Claims Specialist/Senior Claims Specialist
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/Senior Claims 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:
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.
Auto-ApplySenior Litigation Adjuster
Cincinnati, OH
Our Claims team is currently seeking a Senior Litigation Adjuster for either Commercial General Liability (CGL) or Auto Bodily Injury (ABI). This is a full-time, exempt role with a hybrid work schedule (two days in the office) or fully remotely for those not near a Hanover office.
POSITION OVERVIEW:
This position requires daily telephone contacts with the policyholders, risk managers, and agents. Fully responsible for the analysis, investigation, evaluation, negotiation and resolution of complex claims requiring thorough investigations including telephone contacts with the involved parties; technical expertise and complex analysis. Claim assignments are multi-state and involve customers.
IN THIS ROLE, YOU WILL:
Must have or secure and maintain appropriate states adjuster license (s) and continuing education credits.
Responsible for the settlement of litigated cases, involving disputes over coverage, liability, and damages issues.
Gather the facts and analyze the statements/testimony and declaration of damages to develop claims resolution strategies.
Work in partnership with defense counsel and all other parties/vendors to bring about a timely cost effective conclusion.
Identifies possibly suspicious claims
Claims handled are transferred existing losses or first notice lawsuits over disputed issues of great complexity where the policyholder's coverage is in question.
These claims require the highest level of investigation, analysis, evaluation, and negotiation.
Responsible for all aspects of each claim, including informal hearings, arbitrations and claims litigation and maintaining a high level of productivity, confidentiality and customer service.
Will be utilized as a technical resource by adjusters.
Will represent the company at mediation, arbitration and trials.
Review and analyze contracts, leases, and identify risk transfer opportunities
Demonstrate ability to write positional coverage letters.
Manage litigation expenses.
Reports into Unit Manager
WHAT YOU NEED TO APPLY:
Typically has 5 + years of litigation experience with insurance carrier. (TPA experience will not be considered)
Bachelor's degree or equivalent experience, industry designation preferred.
Dedicated to meeting the expectations and requirements of internal and external customers
Makes decisions in an informed, confident and timely manner
Maintains constructive working relationships despite differing perspectives
Considers the perspectives of others and gives them credibility
Strong organizational and time management skills
Ability to negotiate skillfully in difficult situations with both internal and external groups. Demonstrates ability to win concessions without damaging relationships.
Demonstrates strong written and verbal communication skills. Promotes and facilitates free and open communication.
Understanding of applicable statutes, regulations and case law
Thinks critically and anticipates, recognizes, identifies and develops solutions to problems in a timely manner.
Easily adapts to new or different changing situations, requirements or priorities.
Cultivates an environment of teamwork and collaboration
Operates with latitude for un-reviewed action or decision.
Computer experience (MS Office, excel, word, etc)
Ability to work in a paperless environment.
This job posting provides cursory examples of some of the job duties associated with this position. The examples provided are not complete, and the position may entail other essential and job-related functions and responsibilities that employees will be required to perform.
Claims Supervisor
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
Director Claims
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
Auto-ApplyInsurance Claim Specialist- Claims Management
Portsmouth, OH
Current Employees: If you are currently employed at SOMC please log into UKG Pro to use the internal application process. Department: Claims Management Shift/schedule: Full Time (40 hrs/wk) Works under the supervision of the Assistant Manager of Claims Management and Lead Insurance Claim Specialists. The Insurance Claim Specialist's primary job functions is to analyze, process, submit, and follow up on inpatient and outpatient medical claims. Is responsible for safeguarding the public relations and confidentiality of the organization and its records by consistent professional conduct.
QUALIFICATIONS
Education:
* High School Diploma or successful completion of an equivalent High School Exam Required
Licensure:
* None
Experience:
* Three to six months of related work experience in medical billing preferred
JOB SPECIFIC DUTIES AND PERFORMANCE EXPECTATIONS
The following is a summary of the major job duties of this job. Other duties may be performed, both major and minor, which are not mentioned below. Specific activities may change from time to time.
* Reviews all claims for complete and accurate information.
* Contacts other SOMC departments, physician offices, and insurance companies to obtain necessary information to file complete, accurate, and timely claims.
* Processes, edits, and submits all claims for the organization.
* Follows up on Commercial, Worker's Comp, VA, and Governmental claims by phone calls to the insurance companies, websites, or any online resources available.
* Works with the patient/guarantor by phone to assist with any questions regarding unpaid claims. Obtains information from the patient/guarantor with which to submit the claim for payment (i.e., claim forms, Medicare Secondary Payer (MSP) Questionnaire, etc.)
* Processes administrative appeals, reinstatements, and rejections of insurance claims.
* Completes account follow up daily, maintaining established goals, and notifies the Lead Specialist, when necessary, of issues preventing achievement of such goals.
* Analyzes daily correspondence (denials, underpayments) to appropriately resolve issues.
* Adheres to HIPPA regulations by verifying pertinent information to determine caller authorization level receiving information on account.
* Identifies billing and coding issues with individual claims, notifying medical billers for correction.
* Makes determinations through on-line systems of patient eligibility, coverage, and reviews status of claims.
* Performs other duties as assigned.
Thank you for your interest in Southern Ohio Medical Center. Once you have applied, the most updated information on the status of your application can be found by visiting the candidate Home section of this site. Please view your submitted applications by logging in and reviewing your status
Southern Ohio Medical Center is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to age, ancestry, color, disability, ethnicity, gender identity, or expression, genetic information, military status, national origin, race, religion, sex, gender, sexual orientation, pregnancy, protected veteran status or any other basis under the law.
Commercial Lines Claims Specialist
Cincinnati, OH
* Top 100 Agency for 2025 * Best Agencies to Work for in 2024 by the Insurance Journal * Big "I" Best Practices Agency in 2023 * Annual bonus eligibility * No weekends required - great work/life balance * 3+ weeks of Paid Time Off * 8 Paid Company Holidays
We are looking for someone who will
* Manage the claims reporting process for agency clients.
* Report claims to the appropriate carrier and maintain records in the agency management system by documenting claim actions in accordance with established procedures.
* Follow up on claim to obtain the specific adjuster and claim number relevant to the reported loss. Notify appropriate parties when a claim is processed with carrier, providing accurate and timely claim information.
* Continuously monitor claims until claims are closed by the insurance carrier. Report any potential issues with a claim to the client's Account Manager and Producer, escalating to management as needed.
* Prepare reports by collecting and summarizing information as requested by management.
Why Join AAA Club Alliance and the Energy Insurance team?
* A base rate of $20.00 to $25.00/hour, depending on experience and geographic location.
* Annual bonus potential
Do you have what it takes?
* Minimum of 2 years experience handling claims for Commercial Insurance - general liability, workers compensation, commercial auto, etc.
* Strong communication skills (both verbal and written) and attention to detail
* Strong time management skills
* Ability to obtain property and casualty license within 60 days of hire
Full time Associates are offered a comprehensive benefits package that includes:
* Medical, Dental, and Vision plan options
* Up to 2 weeks Paid parental leave
* 401k plan with company match up to 7%
* 2+ weeks of PTO within your first year
* Paid company holidays
* Company provided volunteer opportunities + 1 volunteer day per year
* Free AAA Membership
* Continual learning reimbursement up to $5,250 per year
* And MORE! Check out our Benefits Page for more information
ACA is an equal opportunity employer and complies with all applicable federal, state, and local employment practices laws. At ACA, we are committed to cultivating a welcoming and inclusive workplace of team members with diverse backgrounds and experiences to enable us to meet our goals and support our values while serving our Members and customers. We strive to attract and retain candidates with a passion for their work and we encourage all qualified individuals to apply. It is ACA's policy to employ the best qualified individuals available for all positions. Hiring decisions are based upon ACA's operating needs, and applicant qualifications including, but not limited to, experience, skills, ability, availability, cooperation, and job performance.
Job Category:
Insurance
Auto-ApplyCommercial Lines Claims Specialist
Cincinnati, OH
Top 100 Agency for 2025
Best Agencies to Work for in 2024 by the Insurance Journal
Big “I” Best Practices Agency in 2023
Annual bonus eligibility
No weekends required - great work/life balance
3+ weeks of Paid Time Off
8 Paid Company Holidays
We are looking for someone who will
Manage the claims reporting process for agency clients.
Report claims to the appropriate carrier and maintain records in the agency management system by documenting claim actions in accordance with established procedures.
Follow up on claim to obtain the specific adjuster and claim number relevant to the reported loss. Notify appropriate parties when a claim is processed with carrier, providing accurate and timely claim information.
Continuously monitor claims until claims are closed by the insurance carrier. Report any potential issues with a claim to the client's Account Manager and Producer, escalating to management as needed.
Prepare reports by collecting and summarizing information as requested by management.
Why Join AAA Club Alliance and the Energy Insurance team?
A base rate of $20.00 to $25.00/hour, depending on experience and geographic location.
Annual bonus potential
Do you have what it takes?
Minimum of 2 years experience handling claims for Commercial Insurance - general liability, workers compensation, commercial auto, etc.
Strong communication skills (both verbal and written) and attention to detail
Strong time management skills
Ability to obtain property and casualty license within 60 days of hire
Full time Associates are offered a comprehensive benefits package that includes:
Medical, Dental, and Vision plan options
Up to 2 weeks Paid parental leave
401k plan with company match up to 7%
2+ weeks of PTO within your first year
Paid company holidays
Company provided volunteer opportunities + 1 volunteer day per year
Free AAA Membership
Continual learning reimbursement up to $5,250 per year
And MORE! Check out our Benefits Page for more information
ACA is an equal opportunity employer and complies with all applicable federal, state, and local employment practices laws. At ACA, we are committed to cultivating a welcoming and inclusive workplace of team members with diverse backgrounds and experiences to enable us to meet our goals and support our values while serving our Members and customers. We strive to attract and retain candidates with a passion for their work and we encourage all qualified individuals to apply. It is ACA's policy to employ the best qualified individuals available for all positions. Hiring decisions are based upon ACA's operating needs, and applicant qualifications including, but not limited to, experience, skills, ability, availability, cooperation, and job performance.
Job Category:
Insurance
Auto-ApplyProfessional Billing Claims Follow Up Rep
Cincinnati, OH
JOB RESPONSIBILITIES * Financial Support - May perform duties of FSR I & II. May have specialized areas of responsibility (e.g. government & non-government billing, appeal processing, review & approval of refunds, etc.). * Systems Support - Identify system and technology needs. Participate in advancing use of technology. Ensures systems meet all regulatory and compliance requirements.
* Quality - May perform research and analysis. Participate in departmental/division performance improvement and quality assurance controls. May develop and execute corrective actions plans.
* Billing - Compile and prepare patient charges. Prepare invoices billings, UB-04 and 1500 claim forms to be sent to 3rd party payers for payment indicating individual line items for services and total costs. Review charges. Obtain and evaluate family, third party payers and agency resources for payment of charges. Managing patient billing and ensure procedures are billed according to contracts, transmit or mail all paper and claims, and review correspondence and follow up as needed.
* Collaboration - Act as a preceptor and/or lead for new employees. Perform specialty services functions. Act as a resource within the department/division. Provide instruction for performing non-routine functions. Serve as a liaison between Physicians Billing Service, Admitting, Outpatient Surgery, Outpatient Department, Patent Financial Services and other Cincinnati Children's departments. May have supervisory responsibilities.
JOB QUALIFICATIONS
* High school diploma or equivalent
* 3+ years of work experience in a related job discipline
Primary Location
South Campus
Schedule
Full time
Shift
Day (United States of America)
Department
Professional Billing Operation
Employee Status
Regular
FTE
1
Weekly Hours
40
* Expected Starting Pay Range
* Annualized pay may vary based on FTE status
$20.57 - $25.72
Market Leading Benefits Including*:
* Medical coverage starting day one of employment. View employee benefits here.
* Competitive retirement plans
* Tuition reimbursement for continuing education
* Expansive employee discount programs through our many community partners
* Shift Differential, Weekend Differential, and Weekend Option Pay Programs for qualified positions
* Support through Employee Resource Groups such as African American Professionals Advisory Council, Asian Cultural and Professional Group, EQUAL - LGBTQA Resource Group, Juntos - Hispanic/Latin Resource Group, Veterans and Military Family Advocacy Network, and Young Professionals (YP) Resource Group
* Physical and mental health wellness programs
* Relocation assistance available for qualified positions
* Benefits may vary based on FTE Status and Position Type
About Us
At Cincinnati Children's, we come to work with one goal: to make children's health better. We believe in a holistic team approach, both in caring for patients and their families, and in advancing science and discovery. We strive to do better and find energy and inspiration in our shared purpose. If you want to be the best you can be, you can do it at Cincinnati Children's.
Cincinnati Children's is:
* Recognized by U.S. News & World Report as a top 10 best Children's Hospitals in the nation for more than 15 years
* Consistently among the top 3 Children's Hospitals for National Institutes of Health (NIH) Funding
* Recognized as one of America's Best Large Employers (2025), America's Best Employers for New Grads (2025)
* One of the nation's America's Most Innovative Companies as noted by Fortune
* Consistently certified as great place to work
* A Leading Disability Employer as noted by the National Organization on Disability
* Magnet designated for the fourth consecutive time by the American Nurses Credentialing Center (ANCC)
We Embrace Innovation-Together. We believe in empowering our teams with the tools that help us work smarter and care better. That's why we support the responsible use of artificial intelligence. By encouraging innovation, we're creating space for new ideas, better outcomes, and a stronger future-for all of us.
Comprehensive job description provided upon request.
Cincinnati Children's is proud to be an Equal Opportunity Employer committed to creating an environment of dignity and respect for all our employees, patients, and families. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, genetic information, national origin, sexual orientation, gender identity, disability or protected veteran status. EEO/Veteran/Disability
Claim Benefit Specialist- Federal FFS Team
Delaware, OH
At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate.
And we do it all with heart, each and every day.
A Brief OverviewPerforms claim documentation review, verifies policy coverage, assesses claim validity, communicates with healthcare providers and policyholders, and ensures accurate and timely claims processing.
Contributes to the efficient and accurate handling of medical claims for reimbursement through knowledge of medical coding and billing practices and effective communication skills.
What you will do Handles and processes Benefits claims submitted by healthcare providers, ensuring accuracy, efficiency, and strict adherence to policies and guidelines.
Determines the eligibility and coverage of benefits for each claim based on the patient's insurance plan and policy guidelines and scope.
Assesses claims for accuracy and compliance with coding guidelines, medical necessity, and documentation requirements.
Documents claim information in the company system, assigning appropriate codes, modifiers, and other necessary data elements to ensure accurate tracking, reporting, and processing of claims.
Conducts reviews and investigations of claims that require additional scrutiny or validation to ensure proper claim resolution.
Communicates with healthcare providers, patients, or other stakeholders to resolve any discrepancies or issues related to claims.
Determines if claims processing activities comply with regulatory requirements, industry standards, and company policies.
Develops and implements regular, timely feedback as well as the formal performance review process to ensure delivery of exceptional services and engagement, motivation, and team development.
Analyzes claims data and generate reports to identify trends, patterns, or areas for improvement to help inform process enhancements, policy changes, or training needs within the claims processing department.
Required Qualifications1-2 years' experience working in Customer Service.
Possess strong teamwork and organizational skills.
Strong and effective communication skills.
Ability to handle multiple assignments competently through use of time management, accurately and efficiently.
Strong proficiency using computers and experience with data entry.
Preferred QualificationsExperience in a production environment.
Healthcare experience.
Knowledge of utilizing multiple systems at once to resolve complex issues.
Claim processing experience preferred but not required.
Understanding of medical terminology.
EducationHigh School or GED equivalent.
Anticipated Weekly Hours40Time TypeFull time Pay RangeThe typical pay range for this role is:$17.
00 - $25.
65This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls.
The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors.
Our people fuel our future.
Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
Great benefits for great people We take pride in our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be.
In addition to our competitive wages, our great benefits include:Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.
No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.
For more information, visit *************
cvshealth.
com/us/en/benefits We anticipate the application window for this opening will close on: 01/03/2026Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
Claims Specialist/Senior Claims Specialist-Workers Compensation
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.
Alternative Markets specialize in primary programs on either a traditional guaranteed cost (Specialty Programs) or risk-sharing basis (Agency, Association or Group Captives). Alternative Markets focuses on niche programs.
*****************************************************************************************************
Our Alternative Markets Division is looking for a Claims Specialist/Senior Claims Specialist. The ideal candidate would be available to work a hybrid schedule out of our Cincinnati, OH or Windsor, CT office. Job title and salary will be dependent upon successful applicant's level of experience.
Essential Job Functions and Responsibilities
Manages an inventory of medical only and lost time claims.
Plans and conducts claim investigations to confirm coverage and to determine liability, compensability and damages.
Analyzes and negotiates appropriate claim settlements/reserves within prescribed authority. May attend arbitrations, mediations, depositions, or trials.
Conveys information regarding coverage and settlements to insureds, claimants, and external partners.
Authorizes payments in accordance with assigned authority limits and ensures payments are made in a timely manner.
Maintains accurate and detailed claim files, including all correspondence, reports, and settlement agreements.
Responsible for compliance with all state reporting requirements.
Follows all necessary medical treatment guidelines, including but not limited to utilization of vendors to ensure proper treatment and care.
Performs other duties as assigned.
Job Requirements
Education: Bachelor's Degree recommended but not required. Equivalent experience in Risk Management and Insurance, or a related field preferred. Completion of or continuing progress toward a professional designation preferred, such as Associate in Claims (AIC), CPCU but this is not required.
Experience: Generally, 5+ years of experience in worker's compensation claims handling. Active adjuster licensing is needed. California claim handling preferred but not a requirement.
Scope of Job/Qualifications: Works within broad limits and authority on assignments of variety of claims. Demonstrates excellent analytical, communication, negotiation, and problem-solving skills. Maintains strong knowledge of insurance policies, coverage, and claims handling procedures. Maintains knowledge of industry laws and regulations. Advanced ability to organize and prioritize caseloads, ensuring timely resolution of claims. Excellent interpersonal and communication skills with the ability to build relationships and lead negotiations. Proven ability to handle confidential information with discretion.
Business Unit:
Alternative Markets
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.
Auto-ApplyClaims Supervisor
Dublin, OH
Job Description
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
Director Claims
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
Easy ApplyProfessional Billing Claims Follow Up Rep II
Cincinnati, OH
JOB RESPONSIBILITIES * Billing - Compile and prepare patient charges. Prepare invoices billings, UB-04 and 1500 claim forms to be sent to 3rd party payers for payment indicating individual line items for services and total costs. Review charges. Obtain and evaluate family, third party payers and agency resources for payment of charges. Managing patient billing and ensure procedures are billed according to contracts, transmit or mail all paper and claims, and review correspondence and follow up as needed.
* Systems Support - Maintain and update departmental system, including templates, and payer and physician information.
* Collaboration - Act as a preceptor for new employees. Perform specialty services functions. Act as a resource within the department/division. Provide instruction for performing non-routine functions. Serve as a liaison between Physicians Billing Service, Admitting, Outpatient Surgery, Outpatient Department, Patent Financial Services and other Cincinnati Children's departments.
* Financial Support - Obtain and evaluate family, third party payers and agency resources for payment of charges. Counsel patient on third party coverage and present financial aspects. Determine eligibility for State Medicaid, Social Security and other outside funding. Complete necessary paperwork for eligible patients, including medical and financial applications. Coordinate inpatient and outpatient admissions. Coordinate information with the inpatient and outpatient charge systems. Input charges and relative information. Manage accounts receivable data and collection information, ensure timeliness and accuracy. Research third party payers and community physician charges in order to maintain usual and customary as will as competitive charges. Check and update charge master. Conduct utilization review for the division from insurance companies and working in conjunction with Cincinnati Children's Utilization Review department. Process, post, and balance payments to accounts timely, accurately, and in the correct period.
* Quality - Provide Quality Assurance reports for the division.
JOB QUALIFICATIONS
* High school diploma or equivalent
* 2+ years of work experience in a related job discipline
Primary Location
South Campus
Schedule
Full time
Shift
Day (United States of America)
Department
Professional Billing Operation
Employee Status
Regular
FTE
1
Weekly Hours
40
* Expected Starting Pay Range
* Annualized pay may vary based on FTE status
$18.16 - $22.25
Market Leading Benefits Including*:
* Medical coverage starting day one of employment. View employee benefits here.
* Competitive retirement plans
* Tuition reimbursement for continuing education
* Expansive employee discount programs through our many community partners
* Shift Differential, Weekend Differential, and Weekend Option Pay Programs for qualified positions
* Support through Employee Resource Groups such as African American Professionals Advisory Council, Asian Cultural and Professional Group, EQUAL - LGBTQA Resource Group, Juntos - Hispanic/Latin Resource Group, Veterans and Military Family Advocacy Network, and Young Professionals (YP) Resource Group
* Physical and mental health wellness programs
* Relocation assistance available for qualified positions
* Benefits may vary based on FTE Status and Position Type
About Us
At Cincinnati Children's, we come to work with one goal: to make children's health better. We believe in a holistic team approach, both in caring for patients and their families, and in advancing science and discovery. We strive to do better and find energy and inspiration in our shared purpose. If you want to be the best you can be, you can do it at Cincinnati Children's.
Cincinnati Children's is:
* Recognized by U.S. News & World Report as a top 10 best Children's Hospitals in the nation for more than 15 years
* Consistently among the top 3 Children's Hospitals for National Institutes of Health (NIH) Funding
* Recognized as one of America's Best Large Employers (2025), America's Best Employers for New Grads (2025)
* One of the nation's America's Most Innovative Companies as noted by Fortune
* Consistently certified as great place to work
* A Leading Disability Employer as noted by the National Organization on Disability
* Magnet designated for the fourth consecutive time by the American Nurses Credentialing Center (ANCC)
We Embrace Innovation-Together. We believe in empowering our teams with the tools that help us work smarter and care better. That's why we support the responsible use of artificial intelligence. By encouraging innovation, we're creating space for new ideas, better outcomes, and a stronger future-for all of us.
Comprehensive job description provided upon request.
Cincinnati Children's is proud to be an Equal Opportunity Employer committed to creating an environment of dignity and respect for all our employees, patients, and families. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, genetic information, national origin, sexual orientation, gender identity, disability or protected veteran status. EEO/Veteran/Disability
Claim Benefit Specialist- Federal FFS Team
New Hampshire, OH
At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate.
And we do it all with heart, each and every day.
A Brief OverviewPerforms claim documentation review, verifies policy coverage, assesses claim validity, communicates with healthcare providers and policyholders, and ensures accurate and timely claims processing.
Contributes to the efficient and accurate handling of medical claims for reimbursement through knowledge of medical coding and billing practices and effective communication skills.
What you will do Handles and processes Benefits claims submitted by healthcare providers, ensuring accuracy, efficiency, and strict adherence to policies and guidelines.
Determines the eligibility and coverage of benefits for each claim based on the patient's insurance plan and policy guidelines and scope.
Assesses claims for accuracy and compliance with coding guidelines, medical necessity, and documentation requirements.
Documents claim information in the company system, assigning appropriate codes, modifiers, and other necessary data elements to ensure accurate tracking, reporting, and processing of claims.
Conducts reviews and investigations of claims that require additional scrutiny or validation to ensure proper claim resolution.
Communicates with healthcare providers, patients, or other stakeholders to resolve any discrepancies or issues related to claims.
Determines if claims processing activities comply with regulatory requirements, industry standards, and company policies.
Develops and implements regular, timely feedback as well as the formal performance review process to ensure delivery of exceptional services and engagement, motivation, and team development.
Analyzes claims data and generate reports to identify trends, patterns, or areas for improvement to help inform process enhancements, policy changes, or training needs within the claims processing department.
Required Qualifications1-2 years' experience working in Customer Service.
Possess strong teamwork and organizational skills.
Strong and effective communication skills.
Ability to handle multiple assignments competently through use of time management, accurately and efficiently.
Strong proficiency using computers and experience with data entry.
Preferred QualificationsExperience in a production environment.
Healthcare experience.
Knowledge of utilizing multiple systems at once to resolve complex issues.
Claim processing experience preferred but not required.
Understanding of medical terminology.
EducationHigh School or GED equivalent.
Anticipated Weekly Hours40Time TypeFull time Pay RangeThe typical pay range for this role is:$17.
00 - $25.
65This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls.
The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors.
Our people fuel our future.
Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
Great benefits for great people We take pride in our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be.
In addition to our competitive wages, our great benefits include:Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.
No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.
For more information, visit *************
cvshealth.
com/us/en/benefits We anticipate the application window for this opening will close on: 01/03/2026Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
Senior Claims Specialist - OR & CA Workers' Compensation
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 Senior Claims 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 Senior Claims 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.
Auto-ApplyClaims Supervisor
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
Casualty Claims Supervisor - AgriBusiness
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.
*********************************************************************************************
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.
Auto-ApplyClaims Representative/Senior Claims Representative
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 looking for a Claims Representative/Senior Claims Representative to join our Multi-Peril Claims team. This individual will work a hybrid schedule from one of our downtown corporate locations in Tulsa, Oklahoma or Cincinnati, Ohio.
Essential Job Functions and Responsibilities
* Manage an inventory of Pollution Liability and General Liability claims with some litigation.
* Investigate and maintain claims:
* Evaluate coverage and liability.
* Secure necessary information (i.e.: reports, policies, appraisals, releases, statements, records, or other documents) in the investigation of claims.
* Actively work toward the resolution of claim files.
* Attend arbitrations, mediations, depositions, or trials as necessary.
* Affect settlements/reserves within prescribed limits and submit recommendations to supervisor on cases exceeding personal authority.
* Convey the complex information (coverage, decisions, outcomes, negotiations, etc.) to all appropriate parties while maintaining a professional demeanor in all situations.
* Ensure compliance of claims handling pursuant to all state, legal, statutory, and regulatory bodies to comply with all company procedures and requirements.
* Evaluate and make recommendations to executive management on internal and external issues of strategic importance to a product(s) and/or line of business.
Job Requirements
* Generally, 6 months to 5 years of experience handling Commercial General Liability claims, Claims-Made coverage, and/or Commercial Auto claims.
* Bachelor's degree in Business, Risk Management, Insurance, or related field (or equivalent experience).
* A successful candidate will be able to demonstrate strong writing, analytical, communication, and organizational skills.
* Professional designations (e.g., CPCU) are a plus.
* Ability to travel as needed.
Company:
MCC Mid-Continent Casualty Company
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.
Auto-ApplyCasualty Claims Rep/ Sr. Claims Representative-Trucking Division
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.
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.
Auto-ApplyCrop Claims Seasonal Adjuster
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.
The Crop Division of Great American has been helping generations of farmers take control of their risks since 1915. The Division is also one of a select few private companies authorized by the United States Department of Agriculture Risk Management Agency (USDA RMA) to write MPCI policies. With six regional offices throughout the U.S., the teams provide tremendous expertise in the specific needs of farmers and crops.
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Great American is currently seeking Seasonal Crop Adjusters. These positions are seasonal and may not be eligible for full-time or part-time benefits. Qualified candidates will cover territory in one of the following states:
* Alabama
* Arkansas
* California
* Colorado
* Florida
* Georgia
* Idaho
* Illinois
* Indiana
* Iowa
* Kansas
* Kentucky
* Louisiana
* Michigan
* Minnesota
* Mississippi
* Missouri
* Montana
* Nebraska
* New York
* North Carolina
* North Dakota
* Ohio
* Oklahoma
* Oregon
* Pennsylvania
* South Carolina
* South Dakota
* Tennessee
* Texas
* Washington
* Wisconsin
* Wyoming
Schedule: Seasonal part-time. Hours fluctuate based on seasonal needs.
As a Crop Adjuster, you will:
* Understand and can work claims for all major crops, policy/plan types, in all stages of growth.
* Complete field inspections, reviews, and adjustments by reading maps and aerial photos, measuring fields and storage bins, and appropriately administering company Crop insurance policies.
* Review and evaluates coverage and/or liability.
* Secure and analyze necessary information (i.e., reports, policies, appraisals, releases, statements, records, or other documents) in the investigation of claims.
* Ensure compliant and cost effective application of Crop policies by leveraging knowledge of basic insurance statutes and regulations and complying with state and federal regulatory requirements.
* Accurately document, process and transmit loss information to determine potential.
* Works toward the resolution of claims files, and may attend arbitrations, mediations, depositions, or trials as necessary.
* May affect settlements/reserves within prescribed limits and submit recommendations to supervisor on cases exceeding personal authority.
* Conveys simple to moderately complex information (coverage, decision, outcomes, etc.) to all appropriate parties, maintaining a professional demeanor in all situations.
* Ensures that claims handling is conducted in compliance with applicable statues, regulations, and other legal requirements, and that all applicable company procedures and policies are followed.
* Follow regulatory and company rules, policies, and procedures.
* Performs other duties as assigned.
Physical Requirements for employees in the Crop Business Unit/Crop Claims General Adjuster
* Requires continuous and prolonged walking and standing.
* Requires frequent lifting, carrying, pushing and pulling of objects up to 50 lbs.
* Requires frequent climbing grain bins, bending, twisting, stooping, kneeling and crawling.
* Requires overhead reaching and grabbing.
* Requires regular and predictable attendance.
* Requires ability to conduct visual inspections.
* Requires work outdoors, in inclement weather conditions.
* Requires frequent travel.
* May require ability to operate a motor vehicle.
Business Unit:
Crop
Salary Range:
$0.00 -$0.00
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.
Auto-Apply