Top 24 Claims adjuster remote Jobs in Ohio

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
4d
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
5d
SIU Investigator
Centene —Ohio
- $56,200 - $101,000 a year
- Full-time
- Remote
- Mid-level
- Fair chance
- Associate's degree
- Paid holidays
- Health insurance
Senior Investigator, Special Investigations Unit (Aetna SIU)
CVS Health —Ohio
- $46,988 - $112,200 a year
- Full-time
- Remote
- Research
- Mid-level
- 3 years
- Health insurance
- Dental insurance
Building / Construction Consultant
Aggregate Construction Consultants —Ohio
- $75.00 - $92.50 an hour
- Contract
- Remote
- Residential
- Analysis skills
- Driver's License
- Opportunities for advancement
- Flexible schedule
Quick Apply
Sr. Field Adjuster, Homeowner Claims - Columbus, OH (Local)
CSAA Insurance Group —Ohio
- $38.88 - $51.88 an hour
- Full-time
- Remote
- High school diploma or GED
- Driver's License
- Bachelor's degree
- 401(k) matching
Claims Administrator - Transportation Cargo / Logistics
Mohawk Global Logistics Corp —Cleveland, OH
- $55,000 - $65,000 a year
- Full-time
- Remote
- Microsoft Excel
- Microsoft Outlook
- 5 years
Quick Apply
6d
Claim Manager
INTEGRATED BENEFITS INC —Ohio
- $34,000 - $43,000 a year
- Full-time
- Remote
- Microsoft Excel
- Microsoft Outlook
- Mid-level
6h
Operations Training Specialist, Claims
Sidecar Health —Cleveland, OH
- $68,000 - $75,000 a year
- Remote
- Classroom
- Mid-level
- 3 years
- Paid holidays
- Health insurance
3d
Claims Analyst
Arrive Logistics —Columbus, OH
- Full-time
- Remote
- Customer service
- 3 years
- Finance
- Paid parental leave
- Paid holidays
Quick Apply
Claims Property Senior Field Representative (Cleveland, OH)- remote
Grange Insurance Company —Cleveland, OH
- Remote
- Clean driving record
- Mid-level
- High school diploma or GED
- Bereavement leave
Claims Property Field Catastrophe (CAT) Representative (remote)
Grange Insurance Company —Cleveland, OH
- Weekends as needed
- Remote
- Clean driving record
- Mid-level
- High school diploma or GED
- Bereavement leave
SIU, Investigator
Marshall Investigative Group —Cincinnati, OH
- $50,000 - $65,000 a year
- Weekends as needed
- Remote
- Microsoft Word
- Mid-level
- High school diploma or GED
- Travel reimbursement
- Mileage reimbursement
Quick Apply
10d
Claims Property Field Representative (Cleveland, OH)
Grange Insurance Company —Cleveland, OH
- Remote
- Clean driving record
- Mid-level
- High school diploma or GED
- Bereavement leave
Commercial Casualty Litigation Adjuster - Remote
CSAA Insurance Services, Inc. —Ohio
- $80,865 - $107,900 a year
- Full-time
- Remote
- Bilingual
- Bachelor of Science
- 3 years
- 401(k) matching
3d
Sr. Field Adjuster, Homeowner Claims - Columbus, OH (Local)
CSAA Insurance Services, Inc. —Ohio
- $38.88 - $51.88 an hour
- Full-time
- Remote
- High school diploma or GED
- Driver's License
- Bachelor's degree
- 401(k) matching
8d
Manager Claims Casualty
First Acceptance Services Inc —United States
- Remote
- High school diploma or GED
- Analysis skills
- Bachelor's degree
Casualty Specialist II
First Acceptance Services Inc —United States
- Remote
- Microsoft Excel
- Mid-level
- High school diploma or GED
Senior General Liability Adjuster
TheBest Claims Solutions —United States
- $100,000 - $115,000 a year
- Remote
- 5 years
- Bachelor's degree
- Senior level
3d

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Claims Analyst - REMOTE
Ryder System —Columbus, OH
Interacts with Law Department on significant cases, and updates field operations personnel on claim status. Investigates and adjusts claims, as well as directs…
$90,000 - $100,000 a year
5d
Claims Finance Analyst
Branch Insurance —Columbus, OH
Assist in developing financial models and tools that improve claims analysis and forecasting. Present complex information clearly to both technical and non-…
$63,000 - $90,000 a year

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Claims Analyst - REMOTE
Ryder System —Columbus, OH
Interacts with Law Department on significant cases, and updates field operations personnel on claim status. Investigates and adjusts claims, as well as directs…
$90,000 - $100,000 a year
5d
Building / Construction Consultant
Aggregate Construction Consultants —Ohio
Collaborate with insurance adjusters, contractors, and property owners. Prepare detailed damage assessments, cost estimates, and repair recommendations.
$75.00 - $92.50 an hour
Quick Apply

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claims adjuster remote jobs near ohio

Senior Claim Benefit Specialist - Remote

CVS Health -
Ohio

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Job Details

Full-time
$18.50 - $42.35 an hour
4 days ago

Benefits

Health insurance
Dental insurance
Paid time off
Vision insurance

Qualifications

High school diploma or GED
Health insurance knowledge

Full Job Description

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.

Position Summary
Reviews and adjudicates complex, sensitive, and specialized medical claims in accordance with established plan processing guidelines. Functions as a subject matter expert by providing coaching, and offering guidance on escalated or technically challenging issues. Supports customer service operations by addressing inquiries and resolving issues to ensure a positive member experience.

Additional Responsibilities

Reviews pre‑specified claims and those that exceed specialist adjudication authority or processing expertise.
Applies medical necessity guidelines, determines coverage, verifies eligibility, identifies discrepancies, and implements cost‑containment measures to support accurate claim adjudication.
Ensures compliance with all regulatory requirements and confirms that payments align with company policies and procedures.
Identifies and reports potential overpayments, underpayments, and other claim irregularities.
Performs claim rework calculations as needed.
Trains and mentors as needed to enhance team performance and technical proficiency.
Conducts outbound calls to obtain required information for claims or reconsideration requests.

Required Qualifications

Minimum of 18 months of medical claim processing experience with a health insurance payor or third‑party administrator.
Proven success working in a high‑volume, production‑driven environment.
Demonstrated ability to manage multiple assignments with accuracy, efficiency, and attention to detail.

Preferred Qualifications

Self-Funding experience
DG system knowledge

Education

High School Diploma required
Preferred Associates degree or equivalent work experience.

Anticipated Weekly Hours

Time Type

Full time

Pay Range

The typical pay range for this role is:

$18.50 - $42.35

This 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 offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.

This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.

Additional details about available benefits are provided during the application process and on Benefits Moments.

This job does not have an application deadline, as CVS Health accepts applications on an ongoing basis.

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Apply Now

Refine Your Search

claims adjuster remote jobs in ohio

Senior Claim Benefit Specialist - Remote

Claims Analyst - REMOTE

SIU Investigator

Senior Investigator, Special Investigations Unit (Aetna SIU)

Building / Construction Consultant

Sr. Field Adjuster, Homeowner Claims - Columbus, OH (Local)

Claims Administrator - Transportation Cargo / Logistics

Claim Manager

Operations Training Specialist, Claims

Claims Analyst

Claims Property Senior Field Representative (Cleveland, OH)- remote

Claims Property Field Catastrophe (CAT) Representative (remote)

SIU, Investigator

Claims Property Field Representative (Cleveland, OH)

Commercial Casualty Litigation Adjuster - Remote

Sr. Field Adjuster, Homeowner Claims - Columbus, OH (Local)

Manager Claims Casualty

Casualty Specialist II

Senior General Liability Adjuster

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