... processes, excellent communication skills, and the ability to collaborate effectively across ... Ensure ceded reinsurance claim cessions are recorded in an accurate and timely manner. * Document ...
... processes, excellent communication skills, and the ability to collaborate effectively across ... Ensure ceded reinsurance claim cessions are recorded in an accurate and timely manner. * Document ...
Plans and conducts claim investigations to confirm coverage and to determine liability ... process. Learn more at *Excludes seasonal employees and interns.
Plans and conducts claim investigations to confirm coverage and to determine liability ... process. Learn more at *Excludes seasonal employees and interns.
This role is responsible for reviewing claim documentation, calculating claim benefits, processing payments, maintaining accurate records, and ensuring compliance with policy provisions and ...
This role is responsible for reviewing claim documentation, calculating claim benefits, processing payments, maintaining accurate records, and ensuring compliance with policy provisions and ...
Jr Claims Analyst
Mason, OH · On-site
Responsibilities As a Pharmacy Benefit Management (PBM) Claims Analyst, you will • Perform Claim ... drives process improvements. Requirements • Knowledge in Business Analysis • Knowledge in ...
Jr Claims Analyst
Mason, OH · On-site
Responsibilities As a Pharmacy Benefit Management (PBM) Claims Analyst, you will • Perform Claim ... drives process improvements. Requirements • Knowledge in Business Analysis • Knowledge in ...
Senior Casualty Claim Representative/Claims Specialist-Specialty Human Services
Cincinnati, OH · On-site
$80K - $120K/yr
Casualty Claim Professional Be here. Be great. Working for a leader in the insurance industry means ... process. Learn more at *Excludes seasonal employees and interns.
Senior Casualty Claim Representative/Claims Specialist-Specialty Human Services
Cincinnati, OH · On-site
$80K - $120K/yr
Casualty Claim Professional Be here. Be great. Working for a leader in the insurance industry means ... process. Learn more at *Excludes seasonal employees and interns.
Claim Product Manager
Cincinnati, OH · Hybrid
It will include work in our core claim systems and AI solutions. The position requires strong ... Ability to analyze complex business processes, identify improvement opportunities, and recommend ...
Claim Product Manager
Cincinnati, OH · Hybrid
It will include work in our core claim systems and AI solutions. The position requires strong ... Ability to analyze complex business processes, identify improvement opportunities, and recommend ...
Claim Product Manager
Cincinnati, OH · On-site
It will include work in our core claim systems and AI solutions. The position requires strong ... Ability to analyze complex business processes, identify improvement opportunities, and recommend ...
Claim Product Manager
Cincinnati, OH · On-site
It will include work in our core claim systems and AI solutions. The position requires strong ... Ability to analyze complex business processes, identify improvement opportunities, and recommend ...
Process Bodily Injury, and coverage claims in accordance with established office procedures. * Work closely with Third Parties, plaintiff counsel, Claim Director and Chief Operating Officer to ...
Process Bodily Injury, and coverage claims in accordance with established office procedures. * Work closely with Third Parties, plaintiff counsel, Claim Director and Chief Operating Officer to ...
Process Bodily Injury, and coverage claims in accordance with established office procedures.Work closely with Third Parties, plaintiff counsel, Claim Director and Chief Operating Officer to determine ...
Quick apply
Process Bodily Injury, and coverage claims in accordance with established office procedures.Work closely with Third Parties, plaintiff counsel, Claim Director and Chief Operating Officer to determine ...
Casualty Claims Specialist
Cincinnati, OH · On-site
Process Bodily Injury, and coverage claims in accordance with established office procedures. * Work closely with Third Parties, plaintiff counsel, Claim Director and Chief Operating Officer to ...
Casualty Claims Specialist
Cincinnati, OH · On-site
Process Bodily Injury, and coverage claims in accordance with established office procedures. * Work closely with Third Parties, plaintiff counsel, Claim Director and Chief Operating Officer to ...
Senior Casualty Claim Representative/Claims Specialist-Specialty Human Services
Cincinnati, OH · Hybrid
$80K - $120K/yr
Plans and conducts claim investigations to confirm coverage and to determine liability ... process. Learn more at *Excludes seasonal employees and interns.
Senior Casualty Claim Representative/Claims Specialist-Specialty Human Services
Cincinnati, OH · Hybrid
$80K - $120K/yr
Plans and conducts claim investigations to confirm coverage and to determine liability ... process. Learn more at *Excludes seasonal employees and interns.
Strong understanding of insurance policies, claim processes, and industry regulations . * Ability to work independently in the field with minimal supervision. * Reliable transportation, a valid ...
Quick apply
Strong understanding of insurance policies, claim processes, and industry regulations . * Ability to work independently in the field with minimal supervision. * Reliable transportation, a valid ...
Senior Casualty Claim Representative/Claims Specialist-Specialty Human Services
Cincinnati, OH · On-site
$80K - $120K/yr
Plans and conducts claim investigations to confirm coverage and to determine liability ... process. Learn more at *Excludes seasonal employees and interns.
Senior Casualty Claim Representative/Claims Specialist-Specialty Human Services
Cincinnati, OH · On-site
$80K - $120K/yr
Plans and conducts claim investigations to confirm coverage and to determine liability ... process. Learn more at *Excludes seasonal employees and interns.
Senior Casualty Claim Representative/Claims Specialist-Specialty Human Services
Cincinnati, OH · On-site
$80K - $120K/yr
Plans and conducts claim investigations to confirm coverage and to determine liability ... process. Learn more at *Excludes seasonal employees and interns.
Senior Casualty Claim Representative/Claims Specialist-Specialty Human Services
Cincinnati, OH · On-site
$80K - $120K/yr
Plans and conducts claim investigations to confirm coverage and to determine liability ... process. Learn more at *Excludes seasonal employees and interns.
Claims Trainee
Cincinnati, OH · On-site
Makes claim processing determinations based on knowledge, training, and experience and processes claims according to policy provisions and state regulations. * Ensures that claim handling is ...
Claims Trainee
Cincinnati, OH · On-site
Makes claim processing determinations based on knowledge, training, and experience and processes claims according to policy provisions and state regulations. * Ensures that claim handling is ...
Claims Trainee
Cincinnati, OH · On-site
Makes claim processing determinations based on knowledge, training, and experience and processes claims according to policy provisions and state regulations. * Ensures that claim handling is ...
Claims Trainee
Cincinnati, OH · On-site
Makes claim processing determinations based on knowledge, training, and experience and processes claims according to policy provisions and state regulations. * Ensures that claim handling is ...
Identify, monitor and evaluate claim data to determine relatedness and reimbursement amounts ... Applicants who require accommodation to participate in the job application process may contact ...
New
Identify, monitor and evaluate claim data to determine relatedness and reimbursement amounts ... Applicants who require accommodation to participate in the job application process may contact ...
New
Claims Administrator
Fairfield, OH · On-site
... billing processes, compliance with regulations and seamless integration with financial systems ... Audit claim activity and ensure timely invoicing, including self-pay. * Design, test, and maintain ...
Claims Administrator
Fairfield, OH · On-site
... billing processes, compliance with regulations and seamless integration with financial systems ... Audit claim activity and ensure timely invoicing, including self-pay. * Design, test, and maintain ...
Clinical Audiologist - Part-Time - Fairfield, OH
Fairfield, OH · On-site
$600 - $750/wk
Conduct one-time assessments for our nation's Veterans, helping them in their disability claim process. * Enjoy a low-stress setting, seeing a handful of Veterans per day. * Review records and ...
Clinical Audiologist - Part-Time - Fairfield, OH
Fairfield, OH · On-site
$600 - $750/wk
Conduct one-time assessments for our nation's Veterans, helping them in their disability claim process. * Enjoy a low-stress setting, seeing a handful of Veterans per day. * Review records and ...
Clinical Audiologist - Part-Time - Fairfield, OH
Fairfield, OH · On-site
$600 - $750/wk
Conduct one-time assessments for our nation's Veterans, helping them in their disability claim process. * Enjoy a low-stress setting, seeing a handful of Veterans per day. * Review records and ...
Clinical Audiologist - Part-Time - Fairfield, OH
Fairfield, OH · On-site
$600 - $750/wk
Conduct one-time assessments for our nation's Veterans, helping them in their disability claim process. * Enjoy a low-stress setting, seeing a handful of Veterans per day. * Review records and ...
Claim Processor information
See Mason, OH salary details
$11.30 - $12.54
2% of jobs
$12.54 - $13.77
6% of jobs
$13.77 - $15
9% of jobs
$15.64 is the 25th percentile. Wages below this are outliers.
$15 - $16.23
14% of jobs
$16.23 - $17.47
18% of jobs
The median wage is $17.51 / hr.
$17.47 - $18.70
17% of jobs
$19.38 is the 75th percentile. Wages above this are outliers.
$18.70 - $19.93
16% of jobs
$19.93 - $21.17
7% of jobs
$21.17 - $22.40
4% of jobs
$22.40 - $23.63
4% of jobs
$23.63 - $24.87
2% of jobs
$11
$18
$24
How much do claim processor jobs pay per hour?
What is a claim processor?
What do you need to be a claim processor?
Is it hard to be a claim processor?
What are some typical challenges a claim processor might face in their daily work?
What is the difference between Claim Processor vs Claims Examiner?
| Aspect | Claim Processor | Claims Examiner |
|---|---|---|
| Required Credentials | High school diploma or equivalent; some roles may require insurance certifications | High school diploma; insurance certifications preferred |
| Work Environment | Office settings, insurance companies, healthcare providers | Office settings, insurance companies, healthcare providers |
| Employer & Industry Usage | Insurance companies, healthcare providers, third-party administrators | Insurance companies, third-party administrators, government agencies |
| Job Focus | Processing insurance claims, data entry, verifying information | Reviewing 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.
What are the key skills and qualifications needed to thrive as a claim processor, and why are they important?

Ceded Reinsurance Claim Representative/Senior Claims Representative
Cincinnati, OH • On-site
Full-time
Medical, Dental, Vision, Retirement, PTO
Posted 17 days ago
Great American Insurance Group rating
8.8
Based on 31 frontline employees who took The Breakroom Quiz
57th of 304 rated insurance
Job description
At Great American, we value and recognize the benefits derived when people with different backgrounds and experiences work together to achieve business results. Our goal is to create a workplace where all employees feel included, empowered, and enabled to perform at their best.
This position is not eligible for employment visa sponsorship. Applicants must be authorized to work in the United States without the need for current or future sponsorship.
Corporate Claims is currently seeking a Claims Representative/Senior Claims Representative/Claim Specialist to join the Reinsurance Claims department located in Cincinnati, Ohio. Great American's culture is built on connection, shared learning, and strong relationships. To support this, employees in this role are expected to be on-site four days a week, with the flexibility to work one day remotely. Core in-office days are Tuesday-Thursday, with the fourth day determined by business needs. Open to full-time work from home for candidates living outside of greater Cincinnati.
The job grade will be commensurate with the years of experience and skill level of the candidate hired for the position.
To be successful in this role, you should have a strong understanding of ceded reinsurance claims processes, excellent communication skills, and the ability to collaborate effectively across functions in a dynamic, team-oriented environment.
Essential Job Functions & Responsibilities
This individual will be part of a team responsible for the daily handling of reinsurance claims, including:
- Evaluating applicable reinsurance coverage(s) for mainly asbestos, environmental, and abuse claims.
- Maintain a diary of claims for reporting, updating, and billing losses to reinsurers consistent with the terms of the reinsurance contracts.
- Responding timely to reinsurer information requests and claims technical inquiries.
- Understanding reinsurance structures to produce net exposure calculations.
- Ensure ceded reinsurance claim cessions are recorded in an accurate and timely manner.
- Document and maintain records for proper claim follow up.
- Collaborate with reinsurance accounting team by assisting with reinsurance collections as needed.
- Facilitate reinsurer claim reviews.
- Participate in reinsurance and team projects as needed.
- Provide guidance and assistance to other functional areas.
- Ensure all applicable company policies and procedures are followed.
- Performing other duties as assigned.
Qualifications
- Bachelor's degree or equivalent experience.
- Experience: 0-5 years of reinsurance claims experience. Some knowledge of direct claim handling and/or reinsurance is preferred.
- Basic understanding of insurance policies, coverage and claim issues for property, casualty and specialty lines of business
- Collaborative mindset and willingness to work with people outside immediate reporting hierarchy.
- Proficiency in Microsoft365 suite of products, specifically Excel.
- Professional writing and oral communication skills.
- Willingness and ability to cross train in and understand multiple lines of business.
- Ability to manage and prioritize concurrent assignments and responsibilities.
This job is non-exempt in California and Washington
Business Unit:
Corporate Claims
Salary Range:
$0.00 -$0.00
Benefits:
We offer competitive benefits packages for full-time and part-time employees*. Full-time employees have access to medical, dental, and vision coverage, wellness plans, parental leave, adoption assistance, and tuition reimbursement. Full-time and eligible part-time employees also enjoy Paid Time Off and paid holidays, a 401(k) plan with company match, an employee stock purchase plan, and commuter benefits.
Compensation varies by role, level, and location and is influenced by skills, experience, and business needs. Your recruiter will provide details about benefits and specific compensation ranges during the hiring process. Learn more at http://www.gaig.com/careers.
*Excludes seasonal employees and interns.
What Great American Insurance Group employees say
Pay
Benefits
Hours and flexibility
Workplace
Get the full story on Breakroom
About Great American Insurance
Sourced by ZipRecruiter
Industry
Insurance services
Company size
5,001 - 10,000 Employees
Headquarters location
Cincinnati, OH, US
Year founded
1872