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Insurance Claims Processing Jobs in Ohio (NOW HIRING)

VIVA USA INC

Claims Coordinator

Mason, OH · On-site

MAJOR DUTIES AND RESPONSIBILITIES Efficiently and accurately processes a variety of vision insurance claims or adjustments. Determines any special plan requirements prior to billing. Reviews claims ...

Fifth Third

Claims Processor

Cincinnati, OH · On-site

$16.25 - $20.75/hr

Responsible for completing and filing investor/insurer claims within required guidelines in order ... Claims Processor At Fifth Third, we understand the importance of recognizing our employees for the ...

Fifth Third Bank

Claims Processor

Cincinnati, OH · On-site

$16.25 - $20.75/hr

Responsible for completing and filing investor/insurer claims within required guidelines in order ... Claims Processor At Fifth Third, we understand the importance of recognizing our employees for the ...

Fifth Third

Claims Processor

Cincinnati, OH · On-site

$16.25 - $20.75/hr

Responsible for completing and filing investor/insurer claims within required guidelines in order ... Claims Processor At Fifth Third, we understand the importance of recognizing our employees for the ...

Fleet Response

Third Party Claims Specialist

Hudson, OH · On-site

$19/hr

This is an excellent opportunity for someone looking to build a career in claims, insurance, or fleet services while gaining hands-on experience supporting the full claims process. This position ...

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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 are the key skills and qualifications needed to thrive in insurance claims processing?

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 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.

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.

How to get a job as an insurance claims processor?

To become an insurance claims processor, candidates typically need a high school diploma or equivalent, with some roles preferring postsecondary training or certifications in insurance or claims processing. Relevant skills include attention to detail, communication, and familiarity with claims management software. Gaining experience through internships or entry-level positions can improve job prospects, and some employers may require background checks or specific licensing depending on the state or company policies.

Is insurance claims processing a stressful job?

Insurance claims processing can be a stressful job due to tight deadlines, high workload, and the need for accuracy in evaluating claims. It often requires strong attention to detail, communication skills, and the ability to handle difficult customer interactions, which can contribute to job-related stress.

What does an insurance claims processing do?

An insurance claims processor reviews and evaluates insurance claims to determine coverage and payout amounts. They verify policy details, gather necessary documentation, and ensure claims are processed accurately and efficiently, often using claims management software. Attention to detail and knowledge of insurance policies are essential for this role.

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 August 2026, with employment types broken down into 1% As Needed, 78% Full Time, 17% Part Time, and 4% Contract. Highlights an 89% Physical, 1% Hybrid, and 10% Remote job distribution.

Claims Advocate - Commercial Insurance

Cincinnati, OH

Hylant
Insurance Services • 501 - 1,000 employees
Learn more about Hylantexternal

Full-time

Re-posted 23 days ago

Hylant rating

9.8

Company rating: 9.8 out of 10

Based on 5 frontline employees who took The Breakroom Quiz

Job description

The Opportunity:
The Claims Advocate is a client facing role providing interpretation of policy language, coverage analysis, advocacy, coverage, and dispute resolution. This position will act as liaison between clients and internal and external stakeholders to advocate for our clients in resolving any issues relating to their loss.
In This Role You Will Execute On:

  • Proactively manage the claims process for assigned clients/claims liaising with clients, adjusters, third party administrators, and other external parties as well as Hylant client executives and client services team members to advocate and facilitate claim resolution.
  • Actively research and obtain claims information from clients and carriers, monitor claims status and action plans, and proactively communicate with all interested parties.
  • Negotiate with insurers and other stakeholders to expedite the resolution of claims.
  • Consult with clients and internal stakeholders to understand client coverage needs and intentions; provide knowledge and guidance on claims processes, policy coverage, terms, and conditions. Review and recommend solutions to coverage and loss management issues where appropriate.
  • Assist clients in developing special claims servicing instructions ensuring to meet client information, analytics and internal approval process needs.
  • Produce and maintain records, reports, presentations, and other documents necessary to record claim details. Consult with clients and internal stakeholders to gauge claims experience and make recommendations to improve the client experience where appropriate.
  • Participate in presentations and meetings with current and prospective clients; provide claims expertise to support client retention and new business efforts.
  • Perform other duties and special projects as requested.


In This Role You Will Need:

  • Bachelor's degree plus a minimum of five years property and casualty insurance experience including a minimum of one year experience managing claims OR equivalent combination of education and experience.
  • Active Property and Casualty insurance license.
  • Excellent written and verbal communication skills.
  • Ability and willingness to travel by car or airplane for meetings, conferences, or other business-related functions.


Why Hylant?

A multi-year recipient of Best Places to Work in Insurance, Hylant is a full-service insurance brokerage with over 20 offices in eight states. And since the founding of our family-owned business over 90 years ago, we made a promise to strengthen and protect the businesses, employees and communities of our client family by embracing them as our own. We're more than an insurance brokerage firm and you're more than a client, employee or neighbor. You're family. And that's just the way we treat you.

Hylant is proud to be an equal opportunity workplace. All qualified applicants will receive consideration for employment without regard to race, marital status, sex, age, color, religion, national origin, Veteran status, disability or any other characteristic protected by law. If you have a disability or special need that requires accommodation, please let us know. Hylant participates in E-Verify.

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