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.
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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.
$65k-106k yearly est. Auto-Apply 17d ago
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Bilingual (Spanish) Account Examiner 2 - 20067469
Dasstateoh
Columbus, OH
Bilingual (Spanish) Account Examiner 2 - 20067469 (260000EA) Organization: Workers' CompensationAgency Contact Name and Information: ********************** Unposting Date: Jan 24, 2026, 4:59:00 AMWork Location: William Green Building 30 West Spring Street Columbus 43215-2256Primary Location: United States of America-OHIO-Franklin County-Columbus Compensation: $22.96Schedule: Full-time Work Hours: 8:00 - 5:00Classified Indicator: ClassifiedUnion: OCSEA Primary Job Skill: Accounting and FinanceTechnical Skills: Customer ServiceProfessional Skills: Attention to Detail, Customer Focus, Responsiveness Agency OverviewA Little About Us:With roughly 1,500 employees in seven offices across Ohio, BWC is the state agency that cares for Ohio workers by promoting a culture of safety at work and at home and ensuring quality medical and pharmacy care is provided to injured workers. For Ohio employers, we provide insurance policies to cover workplace injuries and safety and wellness services to prevent injuries. Our Culture:BWC is a dynamic organization that offers career opportunities across many different disciplines. BWC strives to maintain an inclusive workplace. We begin by being an equal opportunity employer. Employees can participate in and lead employee work groups, participate in on-line forums and learn about how different perspectives can improve leadership skills.Our Vision:To transform BWC into an agile organization driven by customer success.Our Mission:To deliver consistently excellent experiences for each BWC customer every day.Our Core Values:One Agency, Personal Connection, Innovative Leadership, Relentless Excellence.What our employees have to say:BWC conducts an internal engagement survey on an annual basis. Some comments from our employees include:BWC has been a great place to work as it has provided opportunities for growth that were lacking in my previous place of work.I have worked at several state agencies and BWC is the best place to work.Best place to work in the state and with a sense of family and support.I love the work culture, helpfulness, and acceptance I've been embraced with at BWC.I continue to be impressed with the career longevity of our employees, their level of dedication to service, pride in their work, and vast experience. It really speaks to our mission and why people join BWC and then retire from BWC.If you are interested in helping BWC grow, please click this link to read more, and then come back to this job posting to submit your application!Job DescriptionBWC's core hours of operation are Monday-Friday from 8:00am to 5:00pm, however, daily start/end times may vary based on operational need across BWC departments. Most positions perform work on-site at one of BWC's seven offices across the state. BWC offers flex-time work schedules that allow an employee to start the day as early as 7:00am or as late as 8:30am. Flex-time schedules are based on operational need and require supervisor approval.
What You'll Be Doing:
· Provides assistance to walk-in customers at the service office front counter.
· Responds to written & telephone inquiries from public & private employers regarding coverage issues.
· Monitors, reviews, & establishes coverage on business accounts for private & public employers.
· Determines if employer is amenable to O.R.C. Section 4123.01 prior to effective date of coverages.
· Examines & processes annual employer payroll reports & processes true-up reporting or amended true-up reporting.
· Identifies & refers audits to the appropriate Auditing Supervisor
· Answers inquiries (verbally &/or written) from government officials, Bureau personnel, & other customers regarding entities, dissolution of corporate entities, payroll processing &/or financial adjustments.
· Attends training &/or meetings as needed.
Why Work for the State of OhioAt the State of Ohio, we take care of the team that cares for Ohioans. We provide a variety of quality, competitive benefits to eligible full-time and part-time employees*. For a list of all the State of Ohio Benefits, visit our Total Rewards website! Our benefits package includes:
Medical Coverage
Free Dental, Vision and Basic Life Insurance premiums after completion of eligibility period
Paid time off, including vacation, personal, sick leave and 11 paid holidays per year
Childbirth, Adoption, and Foster Care leave
Education and Development Opportunities (Employee Development Funds, Public Service Loan Forgiveness, and more)
Public Retirement Systems (such as OPERS, STRS, SERS, and HPRS) & Optional Deferred Compensation (Ohio Deferred Compensation)
*Benefits eligibility is dependent on a number of factors. The Agency Contact listed above will be able to provide specific benefits information for this position.QualificationsTo Qualify, You Must Clearly Demonstrate:
24 mos. exp. in position involving review & processing of claims, collections, billings, payments or review of documents for accuracy, completeness &/or compliance with reporting guidelines, laws or rules with exp. commensurate to duties to be assigned. -Or 16 semester or 24 quarter hours in accounting; 12 mos. exp. in accounting or other fiscal/financial activity. -Or 12 mos. exp. as Accountant/ Examiner 1, 66111, with state government exp. commensurate with duties to be assigned. -Or equivalent of Minimum Class Qualifications for Employment noted above.
Note: Classification may require use of proficiency demonstration to determine minimum class qualifications for employment.
MAJOR WORKER CHARACTERISTICS:Knowledge of accounting; applicable state &/or federal regulations governing documents processed, reviewed &/or prepared*; public relations*. Skill in use of calculator/adding machine, typewriter, video display terminal or personal computer & photocopier*. Ability to apply principles to solve practical, everyday problems; gather, collate & classify information about data, people or things; complete routine forms & prepare standard reports & business correspondence; handle routine & sensitive inquiries from & contacts with other government officials, general public, claimants &/or providers.(*) Developed after employment.Supplemental InformationEEO & ADA Statement:The State of Ohio is an Equal Employment Opportunity Employer and prohibits discrimination and harassment of applicants or employees due to protected classes as defined in applicable federal law, state law, and any effective executive order.The Ohio Bureau of Workers' Compensation is committed to providing access and reasonable accommodation in its employment opportunities pursuant to the Americans with Disabilities Act and other applicable laws. To request reasonable accommodations related to disability, pregnancy, or religion, please contact the ADA mailbox *********************** OCSEA Selection Rights:This position shall be filled in accordance with the provisions of the OCSEA Collective Bargaining Agreement. BWC bargaining unit members have selection rights before non-bargaining unit members. All other applications will only be considered if an internal bargaining unit applicant is not selected for this position.Salary Information:Hourly wage is expected to be paid at step 1 of the pay range associated with the position for candidates who are new employees of the state. Current employees of the state will be placed in the appropriate step based on any applicable union contract and/or requirements of the Ohio Revised Code. Movement to the next step of the pay range (a roughly 4% increase) will occur after six months, assuming job performance is acceptable. Thereafter, an employee will advance one step in the pay range every year until the highest step of the pay range is reached. There may also be possible cost of living adjustments (COLA) and longevity supplements begin after five (5) years of state service.Educational Transcripts:For any educational achievements to be considered during the screening process, you must at least attach an unofficial transcript that details the coursework you have completed.All applicants must submit an Ohio Civil Service Application using the online Ohio Hiring Management System. Paper applications will not be accepted.Background Check:Prior to an offer of employment, the final applicant will be required to sign a background check authorization form and undergo a criminal background check. Criminal convictions do not necessarily preclude an applicant from consideration for a position.ADA StatementOhio is a Disability Inclusion State and strives to be a model employer of individuals with disabilities. The State of Ohio is committed to providing access and inclusion and reasonable accommodation in its services, activities, programs and employment opportunities in accordance with the Americans with Disabilities Act (ADA) and other applicable laws.Drug-Free WorkplaceThe State of Ohio is a drug-free workplace which prohibits the use of marijuana (recreational marijuana/non-medical cannabis). Please note, this position may be subject to additional restrictions pursuant to the State of Ohio Drug-Free Workplace Policy (HR-39), and as outlined in the posting.
$23 hourly Auto-Apply 7h ago
Medical Coding Appeals Analyst
Carebridge 3.8
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.
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.
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's Trucking Division is a leading provider of insurance products for the long-haul trucking industry and specializes in service to Owner-Operators. Our focus on trucking started in the early 1990s with the development of a trucking Physical Damage policy. Since then, it has evolved to include a complete suite of products and services supporting the independent contractor including Physical Damage, Non-Trucking Liability, Occupational Accident, Contingent Liability, our signature Rig Ready repair service, Deductible Buyback and TruXpro , which includes downtime and rental reimbursement.
Our experienced team is dedicated entirely to trucking, all day, every day. This niche expertise allows us to provide the products drivers need and the service they deserve to get them back on the road faster.
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The Trucking Division is looking for a Claims Representative to join the Non-Trucking Liability team in our Cincinnati, OH office. Candidates with commercial auto and previous claims experience are encouraged to apply!
Essential Responsibilities
Investigates and maintains claims.
Reviews and evaluates coverage and/or liability.
Secures and analyzes necessary information (i.e., reports, policies, appraisals, releases, statements, records, or other documents) in the investigation of claims.
May participate in affecting settlements/reserves within prescribed limits; submits recommendations to supervisor on cases exceeding personal authority.
Ensure that claims payments are issued in a timely and accurate manner.
Ensure claims handling is conducted in compliance with applicable statues, regulations and other legal requirements, and that all applicable company procedures and policies are followed.
Conveys information (coverage, decision, outcomes, etc.) to all appropriate parties, maintaining a professional demeanor in all situations.
Performs other duties as assigned.
Job Requirements
Generally, 1 to 3 years of related experience.
Previous auto claims preferred.
This job is non-exempt in California and Washington
Business Unit:
Trucking
Benefits:
Compensation varies by role, position level, and location. Individual pay is influenced by skills, education, training, certifications, experience, and the role's scope and complexity, along with business needs.
We offer a competitive Total Rewards package, including medical, dental, and vision plans starting on day one, PTO, paid holidays, commuter benefits, an employee stock purchase plan, education reimbursement, paid parental leave/adoption assistance, and a 401(k) plan with company match. These benefits are available to eligible full-time and part-time employees.
Your recruiter can provide more details about our total rewards and specific compensation ranges during the hiring process.
$36k-72k yearly est. Auto-Apply 60d+ ago
Bilingual (Spanish) Account Examiner 2 - 20067469
State of Ohio 4.5
Columbus, OH
Bilingual (Spanish) Account Examiner 2 - 20067469 (260000EA) Organization: Workers' CompensationAgency Contact Name and Information: ********************** Unposting Date: Jan 23, 2026, 11:59:00 PMWork Location: William Green Building 30 West Spring Street Columbus 43215-2256Primary Location: United States of America-OHIO-Franklin County-Columbus Compensation: $22.96Schedule: Full-time Work Hours: 8:00 - 5:00Classified Indicator: ClassifiedUnion: OCSEA Primary Job Skill: Accounting and FinanceTechnical Skills: Customer ServiceProfessional Skills: Attention to Detail, Customer Focus, Responsiveness Agency OverviewA Little About Us:With roughly 1,500 employees in seven offices across Ohio, BWC is the state agency that cares for Ohio workers by promoting a culture of safety at work and at home and ensuring quality medical and pharmacy care is provided to injured workers. For Ohio employers, we provide insurance policies to cover workplace injuries and safety and wellness services to prevent injuries. Our Culture:BWC is a dynamic organization that offers career opportunities across many different disciplines. BWC strives to maintain an inclusive workplace. We begin by being an equal opportunity employer. Employees can participate in and lead employee work groups, participate in on-line forums and learn about how different perspectives can improve leadership skills.Our Vision:To transform BWC into an agile organization driven by customer success.Our Mission:To deliver consistently excellent experiences for each BWC customer every day.Our Core Values:One Agency, Personal Connection, Innovative Leadership, Relentless Excellence.What our employees have to say:BWC conducts an internal engagement survey on an annual basis. Some comments from our employees include:BWC has been a great place to work as it has provided opportunities for growth that were lacking in my previous place of work.I have worked at several state agencies and BWC is the best place to work.Best place to work in the state and with a sense of family and support.I love the work culture, helpfulness, and acceptance I've been embraced with at BWC.I continue to be impressed with the career longevity of our employees, their level of dedication to service, pride in their work, and vast experience. It really speaks to our mission and why people join BWC and then retire from BWC.If you are interested in helping BWC grow, please click this link to read more, and then come back to this job posting to submit your application!Job DescriptionBWC's core hours of operation are Monday-Friday from 8:00am to 5:00pm, however, daily start/end times may vary based on operational need across BWC departments. Most positions perform work on-site at one of BWC's seven offices across the state. BWC offers flex-time work schedules that allow an employee to start the day as early as 7:00am or as late as 8:30am. Flex-time schedules are based on operational need and require supervisor approval.
What You'll Be Doing:
· Provides assistance to walk-in customers at the service office front counter.
· Responds to written & telephone inquiries from public & private employers regarding coverage issues.
· Monitors, reviews, & establishes coverage on business accounts for private & public employers.
· Determines if employer is amenable to O.R.C. Section 4123.01 prior to effective date of coverages.
· Examines & processes annual employer payroll reports & processes true-up reporting or amended true-up reporting.
· Identifies & refers audits to the appropriate Auditing Supervisor
· Answers inquiries (verbally &/or written) from government officials, Bureau personnel, & other customers regarding entities, dissolution of corporate entities, payroll processing &/or financial adjustments.
· Attends training &/or meetings as needed.
Why Work for the State of OhioAt the State of Ohio, we take care of the team that cares for Ohioans. We provide a variety of quality, competitive benefits to eligible full-time and part-time employees*. For a list of all the State of Ohio Benefits, visit our Total Rewards website! Our benefits package includes:
Medical Coverage
Free Dental, Vision and Basic Life Insurance premiums after completion of eligibility period
Paid time off, including vacation, personal, sick leave and 11 paid holidays per year
Childbirth, Adoption, and Foster Care leave
Education and Development Opportunities (Employee Development Funds, Public Service Loan Forgiveness, and more)
Public Retirement Systems (such as OPERS, STRS, SERS, and HPRS) & Optional Deferred Compensation (Ohio Deferred Compensation)
*Benefits eligibility is dependent on a number of factors. The Agency Contact listed above will be able to provide specific benefits information for this position.QualificationsTo Qualify, You Must Clearly Demonstrate:
24 mos. exp. in position involving review & processing of claims, collections, billings, payments or review of documents for accuracy, completeness &/or compliance with reporting guidelines, laws or rules with exp. commensurate to duties to be assigned. -Or 16 semester or 24 quarter hours in accounting; 12 mos. exp. in accounting or other fiscal/financial activity. -Or 12 mos. exp. as Accountant/ Examiner 1, 66111, with state government exp. commensurate with duties to be assigned. -Or equivalent of Minimum Class Qualifications for Employment noted above.
Note: Classification may require use of proficiency demonstration to determine minimum class qualifications for employment.
MAJOR WORKER CHARACTERISTICS:Knowledge of accounting; applicable state &/or federal regulations governing documents processed, reviewed &/or prepared*; public relations*. Skill in use of calculator/adding machine, typewriter, video display terminal or personal computer & photocopier*. Ability to apply principles to solve practical, everyday problems; gather, collate & classify information about data, people or things; complete routine forms & prepare standard reports & business correspondence; handle routine & sensitive inquiries from & contacts with other government officials, general public, claimants &/or providers.(*) Developed after employment.Supplemental InformationEEO & ADA Statement:The State of Ohio is an Equal Employment Opportunity Employer and prohibits discrimination and harassment of applicants or employees due to protected classes as defined in applicable federal law, state law, and any effective executive order.The Ohio Bureau of Workers' Compensation is committed to providing access and reasonable accommodation in its employment opportunities pursuant to the Americans with Disabilities Act and other applicable laws. To request reasonable accommodations related to disability, pregnancy, or religion, please contact the ADA mailbox *********************** OCSEA Selection Rights:This position shall be filled in accordance with the provisions of the OCSEA Collective Bargaining Agreement. BWC bargaining unit members have selection rights before non-bargaining unit members. All other applications will only be considered if an internal bargaining unit applicant is not selected for this position.Salary Information:Hourly wage is expected to be paid at step 1 of the pay range associated with the position for candidates who are new employees of the state. Current employees of the state will be placed in the appropriate step based on any applicable union contract and/or requirements of the Ohio Revised Code. Movement to the next step of the pay range (a roughly 4% increase) will occur after six months, assuming job performance is acceptable. Thereafter, an employee will advance one step in the pay range every year until the highest step of the pay range is reached. There may also be possible cost of living adjustments (COLA) and longevity supplements begin after five (5) years of state service.Educational Transcripts:For any educational achievements to be considered during the screening process, you must at least attach an unofficial transcript that details the coursework you have completed.All applicants must submit an Ohio Civil Service Application using the online Ohio Hiring Management System. Paper applications will not be accepted.Background Check:Prior to an offer of employment, the final applicant will be required to sign a background check authorization form and undergo a criminal background check. Criminal convictions do not necessarily preclude an applicant from consideration for a position.ADA StatementOhio is a Disability Inclusion State and strives to be a model employer of individuals with disabilities. The State of Ohio is committed to providing access and inclusion and reasonable accommodation in its services, activities, programs and employment opportunities in accordance with the Americans with Disabilities Act (ADA) and other applicable laws.Drug-Free WorkplaceThe State of Ohio is a drug-free workplace which prohibits the use of marijuana (recreational marijuana/non-medical cannabis). Please note, this position may be subject to additional restrictions pursuant to the State of Ohio Drug-Free Workplace Policy (HR-39), and as outlined in the posting.
$23 hourly Auto-Apply 7h ago
Director Claims
Ryder System 4.4
Columbus, OH
The Director Claims directs activities within the General and Auto Liability Claims, Physical Damage Repairs and Property and Cargo Claims including the management of loss control activities and third-party provider relationships (including consultants, legal
counsel, insurers, and external claims administrators). The Director manages and oversees the physical damage team and handling individual liability, property, and cargo claim. This position reports to the Senior Director of Claims and requires little supervision and is
considered a liability, property and physical damage expert within the company. This position has responsibility to handle and manage the aforementioned claims in the US, Canada and Puerto Rico. The Director position leads an internal staff of approximately 40; this consists of
professional Claims Managers, Supervisors, Senior Office Manager, Claims
Analysts, and clerical staff support.
**Essential Functions**
+ Provides strategic direction to the claims team to establish defined and impacting goals, improve processes, create an inclusive work environment, and motivate staff to reach goals that increase claim quality, costs and improve employee and customer satisfaction.
+ Ensures consistent identification of exposures, recommends solutions, promotes loss prevention, updates and monitors compliance with procedures and manages documented safety/risk management programs.
+ Develop and implements processes to ensure physical damage repairs are completed timely and properly partnering with vendor, operations and all business units.
+ Partners with and gives direction to Operations, Sales, Central Support and Safety in various liability, property and cargo, and physical damage repair matters.
+ Ensures correct coverage to avoid major exposure while keeping costs at a minimum.
+ Manages team to ensure the claim process supports proper invoicing and reduce credits to improve customer satisfaction.
+ Responsible for continuous improvement, developing and implementing new processes to improve overall financial results including the Process Integrity Program.
+ Significant interaction with field and senior management, internal legal counsel, safety directors, Sales, Ryder Security, and members of corporate risk management. Informs field and senior management on all claims issues.
+ Primary backup for the Senior Director assisting with all aspects of the operations
+ Leads and directs claims managers, office manager, and supervisors as well as a team of 40+ claims analysts and administrative staff charging them with continuous development, training sessions, and individual development plans
**Additional Responsibilities**
+ Performs other duties as assigned.
+ Provides direction on high exposure claims and business process
+ Routinely updates senior management on trends, compliance issues on specific claims to assist in timely and well-informed business decisions; understand root cause of claim frequency and severity
+ Establish positive relationships with operations, sales, central support, leadership, and customers. Ensure superior customer service and assist with renewal business
+ Leads and direct special projects and performs other duties as assigned.
**Skills and Abilities**
+ Demonstrated ability to manage and develop a sizeable staff, Required
+ Foster collaborative relationships and increase customer satisfaction, Required
+ Superior ability drives favorable outcomes through strategic negotiations, Required
+ Demonstrates exceptional interpersonal skills and ability to communicate clearly in verbal and written interactions, Required
+ Ability to effectively interact and influence Executive, Field management and other business units within Ryder, Required
+ Create a collaborative environment that drives engagement and results, Required
**Qualifications**
+ Bachelor's degree in business, Economics, Finance or related field or equivalent claims work experience, Required
+ 10 years or more in in the Casualty Claim field, Required
+ 5 years or more experience in Vehicle Rental/Leasing Business or Commercial Trucking Insurance, Preferred
+ 5 years or more in Management or administrative experience, Required
+ Working knowledge of state laws to include ownership, joint and several liabilities Advanced, Required
+ Strong understanding of insurance law and policy languages as well as interpreting contracts Advanced, Required
+ Strong knowledge of the principles of Total Quality Management Advanced, Required
+ Adjuster Insurance Licenses-Insurance related courses such as I.I.A. or C.P.C.U, Preferred
**Job Category:** Risk Management
**Compensation Information** :
The compensation offered to a candidate may be influenced by a variety of factors, including the candidate's relevant experience; education, including relevant degrees or certifications; work location; market data/ranges; internal equity; internal salary ranges; etc. The position may also be eligible to receive an annual bonus, commission, and/or long-term incentive plan based on the level and/or type. Compensation ranges for the position are below:
**Pay Type** :
Salaried
Minimum Pay Range:
150,000
Maximum Pay Range:
200,000
**Benefits Information** :
**For all Full-time positions only** : Ryder offers comprehensive health and welfare benefits, to include medical, prescription, dental, vision, life insurance and disability insurance options, as well as paid time off for vacation, illness, bereavement, family and parental leave, and a tax-advantaged 401(k) retirement savings plan.
For more information about benefits, click here (********************************************************************************************************** to download the comprehensive benefits summary.
Ryder is proud to be an Equal Opportunity Employer and Drug Free workplace.
All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex, sexual orientation, gender identity, age, status as a protected veteran, among other things, or status as a qualified individual with disability.
**Important Note** **:**
Some positions require additional screening that may include employment and education verification; motor vehicle records check and a road test; and/or badging or background requirements of the customer to which you are assigned.
Security Notice for Applicants:
Ryder will only communicate with an applicant directly from a [@ryder.com] email address and will never conduct an interview online through a chat type forum, messaging app (such as WhatsApp or Telegram), or via an online questionnaire. During an interview, Ryder will never ask for any form of payment or banking details and will never solicit personal information outside of the formal submitted application through ********************* .
Should you have any questions regarding the application process or to verify the legitimacy of an interview or Ryder representative, please contact Ryder at ***************** or ************.
**Current Employees** **:**
If you are a current employee at Ryder, please click here (*************************************************** to log in to Workday to apply using the internal application process.
_Job Seekers can review the Job Applicant Privacy Policy by clicking here (********************************************** ._
\#wd
$45k-81k yearly est. Easy Apply 60d+ ago
Claims Processor
Kelly Services 4.6
Mason, OH
**Claims Processor - Luxottica | Mason, OH** Finding a job that fits your lifestyle isn't always easy. Kelly is hiring a **Claims Processor** to join Luxottica, a global leader in eyewear (TEAM VISION). **Why apply:** + Pay: **$18.40/hr** + **Hybrid:** On-site 3 days/week (Tue-Thu); training 100% on-site
+ Full-time: 8:00 AM - 5:00 PM (1-hr lunch) or 8:00 AM - 4:30 PM (30-min lunch)
+ 2-month contract with potential for long-term conversion
+ Work with a world-class company and gain hands-on claims experience
**What you'll do:**
+ Process standard claims and adjustments accurately and efficiently
+ Participate in non-complex claims projects and network initiatives
+ Provide strong customer service to EyeMed Account Managers and leadership
+ Meet productivity and accuracy standards while adapting to process changes
**Requirements:**
+ High school diploma
+ 0-1 year of claims processing or data entry experience
+ Knowledge of PCs, Excel, and basic software (EyeMed, Metastorm, Exclaim, EyeNet)
+ Strong customer service, attention to detail, and ability to multi-task
**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 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.
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's Trucking Division is a leading provider of insurance products for the long-haul trucking industry and specializes in service to Owner-Operators. Our focus on trucking started in the early 1990s with the development of a trucking Physical Damage policy. Since then, it has evolved to include a complete suite of products and services supporting the independent contractor including Physical Damage, Non-Trucking Liability, Occupational Accident, Contingent Liability, our signature Rig Ready repair service, Deductible Buyback and TruXpro , which includes downtime and rental reimbursement.
Our experienced team is dedicated entirely to trucking, all day, every day. This niche expertise allows us to provide the products drivers need and the service they deserve to get them back on the road faster.
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The Trucking Division is looking for a Claims Representative to join the Physical Damage Claims team in our Cincinnati, OH office. Candidates with commercial auto and previous claims experience are encouraged to apply!
Essential Responsibilities
Investigates and maintains claims.
Reviews and evaluates coverage and/or liability.
Secures and analyzes necessary information (i.e., reports, policies, appraisals, releases, statements, records, or other documents) in the investigation of claims.
May participate in affecting settlements/reserves within prescribed limits; submits recommendations to supervisor on cases exceeding personal authority.
Ensure that claims payments are issued in a timely and accurate manner.
Ensure claims handling is conducted in compliance with applicable statues, regulations and other legal requirements, and that all applicable company procedures and policies are followed.
Conveys information (coverage, decision, outcomes, etc.) to all appropriate parties, maintaining a professional demeanor in all situations.
Performs other duties as assigned.
Job Requirements
Liberal Arts, Business or a related discipline.
Generally, 1 to 3 years of related experience.
Previous auto claims preferred.
This job is non-exempt in California and Washington
Business Unit:
Trucking
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.
$36k-72k yearly est. Auto-Apply 2d ago
Bilingual (Spanish) Account Examiner 2 - 20067469
Dasstateoh
Ohio
Bilingual (Spanish) Account Examiner 2 - 20067469 (260000EA) Organization: Workers' CompensationAgency Contact Name and Information: ********************** Unposting Date: Jan 24, 2026, 4:59:00 AMWork Location: William Green Building 30 West Spring Street Columbus 43215-2256Primary Location: United States of America-OHIO-Franklin County Compensation: $22.96Schedule: Full-time Work Hours: 8:00 - 5:00Classified Indicator: ClassifiedUnion: OCSEA Primary Job Skill: Accounting and FinanceTechnical Skills: Customer ServiceProfessional Skills: Attention to Detail, Customer Focus, Responsiveness Agency OverviewA Little About Us:With roughly 1,500 employees in seven offices across Ohio, BWC is the state agency that cares for Ohio workers by promoting a culture of safety at work and at home and ensuring quality medical and pharmacy care is provided to injured workers. For Ohio employers, we provide insurance policies to cover workplace injuries and safety and wellness services to prevent injuries. Our Culture:BWC is a dynamic organization that offers career opportunities across many different disciplines. BWC strives to maintain an inclusive workplace. We begin by being an equal opportunity employer. Employees can participate in and lead employee work groups, participate in on-line forums and learn about how different perspectives can improve leadership skills.Our Vision:To transform BWC into an agile organization driven by customer success.Our Mission:To deliver consistently excellent experiences for each BWC customer every day.Our Core Values:One Agency, Personal Connection, Innovative Leadership, Relentless Excellence.What our employees have to say:BWC conducts an internal engagement survey on an annual basis. Some comments from our employees include:BWC has been a great place to work as it has provided opportunities for growth that were lacking in my previous place of work.I have worked at several state agencies and BWC is the best place to work.Best place to work in the state and with a sense of family and support.I love the work culture, helpfulness, and acceptance I've been embraced with at BWC.I continue to be impressed with the career longevity of our employees, their level of dedication to service, pride in their work, and vast experience. It really speaks to our mission and why people join BWC and then retire from BWC.If you are interested in helping BWC grow, please click this link to read more, and then come back to this job posting to submit your application!Job DutiesBWC's core hours of operation are Monday-Friday from 8:00am to 5:00pm, however, daily start/end times may vary based on operational need across BWC departments. Most positions perform work on-site at one of BWC's seven offices across the state. BWC offers flex-time work schedules that allow an employee to start the day as early as 7:00am or as late as 8:30am. Flex-time schedules are based on operational need and require supervisor approval.
What You'll Be Doing:
· Provides assistance to walk-in customers at the service office front counter.
· Responds to written & telephone inquiries from public & private employers regarding coverage issues.
· Monitors, reviews, & establishes coverage on business accounts for private & public employers.
· Determines if employer is amenable to O.R.C. Section 4123.01 prior to effective date of coverages.
· Examines & processes annual employer payroll reports & processes true-up reporting or amended true-up reporting.
· Identifies & refers audits to the appropriate Auditing Supervisor
· Answers inquiries (verbally &/or written) from government officials, Bureau personnel, & other customers regarding entities, dissolution of corporate entities, payroll processing &/or financial adjustments.
· Attends training &/or meetings as needed.Why Work for the State of OhioAt the State of Ohio, we take care of the team that cares for Ohioans. We provide a variety of quality, competitive benefits to eligible full-time and part-time employees*. For a list of all the State of Ohio Benefits, visit our Total Rewards website! Our benefits package includes:
Medical Coverage
Free Dental, Vision and Basic Life Insurance premiums after completion of eligibility period
Paid time off, including vacation, personal, sick leave and 11 paid holidays per year
Childbirth, Adoption, and Foster Care leave
Education and Development Opportunities (Employee Development Funds, Public Service Loan Forgiveness, and more)
Public Retirement Systems (such as OPERS, STRS, SERS, and HPRS) & Optional Deferred Compensation (Ohio Deferred Compensation)
*Benefits eligibility is dependent on a number of factors. The Agency Contact listed above will be able to provide specific benefits information for this position.QualificationsTo Qualify, You Must Clearly Demonstrate:
24 mos. exp. in position involving review & processing of claims, collections, billings, payments or review of documents for accuracy, completeness &/or compliance with reporting guidelines, laws or rules with exp. commensurate to duties to be assigned. -Or 16 semester or 24 quarter hours in accounting; 12 mos. exp. in accounting or other fiscal/financial activity. -Or 12 mos. exp. as Accountant/ Examiner 1, 66111, with state government exp. commensurate with duties to be assigned. -Or equivalent of Minimum Class Qualifications for Employment noted above.
Note: Classification may require use of proficiency demonstration to determine minimum class qualifications for employment.
MAJOR WORKER CHARACTERISTICS:Knowledge of accounting; applicable state &/or federal regulations governing documents processed, reviewed &/or prepared*; public relations*. Skill in use of calculator/adding machine, typewriter, video display terminal or personal computer & photocopier*. Ability to apply principles to solve practical, everyday problems; gather, collate & classify information about data, people or things; complete routine forms & prepare standard reports & business correspondence; handle routine & sensitive inquiries from & contacts with other government officials, general public, claimants &/or providers.(*) Developed after employment.Supplemental InformationEEO & ADA Statement:The State of Ohio is an Equal Employment Opportunity Employer and prohibits discrimination and harassment of applicants or employees due to protected classes as defined in applicable federal law, state law, and any effective executive order.The Ohio Bureau of Workers' Compensation is committed to providing access and reasonable accommodation in its employment opportunities pursuant to the Americans with Disabilities Act and other applicable laws. To request reasonable accommodations related to disability, pregnancy, or religion, please contact the ADA mailbox *********************** OCSEA Selection Rights:This position shall be filled in accordance with the provisions of the OCSEA Collective Bargaining Agreement. BWC bargaining unit members have selection rights before non-bargaining unit members. All other applications will only be considered if an internal bargaining unit applicant is not selected for this position.Salary Information:Hourly wage is expected to be paid at step 1 of the pay range associated with the position for candidates who are new employees of the state. Current employees of the state will be placed in the appropriate step based on any applicable union contract and/or requirements of the Ohio Revised Code. Movement to the next step of the pay range (a roughly 4% increase) will occur after six months, assuming job performance is acceptable. Thereafter, an employee will advance one step in the pay range every year until the highest step of the pay range is reached. There may also be possible cost of living adjustments (COLA) and longevity supplements begin after five (5) years of state service.Educational Transcripts:For any educational achievements to be considered during the screening process, you must at least attach an unofficial transcript that details the coursework you have completed.All applicants must submit an Ohio Civil Service Application using the online Ohio Hiring Management System. Paper applications will not be accepted.Background Check:Prior to an offer of employment, the final applicant will be required to sign a background check authorization form and undergo a criminal background check. Criminal convictions do not necessarily preclude an applicant from consideration for a position.ADA StatementOhio is a Disability Inclusion State and strives to be a model employer of individuals with disabilities. The State of Ohio is committed to providing access and inclusion and reasonable accommodation in its services, activities, programs and employment opportunities in accordance with the Americans with Disabilities Act (ADA) and other applicable laws.Drug-Free WorkplaceThe State of Ohio is a drug-free workplace which prohibits the use of marijuana (recreational marijuana/non-medical cannabis). Please note, this position may be subject to additional restrictions pursuant to the State of Ohio Drug-Free Workplace Policy (HR-39), and as outlined in the posting.
$23 hourly Auto-Apply 7h ago
Director Claims
Ryder System Inc. 4.4
Columbus, OH
The Director Claims directs activities within the General and Auto Liability Claims, Physical Damage Repairs and Property and Cargo Claims including the management of loss control activities and third-party provider relationships (including consultants, legal
counsel, insurers, and external claims administrators). The Director manages and oversees the physical damage team and handling individual liability, property, and cargo claim. This position reports to the Senior Director of Claims and requires little supervision and is
considered a liability, property and physical damage expert within the company. This position has responsibility to handle and manage the aforementioned claims in the US, Canada and Puerto Rico. The Director position leads an internal staff of approximately 40; this consists of
professional Claims Managers, Supervisors, Senior Office Manager, Claims
Analysts, and clerical staff support.
Essential Functions
+ Provides strategic direction to the claims team to establish defined and impacting goals, improve processes, create an inclusive work environment, and motivate staff to reach goals that increase claim quality, costs and improve employee and customer satisfaction.
+ Ensures consistent identification of exposures, recommends solutions, promotes loss prevention, updates and monitors compliance with procedures and manages documented safety/risk management programs.
+ Develop and implements processes to ensure physical damage repairs are completed timely and properly partnering with vendor, operations and all business units.
+ Partners with and gives direction to Operations, Sales, Central Support and Safety in various liability, property and cargo, and physical damage repair matters.
+ Ensures correct coverage to avoid major exposure while keeping costs at a minimum.
+ Manages team to ensure the claim process supports proper invoicing and reduce credits to improve customer satisfaction.
+ Responsible for continuous improvement, developing and implementing new processes to improve overall financial results including the Process Integrity Program.
+ Significant interaction with field and senior management, internal legal counsel, safety directors, Sales, Ryder Security, and members of corporate risk management. Informs field and senior management on all claims issues.
+ Primary backup for the Senior Director assisting with all aspects of the operations
+ Leads and directs claims managers, office manager, and supervisors as well as a team of 40+ claims analysts and administrative staff charging them with continuous development, training sessions, and individual development plans
Additional Responsibilities
+ Performs other duties as assigned.
+ Provides direction on high exposure claims and business process
+ Routinely updates senior management on trends, compliance issues on specific claims to assist in timely and well-informed business decisions; understand root cause of claim frequency and severity
+ Establish positive relationships with operations, sales, central support, leadership, and customers. Ensure superior customer service and assist with renewal business
+ Leads and direct special projects and performs other duties as assigned.
Skills and Abilities
+ Demonstrated ability to manage and develop a sizeable staff, Required
+ Foster collaborative relationships and increase customer satisfaction, Required
+ Superior ability drives favorable outcomes through strategic negotiations, Required
+ Demonstrates exceptional interpersonal skills and ability to communicate clearly in verbal and written interactions, Required
+ Ability to effectively interact and influence Executive, Field management and other business units within Ryder, Required
+ Create a collaborative environment that drives engagement and results, Required
Qualifications
+ Bachelor's degree in business, Economics, Finance or related field or equivalent claims work experience, Required
+ 10 years or more in in the Casualty Claim field, Required
+ 5 years or more experience in Vehicle Rental/Leasing Business or Commercial Trucking Insurance, Preferred
+ 5 years or more in Management or administrative experience, Required
+ Working knowledge of state laws to include ownership, joint and several liabilities Advanced, Required
+ Strong understanding of insurance law and policy languages as well as interpreting contracts Advanced, Required
+ Strong knowledge of the principles of Total Quality Management Advanced, Required
+ Adjuster Insurance Licenses-Insurance related courses such as I.I.A. or C.P.C.U, Preferred
Job Category: Risk Management
Compensation Information :
The compensation offered to a candidate may be influenced by a variety of factors, including the candidate's relevant experience; education, including relevant degrees or certifications; work location; market data/ranges; internal equity; internal salary ranges; etc. The position may also be eligible to receive an annual bonus, commission, and/or long-term incentive plan based on the level and/or type. Compensation ranges for the position are below:
Pay Type :
Salaried
Minimum Pay Range:
150,000
Maximum Pay Range:
200,000
Benefits Information :
For all Full-time positions only : Ryder offers comprehensive health and welfare benefits, to include medical, prescription, dental, vision, life insurance and disability insurance options, as well as paid time off for vacation, illness, bereavement, family and parental leave, and a tax-advantaged 401(k) retirement savings plan.
For more information about benefits, click here (********************************************************************************************************** to download the comprehensive benefits summary.
Ryder is proud to be an Equal Opportunity Employer and Drug Free workplace.
All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex, sexual orientation, gender identity, age, status as a protected veteran, among other things, or status as a qualified individual with disability.
Important Note :
Some positions require additional screening that may include employment and education verification; motor vehicle records check and a road test; and/or badging or background requirements of the customer to which you are assigned.
Security Notice for Applicants:
Ryder will only communicate with an applicant directly from a [@ryder.com] email address and will never conduct an interview online through a chat type forum, messaging app (such as WhatsApp or Telegram), or via an online questionnaire. During an interview, Ryder will never ask for any form of payment or banking details and will never solicit personal information outside of the formal submitted application through ********************* .
Should you have any questions regarding the application process or to verify the legitimacy of an interview or Ryder representative, please contact Ryder at ***************** or ************.
Current Employees :
If you are a current employee at Ryder, please click here (*************************************************** to log in to Workday to apply using the internal application process.
_Job Seekers can review the Job Applicant Privacy Policy by clicking here (********************************************** ._
\#wd
$45k-81k yearly est. Auto-Apply 34d ago
Claims Processor
Summa Health 4.8
Akron, OH
SummaCare - 1200 E Market St, Akron, OH Full-Time / 40 Hours / Days * Hybrid after training As a regional, provider-owned health plan, SummaCare values the relationship between the members and their doctors. SummaCare is a part of Summa Health, an integrated healthcare delivery system that includes Summa Health System hospitals, its community-based health centers, dedicated clinicians and SummaCare. Based in Akron, Ohio, SummaCare provides Medicare Advantage, individual and family and commercial insurance plans. SummaCare has one of the highest rated Medicare Advantage plans in the state of Ohio, with a 4.5 out of 5-Star rating for 2025 by the Centers for Medicare and Medicaid Services (CMS). Known for its excellent customer service and personalized attention to members, SummaCare is committed to building lasting relationships. Employees can expect competitive pay and benefits.
Summary:
Accurately and efficiently handles claims in accordance with regulatory and contractual guidelines. Reviews claims related to coordination of benefits, medical coding, and authorization allocation while ensuring compliance with established policies. Applies cost-containment strategies in collaboration with vendor partners to minimize claim expenses while adhering to plan-specific processing rules. are essential for success in this position.
1. Formal Education Required:
a. High School Diploma or equivalent
2. Experience & Training Required:
a. One (1) year experience to include any combination of the following:
i. Health insurance claims processing
ii. Health claims data entry including Document Management Services (DMS)
iii. Customer service experience in a managed care environment
iv. Physician or hospital billing
v. Patient accounts
Essential Functions:
1. Requires close attention to detail with independent judgment, decision making and problem solving skills necessary to complete the task being performed
2. Organizes reference materials for easy access; manages time to accurately complete tasks within time frames in a fast paced environment
3. Processes all types of claims, promptly and accurately, as assigned via the document management system, and ensures self-funded service standards, prompt pay standards, and regulatory requirements are met.
4. Maintains a working knowledge of the claims processing system, imaging system, key-stroke emulation system, code editing application, claims processing policies & procedures, and unique benefits/processing rules for self-funded, Medicare, MEWA, Marketplace and fully-insured plans.
5. Escalates questions or concerns to their mentor for evaluation and potential referral to the Claims Management staff for action plan and resolution
6. Meets or exceeds claims production and quality standards as established/communicated by Claims Management staff
7. Coordinates information and resolves service forms and other assignments promptly, in accordance with experience/capabilities. Handles special projects within timeframes established/assigned by supervisor
3. Other Skills, Competencies and Qualifications:
a. Strong independent judgment and decision-making skills
b. MS-windows based computer environment
c. Medical terminology, CPT, HCPCs and ICD-10 knowledge
d. Familiar with professional (CMS1500) and institutional (UB-04) claim types
4. Level of Physical Demands:
a. Sit for prolonged periods of time
b. Bend, stop and stretch
c. Lift up to 20 pounds
d. Manual dexterity to operate computer, phone and standard office machines
Equal Opportunity Employer/Veterans/Disabled
$19.23/hr - $23.08/hr
The salary range on this job posting/advertising is base salary exclusive of any bonuses or differentials. Many factors, such as years of relevant experience and geographical location are considered when determining the starting rate of pay. We believe in the importance of pay equity and consider internal equity of our current team members when determining offers. Please keep in mind that the range that is listed is the full base salary range. Hiring at the maximum of the range would not be typical.
Summa Health offers a competitive and comprehensive benefits program to include medical, dental, vision, life, paid time off as well as many other benefits.
* Basic Life and Accidental Death & Dismemberment (AD&D)
* Supplemental Life and AD&D
* Dependent Life Insurance
* Short-Term and Long-Term Disability
* Accident Insurance, Hospital Indemnity, and Critical Illness
* Retirement Savings Plan
* Flexible Spending Accounts - Healthcare and Dependent Care
* Employee Assistance Program (EAP)
* Identity Theft Protection
* Pet Insurance
* Education Assistance
* Daily Pay
$19.2-23.1 hourly 43d ago
Casualty Claims Supervisor - AgriBusiness
Great American Insurance 4.7
Cincinnati, OH
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.
Running a farm or ranch has always involved a lot of risks. But these days, rapid changes in the industry are raising the stakes. Advanced technologies and new environmental concerns are pushing farming and ranching in new directions. But no matter how much things change, one thing never will: Great American's AgriBusiness Division's commitment to keeping farmers and ranchers strong with effective insurance coverage.
The AgriBusiness Division has been helping farmers and ranchers manage the uncertainties of doing business as far back as 1886. Today, the division provides coverage for full-time farms, ranches, and other agricultural operations in 44 states. The farm products can cover businesses that range from fruit and vegetable farms to livestock operations and the equine farm products cover a wide range of risks ranging from monoline property and liability, care custody or control to umbrella and auto.
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We are looking for a Claims Supervisor to join our AgriBusiness division in our Cincinnati, OH office. Training will be fully in person, with the opportunity to work a hybrid schedule after training is completed.
Essential Job Functions and Responsibilities
Coordinates the daily operations of the Claims team, ensuring efficient workflow and productivity.
Manages litigation handling.
Supervises the investigation of liability claims to confirm coverage and to determine liability, compensability and damages.
Reviews and approves appropriate claim settlements/reserves within prescribed authority.
Advises team members on handling claim files and extends settlement authority as needed after thorough review.
May set reserves and provide recommendations or reports for Corporate Claims or senior management.
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.
Performs other duties as assigned.
Job Requirements
Bachelor's Degree in Business Administration, Risk Management and Insurance, Finance, or a related field or equivalent experience.
Generally, a minimum of 5 years of experience in property and casualty claims handling. Completion of or continuing progress toward a professional designation preferred, such as Associate in Claims (AIC).
Coverage and Farm claims experience is a plus.
Typically manages 2 or more reports.
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:
AgriBusiness
Benefits:
Compensation varies by role, position level, and location. Individual pay is influenced by skills, education, training, certifications, experience, and the role's scope and complexity, along with business needs.
We offer a competitive Total Rewards package, including medical, dental, and vision plans starting on day one, PTO, paid holidays, commuter benefits, an employee stock purchase plan, education reimbursement, paid parental leave/adoption assistance, and a 401(k) plan with company match. These benefits are available to eligible full-time and part-time employees.
Your recruiter can provide more details about our total rewards and specific compensation ranges during the hiring process.
$93k-171k yearly est. Auto-Apply 60d+ ago
Claims Supervisor
Corvel Career Site 4.7
Dublin, OH
The Claims Supervisor is responsible for supervising a team of direct reports, ensuring all quality, productivity and customer service criteria are met while adhering to company policies and procedures. The Claims Supervisor position is integral to the success of the company and requires regular and consistent attendance, supporting the goals of the claims department and CorVel.
This is a Hybrid role.
ESSENTIAL FUNCTIONS & RESPONSIBILITIES:
Supervises claims staff in their day-to-day operations
Assists Claims Manager with recruitment, interviewing, and onboarding new staff, ensuring proficiency in procedures and job functions
Ensures staff compliance with Workers' Compensation laws and mandated regulatory reporting requirements
Ensures optimal team performance through ongoing training, coaching, and regular performance evaluations; recommends merit-based actions (subject to managerial approval)
Provides technical and jurisdictional guidance to claims staff regarding complex compensability, investigation, litigation issues and service account instructions
Acts as a liaison by recommending and executing final resolutions for clients and employees concerning claim-specific, procedural, or special requests
Participate in customer claim reviews and presentations
Ability to travel overnight and attend meetings if required
Additional duties as assigned
KNOWLEDGE & SKILLS:
Excellent written and verbal communication skills
Ability to assist team members to develop knowledge and understanding of claims practice
Effective quantitative, analytical and interpretive skills
Strong leadership, management and motivational skills
Demonstrated, strong customer service skills
Maintains composure under pressure and communicates diplomatically across various channels, including telephone, email, and written correspondence
Computer proficiency and technical aptitude with the ability to utilize MS Office including Excel spreadsheets
Strong interpersonal, time management and organizational skills
Ability to work both independently and within a team environment
Knowledge of the entire claims administration, case management and cost containment solution as applicable to Workers' Compensation
EDUCATION & EXPERIENCE:
Bachelor's degree or a combination of education and related experience
Demonstrated public speaking skills
Minimum of 5 years' claims handling experience
Knowledge of WC required
Current license or certification in Workers' Compensation must be maintained throughout employment with CorVel
Self-Insured Certificate preferred
State Certification as an experienced Examiner
PAY RANGE:
CorVel uses a market based approach to pay and our salary ranges may vary depending on your location. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. Our ranges may be modified at any time.
For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role. The level may impact the salary range and these adjustments would be clarified during the offer process.
Pay Range: $71, 696 - $110,701
A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management
In general, our opportunities will be posted for up to 1 year from date of posting, or until we have selected candidate(s) to fulfill the opening, whichever comes first.
ABOUT CORVEL
CorVel, a certified Great Place to Work Company, is a national provider of industry-leading risk management solutions for the workers' compensation, auto, health and disability management industries. CorVel was founded in 1987 and has been publicly traded on the NASDAQ stock exchange since 1991. Our continual investment in human capital and technology enable us to deliver the most innovative and integrated solutions to our clients. We are a stable and growing company with a strong, supportive culture and plenty of career advancement opportunities. Over 4,000 people working across the United States embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!).
A comprehensive benefits package is available for full-time regular employees and includes Medical (HDHP) w/Pharmacy, Dental, Vision, Long Term Disability, Health Savings Account, Flexible Spending Account Options, Life Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and Transit FSA accounts, 401K, ROTH 401K, and paid time off.
CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable.
#LI-Hybrid
$71.7k-110.7k yearly 60d+ ago
Claims Processor
Kelly Services 4.6
Mason, OH
**Finding a job that fits your lifestyle isn't always easy. That's where Kelly comes in.** We're seeking a **Claims Processor** to work with one of the nation's fastest-growing vision care companies in **Mason, OH (45040)** . Sound good? Take a closer look below. We're here to help you find something great that works for you-so you won't miss a moment of what really matters in your life.
**Why you should apply to be a Claims Processor:**
+ Immediate start-short-term **1-month contract with possible extension**
+ **Competitive pay at $18.40/hr**
+ Stable schedule: **Monday-Friday, 8:00 AM-4:30 PM (40 hrs/week)**
+ Onsite role with a collaborative team environment
+ Work within a department that has achieved **12 consecutive years of 100% client satisfaction**
+ Gain experience supporting new client implementations in a high-volume, fast-paced corporate environment
**What's a typical day as a Claims Processor? You'll be:**
+ Performing accurate and timely tasks supporting new client implementations
+ Building new client structures in Salesforce using standard setup guidelines
+ Tracking tasks using the Salesforce Implementation Tracker
+ Validating benefit setup in the Facets system and reporting any discrepancies
+ Setting up new client portal access and sending communication emails
+ Monitoring a shared Outlook mailbox for incoming membership documents
+ Reviewing Excel/Word membership files for accuracy, formatting, and data quality
+ Communicating required corrections to ensure successful enrollment or processing
+ Supporting implementation specialists with administrative and data-related tasks
**This job might be an outstanding fit if you have:**
+ Strong attention to detail and the ability to work autonomously
+ Comfortable handling **high-volume workloads**
+ Ability to learn new processes quickly
+ Medium-advanced Microsoft Excel skills
+ Proficiency in Outlook and cloud tools like OneDrive
+ Ability to multitask and work across multiple systems
+ Strong data-entry skills ( **9,000+ KSPH required** )
+ Clear communication skills for articulating findings or issues
**Preferred:**
+ Medicare/Medicaid knowledge
**Additional Details:**
+ **Full onsite role** (in office 5 days a week)
+ Must pass standard prescreen requirements
+ Prescreen questions are required during submission
**What happens next?**
Once you apply, you'll move forward to the next steps if your skills and experience match what we're looking for. But don't worry-even if this position isn't the right fit, you'll stay in our network. That means all Kelly recruiters can access your profile and help open more doors for you.
Helping you discover what's next in your career is what we're all about-so let's get to work.
**Apply to be a Claims Processor with Kelly today!**
**\#GRACE**
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.
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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.
$18.4 hourly 7d ago
Senior Claims Specialist - PA & DE Workers' Compensation
Great American Insurance Group (DBA 4.7
Delaware, OH
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.
* --------------------------------------------
When is the last time you felt like you made a difference to your employer and in the job you do? Been awhile? Never? Our employees at Strategic Comp DO make a difference and feel appreciated for it. In fact, we received 98% rating for overall job satisfaction from the participants in our last employee survey, clearly indicating the passion and energy our staff has for our company and for the job they do!
Currently we have an opening for a SeniorClaims Specialist in your territory. Are you innovative, high energy, resilient, determined, assertive, clever, and competitive? Do you see each new claim as a puzzle to work and a challenge to be won? Does this sound like you? If so, this might be the right job for you.
Here's who we are. Strategic Comp is part of Great American Insurance Group, which was established in 1872. Based in Cincinnati, Ohio, the operations of Great American Insurance Group are engaged primarily in property and casualty insurance focusing on specialty commercial products for businesses. The members of the Great American Insurance Group are subsidiaries of American Financial Group, Inc. AFG's common stock is listed and traded on the New York Stock Exchange ("NYSE") and NASDAQ under the symbol "AFG".
Here's what we do. We insure workers' compensation coverage for large companies, using our deductible program. Our service in claims and loss control is second to none. We've found that a large majority of our customers feel the way our employees do. Our renewal retention is 90+%, meaning they enjoy working with us too!
Here's what you would be doing if hired for the SeniorClaims Specialist position. Your role would be to investigate and adjust workers' compensation claims with high potential exposure. We take an extremely aggressive and proactive approach to claims adjusting and are looking for the person who not only knows their territory's comp laws but also enjoys the role of putting that experience to good use. Because we focus on outcomes and not just processes, we look for the adjuster who is very skilled at developing strategies to bring claims to resolution. The person hired for this position will work from an office in their home with occasional travel to claims reviews and meetings. We prefer candidates to reside in Pennsylvania, but we will also consider those living in Delaware and New Jersey.
Responsibilities
* Investigating losses
* Analyzing coverage, determining compensability and benefits
* Establishing reserves and negotiating settlements
* Conducting meetings on the phone with insureds and claimants
* Preparing large loss reports to both internal and external audiences
* Attending settlement conferences as assigned
* Working closely with defense attorneys and other vendors including medical case management, surveillance, etc.
Physical Requirements
* Sedentary - requires prolonged sitting, continuous use of computer
* Occasional Travel - may require overnight travel to tri-annual claim reviews and/or departmental meetings
Qualifications
* A minimum of 10 to 13 years of Pennsylvania and Delaware workers' compensation claims adjusting experience with higher exposure claims is required
* Must have current license to adjust workers' compensation claims in Delaware
* Strong consideration will be given to candidates with industry designations including Associate in Claims
* You must be a great communicator, in both written and verbal form, and be able to work with a variety of internal and external contacts
#LI-StrategicComp
Business Unit:
Strategic Comp
Salary Range:
$95,000.00 -$105,000.00
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.
$95k-105k yearly Auto-Apply 12d ago
Senior Claims Specialist - CA Workers' Compensation
Great American Insurance Group (DBA 4.7
Oregon, OH
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.
* --------------------------------------------
When is the last time you felt like you made a difference to your employer and in the job you do? Been awhile? Never? Our employees at Strategic Comp DO make a difference and feel appreciated for it. In fact, we received 98% rating for overall job satisfaction from the participants in our last employee survey, clearly indicating the passion and energy our staff has for our company and for the job they do!
Currently we have an opening for a SeniorClaims Specialist in your territory. Are you innovative, high energy, resilient, determined, assertive, clever, and competitive? Do you see each new claim as a puzzle to work and a challenge to be won? Does this sound like you? If so, this might be the right job for you.
Here's who we are. Strategic Comp is part of Great American Insurance Group, which was established in 1872. Based in Cincinnati, Ohio, the operations of Great American Insurance Group are engaged primarily in property and casualty insurance focusing on specialty commercial products for businesses. The members of the Great American Insurance Group are subsidiaries of American Financial Group, Inc. AFG's common stock is listed and traded on the New York Stock Exchange ("NYSE") and NASDAQ under the symbol "AFG".
Here's what we do. We insure workers' compensation coverage for large companies, using our deductible program. Our service in claims and loss control is second to none. We've found that a large majority of our customers feel the way our employees do. Our renewal retention is 90+%, meaning they enjoy working with us too!
Here's what you would be doing if hired for the SeniorClaims Specialist position. Your role would be to investigate and adjust workers' compensation claims with high potential exposure. We take an extremely aggressive and proactive approach to claims adjusting and are looking for the person who not only knows their territory's comp laws but also enjoys the role of putting that experience to good use. Because we focus on outcomes and not just processes, we look for the adjuster who is very skilled at developing strategies to bring claims to resolution. The person hired for this position will work from an office in their home within the Pacific Region with occasional travel to claims reviews and meetings.
Responsibilities
* Investigating losses
* Analyzing coverage, determining compensability and benefits
* Establishing reserves and negotiating settlements
* Conducting meetings on the phone with insureds and claimants
* Preparing large loss reports to both internal and external audiences
* Attending settlement conferences as assigned
* Working closely with defense attorneys and other vendors including medical case management, surveillance, etc.
Physical Requirements
* Sedentary - requires prolonged sitting, continuous use of computer
* Occasional Travel - may require overnight travel to tri-annual claim reviews and/or departmental meetings
Qualifications
* A minimum of 10 to 13 years of California workers' compensation claims adjusting experience with higher exposure claims is required
* Must have current license to adjust workers' compensation claims in California
* Strong consideration will be given to candidates with industry designations including Associate in Claims
* You must be a great communicator, in both written and verbal form, and be able to work with a variety of internal and external contacts
#LI-StrategicComp
Business Unit:
Strategic Comp
Salary Range:
$110,000.00 -$120,000.00
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.
$110k-120k yearly Auto-Apply 25d ago
Senior Claims Specialist - OR & CA Workers' Compensation
Great American Insurance Group (DBA 4.7
Oregon, OH
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.
* --------------------------------------------
When is the last time you felt like you made a difference to your employer and in the job you do? Been awhile? Never? Our employees at Strategic Comp DO make a difference and feel appreciated for it. In fact, we received 98% rating for overall job satisfaction from the participants in our last employee survey, clearly indicating the passion and energy our staff has for our company and for the job they do!
Currently we have an opening for a SeniorClaims Specialist in your territory. Are you innovative, high energy, resilient, determined, assertive, clever, and competitive? Do you see each new claim as a puzzle to work and a challenge to be won? Does this sound like you? If so, this might be the right job for you.
Here's who we are. Strategic Comp is part of Great American Insurance Group, which was established in 1872. Based in Cincinnati, Ohio, the operations of Great American Insurance Group are engaged primarily in property and casualty insurance focusing on specialty commercial products for businesses. The members of the Great American Insurance Group are subsidiaries of American Financial Group, Inc. AFG's common stock is listed and traded on the New York Stock Exchange ("NYSE") and NASDAQ under the symbol "AFG".
Here's what we do. We insure workers' compensation coverage for large companies, using our deductible program. Our service in claims and loss control is second to none. We've found that a large majority of our customers feel the way our employees do. Our renewal retention is 90+%, meaning they enjoy working with us too!
Here's what you would be doing if hired for the SeniorClaims Specialist position. Your role would be to investigate and adjust workers' compensation claims with high potential exposure. We take an extremely aggressive and proactive approach to claims adjusting and are looking for the person who not only knows their territory's comp laws but also enjoys the role of putting that experience to good use. Because we focus on outcomes and not just processes, we look for the adjuster who is very skilled at developing strategies to bring claims to resolution. The person hired for this position will work from an office in their home in Oregon with occasional travel to claims reviews and meetings.
Responsibilities
* Investigating losses
* Analyzing coverage, determining compensability and benefits
* Establishing reserves and negotiating settlements
* Conducting meetings on the phone with insureds and claimants
* Preparing large loss reports to both internal and external audiences
* Attending settlement conferences as assigned
* Working closely with defense attorneys and other vendors including medical case management, surveillance, etc.
Physical Requirements
* Sedentary - requires prolonged sitting, continuous use of computer
* Occasional Travel - may require overnight travel to tri-annual claim reviews and/or departmental meetings
Qualifications
* A minimum of 10 to 13 years of Oregon and California workers' compensation claims adjusting experience with higher exposure claims is required
* Must have current license to adjust workers' compensation claims in California
* Strong consideration will be given to candidates with industry designations including Associate in Claims
* You must be a great communicator, in both written and verbal form, and be able to work with a variety of internal and external contacts
#LI-StrategicComp
Business Unit:
Strategic Comp
Salary Range:
$105,000.00 -$115,000.00
Benefits:
Compensation varies by role, position level, and location. Individual pay is influenced by skills, education, training, certifications, experience, and the role's scope and complexity, along with business needs.
We offer a competitive Total Rewards package, including medical, dental, and vision plans starting on day one, PTO, paid holidays, commuter benefits, an employee stock purchase plan, education reimbursement, paid parental leave/adoption assistance, and a 401(k) plan with company match. These benefits are available to eligible full-time and part-time employees.
Your recruiter can provide more details about our total rewards and specific compensation ranges during the hiring process.
$105k-115k yearly Auto-Apply 50d ago
Claims Specialist/Senior Claims Specialist
Great American Insurance Group (DBA 4.7
Cincinnati, OH
Mid-Continent Group, a subsidiary of Great American, based in Tulsa, Oklahoma, specializes in commercial casualty coverages with an emphasis on general liability for the construction, energy, and difficult-to-place business in other industries. Mid-Continent Group provides a broad selection of General Liability, Commercial Auto, Inland Marine and Umbrella products.
Be Here. Be Great. Working for a leader in the insurance industry means opportunity for you. Great American Insurance Group, a Fortune 500 company, combines "small company" culture with "big company" expertise. Here, your ideas will be heard, and you'll have the support to succeed. With over 35 specialty and property and casualty operations, there are always opportunities 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.
Mid-Continent Group is currently seeking a Claims Specialist/SeniorClaims Specialist to join our Claims Team. The position will work a hybrid schedule from downtown Tulsa, OK, or downtown Cincinnati, OH.
Essential Job Functions and Responsibilities
* Manage a portfolio of complex, high-value commercial general liability and auto claims across the U.S.
* Lead investigations, evaluate coverage and liability, and drive resolution strategies.
* Represent the company in mediations, depositions, and trials.
* Collaborate with underwriting and marketing teams to identify trends and improve outcomes.
* Serve as a technical expert and strategic advisor within your line of business.
* Ensure compliance with all legal and regulatory standards.
* Offer expert advice to other members of your team on complex claim file management and demonstrate leadership across the organization.
Job Requirements
* 9+ years of experience handling general liability and/or commercial auto claims.
* Strong analytical skills and deep understanding of policy coverage.
* Excellent communication, negotiation, and organizational abilities.
* Bachelor's degree in Business, Risk Management, Insurance, or related field (or equivalent experience).
* Professional designations (e.g., CPCU) are a plus.
Ready to Make a Difference?
Join a team where your expertise is valued, your voice is heard, and your career can flourish. Apply today and be part of something great.
Company:
MCC Mid-Continent Casualty Company
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.