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Insurance Claims Processing Jobs in Ohio (NOW HIRING)

CYNET SYSTEMS

Billing/Invoicing Processor

Mason, OH · On-site

$13 - $18/hr

The Claims Processor accurately and efficiently processes claims from source documents, maintaining compliance with the insurance plan requirements and with high regard for adhering to goals for ...

Erie Insurance

Claims Facilitator

Columbus, OH · On-site

$40K - $64K/yr

At Erie Insurance, you're not just part of a Fortune 500 company; you're also a valued member of a ... Processes first party automobile, third party clear liability automobile and low severity property ...

Sweetwater Care

Regional Biller- Remote

Cleveland, OH · Remote

$60K - $80K/yr

Responsibilities: • Process patient billing and insurance claims in a timely and accurate manner • Maintain accurate and detailed records of patient billing and insurance claims • Identify and ...

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Insurance Claims Processing information

What is insurance claims processing?

Insurance claims processing is the procedure by which insurance companies review, investigate, and settle claims made by policyholders. This process involves verifying the details of a claim, ensuring it meets the terms of the policy, and determining the appropriate payout or action. Claims processors handle documentation, communicate with claimants, and may work with other parties like adjusters or healthcare providers. The goal is to ensure claims are resolved efficiently, accurately, and fairly according to policy guidelines.

What jobs pay $2000 a day?

In insurance claims processing, high-paying roles such as senior claims managers or specialized adjusters can earn around $2,000 per day, especially with extensive experience, certifications, and in high-value claim environments. These roles often require advanced knowledge of insurance policies, strong analytical skills, and sometimes leadership responsibilities.

How do I become a claims processor?

To become a claims processor, typically a high school diploma or equivalent is required, and some employers prefer candidates with experience in customer service or insurance. Relevant skills include attention to detail, communication, and familiarity with claims processing software; obtaining industry certifications such as the Certified Claims Professional (CCP) can also enhance job prospects.

What are some common challenges faced in insurance claims processing, and how can new team members effectively manage them?

In insurance claims processing, new team members often encounter challenges such as handling high volumes of claims, interpreting complex policy language, and communicating effectively with policyholders and other stakeholders. To manage these challenges, it's important to develop strong organizational skills, stay detail-oriented, and proactively seek clarification when unsure about policy terms or procedures. Collaborating with experienced colleagues and taking advantage of ongoing training opportunities can also help new processors build confidence and efficiency in their daily tasks.

Is a claims processor job in demand?

Claims processing is a stable occupation within the insurance industry, with consistent demand due to the ongoing need for claims management in health, auto, and property insurance sectors. Employment opportunities often require attention to detail and familiarity with claims software, and the job outlook is expected to grow alongside the insurance industry overall.

What is the difference between Insurance Claims Processing vs Insurance Adjuster?

AspectInsurance Claims ProcessingInsurance Adjuster
CredentialsTypically requires a high school diploma or equivalent; certifications like CPCU or AIC are commonRequires a high school diploma; certifications like AIC or state licensing often needed
Work EnvironmentOffice-based, processing claims via computer systemsField and office work, inspecting damages and interviewing claimants
Employer & Industry UsageInsurance companies, third-party administratorsInsurance companies, independent adjusting firms
Primary FocusReviewing and processing insurance claims efficientlyAssessing damages and determining claim validity and payout

While both roles are essential in the insurance industry, Insurance Claims Processing focuses on handling and managing claims paperwork, whereas Insurance Adjusters evaluate damages and determine claim settlements. Understanding these differences helps job seekers identify the right career path within the insurance sector.

What are the key skills and qualifications needed to thrive in Insurance Claims Processing, and why are they important?

To excel in Insurance Claims Processing, you need strong attention to detail, analytical abilities, and a foundational understanding of insurance policies or claims procedures, often supported by a high school diploma or associate degree. Familiarity with claims management software, databases, and sometimes industry certifications like AIC (Associate in Claims) is common. Effective communication, problem-solving skills, and the ability to manage stressful situations make someone stand out in this role. These competencies are critical for ensuring claims are processed accurately, efficiently, and in compliance with regulatory standards.
What are popular job titles related to Insurance Claims Processing jobs in Ohio? For Insurance Claims Processing jobs in Ohio, the most frequently searched job titles are:
What job categories do people searching Insurance Claims Processing jobs in Ohio look for? The top searched job categories for Insurance Claims Processing jobs in Ohio are:
Insurance Claims Processing jobs near you
Infographic showing various Insurance Claims Processing job openings in Ohio as of June 2026, with employment types broken down into 100% Full Time. Highlights an 82% In-person, 6% Hybrid, and 12% Remote job distribution.
Billing/Invoicing Processor

Billing/Invoicing Processor

CYNET SYSTEMS

Mason, OH • On-site

$13 - $18/hr

Contractor

Vision

Posted 11 days ago

Job description

Job Overview:

Pay Range: $13.78/hr - $18.78/hr

  • The Claims Processor accurately and efficiently processes claims from source documents, maintaining compliance with the insurance plan requirements and with high regard for adhering to goals for quality and claims production rates.

Requirement/Must Have:

  • High School diploma or equivalent work experience.
  • 1+ year(s) of data entry experience.

Responsibilities:

  • Efficiently and accurately processes a variety of vision insurance claims or adjustments.
  • Determines any special plan requirements prior to billing.
  • Reviews claims before entry for completeness and compliance with business requirements.
  • Effectively and accurately reviews images and transcribed data in the Vidado portal in preparation for auto adjudication.
  • Participates on special project initiatives, including rework efforts as needed.
  • Understands and quickly operationalizes processing changes resulting from new plans, benefit designs.
  • Maintains compliance with HIPAA guidelines and regulations.
  • Works with supervisor and co-workers to provide a high standard of customer service and communication with key customer interfaces.
  • Partners with the Provider Relations team by providing information that is necessary to properly train the stores, providers and field management.
  • Contacts stores or providers when necessary to obtain additional information or follow up on claims.

Nice to Have:

  • Bachelor's degree.
  • Claims processing experience.
  • Strong customer service focus.
  • Good verbal communication skills.
  • Good written communication skills.
  • Able to quickly grasp and retain information and concepts.
  • Able to multi-task and prioritize issues.
  • Strong attention to detail.
  • Knowledge of Medicare/Medicaid business.
  • Understand and honor high level of confidentiality.
  • Knowledge of vision benefits and/or insurance industry.
  • Proficient in Microsoft Word, Excel and Access.
  • Working knowledge of interface systems such as Facets and ExClaim.

Founded in 2010 and headquartered in the Washington, DC metro area, Cynet Systems Inc. is a leading staffing and recruiting powerhouse. Proudly recognized as a nationally and locally certified diversity firm, Cynet delivers agile, scalable talent solutions across industries. With an active footprint in all 50 U.S. states and Canada, we support thousands of consultants through our expansive, high-performing recruitment engine operating across North America and Asia—ensuring speed, quality, and consistency in every hire.
Cynet Systems logo

About Cynet Systems

Sourced by ZipRecruiter

Cynet Systems Inc is a staffing and recruiting corporation nestled in Ashburn, VA, USA. Established in 2010, the company operates within the Information Technology and Services sector, specializing in providing effective workforce solutions to different business needs, including IT consulting, direct hire, and contract staffing services. Through the years, Cynet Systems has built an impressive portfolio, going beyond borders and expanding its operations internationally in Canada and India. Rooted in its core values of teamwork, leadership, and commitment, Cynet Systems helps businesses unlock their full potential by providing versatile and competent professionals that perfectly align with their needs. Fueled by their unwavering mission to deliver top-tier talent to businesses worldwide, Cynet Systems garnered various recognitions including SIA's fastest-growing staffing firms and Best Place to Work in Virginia for 2019.

Industry

It services

Company size

501 - 1,000 Employees

Headquarters location

Sterling, VA, US

Year founded

2010

Social media

Twitter

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