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Liability claims manager entry level jobs

- 9 jobs
  • Workers Compensation Claims Manager

    Turner Construction Company 4.7company rating

    Cincinnati, OH

    Division:TSIB - Risk Services Minimum Years Experience:8Travel Involved:20-30%Job Type:RegularJob Classification:ExperiencedEducation:Bachelors DegreeJob Family:Insurance and ClaimsCompensation:Salaried Exempt Position Description: Oversee insurance carriers and Third-Party Administrators (TPAs) in their management and handling of affiliated clients' Workers' Compensation claims in an assigned geographic region of the country based upon program and compliance regulations. Essential Duties & Key Responsibilities: * Oversee assigned workers' compensation case portfolio of minor to complex claims in assigned geographic region. * Leverage knowledge of workers' compensation policy and manage incidents, and dispatch nurse case managers as necessary. * Collaborate closely with Risk Management leadership on workers' compensation claims, process, and procedures to ensure integrated program. * Serve as resource for injured employees and inform of workers' compensation process and procedures. * Report workers' compensation claims to carriers and Third-Party Administrators (TPAs), including notification of questionable claims. * Facilitate proactive identification of claims with opportunities for early Return to Work and light duty Return to Work program, as needed. * Evaluate and respond to Reserve and Settlement Consultations within given authority, escalate consultations above scope authority to appropriate leadership. * Maintain diary for open claims and document specific claim related activities in Risk Management information system. * Work with carriers, TPAs, and Defense Counsel to develop mitigation strategies for Owner Controlled Insurance Program (OCIP) that result in cost savings to the claim, ensure aggressive strategy is developed on litigated claims, and bring claims to timely resolution. * Collaborate with General Liability team to develop mitigation strategies and facilitate most economic global resolution of Contractor Controlled Insurance Program (CCIP) claims. * Attend hearings and mediations on as needed basis. * Ensure avenues for potential claim recovery are identified and pursued and manage lien recovery on case-by-case basis. * Participate in claims review process and monitor claims handling process by carriers and TPAs; provide direction to ensure compliance with best practices and special handling instructions. * Oversee and hold vendors and defense firms accountable for adherence to standard protocols, agreed to service instructions, and litigation management guidelines. Update instructions and guidelines and provide recommendations to appropriate leadership. * Partner with Safety team and onsite medics on initiatives that support worker wellness and post-injury care. * Participate in CCIP kickoff meetings and jobsite walkthroughs, attend Claims, Safety and Operations meetings to monitor current and anticipated project risks and report on claims status for specific projects. * Maintain and foster relationships with carriers and TPAs claims teams. * Assist with claim data analysis and claim performance reports. * Collaborate with HR and Payroll departments for completion of required Workers' Compensation Jurisdictional Forms. * Support audits related to workers' compensation claims. * Remain current on Workers' Compensation laws and regulations, industry trends, and case law within assigned jurisdictions. * Other activities, duties, and responsibilities as assigned. * Qualifications: * Bachelor Degree in Insurance, Risk Management, Finance, Business Administration or related program; with minimum of 8 years of workers' compensation claims administration experience; or equivalent combination of education, training, and/or experience * Experience with workers' compensation claims in a construction environment, desired * CRIS, ARM or similar insurance designation, desired * Knowledge of jurisdictional laws and regulations for assigned territory * OSHA (Occupational Safety and Health Act) knowledge and experience desired; OSHA 30-hour certification, a plus * In-depth knowledge of workers' compensation claims, medical management procedures, medical cost containment programs and applicable laws and regulations * Demonstrate process thinking and sound decision-making skills * Analytical and adept at processing and breaking down data into actionable information * Self-starter with strong project management skills and capable of managing concurrent complex projects and tasks successfully to completion * Demonstrate strong interpersonal and teamwork skills with ability to work with individuals across organizational levels, both internal and external * Professional written and verbal communication, and effective presentation skills * Proficient computer skills, Microsoft Office suite of applications, and insurance-based risk management information systems * Limited travel Physical Demands: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is frequently required to sit, use hands to finger, handle, or feel objects, tools, or controls; and reach with hands, talk, and hear. The employee frequently views a computer monitor and frequently uses a computer keyboard. Specific vision abilities required by this job include close vision, peripheral vision, depth perception, and the ability to adjust focus. The employee is occasionally required to be mobile, and the employee occasionally travels both short and long distances via a variety of conveyances. The employee occasionally performs work on-site at construction work sites, office locations, and/or off-site venues. The employee must regularly lift and/or move up to 10 pounds and occasionally lift and/or move up to 25 pounds. Work Environment: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee regularly works in an office setting. The noise in the work environment is usually quiet to moderate in an office setting. While performing the duties of this job, the employee may occasionally work at construction work sites where the employee is exposed to moving mechanical parts, high precarious places, fumes or airborne particles, outside weather conditions, and risk of electrical shock. The noise in the work environment is usually moderate to loud. The employee is required to work in compliance with company safety policies, procedures, and applicable laws. The salary range for this position in the New York Metropolitan Area is $112,000 - $173,000 Turner Surety and Insurance Brokerage, Inc. is an Equal Opportunity Employer Minorities/Females/Veterans/Individuals with Disabilities/Sexual Orientation/Gender Identity VEVRAA Federal Contractor Turner Surety and Insurance Brokerage, Inc. is an Equal Opportunity Employer -minorities/females/veterans/individuals with disabilities/sexual orientation/gender identity. VEVRAA Federal Contractor
    $56k-70k yearly est. 60d+ ago
  • Claims Processor

    Collabera 4.5company rating

    Mason, OH

    Established in 1991, Collabera has been a leader in IT staffing for over 22 years and is one of the largest diversity IT staffing firms in the industry. As a half a billion dollar IT company, with more than 9,000 professionals across 30+ offices, Collabera offers comprehensive, cost-effective IT staffing & IT Services. We provide services to Fortune 500 and mid-size companies to meet their talent needs with high quality IT resources through Staff Augmentation, Global Talent Management, Value Added Services through CLASS (Competency Leveraged Advanced Staffing & Solutions) Permanent Placement Services and Vendor Management Programs. Collabera recognizes true potential of human capital and provides people the right opportunities for growth and professional excellence. Collabera offers a full range of benefits to its employees including paid vacations, holidays, personal days, Medical, Dental and Vision insurance, 401K retirement savings plan, Life Insurance, Disability Insurance. Job Description Position Details : Industry: (Eye Wear Company) Location: Mason - OH Job Title: Claim Processor Duration: 3 Months (possible extension) Roles and Responsibilities: • Accurately and efficiently processes manual claims and other simple processes such as matrix and bypass. • Through demonstrated experience and knowledge, process standard, non-complex claims requiring a basic knowledge of claims adjudication. Major duties and responsibilities: • Processing - Efficiently and accurately processes standard claims or adjustments • Consistently achieves key internals with respect to production, cycle time, and quality • May participate on non-complex special claims projects initiatives, including network efforts • Understands and quickly operationalizes processing changes resulting from new plans, benefit designs. • Drive client satisfaction - Works with supervisor and co-workers to provide strong customer service and communication with key customer interfaces that include EyeMed Account Managers, Operations, Information Systems, Client Representatives and EyeMed leadership team. • Drives Key Performance Indications - Consistently meets or exceeds agreed upon performance standards in both productivity and accuracy. • Proactively works with supervisor to develop self-remediation plan when standards are not being met. Knowledge and skills: • Data entry and claims processing knowledge. Has a working knowledge of interface systems that include the EyeMed claims system, Metastorm Exclaim and EyeNet. Some basic working knowledge of software programs, specifically Excel and Access. • Understands third party benefits and administration. • Strong customer service focus. • Ability to work well under pressure and multi-task. Experience: • Claims processing/data entry experience. • Knowledge of PCs and spreadsheet applications. Education: • High school mandatory Qualifications Claims Processor Additional Information To know more about the position, please contact: Abhinav singh ************
    $62k-82k yearly est. 60d+ ago
  • Claims - Express Claims Specialist I (HQ Based)

    Cincinnati Financial Corporation 4.4company rating

    Fairfield, OH

    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. Hybrid work options are available in select departments at our Headquarters located in Fairfield, Ohio. Eligibility may vary based on your role, responsibilities, and departmental policies. Start your journey with us The Express Claims department is seeking a qualified candidate to fill the new role of Express Claims Specialist I. This HQ-based role will work within the Express Claims Center and will primarily handle first party auto exposures eventually including total loss settlement and first party injury exposures with no dollar authority limit. Over time, this will also be expanded to include other business lines and coverages. This individual will handle most if not all assigned claims to conclusion. The selected candidate will be provided enhanced training on all aspects of claims handling including recorded statements, comprehensive claims handling investigations, total loss settlement and working with other departments like SIU, HQ Claims casualty, property or private client and other resource groups. Under CIC's current staffing guidelines, this position will be based in the HQ (Cincinnati) area. This is a non-exempt (hourly) role with promotional opportunities. The position does qualify for CIC's current hybrid work environment. Contact AVP-Express Claims Manager Andrew Holland if you have questions. Salary Range: The pay range for this position is $25.00 - $31.25 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 individual performance. Be ready to: * directly handle assigned first party auto claims with no dollar authority limit * complete thorough, detailed claim investigations including injury recorded statements when warranted, partnership with SIU and onboarding experts when needed - comprehensive review of police reports, hospital records and medical information including private data * analyze auto coverage forms including specialized personal and commercial auto forms, complete complex coverage letters including reservation of rights or claim declination or position letters * comprehensive analysis of complicated auto estimates, routine negotiations with body shops and service providers regarding labor rates and work product * work with the casualty claims group regarding handling files excess of $100,000 * place high emphasis on over-the-phone customer service to meet customer needs * monitoring and supporting exceptional claim service to ensure high customer satisfaction Be equipped with: * prior experience as a high-performing claims adjuster or with meaningful prior insurance experience * associates with prior leadership (people management or technical work) experience outside of CIC will also be considered * prior claims handling experience preferred but not required for the right candidate * the ability to work independently, strong critical thinking skills and the ability to make informed decisions * a bias towards action, a proactive mindset and someone who can take ownership of a file from start to finish * exceptional communication and customer service skills and a desire to serve the customer's needs * quality written communication skills and ability, and a desire to learn how to author complicated business and coverage letters * desire to learn much and learn quickly as the role grows in complexity over time You've earned: * Bachelor's degree strongly preferred - will consider applicants with substantial leadership or claims-handling experience in lieu of a degree * pursuit of AINS or AIC designation exam study or completion of either. The selected candidate will be expected to complete AIC coursework within two years of hire date 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. Learn more about our benefits and amenities packages. 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 right.
    $25-31.3 hourly 22d ago
  • Claims Examiner

    Harris Computer Systems 4.4company rating

    Delaware, OH

    Responsibilities & Duties:Claims Processing and Assessment: * Evaluate incoming claims to determine eligibility, coverage, and validity. * Conduct thorough investigations, including reviewing medical records and other relevant documentation. * Analyze policy provisions and contractual agreements to assess claim validity. * Utilize claims management systems to document findings and process claims efficiently. Communication and Customer Service: * Communicate effectively with policyholders, beneficiaries, and healthcare providers regarding claim status and requirements. * Provide timely responses to inquiries and maintain professional and empathetic communication throughout the claims process. * Address customer concerns and escalate complex issues to senior claims personnel or management as needed. Compliance and Documentation: * Ensure compliance with company policies, procedures, and regulatory requirements. * Maintain accurate records and documentation related to claims activities. * Follow established guidelines for claims adjudication and payment authorization. Quality Assurance and Improvement: * Identify opportunities for process improvement and efficiency within the claims department. * Participate in quality assurance initiatives to uphold service standards and improve claim handling practices. * Collaborate with team members and management to implement best practices and enhance overall departmental performance. Reporting and Analysis: * Generate reports and provide data analysis on claims trends, processing times, and outcomes. * Contribute to the development of management reports and presentations regarding claims operations.
    $43k-59k yearly est. Auto-Apply 4d ago
  • Claims Examiner

    Harriscomputer

    Ohio

    Responsibilities & Duties:Claims Processing and Assessment: Evaluate incoming claims to determine eligibility, coverage, and validity. Conduct thorough investigations, including reviewing medical records and other relevant documentation. Analyze policy provisions and contractual agreements to assess claim validity. Utilize claims management systems to document findings and process claims efficiently. Communication and Customer Service: Communicate effectively with policyholders, beneficiaries, and healthcare providers regarding claim status and requirements. Provide timely responses to inquiries and maintain professional and empathetic communication throughout the claims process. Address customer concerns and escalate complex issues to senior claims personnel or management as needed. Compliance and Documentation: Ensure compliance with company policies, procedures, and regulatory requirements. Maintain accurate records and documentation related to claims activities. Follow established guidelines for claims adjudication and payment authorization. Quality Assurance and Improvement: Identify opportunities for process improvement and efficiency within the claims department. Participate in quality assurance initiatives to uphold service standards and improve claim handling practices. Collaborate with team members and management to implement best practices and enhance overall departmental performance. Reporting and Analysis: Generate reports and provide data analysis on claims trends, processing times, and outcomes. Contribute to the development of management reports and presentations regarding claims operations.
    $28k-47k yearly est. Auto-Apply 7d ago
  • Claims Processor

    Global Channel Management

    Mason, OH

    Global Channel Management is a technology company that specializes in various types of recruiting and staff augmentation. Our account managers and recruiters have over a decade of experience in various verticals. GCM understands the challenges companies face when it comes to the skills and experience needed to fill the void of the day to day function. Organizations need to reduce training and labor costs but at same requiring the best "talent " for the job. Qualifications TRAINING HOURS - 7:30am - 4:00pm **** Must be comfortable with sitting at a desk for 8 hours a day Interview times: Monday, Tuesday, & Thursday between 10am-2pm Claims Processor needs 1-2 years data entry, claims processing Claims Processor requires: Spreadsheet Excel MS Office Access working knowledge of interface systems Understands third party benefits and administration Claims Processor duties: Processing - Efficiently and accurately processes standard claims or adjustments• Consistently achieves key internals with respect to production, cycle time, and quality Additional Information $14/hr 4 months
    $14 hourly 60d+ ago
  • Claims Processor

    Robert Half 4.5company rating

    Cincinnati, OH

    Description We are looking for a detail-oriented Claims Processor to join our team on a contract basis in Cincinnati, Ohio. In this role, you will handle high-volume data entry tasks, manage insurance claims, and provide excellent customer service to clients. This position offers an opportunity to contribute to the efficient resolution of property insurance claims in a focused and collaborative environment. Responsibilities: - Process insurance claims with accuracy and attention to detail, ensuring compliance with company policies. - Perform high-volume numeric data entry tasks to maintain accurate claim records. - Utilize Microsoft Excel to organize, analyze, and track claim-related information. - Assist customers by addressing inquiries and providing updates on their claims. - Collaborate with team members to resolve property insurance claims efficiently. - Review and verify claim documentation for completeness and accuracy. - Communicate with clients to obtain necessary information and clarify claim details. - Identify and report discrepancies or issues during the claims processing workflow. - Maintain confidentiality and adhere to industry standards in handling sensitive client data. Requirements - Proven experience in claims processing or a similar administrative role. - Proficiency in Microsoft Excel for data management and analysis. - Strong numeric data entry skills, with the ability to handle large volumes of information accurately. - Familiarity with property insurance policies and procedures. - Excellent customer service skills with an attentive and courteous approach. - Ability to work in a fast-paced environment while maintaining accuracy and efficiency. - Strong organizational and time management abilities. - Effective communication skills, both written and verbal. TalentMatch Robert Half is the world's first and largest specialized talent solutions firm that connects highly qualified job seekers to opportunities at great companies. We offer contract, temporary and permanent placement solutions for finance and accounting, technology, marketing and creative, legal, and administrative and customer support roles. Robert Half works to put you in the best position to succeed. We provide access to top jobs, competitive compensation and benefits, and free online training. Stay on top of every opportunity - whenever you choose - even on the go. Download the Robert Half app (https://www.roberthalf.com/us/en/mobile-app) and get 1-tap apply, notifications of AI-matched jobs, and much more. All applicants applying for U.S. job openings must be legally authorized to work in the United States. Benefits are available to contract/temporary professionals, including medical, vision, dental, and life and disability insurance. Hired contract/temporary professionals are also eligible to enroll in our company 401(k) plan. Visit roberthalf.gobenefits.net for more information. © 2025 Robert Half. An Equal Opportunity Employer. M/F/Disability/Veterans. By clicking "Apply Now," you're agreeing to Robert Half's Terms of Use (https://www.roberthalf.com/us/en/terms) .
    $27k-37k yearly est. 11d ago
  • Claims Examiner

    Harris Computer Systems 4.4company rating

    Oregon, OH

    Responsibilities & Duties:Claims Processing and Assessment: * Evaluate incoming claims to determine eligibility, coverage, and validity. * Conduct thorough investigations, including reviewing medical records and other relevant documentation. * Analyze policy provisions and contractual agreements to assess claim validity. * Utilize claims management systems to document findings and process claims efficiently. Communication and Customer Service: * Communicate effectively with policyholders, beneficiaries, and healthcare providers regarding claim status and requirements. * Provide timely responses to inquiries and maintain professional and empathetic communication throughout the claims process. * Address customer concerns and escalate complex issues to senior claims personnel or management as needed. Compliance and Documentation: * Ensure compliance with company policies, procedures, and regulatory requirements. * Maintain accurate records and documentation related to claims activities. * Follow established guidelines for claims adjudication and payment authorization. Quality Assurance and Improvement: * Identify opportunities for process improvement and efficiency within the claims department. * Participate in quality assurance initiatives to uphold service standards and improve claim handling practices. * Collaborate with team members and management to implement best practices and enhance overall departmental performance. Reporting and Analysis: * Generate reports and provide data analysis on claims trends, processing times, and outcomes. * Contribute to the development of management reports and presentations regarding claims operations.
    $44k-60k yearly est. Auto-Apply 4d ago
  • Claims Examiner

    Harris Computer Systems 4.4company rating

    New Hampshire, OH

    Responsibilities & Duties:Claims Processing and Assessment: * Evaluate incoming claims to determine eligibility, coverage, and validity. * Conduct thorough investigations, including reviewing medical records and other relevant documentation. * Analyze policy provisions and contractual agreements to assess claim validity. * Utilize claims management systems to document findings and process claims efficiently. Communication and Customer Service: * Communicate effectively with policyholders, beneficiaries, and healthcare providers regarding claim status and requirements. * Provide timely responses to inquiries and maintain professional and empathetic communication throughout the claims process. * Address customer concerns and escalate complex issues to senior claims personnel or management as needed. Compliance and Documentation: * Ensure compliance with company policies, procedures, and regulatory requirements. * Maintain accurate records and documentation related to claims activities. * Follow established guidelines for claims adjudication and payment authorization. Quality Assurance and Improvement: * Identify opportunities for process improvement and efficiency within the claims department. * Participate in quality assurance initiatives to uphold service standards and improve claim handling practices. * Collaborate with team members and management to implement best practices and enhance overall departmental performance. Reporting and Analysis: * Generate reports and provide data analysis on claims trends, processing times, and outcomes. * Contribute to the development of management reports and presentations regarding claims operations.
    $43k-59k yearly est. Auto-Apply 4d ago

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