Collect and verify all information required to establish a new Workers' Compensation claim. Contact insurance carriers, employers, adjusters, physician offices, nurse case managers, attorneys, and ...
Collect and verify all information required to establish a new Workers' Compensation claim. Contact insurance carriers, employers, adjusters, physician offices, nurse case managers, attorneys, and ...
As a Water Damage Restoration Project Manager at Southeast Restoration, you are a frontline leader ... Facilitate claim settlement through detailed documentation and effective communication with ...
As a Water Damage Restoration Project Manager at Southeast Restoration, you are a frontline leader ... Facilitate claim settlement through detailed documentation and effective communication with ...
Medical Insurance Verification Specialist
Nashville, TN · On-site
$18/hr
... prescription claim. This individual serves as the liaison between physician offices, injured workers, employers, insurance carriers, adjusters, nurse case managers, attorneys, and internal ...
Medical Insurance Verification Specialist
Nashville, TN · On-site
$18/hr
... prescription claim. This individual serves as the liaison between physician offices, injured workers, employers, insurance carriers, adjusters, nurse case managers, attorneys, and internal ...
Medical Insurance Verification Specialist
Nashville, TN · On-site
$18/hr
... prescription claim. This individual serves as the liaison between physician offices, injured workers, employers, insurance carriers, adjusters, nurse case managers, attorneys, and internal ...
Quick apply
Medical Insurance Verification Specialist
Nashville, TN · On-site
$18/hr
... prescription claim. This individual serves as the liaison between physician offices, injured workers, employers, insurance carriers, adjusters, nurse case managers, attorneys, and internal ...
Claims Casualty Manager
Franklin, TN · Hybrid
$95K - $118K/yr
Thorough knowledge of automobile insurance claim practices and procedures, with special emphasis on ... Management of 3-5 Supervisors who have 5-6 Casualty Adjusters each. Work closely with the other ...
Claims Casualty Manager
Franklin, TN · Hybrid
$95K - $118K/yr
Thorough knowledge of automobile insurance claim practices and procedures, with special emphasis on ... Management of 3-5 Supervisors who have 5-6 Casualty Adjusters each. Work closely with the other ...
Revenue Cycle Specialist
Memphis, TN · On-site
Denial Management and Claim Resolution * Investigate denied, rejected, and underpaid claims to determine root causes and identify corrective actions. * Analyze payer denial trends and recommend ...
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Revenue Cycle Specialist
Memphis, TN · On-site
Denial Management and Claim Resolution * Investigate denied, rejected, and underpaid claims to determine root causes and identify corrective actions. * Analyze payer denial trends and recommend ...
Manager of Coding Operations Position Details: Full Time - Remote Reports to the Coding Director ... Ensures appropriate claim hold reasons are accurately assigned and documented after accounts enter ...
Quick apply
Manager of Coding Operations Position Details: Full Time - Remote Reports to the Coding Director ... Ensures appropriate claim hold reasons are accurately assigned and documented after accounts enter ...
Manager of Coding Operations Position Details: Full Time - Remote Reports to the Coding Director ... Ensures appropriate claim hold reasons are accurately assigned and documented before accounts enter ...
Manager of Coding Operations Position Details: Full Time - Remote Reports to the Coding Director ... Ensures appropriate claim hold reasons are accurately assigned and documented before accounts enter ...
Manager of Coding Operations
Brentwood, TN · On-site
Manager of Coding Operations Position Details: Full Time - Remote Reports to the Coding Director ... Ensures appropriate claim hold reasons are accurately assigned and documented before accounts enter ...
Manager of Coding Operations
Brentwood, TN · On-site
Manager of Coding Operations Position Details: Full Time - Remote Reports to the Coding Director ... Ensures appropriate claim hold reasons are accurately assigned and documented before accounts enter ...
Workers' Compensation Claims Adjuster - TN, GA, NC & SC (Hybrid/Remote)
Nashville, TN · On-site
$60K - $85K/yr
This role manages claims from assignment through closure while ensuring compliance with applicable state regulations, client handling requirements, and CCMSI claim handling standards. The successful ...
New
Workers' Compensation Claims Adjuster - TN, GA, NC & SC (Hybrid/Remote)
Nashville, TN · On-site
$60K - $85K/yr
This role manages claims from assignment through closure while ensuring compliance with applicable state regulations, client handling requirements, and CCMSI claim handling standards. The successful ...
New
This role manages claims from assignment through closure while ensuring compliance with applicable state regulations, client handling requirements, and CCMSI claim handling standards. The successful ...
New
This role manages claims from assignment through closure while ensuring compliance with applicable state regulations, client handling requirements, and CCMSI claim handling standards. The successful ...
New
Workers' Compensation Claims Adjuster - TN, GA, NC & SC (Hybrid/Remote)
Nashville, TN · On-site +1
$60K - $85K/yr
This role manages claims from assignment through closure while ensuring compliance with applicable state regulations, client handling requirements, and CCMSI claim handling standards. The successful ...
New
Workers' Compensation Claims Adjuster - TN, GA, NC & SC (Hybrid/Remote)
Nashville, TN · On-site +1
$60K - $85K/yr
This role manages claims from assignment through closure while ensuring compliance with applicable state regulations, client handling requirements, and CCMSI claim handling standards. The successful ...
New
Multi-Line Claims Adjuster - Litigation & Liability
Nashville, TN · Remote
$75K - $85K/yr
This role manages claims from assignment through resolution (cradle to grave), including files with litigation exposure, while ensuring compliance with CCMSI claim handling standards, client-specific ...
Multi-Line Claims Adjuster - Litigation & Liability
Nashville, TN · Remote
$75K - $85K/yr
This role manages claims from assignment through resolution (cradle to grave), including files with litigation exposure, while ensuring compliance with CCMSI claim handling standards, client-specific ...
Account Manager - Captives
Nashville, TN · On-site
The Account Manager will be responsible for servicing and marketing the needs of Lockton clients ... claim summary/aggregate reports, initial claim projections (when appropriate) and employee ...
Account Manager - Captives
Nashville, TN · On-site
The Account Manager will be responsible for servicing and marketing the needs of Lockton clients ... claim summary/aggregate reports, initial claim projections (when appropriate) and employee ...
Multi-Line Claims Adjuster - Commercial Auto (PD & BI)
Nashville, TN · Remote
$65K - $75K/yr
This role manages claims from assignment through resolution (cradle to grave) across multiple jurisdictions while ensuring compliance with CCMSI claim handling standards, client-specific instructions ...
Multi-Line Claims Adjuster - Commercial Auto (PD & BI)
Nashville, TN · Remote
$65K - $75K/yr
This role manages claims from assignment through resolution (cradle to grave) across multiple jurisdictions while ensuring compliance with CCMSI claim handling standards, client-specific instructions ...
Be Seen First
Field/ Remote RN Case Manager CCM Certified
Memphis, TN · On-site
$75K - $80K/yr
Prepares case summaries for account claim reviews * Responsible for maintaining a complete medical ... Alerts Manager of any requests to deviate from Eagle OneTM or account specific protocols and ...
Quick apply
Be Seen First
Field/ Remote RN Case Manager CCM Certified
Memphis, TN · On-site
$75K - $80K/yr
Prepares case summaries for account claim reviews * Responsible for maintaining a complete medical ... Alerts Manager of any requests to deviate from Eagle OneTM or account specific protocols and ...
Ensures exceptional customer service by managing all aspects of the claim, interacting professionally and effectively with insureds, claimants and business partners, achieving quality and cycle time ...
Ensures exceptional customer service by managing all aspects of the claim, interacting professionally and effectively with insureds, claimants and business partners, achieving quality and cycle time ...
Maintain accurate claim files and make informed updates to the Company's Risk Management Information System (RMIS) and related claims systems to support claim evaluation, reporting, and resolution.
Maintain accurate claim files and make informed updates to the Company's Risk Management Information System (RMIS) and related claims systems to support claim evaluation, reporting, and resolution.
Multi-Line Claims Adjuster - General Liability / Premises Liability
Nashville, TN · Remote
$75K - $80K/yr
This role manages claims from assignment through resolution (cradle to grave), including files with litigation exposure , while ensuring compliance with CCMSI claim handling standards, client ...
Multi-Line Claims Adjuster - General Liability / Premises Liability
Nashville, TN · Remote
$75K - $80K/yr
This role manages claims from assignment through resolution (cradle to grave), including files with litigation exposure , while ensuring compliance with CCMSI claim handling standards, client ...
Stop Loss Claims Resolution Consultant
Nashville, TN · Remote
$63K - $82K/yr
This role combines deep technical expertise as a Stop Loss Health Claims Analyst with responsibility for managing end-to-end inquiry resolution, including research, claim determination support ...
Stop Loss Claims Resolution Consultant
Nashville, TN · Remote
$63K - $82K/yr
This role combines deep technical expertise as a Stop Loss Health Claims Analyst with responsibility for managing end-to-end inquiry resolution, including research, claim determination support ...
Claim Manager information
See Tennessee salary details
$31.8K - $40.3K
4% of jobs
$40.3K - $48.9K
4% of jobs
$48.9K - $57.5K
10% of jobs
$60.8K is the 25th percentile. Wages below this are outliers.
$57.5K - $66.1K
18% of jobs
$66.1K - $74.7K
12% of jobs
The median wage is $76.1K / yr.
$74.7K - $83.3K
13% of jobs
$83.3K - $91.8K
14% of jobs
$92.2K is the 75th percentile. Wages above this are outliers.
$91.8K - $100.4K
12% of jobs
$100.4K - $109K
7% of jobs
$109K - $117.6K
4% of jobs
$117.6K - $126.2K
2% of jobs
$31.8K
$79.7K
$126.2K
How much do claim manager jobs pay per year?
What is a claim manager?
What are some common challenges claim managers face when handling complex claims, and how can they effectively overcome them?
What are the key skills and qualifications needed to thrive as a claim manager, and why are they important?
What is the difference between Claim Manager vs Claims Adjuster?
| Aspect | Claim Manager | Claims Adjuster |
|---|---|---|
| Credentials | Typically requires a bachelor’s degree, industry certifications (e.g., CPCU, AIC), and experience in claims handling | Often requires a high school diploma or associate degree; certifications like AIC are common but not mandatory |
| Work Environment | Manages teams, oversees claims processes, and develops policies; often in an office setting | Investigates claims, assesses damages, and makes settlement decisions; may work in the field or office |
| Industry Usage | Used across insurance companies, especially in managerial and supervisory roles | Commonly employed in insurance companies, adjusting claims directly with clients and providers |
In summary, Claim Managers oversee the claims process and manage teams, requiring more experience and certifications, while Claims Adjusters focus on investigating and settling individual claims, often with less formal education.
How much do claim managers make in the US?
What are the most commonly searched types of Claim jobs in Tennessee?
The most popular types of Claim jobs in Tennessee are:
What cities in Tennessee are hiring for Claim Manager jobs?
Cities in Tennessee with the most Claim Manager job openings:

$18/hr
Full-time
Posted 24 days ago
Job description
Job Overview
The Medical Insurance Verification Specialist is responsible for completing the enrollment process for new Workers' Compensation patients by obtaining and verifying all information required to successfully bill the patient's initial prescription claim. This individual serves as the liaison between physician offices, injured workers, employers, insurance carriers, adjusters, nurse case managers, attorneys, and internal departments to ensure claims are set up accurately and efficiently.
This position plays a critical role in reducing billing delays, improving first-pass claim acceptance, and ensuring patients receive their medications as quickly as possible.
Position Objective
The Verification Specialist ensures every new Workers' Compensation patient is accurately enrolled and all required claim information is obtained before billing begins. By establishing complete and accurate patient records at the start of the process, this role helps reduce billing delays, improve reimbursement timelines, and support a positive experience for both patients and provider partners.
Essential Responsibilities
Complete the enrollment of all new Workers' Compensation patients.
Collect and verify all information required to establish a new Workers' Compensation claim.
Contact insurance carriers, employers, adjusters, physician offices, nurse case managers, attorneys, and third-party administrators (TPAs) to obtain missing or incomplete claim information.
Review documentation for completeness and accuracy before the claim is released for billing.
Research and resolve missing enrollment information in a timely manner.
Maintain detailed and accurate documentation within the pharmacy management system.
Work collaboratively with Billing, Collections, Prior Authorization, Customer Service, Clinical, and Operations teams to ensure a seamless patient onboarding process.
Identify and escalate complex enrollment issues that may delay claim processing.
Maintain HIPAA compliance and protect confidential patient information.
Meet established productivity, quality, and service expectations.
Qualifications
High school diploma or equivalent required; associate or bachelor's degree preferred.
Minimum of two years of experience in Workers' Compensation, medical billing, pharmacy, healthcare, or insurance.
Working knowledge of Workers' Compensation claims and insurance processes.
Experience communicating with insurance adjusters, TPAs, employers, and physician offices.
Strong organizational skills with exceptional attention to detail.
Excellent verbal and written communication skills.
Ability to prioritize multiple tasks and work independently in a fast-paced environment.
Proficient in Microsoft Office and healthcare software applications.
Preferred Experience
Minimum (2) years Workers' Compensation pharmacy experience.
Pharmacy revenue cycle experience.
Insurance verification experience.
Knowledge of medical terminology.
Experience working within pharmacy or healthcare management systems.
Key Performance Indicators
Average enrollment turnaround time
Number of enrollments completed per day
Enrollment accuracy rate
Time to resolve incomplete or missing claim information
First-pass billing readiness rate
Documentation quality
Productivity and quality standards
Internal and external customer satisfaction
About Advanced Rx Management
Sourced by ZipRecruiter
Company size
51 - 200 Employees
Headquarters location
San Ramon, CA, US
Year founded
2009