and recommendations on legal matters such as garnishments, arbitration, first and third-party suits. Advises team members on handling claim files and extends settlement authority as needed after thorough review. Instructs on the method and strategy of negotiating claims. May set reserves and provide recommendations or reports for Corporate Claims or senior management. Performs other duties as assigned. Job Requirements Education: Bachelor's Degree in Business Administration, Risk Management and Insurance, Finance, or a related field or equivalent experience. Experience: Generally, 5-7years of experience in property and casualty cargo claims handling. Completion of or continuing progress toward a professional designation preferred, such as Associate in Claims (AIC) and/or a Chartered Property Casualty Underwriter (CPCU). Experience and knowledge of Carmack and COGSA based claims is strongly preferred Experience and knowledge of international and intermodal shipping is strongly preferred Experience with legal matters involving cargo and/or property bailment-related claims is preferred Successful negotiator of claims is preferred Scope of Job/Qualifications: Typically manages 2 or more reports. Responsible for overseeing team priorities and coordinating daily tasks. May occasionally perform tasks alongside direct reports. Operates under policies and procedures with limited oversight. Responsible for performance and coaching of staff and has a participatory role in decisions regarding talent selection, development, and performance management. Provides training to new members of the team. Exhibits exceptional analytical, negotiation, and problem-solving abilities. Ensures the team is knowledgeable of insurance policies, coverage, and claims procedures, and stays updated on industry laws and regulations. Business Unit: Property Inland Marine Benefits: We offer competitive benefits packages for full-time and part-time employees*. Full-time employees have access to medical, dental, and vision coverage, wellness plans, parental leave, adoption assistance, and tuition reimbursement. Full-time and eligible part-time employees also enjoy Paid Time Off and paid holidays, a 401(k) plan with company match, an employee stock purchase plan, and commuter benefits. Compensation varies by role, level, and location and is influenced by skills, experience, and business needs. Your recruiter will provide details about benefits and specific compensation ranges during the hiring process. Learn more at **************************** *Excludes seasonal employees and interns.

Confident Staff Solutions is a leading staffing agency in the healthcare industry, specializing in providing top talent to healthcare organizations across the country. Our team is dedicated to helping healthcare facilities improve patient outcomes and achieve their goals by connecting them with highly skilled and qualified professionals. Overview: We are offering a HEDIS course to individuals looking to start working as a HEDIS Abstractor. Once the course is completed, we will connect you with hiring recruiters looking to hire for the upcoming HEDIS season. HEDIS Course: Includes - Medical Terminology - Introduction to HEDIS - HEDIS Measures (CBP, LSC, CDC, BPM, CIS, IMA, CCS, PPC, etc) - Interview Tips Self-Paced Course https://courses.medicalabstractortemps.com/courses/navigating-hedis-2026

* Top 100 Agency for 2025 * Best Agencies to Work for in 2024 by the Insurance Journal * Big "I" Best Practices Agency in 2023 * Annual bonus eligibility * No weekends required - great work/life balance * 3+ weeks of Paid Time Off * 8 Paid Company Holidays We are looking for someone who will * Manage the claims reporting process for agency clients. * Report claims to the appropriate carrier and maintain records in the agency management system by documenting claim actions in accordance with established procedures. * Follow up on claim to obtain the specific adjuster and claim number relevant to the reported loss. Notify appropriate parties when a claim is processed with carrier, providing accurate and timely claim information. * Continuously monitor claims until claims are closed by the insurance carrier. Report any potential issues with a claim to the client's Account Manager and Producer, escalating to management as needed. * Prepare reports by collecting and summarizing information as requested by management. Why Join AAA Club Alliance and the Energy Insurance team? * A base rate of $20.00 to $25.00/hour, depending on experience and geographic location. * Annual bonus potential Do you have what it takes? * Minimum of 2 years experience handling claims for Commercial Insurance - general liability, workers compensation, commercial auto, etc. * Strong communication skills (both verbal and written) and attention to detail * Strong time management skills * Ability to obtain property and casualty license within 60 days of hire Full time Associates are offered a comprehensive benefits package that includes: * Medical, Dental, and Vision plan options * Up to 2 weeks Paid parental leave * 401k plan with company match up to 7% * 2+ weeks of PTO within your first year * Paid company holidays * Company provided volunteer opportunities + 1 volunteer day per year * Free AAA Membership * Continual learning reimbursement up to $5,250 per year * And MORE! Check out our Benefits Page for more information ACA is an equal opportunity employer and complies with all applicable federal, state, and local employment practices laws. 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. We strive to attract and retain candidates with a passion for their work and we encourage all qualified individuals to apply. It is ACA's policy to employ the best qualified individuals available for all positions. Hiring decisions are based upon ACA's operating needs, and applicant qualifications including, but not limited to, experience, skills, ability, availability, cooperation, and job performance. Job Category: Insurance

Top 100 Agency for 2025 Best Agencies to Work for in 2024 by the Insurance Journal Big “I” Best Practices Agency in 2023 Annual bonus eligibility No weekends required - great work/life balance 3+ weeks of Paid Time Off 8 Paid Company Holidays We are looking for someone who will Manage the claims reporting process for agency clients. Report claims to the appropriate carrier and maintain records in the agency management system by documenting claim actions in accordance with established procedures. Follow up on claim to obtain the specific adjuster and claim number relevant to the reported loss. Notify appropriate parties when a claim is processed with carrier, providing accurate and timely claim information. Continuously monitor claims until claims are closed by the insurance carrier. Report any potential issues with a claim to the client's Account Manager and Producer, escalating to management as needed. Prepare reports by collecting and summarizing information as requested by management. Why Join AAA Club Alliance and the Energy Insurance team? A base rate of $20.00 to $25.00/hour, depending on experience and geographic location. Annual bonus potential Do you have what it takes? Minimum of 2 years experience handling claims for Commercial Insurance - general liability, workers compensation, commercial auto, etc. Strong communication skills (both verbal and written) and attention to detail Strong time management skills Ability to obtain property and casualty license within 60 days of hire Full time Associates are offered a comprehensive benefits package that includes: Medical, Dental, and Vision plan options Up to 2 weeks Paid parental leave 401k plan with company match up to 7% 2+ weeks of PTO within your first year Paid company holidays Company provided volunteer opportunities + 1 volunteer day per year Free AAA Membership Continual learning reimbursement up to $5,250 per year And MORE! Check out our Benefits Page for more information ACA is an equal opportunity employer and complies with all applicable federal, state, and local employment practices laws. 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. We strive to attract and retain candidates with a passion for their work and we encourage all qualified individuals to apply. It is ACA's policy to employ the best qualified individuals available for all positions. Hiring decisions are based upon ACA's operating needs, and applicant qualifications including, but not limited to, experience, skills, ability, availability, cooperation, and job performance. Job Category: Insurance

Sign On Bonus: $1,000 Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law This position is not eligible for employment based sponsorship. Ensures accurate adjudication of claims, by translating medical policies, reimbursement policies, and clinical editing policies into effective and accurate reimbursement criteria. PRIMARY DUTIES: * Review medical record documentation in support of Evaluation and Management, CPT, HCPCS and ICD-10 code. * Reviews company specific, CMS specific, and competitor specific medical policies, reimbursement policies, and editing rules, as well as conducting clinical research, data analysis, and identification of legislative mandates to support draft development and/or revision of enterprise reimbursement policy. * Translates medical policies into reimbursement rules. * Performs CPT/HCPCS code and fee schedule updates, analyzing each new code for coverage, policy, reimbursement development, and implications for system edits. * Coordinates research and responds to system inquiries and appeals. * Conducts research of claims systems and system edits to identify adjudication issues and to audit claims adjudication for accuracy. * Perform pre-adjudication claims reviews to ensure proper coding was used. * Prepares correspondence to providers regarding coding and fee schedule updates. * Trains customer service staff on system issues. * Works with providers contracting staff when new/modified reimbursement contracts are needed. Minimum Requirements: Requires a BA/BS degree and a minimum of 2 years related experience; or any combination of education and experience, which would provide an equivalent background. Certified Professional Coder (CPC) or Registered Health Information Administrator (RHIA) certification required. Preferred Skills, Capabilities and Experience: * CEMC, RHIT, CCS, CCS-P certifications preferred. Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ******************************************** for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.

By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there's no limit to what you can achieve. Newsweek Recognizes Sedgwick as America's Greatest Workplaces National Top Companies Certified as a Great Place to Work Fortune Best Workplaces in Financial Services & Insurance Claims Examiner | Public Entity Liability | Ohio Are you looking for an opportunity to join a global industry leader where you can bring your big ideas to help solve problems for some of the world's best brands? + Enjoy flexibility and autonomy in your daily work, your location, and your career path. This role is open to a work-at-home, remote, telecommuter setting in Ohio, with occasional travel required. + Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service. + Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs. **ARE YOU AN IDEAL CANDIDATE?** No day is ever the same assisting our public entity clients with their claims! If you are an agile examiner with 5+ years of experience handling both 3rd party liability and 1st party property claims, we want to talk to you! This examiner will primarily handle liability for Ohio/Nebraska and the following lines of coverage: General Liability, Auto Liability, Employment Practices Liability, Law Enforcement Liability and Public Officials Liability. **PRIMARY PURPOSE** : To analyze complex or technically difficult general liability claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service requirements; and to identify subrogation of claims and negotiate settlements. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Analyzes and processes complex or technically difficult general liability claims by investigating and gathering information to determine the exposure on the claim; manages claims through well-developed action plans to an appropriate and timely resolution. + Assesses liability and resolves claims within evaluation. + Negotiates settlement of claims within designated authority. + Calculates and assigns timely and appropriate reserves to claims; manages reserve adequacy throughout the life of the claim. + Calculates and pays benefits due; approves and makes timely claim payments and adjustments; and settles clams within designated authority level. + Prepares necessary state fillings within statutory limits. + Manages the litigation process; ensures timely and cost effective claims resolution. + Coordinates vendor referrals for additional investigation and/or litigation management. + Uses appropriate cost containment techniques including strategic vendor partnerships to reduce overall cost of claims for our clients. + Manages claim recoveries, including but not limited to: subrogation, Second Injury Fund excess recoveries and Social Security and Medicare offsets. + Reports claims to the excess carrier; responds to requests of directions in a professional and timely manner. + Communicates claim activity and processing with the claimant and the client; maintains professional client relationships. + Ensures claim files are properly documented and claims coding is correct. + Refers cases as appropriate to supervisor and management. **ADDITIONAL FUNCTIONS and RESPONSIBILITIES** + Performs other duties as assigned. + Supports the organization's quality program(s). + Travels as required. **QUALIFICATION** **Education & Licensing** Bachelor's degree from an accredited college or university preferred. Professional certification as applicable to line of business preferred. **Experience** Five (5) years of claims management experience or equivalent combination of education and experience required. **Skills & Knowledge** + Subject matter expert of appropriate insurance principles and laws for line-of-business handled, recoveries offsets and deductions, claim and disability duration, cost containment principles including medical management practices and Social Security and Medicare application procedures as applicable to line-of-business. + Excellent oral and written communication, including presentation skills + PC literate, including Microsoft Office products + Analytical and interpretive skills + Strong organizational skills + Good interpersonal skills + Excellent negotiation skills + Ability to work in a team environment + Ability to meet or exceed Service Expectations **WORK ENVIRONMENT** When applicable and appropriate, consideration will be given to reasonable accommodations. **Mental:** 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 **Physical:** Computer keyboarding, travel as required **Auditory/Visual:** Hearing, vision and talking As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is _$80,000 to $95,000 USD annual salary_ . Bonus eligible role. A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits. The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time. \#LI-REMOTE #claimsexaminer #remote Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace. **If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The company's expertise, combined with the most advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With over 33,000 colleagues and 10,000 clients across 80 countries, Sedgwick provides unmatched perspective, caring that counts, and solutions for the rapidly changing and complex risk landscape. For more, see** **sedgwick.com**

We offer a merit-based work-from-home program based on job responsibilities. After initial training in-person, you could have the flexibility of work-from-home time as defined by the leadership team. Auto-Owners Insurance, a top-rated insurance carrier, is seeking a motivated individual to join our Claims department as a Bodily Injury Claims Representative. 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. * Study insurance policies, endorsements, and forms to develop an understanding of insurance coverage. * Follow claims handling procedures and participate in claim negotiations and settlements. * Deliver a high level of customer service to our agents, insureds, and others. * Devise alternative approaches to provide appropriate service, dependent upon the circumstances. * Meet with people involved with claims, sometimes outside of our office environment. * Handle investigations by telephone, email, mail, and on-site investigations. * Maintain appropriate adjuster's license(s), if required by statute in the jurisdiction employed, within the time frame prescribed by the Company or statute. * Handle complex and unusual exposure claims effectively through on-site investigations and through participation in mediations, settlement conferences, and trials. * Handle confidential information according to Company standards and in accordance with any applicable law, regulation, or rule. * Assist in the evaluation and selection of outside counsel. * Maintain punctual attendance according to an assigned work schedule at a Company approved work location. Desired Skills & Experience * A minimum of three years of insurance claims related experience. * The ability to organize and conduct an investigation involving complex issues and assimilate the information to reach a logical and timely decision. * The ability to effectively understand, interpret and communicate policy language. * The dissemination of appropriate claim handling techniques so that others involved in the claim process are understanding of issues. Benefits Auto-Owners offers a wide range of career opportunities, and we are seeking talent that will help us continue our long tradition of success. We offer a friendly work environment, structured training program, employee mentoring and an excellent compensation/benefits package. Along with a competitive base salary, matched 401(k), fully-funded pension plan (once vested), and bonus programs, Auto-Owners also provides generous paid time off including holidays, vacation days, personal time, and sick leave. If you're looking to do rewarding work alongside great people, Auto-Owners is the place for you! Equal Employment Opportunity Auto-Owners Insurance is an equal opportunity employer. The Company hires, transfers, and promotes on the basis of ability, without consideration of disability, age, sex, race, color, religion, height, weight, marital status, sexual orientation, gender identity or national origin, or any factor contrary to federal, state or local law. * Please note that the ability to work in the U.S. without current or future sponsorship is a requirement. #LI-DNI #IN-DNI

Water Claims Coordinator/Accounts Receiveable We are currently searching for a full-time Water Claims Coordinator related to water mitigation insurance claims for our Southeast Region. The pay range for this position will be $19.00-$21.00, depending on experience. This on-site position will be located in downtown Cincinnati, OH. You will also receive company-paid parking at a nearby garage. The primary role of the Water Claims Coordinator is to bill, collect payments, and maintain accounts for the Water Restoration Department. The Water Claims Coordinator will keep precise records of all insurance/homeowner payments. Founded in 1935, Roto-Rooter is North America's largest plumbing, drain cleaning, and water cleanup services provider. Roto-Rooter operates businesses in over 100 company-owned branches, independent contractor territories, and approximately 400 independent franchise operations, serving approximately 90% of the U.S. population and parts of Canada. The ideal candidate will have 1-3 years of experience in the collection industry. In addition, the ideal candidate should possess strong communication skills, both with customers and within the insurance industry, and have a good working knowledge and/or experience in water restoration collections. Responsibilities Working knowledge of restoration billing and collections procedures 1-3 years of collections experience, preferably in the water restoration industry Administrative experience in the restoration (preferred) or service industry Highly motivated, detail-oriented, and able to work independently Outstanding organizational, time management, and follow-up skills Self-starter who thrives in a fast-paced environment Able to handle multiple projects at once Strong communication skills and ability to work professionally with customers and the insurance industry Bilingual a plus Requirements Highschool diploma or equivlant is required. 1-2 years of collections experience, preferably in the water restoration industry. Must be able to speak and write in English Basic computer skills, including Microsoft Office AS400 experience is preferred Benefits At Roto-Rooter we believe our greatest investment is in our employees. We prioritize the health and well-being of our team and their families. That's why we offer an extensive employee benefit package including: Medical insurance with a Prescription Drug Card Accident and Critical Illness Insurance Dental Insurance Vision Insurance Paid Vacation Paid Training Life Insurance Matching 401K Retirement Savings Plan Tuition Reimbursement Profit Sharing Roto-Rooter offers excellent career paths for military veterans and personnel transitioning to civilian professions. Throughout our 86 years in business, we've found that military training and structure are a great fit at our company. EEO Statement We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, religion, color, sex, gender, age, national origin, veteran status, military status, disability, gender identity, sexual orientation, genetic information, or any other characteristic protected by law. Not ready to apply? Connect with us for general consideration.

GENERAL FUNCTION Prepayment validation of designated claims to ensure appropriate forms and additional documents have been submitted. The analyst will be responsible for monitoring of outgoing letters, requesting additional information when necessary, gathering data to analyze trends with an emphasis on improving processing. MAJOR DUTIES AND RESPONSIBILITIES Validate the completeness of designated claims, including forms and additional necessary documentation Track claims that require additional information to ensure they are submitted to vendor for letter generation Analyze trends and report directly to Claims Manager Maintain effective, on -going communication within Claims Team and Manager BASIC QUALIFICATIONS Experience in Claims processing Experience in Microsoft Office Intermediate Level knowledge of PCs and spreadsheet applications. Strong communication, problem solving, teamwork and organization skills. Strong analytical skills and critical thinking. Ability to work cross functionally. PREFERRED QUALIFICATIONS Analysis experience. Knowledge of Business Objects Knowledge of Facets Highly motivated self -starter. to upload into IQN. Eyemed Mandatory Training (3 for Compliance purposes

Independent Management Services is a full-service property management and marketing firm, specializing in the revitalization of under-managed multifamily housing developments. Since our founding in 1989, we have expanded our nationwide presence to include over 100 sustainable communities in 11 states focusing exclusively in the affordable and workforce housing sectors. However, our total breath of experience also includes market rate and commercial property management. We offer competitive salaries commensurate with experience and a comprehensive benefit package. We intend to build a team of individuals, who are self-motivated, willing to learn and grow with our firm. We progressively uphold a professional management team to serve our clients, enhancing our management skills and capabilities. Your progress, training, experience, motivation, attitude, and goals may create many possibilities for career opportunities with our company. If you have superior attention to detail with outstanding communications skills and enjoy a challenging fast pace environment, join our team now! Responsibilities: Occupancy, marketing, leasing, and resident verification procedures. Collect information from residents for eligibility screening, rent calculation, and income verification. Initial and annual recertification of income for residents. Complete unit inspections prior to move in/out and ensure units are ready for occupancy within deadlines. Receive and resolve resident requests and concerns. Foster positive working relationships with residents while always maintaining a professional demeanor. Administrative support tasks such as filing, typing, answering telephones, and data entry. Reports directly to the Site Manager. Job Qualifications: Sales-minded individual with attention to detail and strong verbal/written communication skills. Excellent follow-up skills via telephone or email correspondence. Experience with Tax Credit Compliance, EIV, and HUD Section 8 subsidy programs. Knowledge of REAC and MOR compliance. Proficiency with Paycom software and Microsoft Office suite preferred. Experience with RealPage OneSite preferred. Demonstrated track record regarding work attendance and reporting to work timely. Must adhere to Federal Fair Housing Laws. Qualifications We offer a competitive salary plus benefits including: Employer paid health and dental insurance (100% employee only) with affordable dependent and family coverage. Voluntary insurance options: Vision, Life, Accident Injury, Long-Term Disability, and Identity Theft. 401(k) with above-average employer matching contribution. Generous paid time off package. Training and employee development program. Among many other employee benefits.