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Claims adjuster Jobs in Cincinnati, OH

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Claims adjuster • cincinnati oh

Last updated: 5 days 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

Casualty Claims Specialist

First Chicago Insurance CompanyCincinnati, OH, United States
Full-time

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

Rolling Mill Operator - $18 - Temp to Hire - Bonus Structure upon hire

AtWork PersonnelCincinnati, Ohio, United States
Full-time

Rolling Mill Operator - $18 - Temp to Hire - Bonus Structure upon hire.Great job for a candidate with previous manufacturing or mill experience - ready to work hard, make your production quotas and... Show more

Claims Specialist/Senior Claims Specialist

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

597004 Remote Claims Representative

Metro Public AdjustmentCincinnati, OH, US
Remote
Full-time +1

Benefit from our 32 years of experience in business: We have an AWESOME training program and it's FREE!! Part time $35,000 or full time $150,000 + (COMMISSION) Looking to fill Management position t... Show more

 • Promoted

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

Associate Claims Attorney/Claims Attorney - Bond Division

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

Auto & HE Appraiser - 1099 - Cincinnati, OH

CCMS & AssociatesCincinnati, OH, US
Full-time
Quick Apply

CCMS & Associates is seeking experienced Auto & Heavy Equipment Appraisers to join our independent adjuster and appraiser roster.As a 1099 independent contractor, you will play a critical r... Show more

Insurance - Commercial Lines Account Manager

S P Agency, Inc.Cincinnati, OH, US
Full-time
Quick Apply

Consider joining a firm with a strong foundation.We've been in business for over 50 years! We offer competitive compensation along with excellent benefits.This is a full-time role as a Commercial L... Show more

National General Adjuster

SedgwickCincinnati, OH, United States
$80,000.00 yearly
Full-time

Primary Purpose: To handle losses or claims nationally regardless of size, including having the ability to address any complex adjustment issue and any medium sized and relatively complex National ... Show more

Claims Specialist/Senior Claims Specialist

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

Claims Specialist/Senior Claims Specialist.Mid-Continent Group is currently seeking a Claims Specialist/Senior Claims Specialist to join our Claims Team.The position will work a hybrid schedule fro... Show more

Claims - Field Claims Representative

The Cincinnati Insurance CompaniesCincinnati, OH, US
$68,400.00 yearly
Full-time

Claims - Field Claims Representative (2600657)Claims - Field Claims Representative-(2600657)US-MA-Boston.Make a difference with a career in insurance.At The Cincinnati Insurance Companies, we put p... Show more

Senior Claims Specialist, Environmental Claims

MSIG HoldingsCincinnati, OH, United States
Full-time

Senior Environmental Claims Specialist.MSIG USA continues to grow! MSIG USA is the US-based subsidiary of MS&AD Insurance Group Holdings, Inc.P&C carriers and a global Class 15 insurer, with A+ rat... Show more

Claims Appraiser - Auto Estimatics

State FarmCincinnati, OH, United States
$59,059.65 yearly
Full-time

Being good neighbors helping people, investing in our communities, and making the world a better place is who we are at State Farm.It is at the core of how we operate and the reason for our succe... Show more

Epic HB Claims Analyst

Insight GlobalCincinnati, OH, United States
Full-time

This role focuses on optimizing claims processing, edits, and durable medical equipment (DME) workflows within the billing function.The individual will play a key role in driving automation initiat... Show more

Claims Specialist/Senior Claims Specialist

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

Claims Specialist/Senior Claims Specialist.Mid-Continent Group is currently seeking a Claims Specialist/Senior Claims Specialist to join our Claims Team.The position will work a hybrid schedule fro... Show more

Claims Analyst

Confident Staff SolutionsCincinnati, OH, United States
Full-time

Confident Staff Solutions is a leading staffing agency in the healthcare industry, specializing in providing top talent to healthcare organizations across the country.Our team is dedicated to helpi... 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

AVP Surety Claims

Core Specialty InsuranceCincinnati, OH, United States
Full-time

Reporting to the Surety Division President, this position will serve to establish the Surety Claims department and provide oversight, management, and handling of all Surety Claims.Key Accountabilit... 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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System Manager Claims

System Manager Claims

Common Spirit HealthErlanger, KY, United States
5 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.