ZipRecruiter

Log In

1

Insurance Claims Processing Jobs in Ohio (NOW HIRING)

previous pagenext page

Showing results 21-40

All JobsInsurance Claims Processing JobsInsurance Claims Processing Jobs in Ohio

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.

Risk Mgmt Dept Asst / Insurance & Claims Spec

Premier Health

Dayton, OH • On-site

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 22 days ago

Job description

DEPARTMENT ASSISTANT/ RISK MANAGEMENT, INSURANCE & CLAIMS SPECIALIST

110 N MAIN ST, DAYTON, OH 45402

Full-Time / Mon - Fri / 8:00 AM  

Are you looking for a pivotal role that offers not just a job, but a meaningful career within the healthcare sector? Premier Health is on the lookout for a Risk Management, Insurance & Claims Specialist/ Department Assistant  who is ready to step into a position that has a chance to make a real impact. At Premier Health, we pride ourselves on being a well-loved employer, known for our supportive work environment and commitment to our employee's professional and personal development. In this role, you'll have the unique opportunity to connect not only with your colleagues but also with the community we serve, providing essential support to the Legal and Risk Management Departments. This position will enable you to showcase your remarkable administrative skills and attention to detail, in a setting that is quick to recognize and celebrate your contributions. Join a team that loves what they do and thrives on making a difference every day.

* Candidates must be willing to commute and work "in-person" in the Dayton, Ohio area

Responsibilities

  • Scheduling meetings and coordinating calendars
  • Answering telephones and directing calls appropriately
  • Drafting documents and reports, typing, and copying
  • Data entry for claim files and managing the claim management system
  • Handling mail and processing record restriction requests
  • Auditing and processing invoices and claim settlements
  • Drafting and submitting SMDA reporting, preparing QIC and EOC reporting
  • Maintaining trial calendars

If you're an organized, detail-oriented individual with a passion for supporting others and a knack for managing multiple tasks seamlessly, we would love to hear from you. Join us at Premier Health and become a part of our community that is dedicated to making a difference. Don't miss this opportunity to build a rewarding career in a supportive and dynamic environment. Apply now to take the first step towards a fulfilling future with us!

The Department Assistant is responsible for performing all duties associated with full secretarial support for the Director of Risk Management, Claims & Insurance for Premier Health Partners, the Risk Managers for the associated entities within Premier Health Partners, and the Manager of Insurance & Claims Support for Premier Health Partners with occasional assistance to the attorneys in the General Counsel's office. The position is highly clerical and requires great attention to detail and demonstrated professionalism. The Assistant will be visible as the main contact to the entire Legal and Risk Management Department within Premier Health Partners. Duties will include greeting visitors, scheduling meetings, answering telephones and directing calls to the appropriate personnel, typing and copying documents, data entry, filing information in claim files and taking directions from the aforementioned individuals. The Department Assistant is responsible for performing all duties associated with full secretarial support for the Director of Risk Management, Claims & Insurance for Premier Health Partners, the Risk Managers for the associated entities within Premier Health Partners, and the Manager of Insurance & Claims Support for Premier Health Partners with occasional assistance to the attorneys in the General Counsel's office. The position is highly clerical and requires great attention to detail and demonstrated professionalism. The Assistant will be visible as the main contact to the entire Legal and Risk Management Department within Premier Health Partners. Duties will include greeting visitors, scheduling meetings, answering telephones and directing calls to the appropriate personnel, typing and copying documents, data entry, filing information in claim files and taking directions from the aforementioned individuals.

  • Education: High School completion / GED with a preference for an Associate's Degree
  • 1 - 3 years of job-related experience (Assistant, Receptionist, Secretary, Clerk, or similar)
  • Excellent verbal and written communication skills
  • Strong interpersonal and collaborative skills
  • Proficiency in Microsoft Office, especially Excel
  • Ability to work independently on multiple tasks
  • Knowledge of medical and legal terminology preferred
  • Maintains confidentiality in all work activities

 Benefits

  • Retirement Savings Plan
  • Health, Vision, and Dental insurance
  • Competitive salary package
  • Generous TOP (Time-Off-Program) paid vacation, and holiday schedule
  • Professional Development Opportunities
  • Employee wellness programs

Apply