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Insurance Claims Processing Jobs in Ohio (NOW HIRING)

Insurance and/or Claims domain experience strongly preferred, with demonstrated success driving AI-enabled process transformation. * Bachelor's degree required; Master's or Ph.D. preferred in Machine ...

Claims Adjuster - Associate

Akron, OH · On-site

$17 - $23/hr

Investigates and processes assigned insurance claims, verifies coverage, and compensation amounts, per insurance policy. * Updates Explanation of Benefits (EOB), pays and closes claim. * May order ...

Claims Adjuster - Associate

Akron, OH · On-site +1

$17 - $23/hr

Investigates and processes assigned insurance claims, verifies coverage, and compensation amounts, per insurance policy. * Updates Explanation of Benefits (EOB), pays and closes claim. * May order ...

Ability to understand Central Insurance's policies and processes Preferred Qualifications * CPCU, SCLA or AIC designations * Claims experience in both Personal Lines and Commercial Lines * Litigation ...

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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:
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.
AVP Applied AI, Claims

AVP Applied AI, Claims

The Hartford

Columbus, OH • Hybrid

Full-time

Posted 14 days ago


The Hartford rating

8.8

Company rating: 8.8 out of 10

Based on 103 frontline employees who took The Breakroom Quiz

53rd of 261 rated insurance


Job description

AVP Data Science - GD05AE

We're determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working here means having every opportunity to achieve your goals - and to help others accomplish theirs, too. Join our team as we help shape the future.

The Hartford is hiring an AVP leading Applied AI for the Claims organization. This leader will play a pivotal role in transforming the end-to-end Claims process by developing and embedding AI capabilities to enhance outcomes, process and experience.

This role will have aHybrid work schedule,with the expectation of working in an office (Columbus, OH, Chicago, IL, Hartford, CT or Charlotte, NC) 3 days a week. Candidates must be eligible to work in the US without company sponsorship.

Primary Job Responsibilities

  • Own delivery, performance, and risk outcomes for a large, complex Claims Applied AI portfolio spanning multiple teams, domains, and value streams; translate Claims and enterprise AI priorities into a multi-year roadmap and investment plan.
  • Drive measurable business value across the end-to-end claims journey by developing, testing, deploying, and scaling Predictive, Generative, and Agentic AI solutions (e.g., forecasting, triage, recommendations, anomaly/fraud detection, RAG/assistants, and agentic workflow orchestration).
  • Be the senior business partner for Claims leaders: proactively understand short- and long-term goals, shape the problem statements, define success measures, and ensure solutions are adopted and embedded into core claim processes and colleague experiences.
  • Build deep partnerships within portfolio and value stream frameworks; promote agile, iterative delivery through cross-functional teams to ensure fit-for-purpose solutions and rapid learning cycles.
  • Lead and develop senior leaders and teams (e.g., asset owners, data engineers, data scientists, ML engineers), building bench strength through succession planning, coaching, and capability development while creating an engaged and inclusive culture
  • Provide portfolio-level technical direction and oversight, partnering with Principal Individual Contributors, Architecture, AI Platform, and Centers of Excellence to drive consistent adoption of approved standards, patterns, and guardrails
  • Ensure disciplined architecture and delivery trade-offs across quality, grounding, latency, cost, scalability, and regulatory risk-especially for GenAI and agentic solutions operating in claims environments.
  • Establish and enforce evaluation, monitoring, and production readiness across solution types (classification, regression, retrieval/RAG/chat, forecasting), including metric taxonomies, thresholds, validation evidence, gold/synthetic test sets, A/B testing, drift detection, failure mode analysis, and incident response expectations.
  • Set governance expectations for unstructured data and retrieval across Claims (document ingestion, parsing/OCR, layout-aware extraction, metadata/lineage, access controls, PII detection/redaction, auditability), including embedding/retrieval strategies and grounding validation aligned to enterprise standards.
  • Accountable for AI governance and compliance-by-design across the Claims portfolio, partnering with Legal, Compliance, Model Risk, Privacy, Security, and Audit; maintain audit readiness with clear controls, artifacts, escalation paths, and operational evidence.
  • Influence technology integration and platform strategy by partnering with Technology, Data, AI Platform, AI/MLOps, and Architecture teams on tooling, standard work, reusable capabilities, and scalable patterns for Predictive, Generative, and Agentic AI.
  • Champion reuse and scalability by partnering with AI platform owners and peers to develop and integrate reusable Claims AI capabilities within The Hartford's AI platform.
  • Provide thought leadership and change leadership: educate stakeholders, identify new AI opportunities, advance a data-driven culture, and drive change to core Claims processes through innovative quantitative/AI techniques.
  • Oversee portfolio planning, dependencies, resourcing, and financial stewardship, adapting to changing priorities, capacity constraints, technical risks, and regulatory needs while driving continuous improvement in delivery effectiveness and value realization.
  • Maintain strong knowledge of business processes and data sources and stay current on advancements in Machine Learning, GenAI/agentic frameworks, evaluation/guardrails, MLOps, cloud engineering, and emerging technologies.

Skills & Leadership Capabilities

  • Demonstrated experience leading large, complex Applied AI portfolios in regulated enterprise environments with consistent delivery discipline and risk management.
  • Strong business partnership and influence skills-able to translate Claims objectives into AI product strategy/roadmaps and drive adoption through operating model alignment and stakeholder engagement.
  • Deep technical fluency across Predictive ML + Generative + Agentic AI, including prompt engineering, RAG, agentic frameworks, evaluation methods, guardrail management, and AI/MLOps/model lifecycle management.
  • Strong governance and responsible AI grounding: model risk management, fairness/safety, explainability, monitoring, and compliance-by-design.
  • Applied understanding of unstructured data and retrieval systems (document ingestion pipelines, OCR, layout-aware extraction, embeddings, hybrid/dense retrieval, reranking, metadata/lineage, PII controls).
  • Proven ability to build and grow high-performing technical teams and establish operating rhythms across multiple teams/value streams.
  • Exceptional communication skills-able to communicate effectively at all levels and convert complex technical trade-offs into clear business implications and decisions.
  • Strong strategic thinking, analytical capability, negotiation/influence, conflict resolution, and ability to work autonomously across multiple priorities.

Education & Experience

  • 12+ years of applicable experience in Data Science, Applied AI, Analytics, Machine Learning Engineering, or related fields, including building and scaling AI solutions in production.
  • 7+ years of formal people leadership experience (leading leaders and/or multi-team organizations.
  • Insurance and/or Claims domain experience strongly preferred, with demonstrated success driving AI-enabled process transformation.
  • Bachelor's degree required; Master's or Ph.D. preferred in Machine Learning, Data Science, Computer Science, Applied Mathematics, or similar analytical field.
  • Proficiency with cloud platforms (preferably AWS or GCP) and their AI/ML ecosystems.

Compensation

The listed annualized base pay range is primarily based on analysis of similar positions in the external market. Actual base pay could vary and may be above or below the listed range based on factors including but not limited to performance, proficiency and demonstration of competencies required for the role. The base pay is just one component of The Hartford's total compensation package for employees. Other rewards may include short-term or annual bonuses, long-term incentives, and on-the-spot recognition. The annualized base pay range for this role is:

$182,400 - $273,600

Equal Opportunity Employer/Sex/Race/Color/Veterans/Disability/Sexual Orientation/Gender Identity or Expression/Religion/Age

About Us|Our Culture|What It's Like to Work Here|Perks & Benefits


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About Hartford

Sourced by ZipRecruiter

Hartford Financial Services Group, widely recognized as The Hartford, is a renowned company based in Hartford, CT, US. Established in 1810, it has evolved into an industry leader in the insurance and financial services sector, proudly serving more than one million businesses in the US. The Hartford is committed to offering a gamut of insurance products that include homeowners, automobile, and business insurance as well as employee benefits and mutual funds. The company’s core values revolve around customer-focused innovations, diversity and inclusion, and ethical dealings that have earned them a customer-centric reputation. This shapes their mission which revolves around aiding their clients to overcome unforeseen obstacles and enhancing their wealth over time. Among the company's noted accomplishments is being consistently listed among the World's Most Ethical Companies, a testament to their unwavering commitment towards responsible business practices.

Industry

Finance and insurance

Company size

10,000+ Employees

Headquarters location

Hartford, CT, US

Year founded

1810

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