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Claim Processor Jobs in Mason, OH (NOW HIRING)

This role is responsible for reviewing claim documentation, calculating claim benefits, processing payments, maintaining accurate records, and ensuring compliance with policy provisions and ...

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 ...

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 ...

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Claim Processor information

See Mason, OH salary details

$11

$18

$24

How much do claim processor jobs pay per hour?

As of Aug 9, 2026, the average hourly pay for claim processor in Mason, OH is $18.02, according to ZipRecruiter salary data. Most workers in this role earn between $15.38 and $19.42 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 do you need to be a claim processor?

To become a claim processor, candidates typically need a high school diploma or equivalent, strong attention to detail, and good organizational skills. Experience with insurance policies, claims processing software, or customer service can be beneficial, and some employers may require familiarity with specific tools or certifications related to insurance or claims management.

Is it hard to be a claim processor?

Claim processing is a detail-oriented job that requires strong organizational skills, attention to accuracy, and familiarity with claims management software. The difficulty can vary based on workload, complexity of claims, and experience level, but it generally involves routine tasks with some need for problem-solving and communication skills.

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 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.

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 cities near Mason, OH are hiring for Claim Processor jobs? Cities near Mason, OH with the most Claim Processor job openings:
Infographic showing various Claim Processor job openings in Mason, OH as of August 2026, with employment types broken down into 81% Full Time, 17% Part Time, and 2% Contract. Highlights an 85% Physical, 4% Hybrid, and 11% Remote job distribution, with an average salary of $37,487 per year, or $18 per hour.

Ceded Reinsurance Claim Representative/Senior Claims Representative

Great American Insurance Group

Cincinnati, OH • On-site

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 17 days ago


Great American Insurance Group rating

8.8

Company rating: 8.8 out of 10

Based on 31 frontline employees who took The Breakroom Quiz

57th of 304 rated insurance


Job description

Be Here. Be Great. Working for a leader in the insurance industry means opportunity for you. Great American Insurance Group's member companies are subsidiaries of American Financial Group. We combine a "small company" culture where your ideas will be heard with "big company" expertise to help you succeed. With over 30 specialty and property and casualty operations, there are always opportunities here to learn and grow.
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.

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