Claims Examiner
Kalepa Insurance Services, LLC
## Claims ExaminerApplylocations: Cincinnati, OHtime type: Full timeposted on: Posted Todayjob requisition id: JR101447-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.**Key Accountabilities/Deliverables:*** Provide early contact with insured to identify witnesses, employees, contracts, other relevant documents and to obtain insured’s knowledge of the allegations in the claim/suit.* Analyze coverage for application to claim and prepare coverage position letters including reservation of rights, disclaimers, tender to other parties and acceptance of tenders to insured where appropriate. Confer with internal and external coverage counsel where necessary to clarify coverage position and coverage litigation.* Communicate with underwriting as to insured’s risk potential and for clarification of policy language intent.* Maintain diaries for file tasks, settlement conferences, mediations, and trial.* Oversee defense counsel from initial assignment of defense and throughout litigation to ensure timely reporting, confirmation of defense strategy and analysis of new developments. Collaborate with defense counsel to develop early litigation or settlement strategy. Ensured that Defense Counsel provides timely pretrial reports.* Maintain claim files, notes and documentation which comply with both internal guidelines and external regulations to include analysis of liability, damages, adequacy of reserves and outline of plan or next steps.* Prepare internal reports for file documentation and early identification of significant reserve increases for presentation to management and upper management for review.* Communicate with manager as to critical new developments and significant reserve increase recommendations, and potential settlement recommendations above handler’s settlement authority.* Timely communication and reporting of critical or new developments to exterior carriers including coverage, litigation developments, reserves, and potential settlement opportunities.* Review and approve litigation budgets submitted by Defense Counsel.* Regular review and updating of claim files that remain open but currently inactive and are not generating claim activity. Evaluate inactive claims for closure and removal of reserves.* Attend mediation and settlement conferences when required to facilitate and negotiate settlement.* Monitor and approve/reject litigation expenses recommended by Defense Counsel.* Prepare settlement drafts and review of releases for accuracy.* This role may require occasional travel for matters that cannot be handled through video conference.**Technical Knowledge and Understanding:** * Licenses to be obtained where required by a state to adjust claims within that state.* Knowledge of third-party liability claims handling required.* Knowledge of first party commercial auto claims handling preferred. **Experience:*** Bachelor’s degree required.* 3 plus years of claims experience preferred.* Law degree is a plus* Previous experience in a similar role. Applicants must be authorized to work for any employer in the U.S. We are unable to sponsor or take over work authorization sponsorship now or in the future for this position. #LI-Hybrid-At Core Specialty, you will receive a competitive salary and opportunities for professional development and advancement. We offer medical, dental, vision, and life insurances; short and long-term disability; a Company-match of 100% of a 6% contribution 401(k) plan; an Employee Assistance Plan; Health Savings Account, Flexible Spending Account, Health Reimbursement Account, and a wellness programCore Specialty offers a diversified range of property and casualty insurance products for small to mid-sized businesses. From underwriting offices spanning the U.S., the Company focuses on niche markets, local distribution, and superior underwriting knowledge, offering traditional as well as innovative insurance solutions to meet the needs of its customers and brokers. For further information about Core Specialty, please visit #J-18808-Ljbffr
- ## Claims ExaminerApplylocations: Cincinnati, OHtime type: Full timeposted on: Posted Yesterdayjob requisition id: JR101447-Adjust and manage claims brought against security companies, private investigators and alarm installation and monitoring companies, from receipt...SuggestedTemporary workLocal areaFlexible hours
- ...Claims Representative Primary Duties and Responsibilities: General Electric Credit Union is a not-for-profit, member-owned full service financial institution headquartered in Cincinnati with branches in Ohio and Kentucky. At GECU, we pride ourselves on maintaining...SuggestedWork at office
$59.06k - $82k
...Weather And Catastrophe Claims Services (Wccs) Claim Specialist 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 success. Come...SuggestedWork at officeRelocationShift workNight shiftWeekend work- ...Disability Claim Specialist To provide disability case management and claim adjudications based on medical documentation and the applicable disability plan interpretation, including determining benefits due and making timely payments and adjustments. Review and analyze...SuggestedTemporary workWork at office
- ...Casualty Claims Specialist At First Chicago Insurance Company, our employees are our biggest asset! It is our mission to attract... ...organizational and interpersonal skills. ~ Ability to pass written examinations where required by state statutes to become a licensed claims...SuggestedFull timeWork at office
- ...A leading insurance provider is seeking a Claims Representative to join its Reinsurance Claims department in Cincinnati, Ohio. The role involves handling and processing reinsurance claims, verifying coverage, and maintaining accurate records. Ideal candidates will have...Work at officeRemote work
- ## Business Banking UnderwriterApplylocations: Cincinnati, OH: Grand Rapids, MItime type: Full timeposted on: Posted Todaytime left to apply: End Date: July 17, 2026 (16 days left to apply)job requisition id: R69529**Make banking a Fifth Third better** We connect great ...Bank staff
- DE Underwriter The DE Underwriter will modify and approve initial stipulations from Underwriting Assistants. File appraisals, analyze data that was ordered by the Underwriting Assistants; modify and approve initial stipulations. Approve loan files to proceed. Essential...Work at office
$19 - $23 per hour
...Claims Resolution Specialist Cincinnati, Ohio Contract-to-hire Pay: $19 to $23 LHH Recruitment Solutions is partnering with our client to hire a Claims Resolution Specialist for a contract-to-hire opportunity. This role is responsible for managing outstanding medical...Contract workTemporary workLocal area$600 per month
Spieldenner Financial Group is part of one of the fastest-growing insurance organizations in the country. Our most important focus areas include getting agents paid quickly, keeping costs minimal, and giving agents the training and support needed to achieve success. Job...Full timeRemote work2 days per week$58k - $78k
Commercial Underwriter II We do the right things, right now. We do them in a way that is relevant to our clients. Become a part of our history as it continues to be written! If you are interested and qualified for this role, we invite you to apply. The Commercial...InternshipWork at officeLocal area$600 per month
Spieldenner Financial Group is a part of one the fastest-growing insurance organizations in the country. Our most important focus areas include getting agents paid quickly, keeping costs minimal, and giving agents the training and support needed to achieve success. Job...Full timeRemote work2 days per week- Would you like the opportunity to be a vital asset to one of the top banking institutions in the area? Don't miss your chance and apply now! What you will be doing as the Commercial Underwriter ll: Performs financial analysis and risk assessment for the commercial credit...Local area
$65k - $217.1k
Underwriter IV- AgencySkip to main content#Underwriter IV- Agency page is loaded## Underwriter IV- AgencyApplylocations: OH - Cincinnati (45202): MA - Boston: KY - Louisville: OR - Portland: NC - Charlottetime type: Full timeposted on: Posted Todayjob requisition id: R...Full timeTemporary workPart timeWork experience placementWork at office$50k - $55k
...Claims Representative, Auto | Property Damage Job Description PRIMARY PURPOSE OF THE ROLE: To analyze and process low to mid‑level auto and transportation claims. ESSENTIAL RESPONSIBILITIES Processes auto property damage and lower level injury claims; assesses damage,...Contract workWork at officeFlexible hours$21 per hour
Licensed Healthcare Insurance Agent – Remote USA Your potential has a place here with TTEC’s award-winning employment experience. As a Licensed Healthcare Insurance Agent working remotely, you’ll be a part of bringing humanity to business. #experienceTTEC Our TTEC Remote...Hourly payCurrently hiringRemote work$59.22k
...and partially from home. What you do: Evaluate and assess insurance risk by analyzing disability plan design, demographics, claims experience, financial data, and applying relevant state and federal regulations. Administer underwriting cases to support...Work at officeFlexible hours$20 - $21 per hour
...Cash Claims Processor Cincinnati, Ohio, United States $ 20.00 - 21.00 (US Dollar) Cash Claims Processor needs 1+ years experience Cash Claims Processor requires: experience applying cash against medical claims 8a-430p Working knowledge of mainframe computers...Hourly pay- Compunnel Software Group is a New Jersey based premier information technology consulting & services company into this market for nearly two decades now; with close to two decades of experience in IT Industry which includes consulting, development, e-learning etc. Our company...Contract workWork experience placement
- Company Overview Performance Contracting Group is a national employee‑owned specialty contractor that offers quality services and products to the commercial, industrial, and non‑residential construction markets. We are committed to recruiting, developing, and advancing...Contract workFor contractorsWork at officeLocal areaFlexible hours
- Overview Assist with the review, amendment, and execution of various transmission agreements and contracts. Support compliance with open access transmission tariffs and federal regulations impacting transmission operations. Maintain accurate reports and data in systems...Contract workWork experience placementWork at office
- ...A leading claims adjusting firm in Ohio is seeking Independent Insurance Claims Adjusters to meet the growing demand due to recent storm-related events. This role offers an exciting opportunity to assist individuals in recovering from disasters while providing a rewarding...Flexible hours
- ...A leading insurance training provider in Fort Campbell North, KY is seeking Independent Insurance Claims Adjusters to join their team. This role allows individuals to help others recover from disasters while providing comprehensive training for new adjusters. Whether...Flexible hours
- ...virtual and in-person estimates in the Cincinnati area. You will gather vehicle data, explain coverage, and guide insureds through the claims process with exceptional service. The position requires auto damage estimating experience, strong communication, and a valid driver...Remote workWork from home
- Full-time Location: Indianapolis, IN or Cincinnati, OH Position Overview This role reports to General Counsel and is responsible for managing the company's contract lifecycle. The ideal candidate brings both administrative precision and basic legal compliance knowledge...Full timeContract work
$18.5 per hour
...mechanical malfunctions. Operate machines efficiently and obtain supplies such as paper, window film, ink and adhesive. Examines job orders, reads and interprets specifications and reviews sample and shipping instructions. Checks orders throughout production...Full timeMonday to FridayShift workNight shiftDay shiftAfternoon shift$20.33 - $24.78 per hour
Call Center Representative - Collections Job Category: Customer Service Requisition Number: LEGAL002077 Posted: July 8, 2026 Full-Time Cincinnati, OH 45202, USA Description $2k Retention Bonus during your 1st year of Employment! Are you looking to start your career in ...Full timeWork at officeLocal areaMonday to FridayAfternoon shift$16.25 per hour
Champion Window - Call Center Representative If you have excellent communication and customer service skills, join the Champion Window team! Champion has an immediate opening for a Call Center Representative. Responsible for ensuring appointment correctness, monitoring...Hourly payWork at officeImmediate startShift workAfternoon shift$750 per week
ApexFocusGroup collaborates with research firms, universities, and trusted brands to gather genuine consumer insights. We help connect everyday people with flexible remote market research opportunities that influence real products, services, and customer experiences. Role...Part timeCasual workRemote workFlexible hours$32k - $36k
Company Description At Skillbridge Academy, we are committed to helping individuals build meaningful careers through professional development, hands-on training, and growth-focused opportunities. We believe in creating an environment where motivated professionals can develop...Full time
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Claims Examiner. Be the first to apply!
- claims specialist remote Cincinnati, OH
- claims assistant workers compensation Cincinnati, OH
- claim examiner Cincinnati, OH
- claims assistant Cincinnati, OH
- medical claims analyst Cincinnati, OH
- senior claims specialist Cincinnati, OH
- medical insurance claims specialist Cincinnati, OH
- remote medical claims processor Cincinnati, OH
- claims resolution specialist Cincinnati, OH
- claim representative (remote) Cincinnati, OH



