Top 3960 Claims Jobs in Ohio

Third Party Sr. Claims Representative
Fleet Response —Hudson, OH
- $22.00 - $22.50 an hour
- Full-time
- Research
- Analysis skills
- Math
- Disability insurance
- Health insurance
Quick Apply
Regional Catastrophe Adjuster (Resident)
Shelter Insurance —Columbus, OH
- $23.82 - $33.38 an hour
- Full-time
- Customer service
- Residential
- Driver's License
- Profit sharing
- Wellness program
HVAC Technician - Supplemental Income - Assessments for Insurance Claims
ZAP Consulting | HVAC Consulting —Cincinnati, OH
- $110 an hour
- Part-time
- Customer service
- Travel
- US work authorization
- Flexible schedule
Quick Apply
11d
Patient Service Representative
quantum-health —Dublin, OH
- From $19 an hour
- Full-time
- Hybrid work
- Background check
- Microsoft Excel
- Microsoft Outlook
- Continuing education credits
- Paid holidays
Claim Specialist - Property Field Inspection
State Farm Mutual Automobile Insurance Company —Chillicothe, OH
- $59,059.65 - $90,000.00 a year
- Overtime
- Mid-level
- Residential
- Analysis skills
- Paid holidays
- Health insurance
Senior Claim Benefit Specialist - Remote
CVS Health —Ohio
- $18.50 - $42.35 an hour
- Full-time
- Remote
- Mid-level
- High school diploma or GED
- Mentoring
- Health insurance
- Dental insurance
Claims - Call Center Associate I (Fully Remote)
The Cincinnati Insurance Companies —Fairfield, OH
- $17 - $18 an hour
- Full-time
- Remote
- Microsoft Word
- Typing
- Communication skills
7d
Claims Specialist - Professional Liability
Tokio Marine North America (TMNA) —Beachwood, OH
- $95,000 - $105,000 a year
- Online Application
- Hybrid work
- Customer service
- High school diploma or GED
- Bachelor's degree
- Health insurance
- Tuition reimbursement
Claims Analyst - REMOTE
Ryder System —Columbus, OH
- $90,000 - $100,000 a year
- Full-time
- Remote
- Bachelor's degree
- Experience equivalent to degree accepted
- Senior level
- Disability insurance
- Health insurance
Commercial Claims Adjuster - Remote
WAHVE —Cincinnati, OH
- $35 - $60 an hour
- Part-time
- Remote
- Senior level
- Commercial
- Health insurance
- 401(k)
10d
Claims Specialist - Professional Liability
Philadelphia Insurance Companies —Dublin, OH
- $95,000 - $105,000 a year
- Online Application
- Hybrid work
- Customer service
- High school diploma or GED
- Bachelor's degree
- Health insurance
- Tuition reimbursement
Claims Specialist - Professional Liability
Philadelphia Insurance Companies (PHLY) —Beachwood, OH
- $95,000 - $105,000 a year
- Online Application
- Hybrid work
- Customer service
- Office
- High school diploma or GED
- Health insurance
- Tuition reimbursement
Claims Adjuster
Hylant —Toledo, OH
- Full-time
- Hybrid work
- Mid-level
- Driver's License
- Bachelor's degree
Property Adjuster II
Erie Insurance —Columbus, OH
- $63,130 - $100,843 a year
- Full-time
- Clean driving record
- Customer service
- Adults
- Disability insurance
- Health insurance
Customer Care Specialist I (Must live in Ohio)
CareSource —Ohio
- $35,900 - $57,300 a year
- Full-time
- Computer literacy
- HIPAA
- Research
Workers Compensation Return to Work Claim Professional
The Travelers Companies, Inc. —Cleveland, OH
- $67,000 - $110,600 a year
- Hybrid work
- Writing skills
- Mid-level
- High school diploma or GED
- Wellness program
- Paid holidays
Claims - Field Claims Representative
The Cincinnati Insurance Companies —Columbus, OH
- $57,000 - $90,000 a year
- Day shift
- Mid-level
- Driver's License
- Bachelor's degree
- Paid time off
- 401(k) matching
SIU Investigator
Centene —Ohio
- $56,200 - $101,000 a year
- Full-time
- Remote
- Mid-level
- Fair chance
- Associate's degree
- Paid holidays
- Health insurance
Claim Specialist-Injury
State Farm —Cleveland, OH
- $66,071.85 - $101,450.00 a year
- Overtime
- Mid-level
- Residential
- Driver's License
- Paid holidays
- Health insurance
6d
Field Office - Claims Specialist
US Social Security Administration —Dayton, OH
- $42,253 - $83,232 a year
- Online Application
- Hybrid work
- Background check
- Pass drug screening
- Mid-level
- Health insurance

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Third Party Sr. Claims Representative

Fleet Response -
Hudson, OH

Quick Apply

Job Details

Full-time
$22.00 - $22.50 an hour

Benefits

Disability insurance
Health insurance
Dental insurance
401(k)
Paid time off
Work from home
Vision insurance
Opportunities for advancement

Qualifications

Phone communication
Vehicle damage appraisal
Claims negotiation
Math
Productivity software
Customer service problem-solving
Technical Proficiency

Full Job Description

Fleet Response’s mission is to provide innovative and effective service to our clients and to maintain a high standard of professionalism and partnership in an environment that fosters opportunity, integrity, and excellence. Our mission would not be possible without an environment that is created from mutual trust and respect, coupled with a commitment to diversity, equity & inclusion

Our commitment to diversity, equity & inclusion aligns with our corporate values and is supported at the highest levels in the Company. Diversity helps to drive new business, fuel innovation, and attract and retain the best employees. It makes a difference in the workplace, marketplace, and community advancing the way we live and work.

Are you interested in joining a fast growing and customer focused company that is constantly rated as one of the Top Workplaces in Northeast Ohio? Do you feel that hard work should pay off and you value things like workplace flexibility, career advancement opportunities, a positive culture, and a genuine feeling that you belong to a team? If so, you would be perfect for Fleet Response.

Fleet Response specializes in providing services to corporations who self-insure physical damages to their fleets. Built from an insurance background with an eye for detail, Fleet Response prides itself on offering a variety of customized services to all our clients.

Fleet Response is currently seeking qualified candidates to work virtually or at our corporate office, for the following position: Third Party Sr. Claims Representative. The Third Party Sr. Claims Representative is responsible for the day to day management of client accident claims from assignment through completion. The Third Party Sr. Claims Representative typically manages 3rd party claims, including repair and rental management, claimant communication, and client communication. Confirms coverage and liability are properly in order prior to assisting 3rd party customers with repairs and/or rental and proactively works with client. Provides operational input and guidance as needed to teammate and works with the Claims Supervisor and Claims Manager to ensure client and customer parameters and expectations are consistently met by the team.

Job Summary:

Fleet Response is currently seeking qualified candidates to work virtually or at our corporate office, for the following position: Third Party Sr. Claims Representative. A Third-Party Sr. Claims Representative manages the most complex, high-exposure claims, requiring significant independent judgment, a strategic mindset, advanced technical expertise, and exceptional negotiation skills. They manage claims with complex coverage, liability, damage issues, often involving sensitive customer interactions filed by a third-party claimant against our clients from initiation to closure. This role often involves mentoring the Third Party Claims Specialist.

Essential Duties and Responsibilities

Includes, but is not limited to, the following:

First Notice of Loss (FNOL): Review and send loss notices to clients per client parameters.
Administrative Support: Performing general administrative tasks such as mailing documents, creating documents, uploading documents, gathering documents, setting up tows & handling a shared inbox.
Information Gathering: Contacting various parties to obtain missing or additional information required for claim processing & verification.
Verify Coverage: Review the claim to ensure that the claim is covered.
Investigate & Determine Liability: Conduct thorough investigations to establish fault, or liability, for an incident. This includes interviewing the client, claimant, witnesses, and other involved parties, and reviewing police reports and other documentation.
Identify Potential Fraud: watch for any signs of fraudulent activity, such as staged accidents or overstated claims, and refer suspicious cases to a Special Investigation Unit (SIU).
Mitigating Cost: It is a fundamental duty aimed at controlling expenses while ensuring fair and prompt resolution of claims.
Assess Damages: Evaluate the extent of damage, which can include property damage, repairs, total loss, loss of wages, loss of use, rental, towing, diminished value & out-of-pocket expenses.
Determine Total Loss vs Repair: Evaluate if the cost of repairs exceeds the value of the vehicle or property and handle the claim toward a total loss settlement if necessary.
Manage Repairs: Monitor the progress of repairs to ensure the repairs are being completed timely and accurately.
Manage Total Loss Claims: Perform detailed market research to determine the actual cash value (ACV) of a totaled vehicle. This involves analyzing vehicle history, local market comparable, and salvage value.
Manage Rentals: verify coverage, explain terms, initiate rental arrangements, advise on non-covered events, rental duration, authorize extensions.
Review and Authorize Supplements: Review additional repair costs submitted and approve payment while following guidelines.
Ensure Compliance: Adhere to all federal and state laws and regulations governing the claims process.
Maintaining Licensing: Maintain insurance adjuster licensing as required in all states.
Communication: This requires clear, professional communication and strong interpersonal skills with all parties involved in the claim, including but not limited to peers & leadership.
Negotiate Settlements: Determine an appropriate settlement amount based on liability and damage assessment, then negotiate a resolution with the claimant, client or legal counsel.
Maintain Claim Files: Ensure that all claim activity, notes, and correspondence are thoroughly and accurately documented.
Set Reserves: Set and maintain appropriate financial reserves for each claim to ensure funds are available for potential settlement payments.
Process Payments: Process timely & accurate payments for vehicle repairs, total loss settlements, and other covered expenses.
Workload and Metrics: Effectively manage a high volume of claims and meet key performance indicators (KPIs), such as average claim processing time, closure rates, and customer satisfaction scores.
Finalize & Close Claims: Ensure all necessary steps are completed, and all paperwork is filed before finalizing and closing the claim.
Developing: Responsible for actively accepting, acting on, and implementing coaching and feedback to improve professional performance and development.
Mentor & Train: Responsibilities may include mentoring a team member and assisting in training.

Qualifications

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required.

Education/Experience: Associate degree (A.A.) or equivalent from a two-year college or technical school, or 2–4 years of related experience; combination of education and experience may be considered.
Industry Experience: Prior experience in automotive, fleet management, claims management, or vehicle re-marketing strongly preferred. Third-party claims handling experience preferred.
Licensing: Ability to obtain and maintain insurance adjuster licensing as required in all states.

Key Skills & Competencies:

Strong oral and written communication, including the ability to simplify complex information and negotiate effectively with claimants, attorneys, and clients.
Ability to analyze liability, assess damages, and evaluate complex claims accurately.
Customer service and empathy, maintaining professionalism in difficult or emotional situations.
Attention to detail with meticulous documentation and record-keeping.
Proficiency with claims management systems and Microsoft Office.
Strong investigative, analytical, and problem-solving skills.
Ability to multi-task, prioritize, and manage a high volume of claims effectively.
Knowledge of insurance principles, coverage, and legal/regulatory compliance is a plus.

Mathematical/Analytical Skills:

Calculate property depreciation, repair/replacement costs, and claimant lost wages.
Evaluate multiple bids or vendor quotes to ensure fair settlements.

Physical Requirements:

Primarily sedentary work with occasional light lifting (up to 10 lbs).
Close visual acuity for computer work, reading, and documentation.
Ability to communicate clearly in person and via phone.

Preferred Traits:

Strong initiative and self-motivation.
Dependable, punctual, and team-oriented.
Adaptable to changing regulations, processes, and claim scenarios.

Work Schedule

A variety of flexible work arrangement schedules are available, with the ability to work from home as part of your schedule, after completion of training.

This position works Monday through Friday, 8:00 AM until 5:00 PM.

Additional Benefits:

Competitive compensation and PTO
401(k) with employer contribution
Medical, dental, vision, life, and disability insurance
Several voluntary benefit options
A flexible work environment with remote options post-probation

Quick Apply

Refine Your Search

claims jobs in ohio

Third Party Sr. Claims Representative

Regional Catastrophe Adjuster (Resident)

HVAC Technician - Supplemental Income - Assessments for Insurance Claims

Patient Service Representative

Claim Specialist - Property Field Inspection

Senior Claim Benefit Specialist - Remote

Claims - Call Center Associate I (Fully Remote)

Claims Specialist - Professional Liability

Claims Analyst - REMOTE

Commercial Claims Adjuster - Remote

Claims Specialist - Professional Liability

Claims Specialist - Professional Liability

Claims Adjuster

Property Adjuster II

Customer Care Specialist I (Must live in Ohio)

Workers Compensation Return to Work Claim Professional

Claims - Field Claims Representative

SIU Investigator

Claim Specialist-Injury

Field Office - Claims Specialist

I want to receive the latest job alert for claims in ohio

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