Top 950 Claims Jobs in Cleveland, Oh

Claims Benefit & Disability Analyst I
Medical Mutual of Ohio —Cleveland, OH
- Office
- Bachelor's degree
- Business Administration
- Health savings account
- Disability insurance
Controller
B'nai Jeshurun Congregation —Cleveland, OH
- $100,000 - $130,000 a year
- Full-time
- Background check
- CPA
- 5 years
- Health insurance
- Dental insurance
Quick Apply
14d
Hybrid Psychologist
Loyal Source Government Services —Cleveland, OH
- $142,001 - $154,001 a year
- Microsoft Access
- Microsoft Outlook
- HIPAA
Quick Apply
Director, Utilization Management & Operational Integrity
Medical Mutual of Ohio —Cleveland, OH
- Hybrid work
- Nursing
- Microsoft Excel
- Microsoft Outlook
- Health savings account
- Disability insurance
Insurance Customer Service Representative
Hoynes Insurance Agency, LLC —Beachwood, OH
- $40,000 - $65,000 a year
- 8 hour shift
- Military
- Mid-level
- Office
- 401(k)
- Paid time off
Quick Apply
Restoration Sales Consultant
CMS Roofing and Restoration —Hinckley, OH
- $40,000 - $90,000 a year
- 8 hour shift
- Ability to walk for extended periods
- Mid-level
- Residential
Quick Apply
14d
Vocational Rehab RN or CRC
Surety HR —Westlake, OH
- $70,000 a year
- Full-time
- Hybrid work
- RN License
- Customer service
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
Buyer
Pipeline Packaging —Hudson, OH
- $55,000 - $75,000 a year
- Full-time
- Oracle
- Mid-level
- Office
- Paid holidays
- Health insurance
Quick Apply
Hospital Reimbursement Analyst
Medical Mutual of Ohio —Cleveland, OH
- Hybrid work
- Microsoft Excel
- Mid-level
- Office
- Health savings account
- Disability insurance
Personal Injury Attorney (Plaintiff side) - Ohio
Bush & Bush Law Group —Ohio
- $150,000 - $170,000 a year
- Full-time
- Remote
- Writing skills
- Analysis skills
- Senior level
- Health insurance
- Dental insurance
Quick Apply
Certified Medical Assistant-Pediatric Practice
Independent Practice Management —Westlake, OH
- $17 - $28 an hour
- Full-time
- Anatomy knowledge
- Vital signs
- Administrative experience
- Paid time off
Quick Apply
General Manager - Buffalo Wild Wings - Elyria, OH
Grube Inc. dba Buffalo Wild Wings —Elyria, OH
- $63,000 - $70,000 a year
- Full-time
- Mid-level
- Quick service & fast food restaurant
- Recruiting
- Paid training
- Health insurance
Quick Apply
Environmental, Health & Safety (EHS) Coordinator
ELMET TECHNOLOGIES LLC —Euclid, OH
- $60,000 - $90,000 a year
- Mid-level
- Analysis skills
- Continuous improvement
- Paid holidays
- Health insurance
Quick Apply
Senior Total Rewards Specialist
Willory, LLC —Walton Hills, OH
- $80,000 - $98,000 a year
- Full-time
- Hybrid work
- HIPAA
- Office
- Bachelor's degree
- Paid time off
- Retirement plan
Quick Apply
Licensed Social Worker - Part Time (Cleveland, OH / Field-based)
FreedomCare —Cleveland, OH
- $28 - $33 an hour
- Part-time
- Hybrid work
- Spanish
- Master of Social Work
- Experience working with individuals with disabilities
- Health insurance
- Retirement plan
Quick Apply
Dental Front Desk/Patient Coordinator
Brian Britt DDS & Associates —Berea, OH
- From $22 an hour
- Full-time
- Dental office
- In-person
- Entry level
- Health insurance
- Dental insurance
Quick Apply
16h
Crew Chief
Back to Normal Restoration —Medina, OH
- $18 - $26 an hour
- Full-time
- Clean driving record
- Driver's License
- Construction experience
Quick Apply
8d
Associate Attorney – Plaintiff Personal Injury
Orion Placement —Chagrin Falls, OH
- $85,000 - $105,000 a year
- Full-time
- Mid-level
- In-person
- Communication skills
- Health savings account
- Health insurance
Quick Apply
Licensed Insurance Agent
Kemper Insurance —Cleveland, OH
- Full-time
- Background check
- 18 years or older
- Pass drug screening
- Employee stock purchase plan
- Disability insurance
Quick Apply
Director of Plant Operations
Confidential —Cleveland, OH
- $65,000 - $70,000 a year
- Full-time
- Microsoft Word
- Background check
- Microsoft Excel
- Health insurance
- Dental insurance
Quick Apply

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Claims Benefit & Disability Analyst I

Medical Mutual of Ohio -
Cleveland, OH

Apply Now

Job Details

Benefits

Health savings account
Disability insurance
Health insurance
Dental insurance
Tuition reimbursement
Paid time off
Parental leave
Employee assistance program
Vision insurance
401(k) matching
Gym membership

Qualifications

Workers' compensation insurance knowledge
Productivity software

Full Job Description

**Medical Mutual employees must submit their applications through MySource.

Note: This role requires you to work 5 days per week on-site in our Brooklyn, Ohio office. Seeking applicants that reside within a 50-mile radius of the Brooklyn, Ohio office.

Founded in 1934, Medical Mutual is the oldest and one of the largest health insurance companies based in Ohio. We provide peace of mind to more than 1.2 million members through our high-quality health, life, disability, dental, vision and indemnity plans. We offer fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans.

Prepares and establishes new claims files from incoming mail. Verifies eligibility and benefit amounts being claimed and inputs claim data into the system. Responds to routine customer inquiries (via email or phone) or directs them to the appropriate department. Manages coordination of incoming and outgoing mail. Dispatches reports to groups that have submitted claims.

Responsibilities:

Opens, sorts and distributes mail, checks and files; maintains filing system. Determines the status of a new or continuing claim. Sets up claims files in claims system for all life and disability benefit types and distributes work accordingly.
New Claims:
Determines eligibility using CMS claims and leave administration systems.
Sets up all claims in the system with correct benefit schedules, plans, taxation, and interest indicators.
Sets up ACH information.
Prepares a new Short-Term Disability claim file with all relevant documents for the assigned analyst.
Completes claims system setup, document scanning, and worksheets.
Continuing Claims:
Identifies appropriate analyst and claim type.
For life claim: scans documents into claims system and retains original documents.
For Short Term Disability: collects the file and delivers to appropriate analyst.
Responsible for managing the department's email inbox, fax, and incoming customer phone calls from the toll-free number. Responds to routine customer phone inquiries and emails in the shared department mail queue and routes them to the appropriate individual or area within the organization.
Responsible for department administrative duties that may include departmental scanning projects, ordering supplies and purchase requests, check handling, preparing and mailing monthly, quarterly and annual statements.
Performs other duties as assigned.

Qualifications:

Education and Experience:

Bachelors’ Degree in Business or Healthcare Administration or related field preferred. Equivalent education and experience directly related to the role may substitute for a degree.
1 to 2 years experience with disability and/or life claims processing/customer service, preferably in group insurance, or equivalent relevant experience.

Technical Skills and Knowledge:

Basic Microsoft Office, claims processing/billing/customer service applications, and document storage/workflow (OnBase) application skills.
Knowledge of standard office procedures and equipment (multi-function copier/printer/scanner, conference phone, etc.).
Basic knowledge of life and disability products/services.
Basic knowledge of regulations and Company policies related to leaves of absence, disability, workers compensation, etc.
Basic knowledge of Family and Medical Leave Act (FMLA) and Americans with Disabilities Act (ADA).

Medical Mutual is looking to grow our team! We truly value and respect the talents and abilities of all of our employees. That's why we offer an exceptional package that includes:

A Great Place to Work:

We will provide the equipment you need for this role, including a laptop, monitors, keyboard, mouse and headset.
Whether you are working remote or in the office, employees have access to on-site fitness centers at many locations, or a gym membership reimbursement when there is no Medical Mutual facility available. Enjoy the use of weights, cardio machines, locker rooms, classes and more.
On-site cafeteria, serving hot breakfast and lunch, at the Brooklyn, OH headquarters.
Discounts at many places in and around town, just for being a Medical Mutual team member.
The opportunity to earn cash rewards for shopping with our customers.
Business casual attire, including jeans.

Excellent Benefits and Compensation:

Employee bonus program.
401(k) with company match up to 4% and an additional company contribution.
Health Savings Account with a company matching contribution.
Excellent medical, dental, vision, life and disability insurance — insurance is what we do best, and we make affordable coverage for our team a priority.
Access to an Employee Assistance Program, which includes professional counseling, personal and professional coaching, self-help resources and assistance with work/life benefits.
Company holidays and up to 16 PTO days during the first year of employment with options to carry over unused PTO time.
After 120 days of service, parental leave for eligible employees who become parents through maternity, paternity or adoption.

An Investment in You:

Career development programs and classes.
Mentoring and coaching to help you advance in your career.
Tuition reimbursement up to $5,250 per year, the IRS maximum.
Diverse, inclusive and welcoming culture with Business Resource Groups.

About Medical Mutual:

Medical Mutual’s status as a mutual company means we are owned by our policyholders, not stockholders, so we don’t answer to Wall Street analysts or pay dividends to investors. Instead, we focus on developing products and services that allow us to better serve our customers and the communities around us.

There’s a good chance you already know many of our Medical Mutual customers. As the official insurer of everything you love, we are trusted by businesses and nonprofit organizations throughout Ohio to provide high-quality health, life, disability, dental, vision and indemnity plans. We offer fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement and individual plans. Our plans provide peace of mind to more than 1.2 million Ohioans.

We’re not just one of the largest health insurance companies based in Ohio, we’re also the longest running. Founded in 1934, we’re proud of our rich history with the communities where we live and work.

We maintain a drug-free workplace and perform pre-employment substance abuse and nicotine testing.

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights (https://www.eeoc.gov/poster) notice from the Department of Labor.

Apply Now

Refine Your Search

claims jobs in cleveland, oh

Claims Benefit & Disability Analyst I

Controller

Hybrid Psychologist

Director, Utilization Management & Operational Integrity

Insurance Customer Service Representative

Restoration Sales Consultant

Vocational Rehab RN or CRC

Buyer

Hospital Reimbursement Analyst

Personal Injury Attorney (Plaintiff side) - Ohio

Certified Medical Assistant-Pediatric Practice

General Manager - Buffalo Wild Wings - Elyria, OH

Environmental, Health & Safety (EHS) Coordinator

Senior Total Rewards Specialist

Licensed Social Worker - Part Time (Cleveland, OH / Field-based)

Dental Front Desk/Patient Coordinator

Crew Chief

Associate Attorney – Plaintiff Personal Injury

Licensed Insurance Agent

Director of Plant Operations

I want to receive the latest job alert for claims in cleveland, oh

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