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Claims Operations Manager Jobs in Ohio (NOW HIRING)

Arrive Logistics

Claims Analyst

Columbus, OH · On-site +1

Advanced Claims Operations & Trend Analytics: Independently manage a portfolio of complex cargo claims from initial filing to final resolution, ensuring efficient, accurate, and timely handling. This ...

CareSource

Claims AI Business Analyst IV

Dayton, OH · On-site +1

$94K - $164K/yr

They serve as the primary owner of the Claims Operations automation and AI pipeline, ensuring ... Ability to manage multiple priorities and competing demands * Effective verbal and written ...

Sedgwick

Operations Manager

Dublin, OH · Hybrid

$71K - $85K/yr

To oversee technical and operational functions including compliance with company standards and ... Ensures claims management policies and procedures are followed to assure meeting service standards ...

York Risk Services

Operations Manager

Dublin, OH · Hybrid

$71K - $85K/yr

To oversee technical and operational functions including compliance with company standards and ... Ensures claims management policies and procedures are followed to assure meeting service standards ...

CareSource

Operations Specialist II

Dayton, OH · On-site +1

$62K - $100K/yr

The Operations Specialist II provides analytical support and leadership for project impacting ... Perform analysis of all claims data in order to provide decision support to Claims management team

Rumpke

Operations Manager

Mansfield, OH · On-site

The Operations Manager oversees the day-to-day waste and recycling collection operations within an ... Conduct investigations for accidents, incidents, and property damage claims, completing accurate ...

Sedgwick

VP Care Team Operations

Dublin, OH · On-site

Partners with the care team and claims operations support teams to develop and implement process ... Leadership/management/motivational skills * Ability to operate effectively and decisively in a high ...

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Showing results 1-20

All JobsClaims Operations JobsClaims Operations Manager JobsClaims Operations Manager Jobs in Ohio

Claims Operations Manager information

See Ohio salary details

$33.3K

$83.5K

$132.1K

How much do claims operations manager jobs pay per year?

As of Jul 27, 2026, the average yearly pay for claims operations manager in Ohio is $83,529.00, according to ZipRecruiter salary data. Most workers in this role earn between $64,600.00 and $99,800.00 per year, depending on experience, location, and employer.

How does a Claims Operations Manager typically interact with cross-functional teams within an insurance organization?

A Claims Operations Manager regularly collaborates with cross-functional teams such as underwriting, customer service, legal, and IT to ensure smooth processing of claims and adherence to company policies. This role often requires coordinating process improvements, addressing compliance requirements, and resolving escalated issues that span multiple departments. Effective communication and project management skills are essential, as the manager must balance operational efficiency with customer satisfaction while ensuring regulatory standards are met.

What are the key skills and qualifications needed to thrive as a Claims Operations Manager, and why are they important?

To thrive as a Claims Operations Manager, you need expertise in insurance claims processes, analytical skills, and a background in business or finance, often supported by a bachelor's degree and relevant industry experience. Familiarity with claims management systems, workflow automation tools, and regulatory compliance platforms is typically required. Strong leadership, problem-solving, and communication skills help manage teams and resolve complex claims efficiently. These abilities are vital for ensuring timely and accurate claims processing, regulatory adherence, and high levels of customer satisfaction.

What is the difference between Claims Operations Manager vs Claims Adjuster?

AspectClaims Operations ManagerClaims Adjuster
CredentialsTypically requires a bachelor’s degree, industry certifications (e.g., CPCU), and management experienceRequires a high school diploma or bachelor’s degree, licensing, and adjuster certifications
Work EnvironmentOversees teams, manages claims processes, and develops policies within an office or corporate settingInvestigates claims, assesses damages, and interacts directly with claimants, often in the field or office
Employer & Industry UsageCommon in insurance companies, large agencies, and corporate claims departmentsFound in insurance companies, independent adjusting firms, and public adjusting roles

The Claims Operations Manager focuses on managing teams and streamlining claims processes, while the Claims Adjuster handles the investigation and evaluation of individual claims. Both roles are essential in the claims lifecycle but differ in responsibilities, work environment, and required credentials.

What are Claims Operations Managers?

Claims Operations Managers are professionals responsible for overseeing and managing the daily operations of an insurance claims department. They ensure that claims are processed efficiently, accurately, and in compliance with company policies and regulations. Their duties often include supervising staff, implementing process improvements, handling escalated issues, and analyzing performance metrics. Claims Operations Managers play a key role in optimizing workflow, maintaining customer satisfaction, and minimizing risk for the organization.
What are popular job titles related to Claims Operations Manager jobs in Ohio? For Claims Operations Manager jobs in Ohio, the most frequently searched job titles are:
What job categories do people searching Claims Operations Manager jobs in Ohio look for? The top searched job categories for Claims Operations Manager jobs in Ohio are:
What cities in Ohio are hiring for Claims Operations Manager jobs? Cities in Ohio with the most Claims Operations Manager job openings:
Claims Operations Manager jobs near you
Infographic showing various Claims Operations Manager job openings in Ohio as of July 2026, with employment types broken down into 88% Full Time, 10% Part Time, and 2% Contract. Highlights an 89% Physical, 3% Hybrid, and 8% Remote job distribution, with an average salary of $83,529 per year, or $40.2 per hour.
Claims System Conversion Consultant

Claims System Conversion Consultant

Mount Carmel Health System

Columbus, OH

Part-time

Medical, Dental, Vision

Posted 17 days ago

Mount Carmel Health System rating

7.9

Company rating: 7.9 out of 10

Based on 18 frontline employees who took The Breakroom Quiz

Job description

Employment Type:Part timeShift:Day Shift Description:Support Director of Claims Operations and Manager of System Configuration during implementation of new claims system
  • Provider Data Management and related downstream processes
  • Manages System Configuration functional area purchases and ensures the proper processing of all invoices related to assigned activities.
  • Lead the definition, documentation, implementation and continuous improvement of claims adjudication system management policies, standards and processes.
  • Supports Claims Audit leadership with the analysis of claims processing metrics to ensure optimal performance.
  • Ensures compliance with all regulatory requirements impacting Support Services by collaborating with the Compliance Department and other key functional stakeholders within the organization responsible for execution of policies, standards and processes.
  • Establish partnerships and works closely with key operational and clinical staff to ensure claims system configuration accuracy; develop plans to address any potential system inaccuracies or configuration errors.
  • Investigate and recommend implementation of tools, techniques and processes with potential to improve management of system configuration.
  • Participate in compliance audits and remediate issues identified as required.
  • Provide Subject Matter Expertise throughout the implementation of the new claims system, HealthEdge Healthrules Payor (HRP)
  • Support Director, Claims Operations and Configuration with daily activities and escalation requests throughout the HRP implementation thus enabling Director to commit more resources to the HRP implementation.
  • Support Manager, System Configuration with daily activities and escalation requests throughout the HRP implementation thus enabling Director to commit more resources to the HRP implementation.
  • Education:  Bachelor of Science degree in health care, business administration, or related field preferred.  In lieu of a bachelor’s degree an combination of college course work and 7+ years of experience in managed care or a health plan organization demonstrating ascending roles of responsibility will be considered.
  • Advanced knowledge of health plan medical benefits, provider reimbursement methodologies, medical, dental and vision terminology, advanced knowledge of claim adjudication and benefit plan application for Medicare Advantage plans.
  • Advanced knowledge of CPT, ICD-9, ICD-10 and HCPS coding systems.
  • Uses standard office equipment and must be able to operate a motor vehicle and possess a valid driver's license.
  • Participates in all project related reporting and communication to the steering committee and other stakeholders.
  • Responsible for compliance with Organizational Integrity through raising questions and promptly reporting actual or potential wrongdoing.
  • Clearly articulates assignments and direction
  • Foster teamwork

Our Commitment to Diversity and Inclusion
 

Trinity Health is a family of 115,000 colleagues and nearly 26,000 physicians and clinicians across 25 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions.

Our dedication to diversity includes a unified workforce (through training and education, recruitment, retention, and development), commitment and accountability, communication, community partnerships, and supplier diversity.

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