Claims Representative Jobs in Ohio

Job Title: CLAIM REPRESENTATIVE Company: GERMAN MUTUAL INSURANCE CO Location: Toledo, OH Description: CLAIM REPRESENTATIVE German Mutual Ins. Co. Napoleon Ohio has an opening for a Property Field Claim Representative for its Northwest Ohio territory. Requirements include a minimum of 5 years property claim handling experience, handling personal lines, farm and commercial risks. Bachelors degree is preferred. Multi line experience would be a plus as would industry education such as AIC designation or CPCU. German Mutual offers a competitive salary and benefits including a company vehicle. Qualified candidates should forward resumes to: PO Box 191, Napoleon, Ohio 43545 Or by e-mail: Register to View -ins.com Listing provided by The Toledo Blade.

Job Title: Insurance Industry Claims Consultant Company: IBM Location: Columbus, OH Description: The Claims Consultant (consultant), Insurance Industry Specialist role will work with IBM's Property & Casualty insurance industry clients (across commercial and personal lines) to develop innovative solutions to address claims management and processing issues. The consultant will be a project team member and learn to perform project tasks and begin to take responsibility for the leadership of sub-teams. You will also perform as a sub-team member and learn how your project tasks relate to the larger client context as you produce project deliverables. Your subject matter expertise and experience in the insurance industry core operations and processes, specifically in claims processing systems or operations areas, will enable you to participate in developing business requirements, reengineering front and back-office processes, streamlining operations and/or facilitating the evaluation, selection & implementation of supporting systems & tools (e.g., Guidewire, Innovation Group, SAP, FiServ, CSC Exceed, etc) for our key Insurance clients. You will lead medium to large project teams and be responsible for overall successful delivery of innovative solutions to address IBM's claims insurance clients most challenging business problems. You will develop deep relationships within the client organization and build effective cross-functional teams across diverse stake holder groups including client business and technical organizations, IBM's domestic and global delivery organizations, and third party software vendors. Specifically, you will manage projects utilizing our methodologies and tools; identify and direct all necessary project tasks, define approach for more complex tasks and projects, understand client needs and shape client's views on project deliverables and what needs to be accomplished. Required * High School Diploma/GED * At least 3 years experience in the insurance industry * At least 3 years experience in and understanding of Property and Casualty (no life or health) claims processing * At least 3 years experience in insurance industry core operations and processes (policy administration, claims, billing, underwriting, etc) * At least 2 years experience in claims software packages (ie: Guidewire, Innovation Group, SAP, FiServ, CSC Exceed, etc.) * At least 1 year experience in and general understanding of insurance application architecture * Readiness to travel up to 50%; travelling 3-4 days a week, home on weekends * English: Basic knowledge Preferred * Bachelor's Degree * At least 5 years experience in the insurance industry * At least 5 years experience in and understanding of Property and Casualty (no life or health) claims processing * At least 5 years experience in insurance industry core operations and processes (policy administration, claims, billing, underwriting, etc) * At least 4 years experience in claims software packages (ie: Guidewire, Innovation Group, SAP, FiServ, CSC Exceed, etc.) * At least 2 years experience in managing stakeholders in complex projects at executive level of client organizations * At least 3 years experience in professional services consulting at a national or global management consulting firm * At least 2 years experience in managing at least 1 workstream in a systems development project in a financial services environment * At least 2 years experience in project management * At least 2 years experience in reengineering business processes * English : Intermediate Additional information It is also expected that newly hired resources into the Global Business Services U.S. practice live within a reasonable commuting distance (generally 50 miles) of the following cities: Atlanta, GA; Boston, MA; Charlotte, NC; Chicago, IL; Cincinnati, OH; Columbus, OH; Cleveland, OH; Dallas, TX; Denver, CO; Detroit, MI; Hartford, CT; Houston, TX; Kansas City, MO; Los Angeles, CA; Miami, FL; New York City, NY and surrounding area; Philadelphia, PA; San Francisco, CA; and Washington, DC. IBM is committed to creating a diverse environment and is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status.

Job Title: CAT Claim Representative Trainee Company: Travelers Location: Independence, OH Description: Committed.  Competitive.  Constructing our Future. That's Travelers.  We are one of the leading insurance companies in the United States.  Our superior financial strength and consistent record of strong operating returns mean security for our customers - and opportunities for our employees.  You will find Travelers to be full of energy, and a workplace in which you truly can make a difference.   SUMMARY: This position is a trainee position that will require 24 hour deployment to storm sites. This deployment may involve working under adverse weather conditions and working with a sense of urgency to assist customers in catastrophic events. Complete formal Property Training Program for consideration of advancement to Outside Property Claim Representative Position. This will include, but not be limited to formal training held in our state-of-the-art training facility in Windsor, CT, as well as on the job training in the field. Effective handling of personal and commercial lines property claims of basic to moderate complexity. Contacting clients, determining coverage, scoping of loss and completing damage estimates via Xactimate software, negotiating and settling claims per Best Practices and within DOI regulations. Managing a file inventory in an organized manner including maintaining an effective diary system and accurately documenting claim activity in system file notes in order to effectively resolve claims. Perform administrative functions such as expense accounts, time off reporting, etc. as required  Perform any other duties as required. Demonstrate proficiency in estimating, investigation, evaluation, and negotiation at the most reasonable cost. Satisfy customer needs and ensure file quality. PRIMARY DUTIES: Handle Property claims of lesser value and complexity as assigned. Complete field inspection of losses including accurate scope of damages, photographs, written estimates and/or computer-assisted estimates. Investigate and evaluate all relevant facts to determine coverage, damages, and liability of property damage claims. Access and inspect all areas of a dwelling or structure including tight spaces such as attic, staircases, entries, and crawl spaces Lift, carry, unfold and set up ladder weighing approximately 38 pounds; climb ladder;  transition to and from ladder to area requiring inspection; walk on roof. Establish timely and accurate claim and expense reserves. Negotiate and convey claim settlements within authority limits. Write denial letters, Reservation of Rights, and other complex correspondence. Control damages through proper usage of cost containment tools. Meet all quality standards and expectations per Best Practices. Maintain an effective diary system and document claim file activities in accordance with established procedures. Manage file inventory to ensure timely resolution of cases. Handle files in compliance with state regulations, where applicable. Provide excellent customer service to meet the needs of the insured, agent, and all other internal and external customers. Identify and refer claims with MCU exposure to the supervisor. Recognize when to refer claims to Special Investigations Unit and/or Subro Unit. Perform administrative functions such as expense accounts, time off reporting, etc. as required. Perform any other duties as required. EDUCATION/COURSE OF STUDY: College degree or equivalent in business discipline. WORK EXPERIENCE: Previous property claim handling experience is preferred. Knowledge of construction, estimating and estimating system (Xactimate preferred) COMMUNICATION SKILLS: Must display solid verbal and written communications skills. COMPUTER SKILLS: Hardware and software skills and abilities including computers and other similar electronic devices. OTHER: General knowledge of insurance industry. Excellent organizational skills with the ability to work independently. Solid analytical skills. Excellent negotiation skills. Candidates must have excellent customer service, communication and organizational/time management skills, as well as the ability to competently handle multiple tasks simultaneously. Two or four year college degree preferable, however all candidates will be considered. Construction industry experience and/or knowledge are a plus. Claim adjusting experience in another line of business is helpful. Must possess a Valid Driver's license. Working Environment: Inside/Outside working environment, including access and inspect all areas of a dwelling or structure including tight spaces such as attic, staircases, entries and crawl spaces. Lift, carry, unfold, and set up ladder weighing approximately 38 lbs; climb ladder; transition to and from ladder to area requiring inspection; walk on roof or other similar physical tasks.  This position requires extensive nationwide travel and the incumbent must be available for immediate deployment within 24 hours of notification. The required standard tour length of 28 consecutive workdays, plus 2 travel days is also expected to be met. Travelers is an equal opportunity employer.

Job Title: Medical Claims Specialist Company: National Interstate Insurance Location: Richfield, OH Description: Where Drive Meets Opportunity! National Interstate Insurance Company wants you to add your vision and drive to our team!  We’re currently seeking a Medical Claims Specialist in our Northeast OH Corporate Headquarters.  SummaryHandle assigned medical-only workers’ compensation, Medpay, and no-fault claims. Investigate claims and communicate with all involved parties to determine if any benefits are due under state workers’ compensation statues, personal injury protection (PIP) benefits law, or no-fault policy law.    Main responsibilities include:Initiate contact with all parties involved in the claim on a timely basis to provide effective customer serviceVerify policy coverageInvestigate all claims to determine if the injury/disease occurred in the course of employment, requiring payment of benefitsDetermine the applicable laws, limits and primacy of coverage, and compensability and potential exposure of each claim’s jurisdictionEvaluate all injuries for relationship to claim filed; review and study basic medical terminologyMaintain files and diaries of clear and concise notes of activities and action plansAssign, monitor, and direct defense counsel in settlement negotiations and claim handlingReview and remain updated on current laws with state workers’ compensation boards and PIP laws  Qualifications we’re looking for:High school diploma or equivalent At least one year of work experience in claims in either the insurance or medical industriesStrong capability to communicate with insureds, claimants, nurses, and other medical professionalsAbility to read and interpret insurance policies, medical records, and state workers’ compensation lawsThe desire and ability to work in a fast-paced environmentExcellent organizational, prioritization, and multi-tasking skillsKnowledge of Microsoft Office, particularly Word, Excel, and Outlook functionsProficient research skills Strong analytical skills to make decisions to determine coverage and compensability of claimsAttention to detail and accuracy  Further information about us: National Interstate Insurance Company(Nasdaq: NATL) We’re a leading specialty property and casualty insurance company.  We’ve been providing innovative and customized insurance products and services to specialty markets since 1989.  We’ve prospered thanks to the vision and dedication of our employees. We're an established, dynamic, continuously growing, employee-conscious company, seeking candidates with that same enthusiasm, professionalism and passion!   Our success is backed up by recognition from some of the area’s and nation’s top organizations.  We’re proud to be recipients of the NEO Success Award, recognizing the region’s most successful companies.  A.M. Best, the leading industry indicator of financial strength, rated us ‘A’ (excellent), financial size (VIII). Our corporate headquarters is located on a beautiful campus in Richfield, OH, just off of I-77, I-271 and the Turnpike, right between Cleveland and Akron. Our convenient location is only one of the many benefits we have to offer.  Some of the other great benefits Full-time employees enjoy: Comprehensive health, dental, and vision insurance Short-Term and Long-Term Disability insuranceLife and AD&D insurance401(k) retirement planProfit Sharing Contribution program Goalsharing Bonus program Tuition Sharing and Reimbursement program Paid Time Off & HolidaysEmployee Assistance programEmployee Referral Bonus program On-site fitness centerLunch programAnd more!      Equal Opportunity Employer Drug Free Workplacewww.NATL.com/careersGive Your Career The Direction It Needs!

Job Title: Claim Representative / Sr. Claim Representative / Claim Specialist Company: Great American Insurance Location: Cincinnati, OH Description: Great American Insurance Group’s roots go back to 1872 with the founding of its flagship company, Great American Insurance Company.  Based in Cincinnati, Ohio, the operations of Great American Insurance Group are engaged primarily in property and casualty insurance, focusing on specialty commercial products for businesses, and in the sale of annuities and supplemental insurance products.  The members of the Great American Insurance Group are subsidiaries of American Financial Group, Inc. (AFG), also based in Cincinnati, Ohio.  AFG’s common stock is listed and traded on the New York Stock Exchange (“NYSE”) and NASDAQ under the symbol “AFG”.  Great American's Trucking Division offers a nationwide program that specializes in insuring the unique exposure of the For Hire Trucker. This progressive program focuses on the owner operator and small fleet markets. We're proud to serve the long haul trucking industry with insurance products and services dedicated to the success of the Owner-Operator. Great American's Trucking Division is currently searching for an experienced liability claim representative/specialist.Investigates and maintains liability and 3rd party property claims.  Reviews and evaluates coverage and/or liability.  Secures necessary information (i.e., reports, policies, appraisals, releases, statements or other documents) in the investigation of claims.Works toward the resolution of claims files, and may attend arbitrations, mediations or trials as necessary. May affect settlements/reserves within prescribed limits and submit recommendations to supervisor on cases exceeding personal authority. Ensures that claims payments are issued in a timely and accurate manner.Ensures compliance of claims handling pursuant to all state, legal, statutory and regulatory bodies to comply with all company procedures and requirements.Documents and maintains all systems and manual records necessary for proper claim handling.Performs other duties as assigned.  Bachelor's degree and a minimum of 3 years experience adjusting liability claims or equivalent work experience.   Works within specific limits and authority on assignments of moderate technical complexity.  Possess functional knowledge and skills that are reflective of a fully competent claims adjuster.  Performs work under moderate supervision.Excellent written and verbal communication skills and be highly detailed and organized in their work. Continued professional development is a requirement of this position, including work toward the AIC (Associates in Claims) designation if candidate does not already hold the designation. If interested, please apply online at http://track.tmpservice.com/ApplyClick.aspx?id Register to View -6672

Job Title: 37706 MD Master Claims Rep Company: Nationwide Insurance Location: Dublin, OH Description: The Master Claims Rep is a member of the Specialty Claims team located in Dublin, OH. ***Qualified candidates will have previous specialty claims experience (Motorcycle, Boat,and/or RV) and/or Commerical (Tractor Trailers, Ag Equipment, Metro/Charter Buses, Semis, and Fire Trucks) The position may be filled at a different level depending on qualifications and experience. JOB SUMMARY: Investigates, evaluates, negotiates and brings to a final resolution personal lines material/physical damage of a moderate to severe nature. Responsible for the handling of claims in accordance with prescribed authorization and claims best practices. LOCATION: Property Casualty Claims Standard RELATIONSHIP: Reports to Claims Manager JOB RESPONSIBILITIES: 1. Handles to conclusion claims involving moderate to severe material/physical damage. 2. Determines proper policy coverages and applies best claims practices to conclude assigned cases in accordance with company guidelines. Adheres to high standards of professional conduct while providing delivery of superior claims service. 3. Participates in preferred/direct repair shop claims management. 4. Establishes and authorizes adequate reserves and claims payments within the delegated authority. 5. Maintains current knowledge of: multiple insurance lines; court decisions; current guidelines in the claims function; and policy changes and modifications. This may require attendance at various seminars and/or training sessions. 6. Initiates and conducts follow-ups via proficient use of claims systems and related business systems. 7. Submits administrative reports as required. 8. Properly maintains all assigned company equipment. 9. Performs all other duties as required. NOTE: Representatives may be assigned a claims segment such as: fire/ theft, total loss direct repair shop, etc. JOB REQUIREMENTS: Education/Knowledge: Undergraduate degree preferred. On-going job-related continuing education preferred. State licensing where required. Successful completion of required claims certification schools/courses. Insurance company operations and multiple property casualty insurance lines of business. Material/physical damage repair processes, vendor management, customer service techniques, and all related claims systems Demonstrated knowledge and adherence to best claims practices. Experience: Four years related experience in material/physical damage claims handling or related automotive repair industry experience. Skills: Analytical skills necessary to make decisions and resolve conflict in such areas as application of coverage to submitted claims, application of laws of jurisdiction to investigation facts, application of policy exclusions and exceptions. Ability to establish repair requirements and cost estimates for material damage and property losses. Ability to educate and successfully negotiate BI claims. Organizational skills to effectively prioritize work. Command of written and verbal communication skills for contact and/or negotiate with policyholders, claimants, repairpersons, attorneys, agents and the public in general. Ability to operate a PC and related software. Staffing exceptions to the above minimum job requirements must be approved by: Claims Director and Human Resources Representative JOB CONDITIONS: Overtime Eligibility: Eligible (Nonexempt). Working Conditions: Field or office environment. Representatives may be required to operate an automobile and have a valid driver's license with a safe driving record. Must be able to make physical inspections of accident scenes and property loss sites. Must be able to climb ladders, balance at various heights, stoop, bend and/or crawl to inspect vehicles and structures. Must be able to work out-of- doors in all types of weather. Must be willing to work irregular hours and to travel with possible overnight requirements. May be on-call. Must be available to work catastrophes (CAT). Extended and/or non-standard hours as required. ADA: The above statements cover what are generally believed to be principal and essential functions of this job. Specific circumstances may allow or require some people assigned to the job to perform a somewhat different combination of duties. Credit Check: Due to the fiduciary accountabilities within this job, a valid credit check and/or background check will be required as part of the selection process.

Job Title: Personal Lines Claims Processor Company: Allstate Insurance Location: Hudson, OH Description: Allstate Insurance Company has an exceptional career opportunity as a Claim Processing Specialistin our Hudson, Ohio Express Claim Office. We will have multiple opportunities available for a training class scheduled to begin April 12, 2010.In this vital role, you will maintain positive relationships with customers and handle a steady volume of new non-complex claims daily, involving situations such as losses due to theft, fire and lightning.Claim Processing Specialists spend 70% - 90% of their day on the phone with customers. This job requires efficient time management, as well as the ability to work in a fast paced environment. These employees use a sophisticated computer system to document their interactions with the customer, input relevant information, pass important information to other areas of Allstate, and obtain other information from Allstate employees.Work hours:2:30pm - 11:00pm (with exception- 1st day of employmenthours be 12:00 -8:30 pm)

Job Title: 39052 Casualty Claims Rep Company: Nationwide Insurance Location: Highland Hills, OH Description: JOB SUMMARY: Investigates and effectively resolves personal lines bodily injury/liability claims via telephone or face-to-face investigation or negotiation. Responsible for the disposition of claims in accordance with prescribed authority and according to best claims practices. LOCATION: Property Casualty Claims Standard RELATIONSHIP: Reports to Claims Manager JOB RESPONSIBILITIES: 1. Determines proper policy coverages, and where necessary, investigates, evaluates, negotiates and equitably settles all assigned liability/bodily injury claims cases in accordance with company policies and procedures at values commensurate with damages sustained. 2. May serve as the single point of contact for personal lines material damage claims, including non-standard. 3. Plans and executes all time schedules necessary to promptly and effectively conclude all assigned cases; adheres to high standards of professional conduct commensurate with the delivery of superior service. 4. Authorizes and/or approves all claims payments within the delegated authority or within the maximum limits as outlined in company policies and procedures. 5. Prepares and submits initial and follow-up reports of findings and action taken on each assigned claim in conformity with established procedures. 6. Assists or prepares files for suit, trial, or subrogation. 7. Submits expense reports and other administrative reports as required. 8. Works in partnership with sales and underwriting in the acquisition and preservation of desirable risks. 9. Properly maintains all assigned company equipment. 10. Performs all other duties as required. NOTE: Representatives may be assigned to a special claims segment such as PIP (Personal Injury Protection), Liability, Single Point of Contact (SPOC), or Bodily Injury (BI). JOB REQUIREMENTS: Education/Knowledge: Undergraduate degree preferred. CPCU coursework a plus. State licensing where required. Successful completion of required claims certification schools. General knowledge of insurance theory and practices; insurance contracts and their application. Familiarity with automated claims system and medical terminology. Experience: One-year casualty claims handling experience. Experience in a customer service environment including flexible work schedules and extended work hours. Skills: Analytical skills necessary to make decisions and resolve conflict in such areas as application of coverages to submitted claims, application of laws of jurisdiction to investigatory facts, application of policy exclusions and exceptions. Organizational skills to effectively prioritize work. Written and verbal communication skills for contact and/or negotiation with policyholders, claimants, repairpersons, attorneys, physicians, agents and the general public. Ability to efficiently operate personal computer and software for claims-related and other business applications. Staffing exceptions to the above minimum job requirements must be approved by: Claims Director and Human Resources Representative. JOB CONDITIONS: Overtime Eligibility: Not Eligible (Exempt). Working Conditions: Field or office claims environment. May require ability to sit and operate telephone and personal computer for extended periods of time. Representatives may be required to operate an automobile and have a valid driver's license with a safe driving record. Must be willing to work irregular hours and to travel with possible overnight requirements. Must be available to work catastrophes (CAT) requiring travel to CAT sites with multiple on-site responsibilities and/or for extended periods of time. Extended and/or non-standard hours as required. ADA: The above statements cover what are generally believed to be principal and essential functions of this job. Specific circumstances may allow or require some people assigned to the job to perform a somewhat different combination of duties. Credit Check: Due to the fiduciary accountabilities within this job, a valid credit check and/or background check will be required as part of the selection process. Job Evaluation Activity: Edited 9/20/02 BVS Function/Family: CLM/PRCA

Job Title: Insurance Claims Processor -P&C Licensed Company: Allegis Group, Inc. Location: Columbus, OH Description: Insurance Claims Processor - MUST have P&C (property & casualty) license Long Description: Description:-Investigating and evaluating property claims MUST have a P&C license-Maintain customer service-Solicitor license is a plus-Negotiate settlement -Strong customer service skills-Reviewing policy and determining coverage-Settle claims and enter into computer-Give Repair estimates and invoicesPREFERED:-Bachelors degree-2-3 years claims processingAdditional Job Info:This position is 8-5, M-F.They are looking for an energetic, upbeat, positive personality.The office is small so it is tight-knit group. 12hr contract to hire Required Skills: claims processor, P&C Lincense, PROPERTY AND CASUALTYPeople. Service. Performance. These values are the foundation of the culture at Allegis Group and our family of companies. Become part of a company that cherishes its people. We offer an excellent salary and benefits package...and a place where you can grow and excel. Allegis Group and its subsidiaries are equal opportunity employers.