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Claim Processor Jobs in Ohio (NOW HIRING)

Fifth Third

Claims Processor

Cincinnati, OH

$16.25 - $20.75/hr

Work with property preservation vendor, hazard claim vendor, claims outsourcing vendor, city ... Claims Processor At Fifth Third, we understand the importance of recognizing our employees for the ...

Fifth Third

Claims Processor

Cincinnati, OH · On-site

$16.25 - $20.75/hr

Work with property preservation vendor, hazard claim vendor, claims outsourcing vendor, city ... Claims Processor At Fifth Third, we understand the importance of recognizing our employees for the ...

Fifth Third Bank

Claims Processor

Cincinnati, OH · On-site

$16.25 - $20.75/hr

Work with property preservation vendor, hazard claim vendor, claims outsourcing vendor, city ... Claims Processor At Fifth Third, we understand the importance of recognizing our employees for the ...

MaxSolar

... Prozesse für ein professionelles Claim Management und skalierbares Geschäft. * Durchführung von Schulungen, Workshops und Lessons Learned für Projektleiter sowie Projektteams. * Aktive ...

Summit Consulting

Claim Product Manager

Cincinnati, OH · On-site

## Claim Product ManagerApplyremote type: Hybridlocations: Cincinnati, OH (USA)time type: Full ... Ability to analyze complex business processes, identify improvement opportunities, and recommend ...

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All JobsClaim Processor JobsClaim Processor Jobs in Ohio

Claim Processor information

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How much do claim processor jobs pay per hour?

As of Sep 9, 2026, the average hourly pay for claim processor 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 a claim processor?

A Claim Processor is a professional who reviews and handles insurance claims submitted by policyholders or healthcare providers. Their main responsibilities include verifying the accuracy of claim information, ensuring all required documentation is provided, and determining whether a claim is valid under the policy terms. Claim Processors work with various types of insurance, such as health, auto, or property, and play a crucial role in ensuring timely and accurate payments. They may also communicate with customers, providers, and adjusters to resolve any discrepancies or additional information requests.

What are some typical challenges a claim processor might face in their daily work?

Claim Processors often handle high volumes of paperwork and data entry, which can be challenging when ensuring accuracy and meeting tight deadlines. They may also need to interpret complex policy details or resolve discrepancies in submitted claims, requiring strong attention to detail and problem-solving skills. Additionally, Claim Processors frequently interact with policyholders, healthcare providers, or other internal teams, so effective communication and the ability to manage stressful situations professionally are important for success.

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

To thrive as a Claim Processor, you need strong attention to detail, analytical skills, and a basic understanding of insurance policies, usually supported by a high school diploma or equivalent. Familiarity with claims management software, data entry systems, and sometimes certification such as AIC (Associate in Claims) is common. Excellent organizational skills, clear communication, and the ability to handle sensitive information with discretion help individuals excel in this role. These skills ensure accurate and timely processing of claims, minimize errors, and maintain customer satisfaction and regulatory compliance.

What is the difference between Claim Processor vs Claims Examiner?

AspectClaim ProcessorClaims Examiner
Required CredentialsHigh school diploma or equivalent; some roles may require insurance certificationsHigh school diploma; insurance certifications preferred
Work EnvironmentOffice settings, insurance companies, healthcare providersOffice settings, insurance companies, healthcare providers
Employer & Industry UsageInsurance companies, healthcare providers, third-party administratorsInsurance companies, third-party administrators, government agencies
Job FocusProcessing insurance claims, data entry, verifying informationReviewing claims for accuracy, compliance, and coverage decisions

While both Claim Processors and Claims Examiners work within the insurance industry handling claims, Claim Processors primarily focus on data entry and initial processing of claims. Claims Examiners review claims for accuracy and compliance, making decisions on claim approval or denial. The roles often overlap, but Claims Examiners typically require more experience or certifications and perform more in-depth analysis.

Is claim processing hard?

Claim processing is a detail-oriented job that requires strong organizational skills, attention to accuracy, and familiarity with insurance policies and claims systems. While it can involve repetitive tasks, many claim processors find it manageable with proper training and experience. The difficulty level varies depending on the complexity of claims and the work environment.

What do you need to be a claim processor?

To be a claim processor, you typically need a high school diploma or equivalent, strong attention to detail, and good organizational skills. Familiarity with claims processing software and basic knowledge of insurance policies are also important. Some positions may require prior experience in customer service or administrative roles.

What is a claims processing job?

A claims processing job involves reviewing, verifying, and managing insurance claims to determine their validity and appropriate payout. Claim processors use specialized software and follow company policies to ensure accurate and timely processing of claims, often requiring attention to detail and knowledge of insurance policies.

What are the most commonly searched types of Claim Processor jobs in Ohio?

The most popular types of Claim Processor jobs in Ohio are:

What cities in Ohio are hiring for Claim Processor jobs?

Cities in Ohio with the most Claim Processor job openings:

Claim Processor jobs near you
Infographic showing various Claim Processor job openings in Ohio as of August 2026, with employment types broken down into 83% Full Time, 15% Part Time, and 2% Contract. Highlights an 81% Physical, 6% Hybrid, and 13% Remote job distribution, with an average salary of $37,898 per year, or $18.2 per hour.

Casualty/Liability Claim Specialist

Wooster, OH • Remote

Western Reserve Group
Insurance Services • 201 - 500 employees
Learn more about Western Reserve Groupexternal

Full-time

Posted 14 days ago

Job description

This role requires residency in Ohio or Indiana.


The Casualty Claims Specialist manages high-exposure, multifaceted insurance claims requiring advanced skills in coverage analysis, litigation management, legal and medical document review, and negotiation to achieve economical, defensible resolutions. These roles involve working with minimal supervision, potentially mentoring others, and demands significant experience in complex claims handling and litigation.

Salary Grade (13) 77,432 -98,727 -120,022

This role is responsible for determining coverage, assessing liability, establishing and adjusting reserves, evaluating claims, managing litigation, and negotiating settlements within assigned authority limits across multiple lines of business, including Homeowners, Personal Auto, Commercial Auto, Commercial Liability, Businessowners and Farm Liability. The Claims Specialist conducts thorough investigations to determine liability for all involved parties while delivering exceptional customer service that protects policyholders and safeguards company assets.

Demonstrating strong expertise and sound judgment in complex matters, the Claims Specialist may serve as a subject matter expert and manages a designated caseload of casualty losses in compliance with company standards and applicable regulatory requirements (IC 27-4-1 / ORC 3901-1-54).

Experience in analyzing, adjusting, and settling litigated claims under Homeowners, Personal Auto, Business Auto, Commercial General Liability, Businessowners, and Farm policies.

Salary Grade (13)

ESSENTIAL DUTIES AND RESPONSIBILITIES

The following is a summary of the essential functions for this job. Other duties may be performed, both major and minor, which are not mentioned below. Specific activities may change from time to time.

  • Coverage/Investigation/Liability - Determines whether proper coverage exists for the type of claim assigned. Investigates thoroughly to obtain relevant facts concerning all aspects of the claim, such as coverage, liability, legal climate, potential exposure, and damages, and makes decisions, where appropriate, on claim resolution. Monitors ongoing case development for appropriateness.
  • Damages - Determines the value of the physical damage of property, automobiles, or injuries through physical inspections and use of appropriate tools. Obtains all necessary documentation to support claim evaluation. Recognizes claim file exposures and escalates appropriately.
  • Reserving/Reporting - Establishes and reviews proper reserves for each claim based upon thorough investigation, evaluation, and experience. Completes appropriate reports so that the status of the claim is clearly documented at all times.
  • Determines need for, and engages independent adjusters, cause and origin experts. independent medical examiners or other experts (e.g. reconstructionist, engineer).
  • Proficiently and proactively handle the claim file through various phases of litigation. Independently review the applicability of coverage and civil law as well as local statutes. Attend mandatory and court ordered litigation events: mediation, pre-trial, trial.
  • Keeps abreast of existing and proposed legislation, court decisions and trends and experience pertaining to coverage, liability and damages. May analyze the impact upon claims policies and procedures and advises Claims Management. Participates in or leads special projects and mentors others, as needed.
  • Initiate prompt and effective communication with all parties having legal or contractual interest in claim presented
  • Capable of drafting clear and concise letters and other correspondence.
  • Accountable for security of financial processing of claims, as well as security information contained in claims files.
  • Confers directly with policyholders on coverage and resolution issues pursuant to Home Office instructions.
  • Prepare claims for trial, comply with trial alert procedures and notify/update reinsurance when appropriate.
  • Participate in training programs, conferences and departmental and intra-departmental meetings.
  • May be required to be on-call, on a limited basis, for afterhours emergencies
  • Any other duties deemed necessary by supervisor or management.

SUPERVISORY RESPONSIBILITIES

None

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. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

EDUCATION and/or EXPERIENCE

College Degree or Equivalent Experience

At Least 3 years as a Sr. Claim Representative or equivalent preferred

Excellent Written and Verbal Communication Skills

Excellent Interpersonal Skills

Superior Organizational Skills

Efficient Time Management skills

Ability to Demonstrate effective negotiation skills

 LANGUAGE SKILLS

Excellent verbal and written communication skills.  The individual must be able to effectively and clearly communicate with agents, insureds, departmental and company personnel via telephone, fax, e-mail, one-on-one dialogue and small group presentations in a professional manner.

REASONING ABILITY

The position requires the individual to apply common sense, understanding, reasoning and sound educated judgement coupled with sound Claims training and experience to properly evaluate and analyze claims for recommended action within assigned authority levels.

CERTIFICATES, LICENSES, REGISTRATIONS

IIA, AIC, or CPCU are highly preferred

PHYSICAL DEMANDS

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Employees are required to sit at a workstation to perform various PC functions.  Additionally, the employee is required to devote substantial time to telephone communication.

While performing the duties of this job, the employee is regularly required to sit and talk or hear.  The employee frequently is required to use hands to finger, handle, or feel.  The employee is occasionally required to stand, walk, and reach with hands and arms.

Employees may be required to travel from time to time.  This may require extended periods of time sitting in a vehicle.

WORK ENVIRONMENT

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

The Claim Specialist is responsible for the proper handling of claims.  Each Claim Specialist will be assigned a specific work cubicle station and or other individual work areas.  The workstation will be located adjacent to other similar workstations.  The workstation has the necessary equipment to perform the position duties including personal computer, telephone, file space, and needed work table space.

The environment is reasonably quiet with needed interaction between other team members, immediate supervisor, and other Company staff.  Moderate noise level from telephone calls is expected.

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