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Direct Claims Jobs in Ohio (NOW HIRING)

Risk and Claims Manager

Cincinnati, OH · On-site

$104 - $172/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Direct property-damage and auto claims experience for a carrier, TPA, or self-insured organization * Industry exposure in waste, recycling, transportation, fleet, logistics, or field operations

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Direct Claims information

What is a direct claim?

Direct claims refer to insurance claims that are filed directly by the policyholder with their own insurance company, rather than going through a third party or the at-fault party's insurer. This process is common in situations like auto accidents, where the policyholder seeks compensation for damages or losses under their own policy. Direct claims help streamline the process, reduce delays, and ensure the policyholder receives prompt assistance and settlements. They are often associated with 'first-party' insurance coverage, such as collision, comprehensive, or health insurance claims.

What are the key skills and qualifications needed to thrive as a direct claims specialist?

To thrive as a Direct Claims Specialist, you need a solid understanding of insurance policies, claims processes, and relevant legal regulations, often supported by a degree in business, finance, or a related field. Familiarity with claims management software, customer relationship management (CRM) systems, and sometimes industry certifications like AIC or CPCU is typical. Exceptional attention to detail, problem-solving abilities, and strong communication skills set top performers apart in this role. These skills and qualifications ensure claims are processed accurately and efficiently, leading to customer satisfaction and minimized risk for the insurer.

What are some common challenges faced by professionals in direct claims roles, and how can they effectively manage these challenges?

Professionals in Direct Claims often face the challenge of balancing a high volume of claims with the need for thorough investigation and timely resolution. Managing customer expectations and handling sensitive situations, such as denied claims or complex cases, can also be demanding. Effective communication, strong organizational skills, and staying updated on policy guidelines are crucial for success. Building collaborative relationships with adjusters, underwriters, and other departments helps ensure accurate and efficient claims processing.

What is the difference between Direct Claims vs Claims Adjuster?

AspectDirect ClaimsClaims Adjuster
CredentialsInsurance license, knowledge of policiesInsurance license, sometimes certifications like AIC or CPCU
Work EnvironmentCustomer service, office or remoteFieldwork, office, or remote
Employer & IndustryInsurance companies, agenciesInsurance companies, third-party administrators
Search & Comparison IntentUnderstanding direct claims handlingEvaluating claims adjustment roles

Direct Claims professionals primarily handle claims directly from policyholders, focusing on processing and resolving claims within the insurance company. Claims Adjusters evaluate, investigate, and settle claims, often working in the field or remotely. Both roles require insurance licensing, but Claims Adjusters may have additional certifications. While their work overlaps in claims processing, Direct Claims roles are more customer-facing, whereas Claims Adjusters focus on assessment and negotiation.

What cities in Ohio are hiring for Direct Claims jobs?

Cities in Ohio with the most Direct Claims job openings:

Infographic showing various Direct Claims 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.

Full-time

Medical, Dental, Retirement, PTO

Re-posted 25 days ago


First Chicago Insurance rating

5.7

Company rating: 5.7 out of 10

Based on 7 frontline employees who took The Breakroom Quiz

294th of 309 rated insurance


Job description

At First Chicago Insurance Company, our employees are our biggest asset! It is our mission to attract and retain intelligent, motivated, ethical employees who strive for excellence and growth, and to keep those employees happy and engaged. We provide the tools and the support our employees need to grow both professionally and personally. We encourage self-improvement and celebrate success by rewarding ideas and results. We realize the strength of teamwork and its ability to join individuals together and push and pull each other, with a synergy that can only be found in groups of good people sharing ideas. Join in on the excitement and become part of our thriving organization!
We are seeking an experienced Casualty Claims Specialist!
The Casualty Claims Specialist will be responsible for investigating and settlement of automobile bodily injury claims. They will settle complex liability claims which require greater investigation and verification, as well as casualty claims including severe injuries which may result in extended disability or bodily injury as well as coverage related litigation.
The Casualty Claims Specialist will have the following duties and responsibilities:
  • Review & determine course of action on each file assigned, utilizing technical knowledge & experience for the purpose of supporting final disposition of a loss.
  • Conduct thorough investigations and keep accurate and relevant documentation of file activity on each claim assigned including coverage, liability status, and damages that are applicable for each claim.
  • 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 necessary injury and coverage investigation.
  • Research case and statutory law in order to conduct proper claim investigation.
  • Document policy status, coverage, liability and damages on all claims and notify re-insurer on qualifying claims.
  • Prepare and present claim evaluations for the appropriate settlement authority.
  • Maintain reasonable expense factors.
  • Handle other duties as assigned

QUALIFICATIONS REQUIRED:
  • 3-5 years in Casualty claims experience a MUST!
  • Knowledge of legal and medical terminology.
  • Excellent negotiation, communication, written, organizational and interpersonal skills.
  • Ability to pass written examinations where required by state statutes to become a licensed claims adjuster.
  • Proficiency in Microsoft Office products.

First Chicago Insurance Company provides a competitive benefits package to all full- time employees. Following are some of the perks First Chicago employees receive:
  • Competitive Salaries
  • Commitment to your Training & Development
  • Medical and Dental
  • Telemedicine Benefit
  • 401k with a generous company match
  • Paid Time Off and Paid Holidays
  • Tuition Reimbursement Training Programs
  • Wellness Program
  • Fun company sponsored events
  • And so much more!

Visit our company website at firstchicagoinsurance.com

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