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Claim Operator Jobs in Ohio (NOW HIRING)

Mancan

Employer Service Representative

Bellaire, OH · On-site

$17 - $22.75/hr

Understands claim detail, identifies claim issues and reports issues to management when necessary ... Wheeling, WV 26003 Operating Hours: Monday - Friday 9:00 am - 3:00 pm Required Documents: When ...

Mancan

Employer Service Representative

Saint Clairsville, OH · On-site

$14.25 - $19.25/hr

Understands claim detail, identifies claim issues and reports issues to management when necessary ... Wheeling, WV 26003 Operating Hours: Monday - Friday 9:00 am - 3:00 pm Required Documents: When ...

Fleet Response

Call Center Representative

Hudson, OH · On-site

$14.50 - $18.25/hr

... glass claim, and help in receiving roadside assistance. Notifies management immediately of any crucial situation. * Back up operator calls. * Obtains all required information from caller and ...

Bath & Body Works

TEST JOB - DO NOT APPLY

Columbus, OH

$17.75 - $21.75/hr

... claim substantiation status, compliance risks, and safety trends. • Integrate regulatory requirements into sustainable packaging design strategies and guidelines, partnering with Product ...

Bath & Body Works

TEST JOB - DO NOT APPLY

Columbus, OH · On-site

$17.75 - $21.75/hr

... claim substantiation status, compliance risks, and safety trends. • Integrate regulatory requirements into sustainable packaging design strategies and guidelines, partnering with Product ...

Ovationhealthcare

Specialist, Billing

Mount Vernon, OH · Remote

$16 - $21.75/hr

With a strong sense of purpose and commitment to operating excellence, we help rural healthcare ... claim edits and ensuring compliance with Insurance billing policies and regulations. Duties and ...

Rumpke

Risk and Claims Manager

Cincinnati, OH · On-site

Rumpke is a family-owned and operated company that ranks as one of the largest firms in the waste ... Offer expert advice to team members on complex claim file management and extend settlement ...

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All JobsClaim Operator JobsClaim Operator Jobs in Ohio

Claim Operator information

What does a claim operator do?

A Claim Operator is responsible for processing and managing insurance claims. They review claim submissions, verify documentation for accuracy, and determine the validity of claims according to company policies. Claim Operators may also communicate with clients, adjusters, and other stakeholders to gather additional information or resolve issues. Their role helps ensure that claims are handled efficiently and fairly, contributing to customer satisfaction and the integrity of the insurance process.

What are the key skills and qualifications needed to thrive as a claim operator, and why are they important?

To thrive as a Claim Operator, you need strong analytical skills, attention to detail, and a foundational understanding of insurance processes, often supported by a high school diploma or equivalent. Familiarity with claims management software, Microsoft Office Suite, and sometimes industry certifications like AIC (Associate in Claims) are typically required. Excellent communication, organization, and problem-solving abilities help in interacting with clients and resolving claims efficiently. These skills are crucial for accurately processing claims, ensuring customer satisfaction, and maintaining compliance with regulatory standards.

What are some common challenges a claim operator faces in managing insurance claims, and how can they be addressed?

Claim Operators often encounter challenges such as handling a high volume of claims, ensuring accuracy in documentation, and meeting strict deadlines. These challenges can be managed by developing strong organizational skills, utilizing claims management software efficiently, and maintaining clear communication with both clients and team members. Staying updated on regulatory changes and company policies also helps prevent errors and ensures compliance throughout the claims process.

What is the difference between Claim Operator vs Claims Adjuster?

AspectClaim OperatorClaims Adjuster
Required CredentialsHigh school diploma or equivalent; some roles may require insurance licensesHigh school diploma; licensing or certification often required
Work EnvironmentInsurance companies, claims processing centersFieldwork and office settings, inspecting damages
Employer & Industry UsageInsurance companies, third-party administratorsInsurance companies, independent adjusting firms
Common Search & ComparisonClaim OperatorClaims Adjuster

Claim Operators primarily handle the administrative processing of claims within insurance companies, focusing on data entry and documentation. Claims Adjusters, on the other hand, evaluate damages, inspect claims, and determine settlement amounts. While both roles require insurance knowledge and sometimes licensing, Claim Operators focus on processing, whereas Claims Adjusters are more involved in assessment and decision-making.

What are popular job titles related to Claim Operator jobs in Ohio?

For Claim Operator jobs in Ohio, the most frequently searched job titles are:

What job categories do people searching Claim Operator jobs in Ohio look for?

The top searched job categories for Claim Operator jobs in Ohio are:

What cities in Ohio are hiring for Claim Operator jobs?

Cities in Ohio with the most Claim Operator job openings:

Claim Operator jobs near you
Infographic showing various Claim Operator job openings in Ohio as of August 2026, with employment types broken down into 51% Full Time, 44% Part Time, 4% Contract, and 1% Nights. Highlights an 99% Physical, and 1% Remote job distribution.

Employer Service Representative

Mancan

Bellaire, OH • On-site

$17 - $22.75/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

This job post has expired today. Applications are no longer accepted.

Job description

Mancan is hiring in Wheeling WV for an Employer Service Rep! This positon is full time, temp to hire opportunity working Monday-Friday 8am-5pm.
The ESS is responsible for managing document queues to complete member reimbursement requests, provider pricing verification requests, network pricing appeals, and member balance bills. The ESS will also prepare pricing appeal response letters and other written correspondence sent via email or postal service including certified mail when needed. The ESS is responsible for timely completion of requests from the operations team.
Required:
1.High School graduate or equivalent.
2.Detail oriented and good critical thinking skills.
3.Superb organizational skills.
4.Able to communicate clearly and accurately with members, coworkers and management.
5.Ability to prioritize and meet deadlines.
6.Work efficiently in a fast-paced environment.
7.Proficient in computer skills including Microsoft Office programs (Word, Excel, Office).
Desired:
1.Previous administrative experience.
2.Knowledge in medical terminology and CPT and ICD-9/ICD-10 coding.
3.Knowledge in health insurance.
Responsibilities:
1.Answers all calls and correspondence in a timely, professional and friendly manner.
2.Documents and tracks all information clearly and accurately.
3.Completes work within deadlines.
4.Communicates with members and providers as necessary to obtain information.
5.Manages multiple tasks and priorities.
6.Understands members benefits and plan to relay the information clearly and accurately.
7.Understands claim detail, identifies claim issues and reports issues to management when necessary.
8.Keep all member protected health information (PHI) confidential.
9.Supports Manager and Employer Service Reps when needed.
How to Apply:
Visit Mancan Staffing Employment Agency in person during their operating hours:
Address: 1224 Chapline St. Wheeling, WV 26003
Operating Hours: Monday - Friday 9:00 am - 3:00 pm
Required Documents:
When applying in person, please make sure to bring the following documents with you:
-2 forms of government ID
-Resume
For Additional Information:
If you have any further questions or need additional information about the Truck Loader position, feel free to contact Mancan Staffing at (304) 232-0028. Please note that temporary-to-permanent positions are subject to availability, so it's essential to apply promptly and contact Mancan Staffing for the most up-to-date information.
We do offer our temporary employees full benefits such as paid vacation, holidays, 401K, as well as vision/dental/medical. Some of the best companies in the area use Mancan including Fortune 500 companies. It is a great opportunity for you to get your foot in the door with some of the areas top companies.
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