Quality Assurance Specialist - Ohio MCO Claims (Hybrid)
CorVel Corporation
CorVel Corporation in Cincinnati, OH is seeking a Quality Assurance Specialist to lead the Ohio MCO workers’ compensation QA efforts. You will develop, implement and maintain QA tools, training materials and reports to support the Claims team. This is a hybrid role requiring strong analytical skills, attention to detail, and the ability to mentor staff. You will produce monthly and quarterly QA reports and help drive process improvements across office locations. #J-18808-Ljbffr CorVel Corporation
$22.12 - $33.05 per hour
...delivery of CorVel’s total Ohio MCO workers’ compensation solution... ...utilization of specific quality assurance tools and training leading to... ...assurance and information for MCO’s Claims team. Supports management by... ...trends. This is a hybrid role. ESSENTIAL FUNCTIONS...ClaimsHourly payMinimum wageFull timeWork at officeLocal areaFlexible hours- ...years. As a Compliance Field Specialist at FMH, you will assist with the execution of FMH's quality control (QC) processes as they... ...will need to be located in Ohio or Indiana to be successful in... ...crop insurance adjusting and/or claims. Education: High school diploma...ClaimsWork at office
- ...Group, Inc., a Munich Re company, is a specialist insurer with products for residential... ...classic cars, and more. Based in Amelia, Ohio, we offer a hybrid work environment with employees in the... ...are seeking an experienced Liability Claims Adjuster to manage moderate to complex...ClaimsWork at office
- Great American Insurance Group is seeking a Claims Representative/Senior Claims Representative in Cincinnati, Ohio. This role involves managing claims, conducting investigations... ...claims handling. The position supports a hybrid work environment, with core in-office days from...ClaimsWork at office
- ...Crawford & Company is a global provider of claims management and outsourcing solutions,... ...The company focuses on delivering high-quality services through standardized processes... ...work. Role Description The Quality Assurance Specialist is a full-time remote role responsible...ClaimsFull timeRemote work
$60 - $100 per hour
...growing pain management practice is entering Ohio for the first time, and this Nurse... ...coverage included, protecting you against claims filed even after you leave the role — a benefit... ...— this role is not remote or hybrid. Able to travel between facilities across...ClaimsHourly payFull timeRelocation package- ...efficiency and supporting company growth. This position is hybrid and based in Ohio. Key Responsibilities Manage daily trucking operations... ...and compliance for documentation accuracy, billing, claims, and regulatory requirements Support recruitment, onboarding...ClaimsFull timeRemote work
- A leading insurance company in Cincinnati, OH is seeking a Claims Supervisor to oversee the Claims team. You will manage investigations... ...experience in property and casualty claims handling. This role offers a hybrid schedule after initial training and a competitive benefits...Claims
- ...Group, Inc., a Munich Re company, seeks an experienced Liability Claims Specialist to manage moderate to complex bodily injury and liability... ...within a collaborative environment backed by Munich Re and a hybrid work model in Amelia, OH. You may be considered for multiple...Claims
- ...streamlined business office workflows, reduced claim denial rates, and accelerated revenue... ...partnerships. The Position A full-time, hybrid role reporting to our SVP of Sales, our... ...from our headquarters in Cincinnati, Ohio. Residency in the state of Ohio is preferred...ClaimsFull timeWork at officeShift work
- ...American Insurance Group in Cincinnati, OH seeks a Senior Property Claims Representative to manage complex property claims for the... ...develop resolution strategies with guidance from supervisors. This hybrid role requires on-site presence four days per week with one remote...ClaimsRemote work
- ...OH is hiring for the FNOL Customer Service team within Corporate Claims. The Sr. Customer Service Representative will handle First... ...lines of business, and support hundreds of claim professionals on a hybrid schedule (4 days in the office, 1 day remote) after training. The...ClaimsWork at officeRemote work
- ...professionals. Highly organized, self‑directed, and proactive. Based in Ohio or willing to travel regionally when needed (preferred).... ...and leadership teams to ensure alignment on messaging, clinical claims, and external engagements. Commitment to 20 hours a week....ClaimsPart time
- ...Short Term Disability Case ManagerLocation: Cincinnati, OH / Hybrid / RemoteDuration: 6 monthsAct as a subject matter expert for short... ...disability claimsInterpret disability plans and insurance policies for claim decisionsServe as a liaison between claimants, employers, and...ClaimsTemporary workWork at office
$15.82 - $29.38 per hour
...the Service Representative - 9:00-6:00 ET (Hybrid) role at Paychex 3 days ago Be among the... ...relations are maintained and customer claims and complaints are resolved fairly, effectively... ...procedures. Responsibilities Delivers quality service to Paychex clients via phone,...ClaimsHourly payFull timeLocal areaImmediate startRemote workFlexible hours- Great American Insurance Group is seeking a Senior Claims Representative/Claims Representative in Cincinnati, OH. The role focuses on independently managing injury-related claims for commercial transportation, gig economy and independent contractor scenarios, with a strong...ClaimsRemote jobFor contractors
- Great American Insurance Group is hiring for Corporate Claims Operations in Cincinnati. Four days on-site with one remote day, supporting 150+ claim professionals across the company. The role develops familiarity with claim operations, data management, and financial processing...ClaimsRemote work
- ...selection, pricing, retention, and profitability within a supportive, on-site team environment. Expect collaboration across underwriting, claims, and shared services to drive results. Candidates should have 3-10+ years of commercial underwriting experience, with Excess and...Claims
- ...an Actuarial Analyst to support actuarial reporting, analytics, and business initiatives. This role collaborates with underwriting, claims, finance, product, and technology teams to improve pricing, profitability, and operational efficiency. The position requires a...Claims
- Hamilton County Job and Family Services is seeking a Quality Review Specialist in Cincinnati, OH. The role focuses on internal case reviews, data... ...analytical skills. It offers full-time hours, potential hybrid work, and comprehensive benefits. #J-18808-Ljbffr Hamilton...Full time
- ...receivable activity for a construction and contractor services team in Cincinnati, Ohio. This Contract position centers on billing, payment follow-up, and account maintenance tied to insurance claims, requiring accuracy and strong communication with both customers and...ClaimsContract workFor contractorsWork at office
- ...sponsor audit reports;Provide clarity to the Quality Management System (QMS) during sponsor... ...-infective. Headquartered in Cincinnati, Ohio, we employ more than 6,500 people across... ...candidates selected for interviews will be contacted.Job SummaryCategory: Quality AssuranceContract workWork from home
- ...deciding to pursue the opportunity to own my own business. I'm an Ohio State graduate, and insurance truly runs in the family - my wife... ...with policy changes and inquiries. Process insurance claims and follow up with customers on claim status. Coordinate with...ClaimsWork at officeFlexible hours
- ...Technician II helps coordinate third‑party claims, places orders for medications and... ...Scriptpro robot. Ring the register and complete Ohio State Board requirements with each sale.... ...maintain equipment. Prepare continuous quality improvement records. Perform other duties...ClaimsFull time
$92k - $150k
...ID: 45551Location: Cincinnati, Ohio, United StatesCapabilities:... ...Senior Procurement Agreement Specialist reports directly to the Manager... ...documentation and management of potential claims and ensure compliance with... ...We empower employees with our hybrid working policy, allowing them...ClaimsFull timeContract workFor contractorsRemote work- ...Cincinnati, OH area is seeking a QA/QC Specialist for a top construction client. This candidate... ...for developing and executing project quality programs to ensure compliance with... ...Conduct site inspections, audits, and quality assurance reviews - Facilitate and document pre-...Daily paidFull time
- ...adjusting experience is required for career-entry applicants. Are you interested in building a career as an Independent Insurance Claims Adjuster? With continued storm activity and catastrophic weather events across the country, experienced and properly trained...ClaimsFull timeFlexible hours
- ...Claims Supervisor Be here. Be great. Working for a leader in the insurance industry means opportunity for you. Great American Insurance... ...will be fully in person, with the opportunity to work a hybrid schedule after training is completed. Essential Job Functions...ClaimsFull timePart timeSeasonal workWork at office
$22.79 - $28.13 per hour
...Quality Assurance Specialist The Quality Assurance Specialist is responsible for reviewing firm wide collection activities to ensure compliance with Fair Debt Collection Practices Act (F.D.P.C.A.), client work standards, and firm policies and procedures. Responsibilities...Work at officeLocal area$48k - $52k
...the Role: POSITION SUMMARY The Billing Specialist / Accounting Specialist is responsible for... ...Healthcare Billing Prepare and submit accurate claims to Medicaid, Medicare, commercial... ...health billing experience. Experience with Ohio Medicaid and/or Ohio behavioral health...Claims
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Quality Assurance Specialist - Ohio MCO Claims (Hybrid). Be the first to apply!
- quality intern Cincinnati, OH
- aerospace quality Cincinnati, OH
- quality Cincinnati, OH
- quality inspection Cincinnati, OH
- quality distribution Cincinnati, OH
- water quality Cincinnati, OH
- vice president of quality Cincinnati, OH
- water quality scientist Cincinnati, OH
- supplier quality Cincinnati, OH
- rn quality Cincinnati, OH





