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At Home Claims Processing Jobs in Ohio (NOW HIRING)

Hauser Inc

Claims Advocate

Cincinnati, OH · On-site

This position also serves as a trusted resource to clients and internal teams by providing guidance, insight, and advocacy throughout the claims process. OBJECTIVES AND ESSENTIAL JOB DUTIES:

CYNET SYSTEMS

Cash/Claims Processor

Mason, OH · On-site

$17 - $22/hr

High School diploma. * 3+ years of experience in cash application or insurance related processes. * SAP knowledge and experience. * High level knowledge of MS Excel. * Ability to quickly grasp and ...

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All JobsAt Home Claims Processing JobsAt Home Claims Processing Jobs in Ohio

At Home Claims Processing information

See Ohio salary details

$11

$18

$25

How much do at home claims processing jobs pay per hour?

As of Aug 7, 2026, the average hourly pay for at home claims processing in Ohio is $18.22, according to ZipRecruiter salary data. Most workers in this role earn between $15.53 and $19.66 per hour, depending on experience, location, and employer.

What is at home claims processing?

At home claims processing jobs involve evaluating and handling insurance claims from a remote location, usually your own home. These positions require you to review claims submitted by customers, verify information, process payments, and ensure all documentation is accurate and complete. Most employers provide secure software and training to help you manage claims efficiently. Strong attention to detail, confidentiality, and good communication skills are important for this role. These jobs are popular for those seeking flexible, remote work in the insurance or healthcare industries.

What is the difference between At Home Claims Processing vs Customer Service Representative?

AspectAt Home Claims ProcessingCustomer Service Representative
CredentialsInsurance knowledge, claims processing certificationsCommunication skills, customer service training
Work EnvironmentRemote, home-basedRemote or in-office, customer-facing
Industry UsageInsurance companies, claims departmentsVarious industries including retail, telecom
Job FocusReviewing and processing insurance claimsAssisting customers, resolving inquiries

At Home Claims Processing involves handling insurance claims remotely, requiring specific industry knowledge and certifications. Customer Service Representatives focus on assisting customers across various sectors, often with a broader skill set. While both roles can be remote, their core responsibilities and credentials differ significantly.

What are some common challenges faced by remote claims processors, and how can they be effectively managed?

Remote claims processors often face challenges such as maintaining clear communication with team members, staying organized without in-person supervision, and managing a high volume of claims efficiently. To overcome these, it's helpful to establish a consistent daily routine, utilize digital collaboration tools, and regularly check in with supervisors and colleagues. Staying updated on company policies and industry regulations is also crucial for accurate and timely claims processing.

What are the key skills and qualifications needed to thrive as an at home claims processor?

To thrive as an At Home Claims Processor, you need strong attention to detail, analytical skills, and a solid understanding of insurance policies, typically supported by a high school diploma or relevant experience. Proficiency with claims management software, document management systems, and secure communication platforms is commonly required. Excellent organizational skills, time management, and clear written communication help you excel in a remote environment. These capabilities are essential for ensuring accurate and timely claims processing, maintaining compliance, and delivering high-quality customer service from a home-based setting.
What are the most commonly searched types of Claims Processing jobs in Ohio? The most popular types of Claims Processing jobs in Ohio are:
What cities in Ohio are hiring for At Home Claims Processing jobs? Cities in Ohio with the most At Home Claims Processing job openings:
At Home Claims Processing jobs near you
Infographic showing various At Home Claims Processing job openings in Ohio as of August 2026, with employment types broken down into 1% As Needed, 72% Full Time, 23% Part Time, and 4% Contract. Highlights an 79% Physical, 1% Hybrid, and 20% Remote job distribution, with an average salary of $37,898 per year, or $18.2 per hour.

Claims Consultant

Tata Consultancy Service Limited

Westerville, OH • On-site

$48K - $55K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 5 days ago

Job description

Responsibilities:
To provide Absence case management and claim adjudications, based on medical documentation and the applicable Disability/FMLA/Paid Family Leave interpretation, including determining benefits due and making timely payments and adjustments.
Review and analyze the claim nuances, eligibility review, and type of claims (intermittent or continuous)
Review and analyze medical information (i.e. attending physician reports, medical records such as diagnostic tests, office notes, operative reports, etc.) to determine if the claimant is disabled as defined.
Approval or denial on FMLA claims as per Insurance carrier, and employers guidelines
Analyzes, approves and authorizes assigned claims and determines benefits due pursuant to US paid family law regulations.
Review claims for Not in good order cases, and work on securing missing documentations including employee, physician, or employer outreach.
Communicates clearly with the claimants and clients to set expectations on all aspects of claims process either by phone and/or written correspondence.
Reviews client critical deliverables, manages the overall workload, and second-level process escalation.
Determines benefits due, makes timely claims payments/approvals and adjustments for Workers Compensation, State Short Term Disability, and other disability offsets.
Refers cases as appropriate to team lead and clinical case management
Responsible for managing the day-to-day workload and first-level process escalation, and reviews processes for accuracy and timeliness where applicable in case of peer reviews.
Provide ideas to management on continuous improvement and service level management
Performs other duties or participates in special projects as assigned
Requirements:
1+ year of Disability/FMLA/PFL claims or insurance claims experience
Experience working with FINEOS
Working knowledge of medical terminology and documents, including APS, Diagnostic Tests, Imaging Tests reports
Knowledge of disability insurance claims, benefits administration, offsets and deductions, disability duration and medical management practices mandatory
Excellent oral and written communication, including presentation skills
Strong Analytical, decision making, problem solving, and people management skills
Computer experience with keyboarding skills and proficiency in using software applications and packages including MS Office (Excel, Word, PPT)
Willingness to embrace change in a fast paced work environment
A strong desire to continuously learn and improve
Identify escalated cases and work with Team Leader to develop a plan to address key issues.
TCS Employee Benefits Summary:
• Discretionary Annual Incentive.
• Comprehensive Medical Coverage: Medical & Health, Dental & Vision, Disability Planning & Insurance, Pet Insurance Plans.
• Family Support: Maternal & Parental Leaves.
• Insurance Options: Auto & Home Insurance, Identity Theft Protection.
• Convenience & Professional Growth: Commuter Benefits & Certification & Training Reimbursement.
• Time Off: Vacation, Time Off, Sick Leave & Holidays.
• Legal & Financial Assistance: Legal Assistance, 401K Plan, Performance Bonus, College Fund, Student Loan Refinancing.
Salary Ran ge: $48,000 - $55,000 per year

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