Claims Specialist

1 month ago


Columbus, Ohio, United States 501 CSAA Insurance Services, Inc. Full time

About Us

Mobilitas is a commercial insurance company created by 501 CSAA Insurance Services, Inc. Our mission is to reinvent commercial insurance in the mobility space by providing technologically advanced solutions for today's way of doing business. We believe in what's possible, using our inventive skills to create new opportunities - we're not chasing the status quo, we're chasing a shared vision. We're looking for motivated, innovative individuals who think big, move fast and are dedicated to creating a company from the ground up, without the constraints of a traditional insurance company.

Your Role

As a Commercial/Specialty Casualty Claims Adjuster, you will be responsible for resolving all aspects of 1st and 3rd party injury claims of low to moderate complexity for personal lines as well as our commercial claims. Your duties will require you to become licensed in several states as you will be handling claims in a multitude of regions across the nation.

Your Responsibilities

  • Manage all claims efficiently and effectively to an appropriate resolution with minimal supervision.
  • Handle all aspects of liability injury claims of low to moderate complexity to include all coverage, liability and damage concerns.
  • Handle 1st party exposures to include Medical Payment coverage, PIP, Uninsured Motorists, Under-insured Motorists claims as well as ADB (Auto-Death Benefit) claims.
  • Assist in taking first notice of loss calls (FNOL) and participate in the department phone queue as needed.
  • Make coverage determinations and conduct investigative work of a complex nature, advising customers as to accurate course of action related to coverage issues.
  • Make appropriate liability determinations based upon the evidence gathered.
  • Evaluate any potential for subrogation and initiate an initial notice of subrogation request.
  • Develop negotiation strategies to resolve claims effectively and efficiently with insureds, claimants, or representatives of the injured parties.
  • Communicate pertinent case facts to a supervisor, manager or committee when appropriate.

Requirements

  • 2 or more years of Casualty claims experience
  • BA/BS in business, insurance or related area, or equivalent combination of education and experience
  • Required to acquire and/or maintain multiple Adjuster's Licenses (state-specific) within the first 90 days of employment and/or job transfer.

What We're Looking For

  • Prior experience with commercial policies
  • Flexibility to work any shift during the operating hours of 5:30 a.m. to 7 p.m. in your time zone, which may include evenings and/or weekends.
  • Capability to complete training and perform the job in a remote setting as required.
  • Outstanding interpersonal and strong computer navigation abilities.
  • Ability to handle several tasks simultaneously.
  • Shows respect for differences through excellent communication skills with people from an array of backgrounds.
  • Actively shapes our company culture (e.g., participating in employee resource groups, volunteering, etc.).
  • Lives into cultural norms (e.g., willing to have cameras when it matters: helping onboard new team members, building relationships, etc.).
  • Travels as needed for role, including divisional / team meetings and other in-person meetings.
  • Fulfills business needs, which may include investing extra time, helping other teams, etc.

About Mobilitas Careers

At Mobilitas, we're proudly devoted to protecting our customers, our employees, our communities, and the world at large. We are on a climate journey to continue to do better for our people, our business, and our planet. Taking bold action and leading by example. We are citizens for a changing world, and we continually change to meet it.

Join Our Mission

Believe in a mission focused on building a community of service, rooted in inclusion and belonging.

Commit to being there for our customers and employees.

Create a sense of purpose that serves the greater good through innovation.

Recognition: We offer a total compensation package, performance bonus, 401(k) with a company match, and so much more



  • Columbus, Ohio, United States Nationwide Full time

    Job DescriptionWe are seeking a highly skilled Field Claims Specialist to join our team at Nationwide. As a Field Claims Specialist, you will be responsible for investigating and resolving moderate to severe property damage claims by phone and face-to-face.Key Responsibilities:Handles all assigned claims promptly and effectively, with little to no direction...


  • Columbus, Ohio, United States RemX Full time

    Job OverviewRemX is seeking a dedicated Medical Claims Specialist to join their dynamic onsite team in Columbus, OH. As a key member of the team, you will be responsible for reviewing and processing medical claims submitted by healthcare providers.Key Responsibilities:Verify claim information and ensure it aligns with patient records and insurance...


  • Columbus, Ohio, United States Sedgwick Full time

    Job SummarySedgwick is seeking a highly skilled Claims Specialist, Professional Liability to join our team. As a key member of our risk management team, you will be responsible for analyzing and processing complex liability claims, managing claims through well-developed action plans, and negotiating claim settlements.Key ResponsibilitiesAnalyze and process...


  • Columbus, Ohio, United States Ohio Department of Developmental Disabilities Full time

    Job SummaryAs a Claims Examination Specialist with the Ohio Department of Developmental Disabilities, you will be responsible for examining and processing workers' compensation claims. This role requires strong analytical and communication skills, as well as the ability to work effectively in a team environment.Key ResponsibilitiesExamine and process...


  • Columbus, Ohio, United States Ohio Department of Developmental Disabilities Full time

    Job SummaryAs a Workers' Compensation Claims Specialist, you will be responsible for examining and processing workers' compensation claims in a timely and efficient manner. This role requires strong analytical and communication skills, as well as the ability to work in a fast-paced environment.Key ResponsibilitiesExamine and process workers' compensation...


  • Columbus, Ohio, United States Encova Insurance Full time

    Job SummaryThe Property Claims Field Adjuster role at Encova Insurance involves investigating, evaluating, and processing property claims that require in-person contact and on-site inspections. This position is responsible for handling personal and commercial property losses, including structure, contents, and business income losses. The successful candidate...


  • Columbus, Ohio, United States Crawford & Company Full time

    Job SummaryWe are seeking a highly skilled Casualty Claims Specialist to join our team at Crawford & Company. As a key member of our claims team, you will be responsible for investigating, reserving, negotiating, evaluating, and settling complex casualty claims.Key ResponsibilitiesExamine claims forms, policies, and endorsements to determine...


  • Columbus, Ohio, United States Destinationone Consulting Full time

    Job Overviewdestinationone Consulting is a leading recruitment agency specializing in diverse sectors, including Healthcare, Health Tech, Government, Municipalities, Non-Profits, Legal, and Public Accounting. We are actively building a database of opportunities in these fields. By applying, you enable our recruiters to quickly match you with suitable roles...


  • Columbus, Ohio, United States The Travelers Companies, Inc Full time

    Job SummaryWe are seeking a skilled Auto Bodily Injury Claims Representative to join our team at The Travelers Companies, Inc. This role is responsible for handling Personal and Business Insurance Auto Bodily Injury claims from the first notice of loss through resolution/settlement and payment process.Key ResponsibilitiesDelivers consistent service quality...


  • Columbus, Ohio, United States Alacrity Solutions Full time

    About the RoleAlacrity Solutions is seeking a skilled Daily Property Field Adjuster to join our team. As an independent contractor, you will be responsible for providing excellent claim handling services for our clients regarding daily claim work within your area.The ideal candidate will have a minimum of 2-3 years of property field adjusting experience and...


  • Columbus, Ohio, United States Lighthouse Behavioral Health Solutions Full time

    Job Title: Accounts Receivable SpecialistLighthouse Behavioral Health Solutions (LBHS) is seeking a highly skilled Accounts Receivable Specialist to join our team. As an Accounts Receivable Specialist, you will be responsible for notifying established third-party payers of all billed accounts by mail, telephone, or email for the purpose of collection on all...


  • Columbus, Ohio, United States destinationone Consulting Full time

    Job Overviewdestinationone Consulting is a leading recruitment agency specializing in diverse sectors, including Healthcare, Health Tech, Government, Municipalities, Non-Profits, Legal, Public Accounting, and more. We are actively building a database of opportunities in these fields. By applying, you ensure our recruiters can quickly match you with suitable...

  • To Go Specialist

    3 weeks ago


    Columbus, Ohio, United States Chili's Grill & Bar Full time

    About the Role:We are seeking a skilled To Go Specialist to join our team at Chili's Grill & Bar. As a To Go Specialist, you will be responsible for providing fast and friendly service to our guests, ensuring an exceptional To Go experience for every customer.Key Responsibilities:Have knowledge of the menu to explain offerings to guestsEnsure an exceptional...


  • Columbus, Ohio, United States SportsMed Physical Therapy Full time

    Medical Billing SpecialistSportsMed Physical Therapy is seeking a highly skilled Medical Billing Specialist to join our team. This role will be responsible for reviewing new patient records, initiating the billing process, and working with clinic staff to resolve patient authorization issues.Responsibilities:Review new patient records in billing software and...


  • Columbus, Ohio, United States Trinity Health Full time

    Job Summary:We are seeking a skilled Medical Billing Specialist to join our team at Trinity Health. As a key member of our revenue cycle team, you will be responsible for performing day-to-day tasks in the assigned area of responsibility, including insurance claim and billing, payment posting, and follow-up on denials.Key Responsibilities:Insurance claim and...


  • Columbus, Ohio, United States MARYHAVEN,INC Full time

    At MARYHAVEN,INC, we are seeking a skilled Medical Billing Specialist to accurately process and bill Medicare, Medicaid, private payer, and patient claims in accordance with payer requirements and organization policy.Key Responsibilities:Process and bill claims in a timely and accurate manner.Resolve collections and assist with the collection of...


  • Columbus, Ohio, United States Critical Care Transport Full time

    Accounts Receivable SpecialistCritical Care Transport is seeking a detail-oriented and multi-tasking individual to join our accounts receivable office. The ideal candidate will possess an active coding certification and experience with Hospital ICD-10 coding.Key Responsibilities:Verify insurance eligibility and process claimsPost insurance payments and...


  • Columbus, Ohio, United States Bridgeway Academy Full time

    Job OpportunityBridgeway Therapy Center is seeking a full-time Medical A/R Specialist to join our team.Key Responsibilities:1. Review and research insurance denials, post payments, and reconcile client accounts.2. Ensure accurate and timely submission of insurance authorizations.3. Maintain a thorough understanding of ICD-10-CM and CPT coding guidelines and...


  • Columbus, Ohio, United States Data Marshall Full time

    Job DescriptionData Marshall is seeking a skilled Contract Management Specialist to support our attorneys' business needs. Key Responsibilities:Analyze Insurance Contracts, Fee Schedules, and Payor Payment Methodology to identify opportunities for improvement.Upload contracts and fee schedules into the EPIC Contract Management Module to ensure seamless...


  • Columbus, Ohio, United States American Senior Benefits Full time

    OverviewAt American Senior Benefits, we're dedicated to helping seniors protect their retirement income and providing them with the necessary safeguards. As an Insurance Sales Specialist Hybrid, you'll play a vital role in educating seniors on the benefits available to them and creating custom solutions using our toolbox of over 220 top named...