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Claim examiner Jobs in Cincinnati, OH

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Claim examiner • cincinnati oh

Last updated: 1 day ago

System Manager Claims

Common Spirit HealthErlanger, KY, United States
Full-time

As our System Manager, Claims, you will be responsible for the investigation, evaluation, and disposition of healthcare-related property and/or liability claims and lawsuits that are of a significa... Show more

Information Technology_USA - USA_Analyst

Pacer GroupCincinnati, OH, United States
Full-time

Short Term Disability Case Associate.Location: Cincinnati, OH (Hybrid/Remote).Manage end-to-end short term disability claims process.Evaluate medical and claim documentation for eligibility decisio... Show more

Senior Claims Representative

Mid-Continent GroupCincinnati, OH, United States
Full-time

Mid-Continent Group, a subsidiary of Great American, specializes in commercial casualty coverages with an emphasis on general liability for the construction, energy, and difficult-to-place business... Show more

Content Claim Representative/Senior Claim Representative

GAIC Great American Insurance CompanyCincinnati, OH
Full-time +1

Working for a leader in the insurance industry means opportunity for you.Great American Insurance Group's member companies are subsidiaries of American Financial Group.We combine a "small company" ... Show more

Commercial Claims Adjuster - Carrier or TPA - REMOTE

Work At Home Vintage ExpertsCincinnati, OH, US
Remote
Full-time +2
Quick Apply

Put your Insurance Experience to work – FROM HOME!.Our unique platform provides you with.WHAT YOU’LL LOVE ABOUT WAHVE.We created a welcoming place to work with friendly and professional... Show more

Content Claim Representative/Senior Claim Representative

Great American Insurance GroupCincinnati, OH, United States
Full-time +1

Working for a leader in the insurance industry means opportunity for you.Great American Insurance Group's member companies are subsidiaries of American Financial Group.We combine a "small company" ... Show more

Supervisory Examiner - LBO

Federal Reserve Bank of ClevelandCincinnati, OH, United States
$187,500.00 yearly
Permanent

Central Point of Contact (Supervisory Examiner LBO).The Large Banking Organization (LBO) business line is seeking a Central Point of Contact (Supervisory Examiner LBO) to lead a team of examiners... Show more

Senior Field Examiner

US BankCincinnati, OH, United States
$10.00 hourly
Full-time

Bank, we're on a journey to do our best.Helping the customers and businesses we serve to make better and smarter financial decisions and enabling the communities we support to grow and succeed.We b... Show more

Senior Field Examiner

U.S. BankCincinnati, OH, United States
$10.00 hourly
Full-time

Conducts field examinations of prospective and existing asset-based lending customers in accordance with standard examination procedures.Reviews accounting records of secured loan relationship cust... Show more

Litigation Analyst

Core Specialty Insurance Services, Inc.Cincinnati, OH, US
Full-time

Adjust and manage claims brought against security companies, private investigators and alarm installation and monitoring companies, from receipt of claim or suit through resolution or trial/appeal.... Show more

Remote Medical Billing Manager - AI Trainer ($80-$80 per hour)

MercorCincinnati, Ohio, US
$80.00 hourly
Remote
Full-time

Mercor is working with a leading AI research lab to improve the capabilities of next-generation AI systems.We are seeking experienced Billing and Claims Managers to support the evaluation of AI too... Show more

Asset Preservation Coordinator II-Onsite

Fifth Third BancorpCincinnati, OH, United States
Full-time

Asset Preservation Coordinator II-Onsite.Make banking a Fifth Third better We connect great people to great opportunities.Are you ready to take the next step? Discover a career in banking at Fifth ... Show more

Driver License Examiner 1

Ohio JobsCincinnati, OH, United States
Full-time +1

Ohio Department of Public Safety - Bureau of Motor Vehicles/Driver Exam Services/District 8 Seven Hills Report in location: 10940 Hamilton Avenue, Cincinnati, OH 45231 Work hours: Tuesday - Friday ... Show more

Rep, Mobile Examiner - (P/T) - ExamOne/Cincinnati, OH area

Quest DiagnosticsCincinnati, OH, United States
Full-time

Under the direction of the Branch Manager or Field Leader, the Mobile Examiner's primary responsibility is to provide coverage in the field ensuring that mobile exams are completed accurately and o... Show more

Senior Claims Representative

MCC Mid-Continent Casualty CompanyCincinnati, OH
Full-time +1

Great American, based in Tulsa, Oklahoma, specializes in commercial casualty coverages with an emphasis on general liability for the construction, energy, and difficult-to-place business in other i... Show more

Casualty Claims Specialist

First Chicago Insurance Company (FCIC)Cincinnati, OH, USA
Full-time
Quick Apply

At First Chicago Insurance Company, our employees are our biggest asset! It is our mission to attract and retain intelligent, motivated, ethical employees who strive for excellence and growth, and ... Show more

Supervisory Examiner - LBO

Federal Reserve SystemCincinnati, OH, United States
$187,500.00 yearly
Permanent

Central Point of Contact (Supervisory Examiner LBO).The Large Banking Organization (LBO) business line is seeking a Central Point of Contact (Supervisory Examiner LBO) to lead a team of examiners... Show more

Claims Examiner - Commercial Healthcare

Core Specialty InsuranceCincinnati, OH, United States
Full-time

As the Healthcare Claims Examiner, you will directly handle Commercial Healthcare Claims across the U.Key Accountabilities/Deliverables:.Ensure compliance with established claim handling guidelines... Show more

Remote A/R Follow-up Manager - AI Trainer ($75-$75 per hour)

MercorCovington, Kentucky, US
$75.00 hourly
Remote
Full-time

Mercor is working with a leading AI research lab to improve the capabilities of next-generation AI systems.We are seeking experienced A/R Follow-Up Managers to evaluate AI tools designed to automat... Show more

Field Auto Adjuster - Cincinnati, OH

AllstateCincinnati, OH, United States
Full-time

Join our team as a Field Auto Adjuster and make a real impact on the auto claims process! In this role, you'll be on the front lines, writing estimates directly at customer homes, repair shops, or ... Show more

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The cities near Cincinnati, OH that boast the highest number of claim examiner jobs are:
System Manager Claims

System Manager Claims

Common Spirit HealthErlanger, KY, United States
15 days ago
Job type
  • Full-time
Job description

System Manager Claims

As our System Manager, Claims, you will be responsible for the investigation, evaluation, and disposition of healthcare-related property and/or liability claims and lawsuits that are of a significant and complex nature. You will direct facility professionals on claim investigations that produce accurate facts and lead to timely as well as objective analysis of all assignments. Every day, under limited direction, this position will have high levels of authority to negotiate on behalf of the organization with opposing litigants and attorneys to resolve disputes and lawsuits. You will assist in the coaching, training, and mentoring of other team members and serve as a subject matter expert on specialty claims or risks. To be successful in your role, you will strategically manage complex healthcare claims and litigation, ensuring thorough investigation, objective analysis, and effective resolution. You will demonstrate exceptional expertise in negotiation, risk mitigation, and providing specialized guidance, acting as a pivotal resource for both internal teams and external parties to protect the organization's interests and uphold its reputation.

  • Settlement authority up to $500,000.
  • Utilizes best practice claim management techniques and provides high levels of customer service: investigates, evaluates and resolves complex claims and litigation in accordance with CommonSpirit Health Core Values and ERMG policies and procedures.
  • Conducts full investigations and evaluations on reported claims or suits. Directs MBO professionals and retained legal counsel to develop and implement a focused strategy for timely and cost-effective resolution of complex claims and suits.
  • Hires, directs, evaluates, and terminates (when appropriate) outside defense counsel. Hiring responsibilities include establishing hourly rates, acceptable use of associates and paralegals, and overall minimum service requirements.
  • Through claim analysis, assesses economic and non-economic risk to CommonSpirit Health and establishes appropriate financial reserves for budgeting, financial and underwriting reporting.
  • Coordinates and directs litigation with assigned defense counsel through proper selection, implementing specific action plans to complete case analysis and claim disposition plans.

Required:

  • Ten (10) years of high exposure medical malpractice and general liability claim management experience
  • Ten (10) years of insurance, legal, health care operations, and medical experience
  • Healthcare system claim experience
  • Bachelors Degree

Preferred:

  • Advanced degree
  • Insurance or claim-related professional course work
  • Experience in hospital and physician liability claims in the state of California is preferred.