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Claims Associate Three Jobs in Ohio (NOW HIRING)

Encova Insurance

Claims Business Analyst

Columbus, OH

$69K - $123K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Preferred qualifications include at least three years of commercial coverage experience, three years of claims business process experience, attainment of the Guidewire Certified Associate ...

New

Progressive

Field Claims Adjuster - Auto Damage

West Chester, OH

$68K - $77K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

As an auto damage claims adjuster , you'll serve as Progressive's point of contact with customers ... OR} Associate's degree and a minimum of three years relevant work experience with one year ...

New

Onco360

Pharmacy Claims Adjudication Specialist

Columbus, OH · Remote

$23/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Associate degree or equivalent program from a 2 year program or technical school, Certified ... Desired: 3+ years experience in Pharmacy/Healthcare Setting or pharmacy claims experience * Skills ...

Onco360

Pharmacy Claims Adjudication Specialist

Columbus, OH · On-site

$23/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Associate degree or equivalent program from a 2 year program or technical school, Certified ... Desired: 3+ years experience in Pharmacy/Healthcare Setting or pharmacy claims experience * Skills ...

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All JobsClaims Associate Three JobsClaims Associate Three Jobs in Ohio

Claims Associate Three information

Is claims processing a stressful job?

Claims processing can be stressful due to tight deadlines, high workload, and the need for accuracy in evaluating claims. Claims associates often handle complex cases and must maintain attention to detail while managing customer expectations, which can contribute to job stress.

What is the role of a claims associate three?

A Claims Associate Three is responsible for reviewing, investigating, and processing insurance claims to ensure accurate and timely resolution. They often handle complex cases, communicate with clients and providers, and use claims management systems to document actions and decisions.

What is the difference between Claims Associate Three vs Claims Associate Two?

AspectClaims Associate ThreeClaims Associate Two
Required CredentialsHigh school diploma or equivalent; some roles may prefer relevant certificationsHigh school diploma or equivalent; entry-level position
Work EnvironmentOffice setting, handling complex claims, collaborating with teamsOffice setting, processing standard claims, customer interaction
Employer & Industry UsageInsurance companies, third-party administratorsInsurance companies, claims processing centers
Common Search & ComparisonClaims Associate Three vs Claims Associate Two

The Claims Associate Three typically handles more complex claims and may require some experience or specialized knowledge, whereas the Claims Associate Two focuses on standard claims processing. The roles differ mainly in responsibility level and complexity, with Claims Associate Three often taking on more advanced tasks within the same industry environment.

What are popular job titles related to Claims Associate Three jobs in Ohio?

For Claims Associate Three jobs in Ohio, the most frequently searched job titles are:

What job categories do people searching Claims Associate Three jobs in Ohio look for?

The top searched job categories for Claims Associate Three jobs in Ohio are:

What cities in Ohio are hiring for Claims Associate Three jobs?

Cities in Ohio with the most Claims Associate Three job openings:

Claims Associate Three jobs near you
Infographic showing various Claims Associate Three job openings in Ohio as of August 2026, with employment types broken down into 1% As Needed, 69% Full Time, 27% Part Time, 1% Temporary, and 2% Contract. Highlights an 97% Physical, 1% Hybrid, and 2% Remote job distribution.

Claims Business Analyst

Encova Insurance

Columbus, OH

$69K - $123K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 2 days ago

New

Job description

The salary range for this job posting is $69,152.00 - $123,921.00 annually + bonus + benefits. Pay Type: Salary

The above represents the full salary range for this job requisition. Ultimately, in determining your pay and job title, we'll consider your location, education, experience, and other job-related factors, and will fall within the stated range. Your recruiter can share more information about the specific salary range during the hiring process.

Encova Insurance has an immediate opening for a Claims Business Analyst for our Columbus, Ohio corporate location. In this role, you will work a hybrid schedule and as such, the expectation is that you reside within a reasonable commute to our office.

We can hire at multiple seniority levels depending on candidate qualifications and the posted compensation range is inclusive of all levels.

As a Business Analyst II, you must have a minimum of two years of experience working with Guidewire ClaimCenter. Preferred qualifications include at least two years of commercial coverage experience, two years of claims business process experience, and attainment of the Guidewire Certified Associate certification.

As a Business Analyst III, you must have a minimum of three years of experience working with Guidewire ClaimCenter. Preferred qualifications include at least three years of commercial coverage experience, three years of claims business process experience, attainment of the Guidewire Certified Associate certification, and experience with Cloud Integration Framework implementations or support.

Are you a Referral?

If you know a current Encova Insurance associate and would like to apply as a referral, please encourage them to submit your referral information before you submit your application. You will receive an email with a direct URL link to the Job Posting of interest. Applying through this URL link will create your referral relationship for our Talent Acquisition Team.

Unique residence requirements are listed in each job posting, please review closely for details.

Encova is only able to employ associates who reside and work within specific U.S. states. Our current policies are based on the laws in states in which we are registered for payroll. Our current footprint includes:

Connecticut, Delaware, Florida, Georgia, Illinois, Indiana, Iowa, Kansas, Kentucky, Maryland, Massachusetts, Michigan, Minnesota, Missouri, Nebraska, New Hampshire, New Jersey, North Carolina, Ohio, Pennsylvania, South Carolina, Tennessee, Texas, Virginia, West Virginia, Wisconsin.

JOB OBJECTIVE:
To serve as a liaison between the business groups and IT, working closely with business partners to enable business success through IT solutions. The IT Business Analyst primary responsibility is to formulate and define requirements based on user needs and a good understanding of applicable business systems.
They also serve as key partners to the IT Quality Assurance team to ensure requirements are converted to effective test plans, and to System Analyst, Architects, Development Teams and Project Managers for decisions on the design of technology solutions to meet the business requirements.
ESSENTIAL FUNCTIONS:
Business Requirement Documentation
  • Works with business representatives to define and document business problems.
  • Analyzes the problems defined and makes recommendations on possible solution alternatives.
  • Creates functional specifications to translate business requirements into application or process enhancements.
  • Facilitates the understanding, clarification, and implementation of business requirements and works with key partners in IT to turn those into functional system design
  • Owner or Subject Matter Expert (SME) for at least one discipline within an Encova Product (i.e. - Workers' Compensation Claims, Personal Lines Policy, Commercial Lines Claims, etc.)
System Development Life Cycle
  • Demonstrates working knowledge of the system development life cycle and associated tools used by Encova throughout the SDLC process.
Application Incident Management
  • Validates incidents against business requirement documentation to verify whether an incident is a production defect or an enhancement
  • Reviews application incidents to determine root cause.
  • Consistently able to propose, document and implement acceptable workarounds for incidents with little help from the development team
  • Collaborates with business partners for approval on acceptable workarounds
Quality Assurance Testing
  • Collaborates with QA analysts on the development of appropriate test plans and test cases based on the functionality written in business requirement documentation
  • Executes test case scenarios and documents test results
Project Management
  • Demonstrates working knowledge of the project management methodology and associated tools used by Encova throughout the Demand Management process.
  • Completes all project tasks in accordance with the timeline outlined within each assigned project
  • Assists Project/Program Managers on running small Projects that are part of a Program, the scope of each project should be no more than 2 months of development work while working with no more than 1 Agile Development Team.
OTHER FUNCTIONS:
  • Apply current division and department standards.
  • Available for on-call production problem resolution
  • Maintains and continues development of information technology concepts and fundamentals.
  • Performs other duties as assigned.
POSITION REQUIREMENTS:
  • Analytical Thinking & Problem Solving
  • Able to elicit, decipher and document technology needs to overcome problems faced by our business.
  • Creative Thinking
  • Ability to look at needs of stakeholders from different perspectives and suggest ways to communicate needs in a way that can be understood by IT
  • Industry/IT Knowledge
  • Understands the Products offered by Encova and how Encova IT SDLC can impact our Corporate initiatives
  • Facilitation & Negotiation
  • Ability to moderate group discussions and enable participants to articulate their thoughts and ideas.
  • Ability to apply the proper process based on audience to attain the expected outcomes.
  • Oral and written Communication
  • Ability to express ideas, information or other content in a clear and professional manner.
  • Ability to actively listen to ensure ideas generated by stakeholders are clearly understood
  • Ability to lead demos and communicate enhancements to the appropriate business areas.
EXPERIENCE AND SKILLS:

Required:

  • Bachelor's Degree in Management Information Systems, Computer Science, Mathematics, Business or other related field or equivalent three years of information technology or insurance experience
  • One year of experience as a Business Analyst, including but not limited to:
    • Requirements development
    • Test Case development
    • SDLC monitoring

Preferred:

  • At least three years of Business Analyst experience
  • Any of the following certifications:
    • Certified Business Analyst Professional (CBAP)
    • Master of Insurance Business Analysis (MIBA)
    • Customer Experience Professional Association (CXPA)
    • UX Design Certification

This position has been evaluated in accordance with the Americans with Disabilities Act. Encova Insurance makes every effort to reasonably accommodate disabilities to permit performance of the essential functions and candidates who need such accommodation are encouraged to seek it. This description reflects the nature and level of work performed by associates in this position. It is not an all-inclusive inventory of duties, responsibilities and qualifications required. It provides an accurate overview of the work and skills needed to perform this position. Because job content may change from time to time, Encova Insurance reserves the right to add and/or delete functions from this job as it deems necessary for business reasons.

Ready to join our team?
At Encova Insurance, we firmly believe that our associates drive our company's success by delivering unrivaled service to our customers. With success in mind, we make an ongoing effort to provide an environment that offers challenging, stimulating, and financially rewarding opportunities. Join us to discover a work experience where you can learn and grow to your fullest potential.

What you can expect from us

In addition to a competitive compensation package, we offer a comprehensive benefits package designed to support the well-being and growth of our associates. Available benefits (subject to any policy or plan changes) include, but are not limited to:

  • Health, Dental & Vision Insurance

  • Company-provided life and income protection plans

  • Eligibility to participate in a company incentive bonus program

  • 401(k) Retirement Plan - 100% company match up to 7% on annual salary

  • Paid Time Off, Paid Holidays, and Floating Holidays

  • Flexible Work Arrangements - Hybrid and remote depending on the role

We believe that happy, healthy associates are the foundation of great work. Join us and thrive both professionally and personally.

Encova Insurance is an EOE/E-Verify employer.

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