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Claims representative jobs in Dayton, OH

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  • Claims Representative

    Total Quality Logistics, Inc. 4.0company rating

    Claims representative job in Cincinnati, OH

    Country USA State Ohio City Cincinnati Descriptions & requirements About the role: As a Claims Representative with TQL, you will be a vital part of the company's risk management and loss prevention efforts. You will be responsible for managing an evolving portfolio of cargo claims, resolving them through customer, carrier and insurance outreach. This role requires a high attention to detail, customer service and investigative mentality to ensure we continue to have the best Claims team in the industry. What's in it for you: * $17.50 - $22.00/hour * Health, Dental and Vision coverage to best fit your needs, including a plan that takes $0 out of your paycheck + 401(k) with company match * Advancement opportunities within structured career paths * Employee referral bonuses * We win wherever we go - Voted a Fortune 100 Best Companies to Work For (2023) and Forbes America's Best Large Employers (2022) What you'll be doing: * Research reported claims and determine validity of the claim * Manage the documentation and submission process of each claim in your portfolio * Diligently follow up on claims and insurance companies on behalf of TQL and our customers * Collect all necessary documents and information to file, investigate and help resolve claims * Contact carriers, insurance companies, salvage companies and internal/external customers regarding claims made by customers, receivers or shippers * Work with Accounting and Collections staff to resolve carrier and customer accounting issues related to claims What you need: * Experience in claims, insurance, fraud or another related field preferred * Strong, independent decision-making skills while maintaining great relationships with the sales department * Ability to work quickly and handle requests * Capable of meeting multiple deadlines occurring at the same time * Ability to prioritize various requests and handle changing priorities * Excellent organizational skills with strong attention to detail * Good communication skills * Strong customer service orientation * Focused, positive attitude Where you'll be: 4289 Ivy Pointe Blvd Cincinnati, OH Employment visa sponsorship is unavailable for this position. Applicants requiring employment visa sponsorship now or in the future (e.g., F-1 STEM OPT, H-1B, TN, J1 etc.) will not be considered. About Us Total Quality Logistics (TQL) is one of the largest freight brokerage firms in the nation. TQL connects customers with truckload freight that needs to be moved with quality carriers who have the capacity to move it. As 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. At TQL, the opportunities are endless which means that there is room for career advancement and the ability to write your own paycheck. What's your worth? Our open and transparent communication from management creates a successful work environment and custom career path for our employees. TQL is an industry-leader in the logistics industry with unlimited potential. Be a part of something big. Total Quality Logistics is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, age, national origin, genetic information, disability or protected veteran status. If you are unable to apply online due to a disability, contact recruiting at ****************** *
    $17.5-22 hourly 50d ago
  • Warranty Claims Analyst

    Dayton Freight 4.6company rating

    Claims representative job in Dayton, OH

    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 Responsibilities As the Warranty Claims Analyst, you will analyze and process warranty claims. Develop a clear understanding of the warranty processes of Dayton Freight Lines, Inc. (DFL), its suppliers, and Original Equipment Manufacturers (OEMs) for vehicle equipment and component parts Utilizes independent judgment while assessing repair documentation provided by maintenance personnel for potential warranty claims Manages and oversees Warranty Operations to ensure timely and accurate processing of all warranty claims to meet suppliers and OEMs guidelines Maintain accurate records of submitted, returned, rejected, and/or paid claims Provide accurate, timely, and professional communications among all staff, suppliers, and OEMs Collaborate with the Fleet Warranty Manager regarding maximizing efficiency and financial recovery for DFL's Warranty Program Continuously look for opportunities to improve processes Qualifications Possess a High School Diploma or equivalent. At least 1 year experience working in automotive or transportation industry. At least 1 year working as a Warranty Claims Representative or Analyst. Proficient in Microsoft Office suite (including Excel, Word and Outlook). Possess good written and oral communication skills. Ability to work independently. 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
    $40k-51k yearly est. Auto-Apply 60d+ ago
  • Claims - Field Claims Representative

    Cincinnati Financial Corporation 4.4company rating

    Claims representative job in Dayton, OH

    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 The Field Claims department is currently seeking Field Claims Representatives to service the territory surrounding: Dayton, Ohio. The candidate is required to reside within the territory. This 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. Be Ready to: * complete thorough claim investigations * interview insureds, claimants, and witnesses * consult police and hospital records * evaluate claim facts and policy coverage * inspect property and auto damages and write repair estimates * prepare reports of findings and secure settlements with insureds and claimants * use claims-handling software, company car and mobile applications to adjust loss in a paperless environment * provide superior and professional customer service * once eligible, become a certified and active Arbitration Panelist To be an Entry Level Claims Representative: Salary: The pay range for this position is $55,000 - $76,000 annually. 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 equipped with: * be available and communicative during your regular business hours * a desire to learn about the insurance industry and provide a great customer experience * the ability to work unsupervised * excellent verbal and written communication skills * strong interpersonal skills * excellent problem-solving, negotiation, organizational and prioritization skills * preparedness to follow-up with others in a timely manner * a valid driver's license Bring education or experience from: * a bachelor's degree * AINS, AIC, or CPCU designations preferred Benefits in addition to compensation include: * company car * company stock options, including Restricted Share Units and Incentive based stock options * paid time off (PTO) * 401K with 6% company match To be an Experienced Claims Representative: Salary: The pay range for this position is $62,000- $90,000 annually. 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 equipped with: * be available and communicative during your regular business hours * multi-line claims experience preferred * ability to completely assess auto, property, and bodily injury type damages * capacity to work unsupervised * excellent verbal and written communication skills * strong interpersonal skills * excellent problem-solving, negotiation, organizational, and prioritization skills * preparedness to follow-up with others in a timely manner * a valid driver's license Bring education or experience from: * one or more years of claims handling experience * AINS, AIC, or CPCU designations preferred * bachelor's degree or equivalent experience required Benefits in addition to compensation include: * company car * company stock options, including Restricted Share Units and Incentive based stock options * paid time off (PTO) * 401K with 6% company match 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.
    $62k-90k yearly 2d ago
  • Field Claims Representative - Champaign, Clark, Clinton, Greene, & Highland Counties

    Auto-Owners Insurance Co 4.3company rating

    Claims representative job in Dayton, OH

    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 and experienced field claims professional to join our team. This job handles insurance claims in the field under general supervision through the life-cycle of a claim including but not limited to: investigation, evaluation, and claim resolution. This job provides service to agents, insureds, and others to ensure claims resolve accurately and timely. 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 * Handle multi-line property and casualty claims in an assigned territory with an emphasis on property claims * Become familiar with insurance coverage by studying insurance policies, endorsements and forms * Work toward the resolution of claims, and attend arbitrations, mediations, depositions, or trials as necessary * Ensure that claims payments are issued in a timely and accurate manner * Handle investigations by phone, mail and on-site investigations Desired Skills & Experience * Bachelor's degree or direct equivalent experience handling property and casualty claims * A minimum of 3 years handling multi-line property and casualty claims with an emphasis on property claims * Field claims handling experience is preferred but not required * Knowledge of Xactimate software is preferred but not required * Above average communication skills (written and verbal) * Ability to resolve complex issues * Organize and interpret data * Ability to handle multiple assignments * Ability to effectively deal with a diverse group individuals * Ability 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) * Ability to drive an automobile, possess a valid driver license, and maintain a driving record consistent with the Company's underwriting guidelines for coverage 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-AT1 #LI-Hybrid
    $31k-40k yearly est. Auto-Apply 60d+ ago
  • Professional Billing Claims Follow Up Rep

    Cincinnati Children's Hospital Medical Center 4.5company rating

    Claims representative job in Cincinnati, OH

    JOB RESPONSIBILITIES * Financial Support - May perform duties of FSR I & II. May have specialized areas of responsibility (e.g. government & non-government billing, appeal processing, review & approval of refunds, etc.). * Systems Support - Identify system and technology needs. Participate in advancing use of technology. Ensures systems meet all regulatory and compliance requirements. * Quality - May perform research and analysis. Participate in departmental/division performance improvement and quality assurance controls. May develop and execute corrective actions plans. * Billing - Compile and prepare patient charges. Prepare invoices billings, UB-04 and 1500 claim forms to be sent to 3rd party payers for payment indicating individual line items for services and total costs. Review charges. Obtain and evaluate family, third party payers and agency resources for payment of charges. Managing patient billing and ensure procedures are billed according to contracts, transmit or mail all paper and claims, and review correspondence and follow up as needed. * Collaboration - Act as a preceptor and/or lead for new employees. Perform specialty services functions. Act as a resource within the department/division. Provide instruction for performing non-routine functions. Serve as a liaison between Physicians Billing Service, Admitting, Outpatient Surgery, Outpatient Department, Patent Financial Services and other Cincinnati Children's departments. May have supervisory responsibilities. JOB QUALIFICATIONS * High school diploma or equivalent * 3+ years of work experience in a related job discipline Primary Location South Campus Schedule Full time Shift Day (United States of America) Department Professional Billing Operation Employee Status Regular FTE 1 Weekly Hours 40 * Expected Starting Pay Range * Annualized pay may vary based on FTE status $20.57 - $25.72 Market Leading Benefits Including*: * Medical coverage starting day one of employment. View employee benefits here. * Competitive retirement plans * Tuition reimbursement for continuing education * Expansive employee discount programs through our many community partners * Shift Differential, Weekend Differential, and Weekend Option Pay Programs for qualified positions * Support through Employee Resource Groups such as African American Professionals Advisory Council, Asian Cultural and Professional Group, EQUAL - LGBTQA Resource Group, Juntos - Hispanic/Latin Resource Group, Veterans and Military Family Advocacy Network, and Young Professionals (YP) Resource Group * Physical and mental health wellness programs * Relocation assistance available for qualified positions * Benefits may vary based on FTE Status and Position Type About Us At Cincinnati Children's, we come to work with one goal: to make children's health better. We believe in a holistic team approach, both in caring for patients and their families, and in advancing science and discovery. We strive to do better and find energy and inspiration in our shared purpose. If you want to be the best you can be, you can do it at Cincinnati Children's. Cincinnati Children's is: * Recognized by U.S. News & World Report as a top 10 best Children's Hospitals in the nation for more than 15 years * Consistently among the top 3 Children's Hospitals for National Institutes of Health (NIH) Funding * Recognized as one of America's Best Large Employers (2025), America's Best Employers for New Grads (2025) * One of the nation's America's Most Innovative Companies as noted by Fortune * Consistently certified as great place to work * A Leading Disability Employer as noted by the National Organization on Disability * Magnet designated for the fourth consecutive time by the American Nurses Credentialing Center (ANCC) We Embrace Innovation-Together. We believe in empowering our teams with the tools that help us work smarter and care better. That's why we support the responsible use of artificial intelligence. By encouraging innovation, we're creating space for new ideas, better outcomes, and a stronger future-for all of us. Comprehensive job description provided upon request. Cincinnati Children's is proud to be an Equal Opportunity Employer committed to creating an environment of dignity and respect for all our employees, patients, and families. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, genetic information, national origin, sexual orientation, gender identity, disability or protected veteran status. EEO/Veteran/Disability
    $27k-37k yearly est. 9d ago
  • Claims Representative

    Augustar Financial

    Claims representative job in Cincinnati, OH

    As the Claims Representative, you will be responsible for the evaluation, investigation and resolution of individual death claims within established guidelines. You will be providing a superior customer experience to our clients. Providing superior customer service to our customers Processing and approving claim payments Providing prompt and accurate correspondence to internal and external customers Maintaining accurate and complete financial records Evaluating, analyzing and investigating claims What's in it for you Competitive pay: Fair compensation for your hard work. Healthcare coverage: Comprehensive medical, dental, and vision from day one. Life insurance: Company-paid coverage for you and your loved ones. 401(k) plan: Matching contributions to help secure your financial future. Family support: Paid parental leave and reimbursement for adoption and surrogacy expenses. Work-life balance: Flexible time-off policy to recharge and pursue passions. Dress for your day: Express your style comfortably at work. Inclusion and Culture: A respectful environment that values unique contributions. Flexible work options: Remote, hybrid, and onsite opportunities at various locations across the U.S. for better work-life integration. Well-being focus: Programs to support a healthy balance between work and home life. Community connections: Build strong relationships through virtual and in-person interactions, with resources for your growth.
    $31k-44k yearly est. 1h ago
  • Claims Pocesor

    Globalchannelmanagement

    Claims representative job in Mason, OH

    Claims Processor needs 1+ years experience, Claims Processor requires: Onsite Medium-Advance level of expertise with Microsoft Excel Proficient with Outlook Familiar with Cloud-based applications (i.e. OneDrive) Ability to multi-task and perform duties using multiple sources or systems Data Entry experience preferred Claims Processor duties: Review incoming membership documents (Microsoft Excel and Word) to confirm accuracy in formatting and validity of data Communicate when updates are needed for successful membership enrollment and/or submission for processing.
    $31k-44k yearly est. 60d+ ago
  • Independent Insurance Claims Adjuster in Cincinnati, Ohio

    Milehigh Adjusters Houston

    Claims representative job in Cincinnati, OH

    IS IT TIME FOR A CAREER CHANGE? INDEPENDENT INSURANCE CLAIMS ADJUSTERS NEEDED NOW! Are you ready to embark on a dynamic and in-demand career as an Independent Insurance Claims Adjuster? This is your chance to join a thriving industry with endless opportunities for growth and advancement. Why This Opportunity Matters: With the current surge in storm-related events sweeping across the nation, there's an urgent need for new adjusters to meet the escalating demand. As a Licensed Claims Adjuster, you'll play a crucial role in helping individuals and businesses recover from unforeseen disasters and rebuild their lives. This is not just a job-it's a rewarding career path where you can make a real difference in people's lives while enjoying flexibility, autonomy, and competitive compensation. Join Our Team: Are you actively working as a Licensed Claims Adjuster with 100 claims or more under your belt? If so, that's great! If not, no problem! Let us help you on your career path as a Licensed Claims Adjuster. You're welcome to sign up on our jobs roster if you meet our guidelines. How We Can Help You Succeed: At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting. Our expert instructor, with years of industry experience, will provide you with hands-on training, insider tips, and practical insights to prepare you for real-world challenges. Whether you're a seasoned professional or a newcomer to the field, our training programs are designed to meet you where you are and help you reach your full potential as a claims adjuster. Don't miss out on this opportunity-let us assist you in advancing your career in claims adjusting and achieving your professional goals. With our guidance and support, you'll have the opportunity to thrive in a dynamic and rewarding industry, making a positive impact on the lives of others while achieving your professional goals. Seize the Opportunity Today! Contact us now at ************ or [email protected] to learn more about our training programs and take the first step towards a fulfilling career as a Licensed Claims Adjuster. Visit our website at ******************************** to explore our offerings and view our 375+ Five-Star Google Reviews. You can also find us on YouTube at: (********************************************************* and Facebook at: (************************************************** for additional resources and updates. APPLY HERE #AdjustersNeeded #CareerOpportunity #ClaimsAdjusterTraining #MileHighAdjustersHouston By applying to this position, you consent to receive informational and promotional messages from MileHigh Adjusters Houston about training opportunities and related career programs. You may opt out at any time.
    $41k-51k yearly est. Auto-Apply 60d+ ago
  • Medical Coding Appeals Analyst

    Elevance Health

    Claims representative job in Mason, OH

    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. Job Level: Non-Management Exempt Workshift: Job Family: MED > Licensed/Certified - Other 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.
    $35k-52k yearly est. 60d+ ago
  • Claims Adjuster

    Hylant 4.6company rating

    Claims representative job in Cincinnati, OH

    The Opportunity: The Claims Adjuster is responsible for providing partners with exceptional claims handling services. Partners include, but are not limited to, public entities, public schools, agents, reinsurers, and fellow employees. The ideal candidate will be able to apply prior claims handling knowledge from experience in the insurance industry as well as experience with claims for public entities and public schools. This position can be located in one of Hylant's Ohio office locations (Cincinnati, Cleveland, Columbus or Toledo) with remote work flexibility. In This Role You Will Execute On: Investigate to confirm coverage, determine liability, establish damages, report status, document activities, discern immunities/defenses available and negotiate settlement of all types of assigned claims in a supervised learning environment. Determines, reports on, and initiates subrogation and salvage recoveries. Settle and make payments on assigned claims within prescribed authority level. Effectively plan and schedule work needed to properly handle assigned claims. Performs most duties on an individual bases, with assistance of other senior staff or supervisor if needed. Make timely contact and interview customers, claimants, and witnesses while being responsive to messages, phone calls, emails and correspondence. In This Role You'll Need: A bachelor's degree (or work experience equivalent) and valid state driver's license are required. Claims experience required; public entity and/or public-school claims experience is preferred. A well-qualified applicant has exceptional attention to detail; communicates clearly and concisely, both verbally and in writing; is a team player; and is organized and efficient with his/her time. Why Hylant? A multi-year recipient of Best Places to Work in Insurance, Hylant is a full-service insurance brokerage with over 20 offices in seven states. And since the founding of our family-owned business over 90 years ago, we made a promise to strengthen and protect the businesses, employees and communities of our client family by embracing them as our own. We're more than an insurance brokerage firm and you're more than a client, employee or neighbor. You're family. And that's just the way we treat you. Hylant is proud to be an equal opportunity workplace. All qualified applicants will receive consideration for employment without regard to race, marital status, sex, age, color, religion, national origin, Veteran status, disability or any other characteristic protected by law. If you have a disability or special need that requires accommodation, please let us know. Hylant participates in E-Verify. #LI-Hybrid
    $43k-54k yearly est. Auto-Apply 44d ago
  • Field Claims Adjuster

    EAC Claims Solutions 4.6company rating

    Claims representative job in Cincinnati, OH

    At EAC Claims Solutions, we are dedicated to resolving claims with integrity and efficiency. Join us in delivering exceptional service while upholding the highest standards of professionalism and compliance. Explore more about our commitment to innovation and community impact at ********************** Overview: Join EAC Claims Solutions as a Property Field Adjuster, where you will be managing insurance claims from inception to resolution. Key Responsibilities: - Planning and organizing daily workload to process claims and conduct inspections - Investigating insurance claims, including interviewing claimants and witnesses - Handling property claims involving damage to buildings, structures, contents and/or property damage - Conducting thorough property damage assessments and verifying coverage - Evaluating damages to determine appropriate settlement - Negotiating settlements - Uploading completed reports, photos, and documents using our specialized software systems Requirements: - Ability to perform physical tasks including standing for extended periods, climbing ladders, and navigating tight spaces - Strong interpersonal communication, organizational, and analytical skills - Proficiency in computer software programs such as Microsoft Office and claims management systems - Self-motivated with the ability to work independently and prioritize tasks effectively - High school diploma or equivalent required - Previous experience in insurance claims or related field is a plus but not required Next Steps: If you're passionate about making a difference, thrive on challenges, and deeply value your work, we invite you to apply. Should your application progress, a recruiter will reach out to discuss the next steps. Join us at EAC Claims Solutions, where your passion meets purpose, and where your contributions truly matter.
    $41k-50k yearly est. 60d+ ago
  • Property Claims Field Adjuster (Cincinnati or Dayton, OH)

    American Family Insurance Group 4.5company rating

    Claims representative job in Dayton, OH

    As a property field adjuster, you will investigate and maintain property/claims. Determine liability, secure information, reviews coverages, arranges appraisals, and settle claims. Travel may vary between 25% - 75%. You will work in the field and report to the Property Claim Manager and handle homeowner property field claims. The ideal candidate with reside between Cincinnati to Dayton, Ohio (you must be located within this area). A company fleet vehicle is provided with the position and there's an option to use the vehicle for personal use. In this primarily field-based role, you will spend 80% of your time (4+ days per week) working in the field, directly interacting with customers. On occasion you may be asked to travel to an office location for in person engagement activities such as team meetings, trainings, and culture events. Ideal candidates: Property Adjusters, restoration experience, customer service experience with construction background. Experience in construction or property field adjusting, as well as proficiency with Xactimate, is required. Position Compensation Range: $56,000.00 - $92,000.00 Pay Rate Type: Salary Compensation may vary based on the job level and your geographic work location. Relocation support is offered for eligible candidates. Primary Accountabilities * Investigates origin and cause of claims by contacting the appropriate parties including insureds, claimants, agents, attorneys, contractors, experts, special investigation unit, other adjusters, public personnel, etc. * Identifies complex issues and seeks assistance as needed. Handles claims on a good faith basis. * Handles both 1st party and 3rd party claims under multiple policy types and numerous endorsements. * Conducts on-site inspections when needed, evaluates damages and handles claim negotiations with insureds, claimants, attorneys, public adjusters. * Responds to customer inquiries, makes appropriate decisions, and closes file as needed. * Interprets and determines policies, leases, by-laws, declarations, articles, and contract coverages and applies to all parties for assigned losses. * Makes independent decisions and self-supervises most files and recognizes when assistance is needed. * Proactively provides all parties with claim process and status as appropriate; answers questions or redirects to other areas. * Serves as a mentor and subject matter expert for less experienced adjusters. * May be required to complete other assignments, job duties, or participate in projects based upon skills, achievements, or experience Specialized Knowledge & Skills Requirements * Demonstrated experience providing customer-driven solutions, support or service. * Demonstrated experience handling 1st and 3rd party, multi-line claims. * Demonstrated experience handling simple to moderately complex. * Extensive knowledge and understanding of policies and endorsements. * Extensive knowledge of each phase of the claim handling process. Licenses * Valid driver's license required plus an acceptable driving record. * Obtain state specific property casualty claims licensing as required. Travel Requirements * Up to 50%. * Catastrophe travel up to 75% as applicable. Physical Requirements * Ascending or descending ladders, stairs, scaffolding, ramps, poles and the like. This position may require employees to visit areas that have a higher hazard than a typical office such as customer homes, body shops, or other locations. * Moving self in different positions to accomplish tasks in various environments including tight and confined spaces. * Adjusting or moving objects up to 50 pounds in all directions. Working Conditions * Low/high temperatures. * Outdoor elements such as precipitation and wind. * Noisy environments. * Hazardous conditions. * Poor ventilation. * Small and/or enclosed spaces. Additional Information * Offer to selected candidate will be made contingent on the results of applicable background checks * Offer to selected candidate is contingent on signing a non-disclosure agreement for proprietary information, trade secrets, and inventions * Sponsorship will not be considered for this position unless specified in the posting * #LI-Hybrid We provide benefits that support your physical, emotional, and financial wellbeing. You will have access to comprehensive medical, dental, vision and wellbeing benefits that enable you to take care of your health. We also offer a competitive 401(k) contribution, a pension plan, an annual incentive, 9 paid holidays and a paid time off program (23 days accrued annually for full-time employees). In addition, our student loan repayment program and paid-family leave are available to support our employees and their families. Interns and contingent workers are not eligible for American Family Insurance Group benefits. We are an equal opportunity employer. It is our policy to comply with all applicable federal, state and local laws pertaining to non-discrimination, non-harassment and equal opportunity. We also consider qualified applicants with criminal histories, consistent with applicable federal, state and local law. American Family Insurance is committed to the full inclusion of all qualified individuals. If a reasonable accommodation is needed to participate in the job application or interview process, to perform essential job functions, and/or to receive other benefits and privileges of employment, please email *************** to request a reasonable accommodation. #LI-JA2
    $56k-92k yearly Auto-Apply 31d ago
  • Claims Analyst

    Confident Staff Solutions

    Claims representative job in Cincinnati, OH

    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
    $28k-47k yearly est. 60d+ ago
  • Water Restoration Claims Coordinator

    Roto-Rooter Services Company 4.6company rating

    Claims representative job in Cincinnati, OH

    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.
    $19-21 hourly 15d ago
  • Claims Specialist

    Jurgensen Companies 3.9company rating

    Claims representative job in Cincinnati, OH

    We are seeking a highly organized, customer-focused, and detail-oriented professional to serve as our Claims Specialist for our main office in Sharonville, Ohio. This position provides in-person support for team members and customers alike. The person hired will play a critical role within our organization - supporting teams across multiple departments while maintaining the professional atmosphere of our office and ensuring accurate and timely support for a variety of operational processes. What will your day look like? As the Claims Specialist, each day is a balance of providing a welcoming and safe environment for team members and visitors, and managing inbound calls, while supporting safety and compliance efforts. You'll handle a variety of tasks from meeting prep and processing claims to tracking safety data and supporting compliance data. It's a fast-paced, detail-driven role that keeps you at the center of communication and operations. Key Responsibilities: 1. Analytical & Investigative Skills Ability to gather and evaluate claim details, verify accuracy, and assess coverage. Skilled at identifying inconsistencies, determining root causes, and making evidence-based recommendations. Proficient in interpreting policy language, claim documentation, and regulatory requirements. 2. Communication & Interpersonal Skills Strong written and verbal communication abilities for interacting with claimants, adjusters, and internal teams. Demonstrates empathy and professionalism when handling sensitive or emotionally charged situations. Capable of explaining complex claim decisions clearly and diplomatically. 3. Organizational & Process Management Skills Highly organized in managing multiple active claims while meeting deadlines. Proficient in documentation, data entry, and maintaining accurate claim files. Strong time management skills with attention to detail and follow-through. 4. Data & Reporting Proficiency Skilled in compiling claim data, spotting trends, and preparing clear, actionable reports. Uses data insights to support risk management and continuous improvement initiatives. 5. Confidentiality & Ethics Demonstrates discretion in handling personal and financial information. Upholds legal and ethical standards in all aspects of claim management. Qualifications: High school diploma or GED required; associate's or bachelor's degree preferred. 2+ years of experience in administrative, customer service, or safety support roles. Proficiency with Microsoft Office Suite (especially Excel) and comfort learning new software. Strong communication and organizational skills. Ability to multitask and maintain professionalism in a fast-paced environment. High attention to detail and confidentiality, especially with sensitive documents. Work Environment: This is a 100% in-office role requiring frequent interaction with team members, management, visitors, and vendors. Must be comfortable managing multiple tasks, meeting deadlines, and providing excellent service in person and over the phone. Must be able to lift and move objects weighing up to 50lbs. EOE/M/F/Disabled/Veteran/DFSP
    $35k-56k yearly est. Auto-Apply 60d+ ago
  • Claims Specialist

    Global Channel Management

    Claims representative job in Mason, OH

    Claims Specialist needs 1 year claims system experience, preferably in the Healthcare industry Claims Specialist requires: College degree or equivalent experience required Minimum of 1 year claims system experience, preferably in the Healthcare industry Basic analytical and problem solving skills Good communication and interpersonal skills Ability to work independently and with others Ability to manage more than one assigned tasks at the same time Claims Specialist duties: Responsible for setting up new Managed Care groups in the claims system Responsible for fulfilling requested revisions to existing Managed Care group in the claims system (except Reseller product changes) Responsible for creating standard products in the system (using the Product Key Sheet method) Responsible for performing audits on client setup or maintenance requests (excludes complex product configuration requests) Follow the established corporate and industry audit controls (i.e. SOX, SSAE 18, etc.) when fulfilling setup and maintenance requests Resolve client structure setup questions/issues sent to the team with minimal supervisor guidance Maintain relationships with Implementation Managers and Account Managers to facilitate fulfillment of implementation questions and requests in a timely manner
    $29k-51k yearly est. 60d+ ago
  • Commercial Lines Claims Specialist

    AAA Mid-Atlantic

    Claims representative job in Cincinnati, OH

    * 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
    $20-25 hourly Auto-Apply 37d ago
  • Field Property Adjuster

    Chubb 4.3company rating

    Claims representative job in Cincinnati, OH

    Chubb is looking for an experienced Field Property Claims Adjuster. This position will be responsible for handling field property claims in Cleveland, OH as well as surround areas. The ideal candidate will be located in the Cleveland, OH area. This is a field adjuster role that requires conducting physical site inspections of residential and commercial properties to assess damages and determine coverages. The position involves traveling to various locations for on-site evaluations and is not a desk-based role. Responsibilities Ensure onsite inspection are completed of properties to include investigating facts, evaluating damages, and writing estimates. Investigate and adjust both personal and commercial property claims with exposures up to and over $500,000. Effectively evaluate contract language and identify coverage issues. Promptly and appropriately develop the file to provide accurate and timely investigation and loss analysis. Maintain an active file diary to move file toward resolution. Recognize and pursue recovery. Adhere to all statutory and regulatory fair claims practices. Recognize and identify potential fraudulent claims. Effectively control the use, work product, and expenses of outside vendors such as IA's, engineers or others involved with the claim. Recognize, engage, and oversee additional investigate actions where needed utilizing engineers, accountants, and other expert vendors. Effectively evaluate claim facts and negotiate claim settlements. Develop and maintain strong business relationships with internal and external customers. Successfully contribute to the development and delivery of the team's goals, objectives and results. Supports workload surges and/or Catastrophe Operations as needed to include working overtime during designated CATs. Establish and maintain rapport with business partners including insureds, agents, and underwriters. Provide excellent customer service skills to a diverse client base that results in more than satisfied clients. Conduct site inspections while effectively maintaining ownership of the claim experience including ownership of primary contact with insured and agent, validating coverage, owning the coverage investigation and coverage communication while working with vendors in a remote environment handling claims in the western territory. Strong knowledge of first party, personal and commercial insurance contracts, investigation techniques, legal requirements, and insurance regulations a plus. Experience in commercial claims handling would be preferred. Must have a minimum of 3 years handling structure, field property claims in a remote environment, conducting site inspections, developing scope, addressing coverage, and writing estimates. A 4-year college degree or approximately 5 year equivalent structure, field property claims handling experience required. Demonstrated experience successfully working in a fully remote environment. Mobile Claims/Estimate/Symbility/CoreLogic or similar estimating platform experience preferred. An aptitude for evaluating, analyzing, and interpreting information. Excellent verbal and written communication skills. Innovative thinker with ability to multi-task. Strong customer service skills. Working knowledge in Microsoft Office. Prior experience handling complex claims with large exposures. Ability to work both independently and in a team supportive environment. Empowerment to make decisions within your authority and execute company mission Must have the ability to secure the Property and Casualty Adjusters license within 6 months of employment.
    $43k-56k yearly est. Auto-Apply 9d ago
  • Claims Administrator

    Sheakley Group of Companies 3.8company rating

    Claims representative job in Blue Ash, OH

    Job Summary: The Claims Administrator supports both the Unemployment and Workers' Compensation Account Management Teams by performing a variety of administrative, claims processing, and customer service responsibilities. This role ensures accurate data entry, efficient claim handling, and professional communication with clients and external parties. Principal Duties & Responsibilities: Unemployment Claims Support * Process incoming and outgoing mail related to unemployment claims * Scan claim documentation and manage electronic filing * Perform pre-entry of new claims and claim determinations * Process designated low-complexity unemployment claims * Data entry for Request for Information (RFI) files * Audit and enter employer charge statements * Make phone calls to clients to verify claim status information * Assist with client retention efforts Workers' Compensation / Non-At-Fault Claims Support * Perform Non-At-Fault claims administration * Assist with subrogation coordination * Communicate via phone and email with involved parties to obtain required documentation and details * Enter claim information into Sheakley's internal systems General Administrative & Customer Service * Provide excellent customer service to clients and internal partners * Maintain organized claim files and documentation * Handle sensitive information while maintaining strict confidentiality * Support Account Management Teams with various administrative needs Qualifications * Ability to type 40 WPM with accuracy * Proficient with 10-key * Accurate and efficient data entry skills * Excellent customer service and telephone communication skills * Proficient with Microsoft Office (Word, Excel, Outlook; PowerPoint preferred) * Strong organizational skills, attention to detail, and ability to multitask * Ability to work in a fast-paced environment independently or as part of a team * Demonstrated ability to build rapport and work effectively with others * Ability to handle confidential and sensitive information Education & Experience * High school diploma or equivalent required * Prior administrative experience preferred * Experience in unemployment claims, workers' compensation, auto insurance, or bodily injury is a plus but not required Physical Demands * Ability to sit for prolonged periods * Ability to lift, file, carry, and move up to 25 lbs Additional Information This job description is not intended to be all-inclusive. The employee may be required to perform other reasonably related duties as assigned by management.
    $28k-33k yearly est. 23d ago
  • Claims Healthcare Specialist

    Global Channel Management

    Claims representative job in Mason, OH

    Claims Healthcare Specialist needs 1 year claims system experience, in the Healthcare industry . Claims Healthcare Specialist requires: 1 year claims system experience, preferably in the Healthcare industry Basic analytical and problem solving skills Good communication and interpersonal skills Ability to work independently and with others Ability to manage more than one assigned tasks at the same time. Claims Healthcare Specialist duties: Resolve client structure setup questions/issues sent to the team with minimal supervisor guidance Maintain relationships with Implementation Managers and Account Managers to facilitate fulfillment of implementation questions and requests in a timely manner Self-manage completion of work inventory in the Plan Setup production queues within established quality and turnaround time guidelines Recommend process and system enhancements for the Plan Setup team to drive improvements to performance Support the management team with misc. projects and resolving assigned Plan setup issues
    $29k-51k yearly est. 60d+ ago

Learn more about claims representative jobs

How much does a claims representative earn in Dayton, OH?

The average claims representative in Dayton, OH earns between $26,000 and $52,000 annually. This compares to the national average claims representative range of $28,000 to $53,000.

Average claims representative salary in Dayton, OH

$37,000

What are the biggest employers of Claims Representatives in Dayton, OH?

The biggest employers of Claims Representatives in Dayton, OH are:
  1. The Cincinnati Insurance Companies
  2. Auto-Owners Insurance
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