Claims Case Investigator Jobs in Ohio

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Subsystem expertise required in Claims area the BAs will work with HP or their customers staff to elicit business requirements and to develop the business level design for each project. These will be delivered to HP and their Customer using HPs standard templates. In addition, the BAs will serve as Subject Matter Experts (SMEs) providing expertise in their related areas and knowledge transfer to H...
Fusion Alliance is currently interviewing to hire Full-time Application Solutions Developers (Java) to join our Cincinnati Application Solutions team! The Application Solutions Developers (Java) will be responsible for advancing Fusion Alliance's leadership of and contribution of software development activities. Candidates with a depth of knowledge and seasoned, successful experience in all aspect...
Dear Candidate, Please go thru the below JD and if you’re comfortable with the requirement please apply for this position. Job Responsibilities: · Provide domain subject matter expertise · Lead business requirements gathering workshops and interviews · Lead project joint applications development meetings with business and technology · Participate in business requirements gathering workshops and in...
Dear Candidate, Please go thru the below JD and if you’re comfortable with the requirement please apply for this position. Job Responsibilities: Responsibility: · Provide domain subject matter expertise · Lead business requirements gathering workshops and interviews · Lead project joint applications development meetings with business and technology · Participate in business requirements gathering...
This role is in the world-wide Business Analytics & Optimization (BAO) Center of Competency (CoC), for Insurance Consultants with in-depth knowledge of the end-to-end Claims process. This knowledge will be used with Insurance Fraud specialists to outline Claims Fraud Prevention strategies. Candidates will: Participate in account consulting and integrated services opportunity identification; Lead w...
*Please note this is a bilingual position in which the selected candidate should be able to fluently speak Spanish. JOB SUMMARY: Investigates and resolves personal lines Property Blue Ribbon damage claims via telephone. Promotes and provides "On Your Side" customer service. Responsible for the handling of claims in accordance within prescribed authority and best claims practices. RELATIONSHIP: Rep...
Program Manager - Healthcare Payer Claims In this role, you will have responsibility for managing the client relationship by serving as the on-site point of contact. Acting as a liaison between your client and operations team, you will have a direct impact to your client’s bottom line by providing revenue recovery solutions to reduce accounts receivable, improve case management efficiency and maxi...
Determine Commercial Lines Claims litigation strategy, forecasting of trends in Commercial Lines litigation as well as data analysis of the suits handled by the team. To supervise Commercial Lines Litigation Specialists and/or Litigation Counsel in order to achieve prompt and equitable disposition of lawsuits against insureds or the company. Supervise the handling of litigation to reduce pending a...
*This position will be located in Speciality / Toys division of Material Damage Claims. Based on skills and experience the person hired could be brought in at a different level. Seeking an experienced professional as a Specialty Claims Adjuster for handling RV, Powersports, and marine claims from a centralized location. Successful candidates will demonstrate experience in adjusting claims, profess...
Job Duties: Note: This is a repost. Applicants who previously applied to #13-04-060 are still being considered and do not need to reapply. This posting is for four (4) positions. The Ohio Attorney General's Office is currently seeking a Claims Account Representative 1 for four (4) positions available in the Collections Enforcement Section. The working hours for this position will vary and include...
Job Duties: Note: This is a repost. Applicants who previously applied to #13-04-061 are still being considered and do not need to reapply. This posting is for three (3) positions. The Ohio Attorney General's Office is currently seeking a Claims Account Representative 1 for three (3) positions available in the Collections Enforcement Section. The successful candidates will work in a call center env...
Claims Examiner Workers Compensation CLAIM YOUR FUTURE AS A GREAT PERFORMER! Providing both satisfying and challenging work along with a highly professional and friendly work atmosphere, Sedgwick has a strong commitment to its colleagues and its clients. If you are seeking place where you can do great things for those whose lives you touch while maximizing your own career possibilities, Sedgwick i...
Independently produce Claims communications and establish effective channels of communication with appropriate contacts. Ensure appropriate messaging is accomplished. Responsible for leading communications initiatives with stakeholders regarding communication requirements and scope and disseminating communications through appropriate mediums. ESSENTIAL FUNCTIONS: 1. Lead all aspects of Claims comm...
This is a work from home position and the ideal candiate will need to reside in the Cincinatti / SW Ohio area. This position could be staffed at a different level based on skills and experience. JOB SUMMARY: Investigates and effectively resolves bodily injury personal lines liability claims via telephone or in person. Field based position requiring face to face contact with customers, claimants, v...
Established in 1989, National Interstate is one of the leading specialty property and casualty insurance companies in the country. We offer more than 30 different insurance products, including traditional insurance, innovative alternative risk transfer (ART) programs for commercial companies and insurance for specialty vehicle owners. We are able to provide innovative and customized insurance prod...
Company Confidential Heath, OH
Our clientis an authorized Case and Kobelco dealer with 18 locations in Ohio, Indiana, Kentucky and Michigan. Due to continued growth they are looking for an experienced Warranty Claims Assistant to join their team in Heath, OH. This is a great opportunity to be part of an exciting, dynamic and growing company in the Heavy Equipment industry. Some of the benefits to you: · Stability – Marcellus Sh...
Expert domain knowledge of specific Smarter Solutions from the portfolio of Smarter Analytics, Smarter Planet and Smarter Commerce. Leads Business Value Assessments (BVAs) and provides support for Opportunity Identification Workshops (OIWs), Smarter Soltions Roadmap workshops, solution workshops and client briefings as required Supports rendering of business process design “blueprints” for use...
Expert domain knowledge of specific Smarter Solutions from the portfolio of Smarter Analytics, Smarter Planet and Smarter Commerce. Leads Business Value Assessments (BVAs) and provides support for Opportunity Identification Workshops (OIWs), Smarter Soltions Roadmap workshops, solution workshops and client briefings as required Supports rendering of business process design “blueprints” for use...
Description: Want to learn more before applying for this role? Click here to view the Realistic Job Preview: Telephonic_Case_Manager_Optum.pdf We are seeking an energetic, well-rounded RN to work within Telephonic Case Management program with Optum's Healthy First Steps Program in OH. Primary Responsibilities Include: Making outbound calls to assess members' current health status Identifying gaps...
Position Description: As a Telephonic Nurse Case Manager, you will work with a dynamic team to assess disability claims, involving frequent interactions with claims team members, consulting physicians, attending physicians, and our customers. Primary functions include reviewing and assessing medical documentation/information, participating in return-to-work efforts and working with case managers o...
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Workers Comp Rules-How to tell it's a legit claim?
We have someone on our payroll that's been on workers comp for about a year. According to our insurance company he's still recieving treatment for his injuries. Our question is, how do insurance com...

Business Career Tools

Case Investigator - Claims

Salaries

$31,200.00 - $72,100.00
Typical Salary for Case Investigator - Claims in Ohio
(36 Respondents)
Source: Monster.com Careerbenchmarking Tool

Education / Training

Bachelor's
47.8%
Associates
13%
Master's
13%
High School
8.7%
Some College Coursework Completed
8.7%
Some High School Coursework
4.3%
Professional
4.3%
(23 Respondents)
Source: Monster.com Careerbenchmarking Tool

Popular Claims Case Investigator Articles

Sample Resume for an Insurance Claims Processor Article Rating
Use this sample resume for an automotive insurance claims processor to help you stake your claim on your next insurance job.
Prove Your Resume Claims with a Career Performance Portfolio Article Rating
Employers can be skeptical of the facts on your resume. Learn how to prove your worth with a career performance portfolio.
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