Nature and Scope The Senior Insurance and Claim Specialist is responsible for: • Optimization of ... management if not able to resolve with payor. • Demonstrates a thorough knowledge of all ...
Nature and Scope The Senior Insurance and Claim Specialist is responsible for: • Optimization of ... management if not able to resolve with payor. • Demonstrates a thorough knowledge of all ...
Sr Insurance and Claims Specialist
Reno, NV · On-site
$22.16 - $31.03/hr
Nature and Scope The Senior Insurance and Claim Specialist is responsible for: • Optimization of ... management if not able to resolve with payor. • Demonstrates a thorough knowledge of all ...
Sr Insurance and Claims Specialist
Reno, NV · On-site
$22.16 - $31.03/hr
Nature and Scope The Senior Insurance and Claim Specialist is responsible for: • Optimization of ... management if not able to resolve with payor. • Demonstrates a thorough knowledge of all ...
Nature and Scope The Senior Insurance and Claim Specialist is responsible for: • Optimization of ... management if not able to resolve with payor. • Demonstrates a thorough knowledge of all ...
Nature and Scope The Senior Insurance and Claim Specialist is responsible for: • Optimization of ... management if not able to resolve with payor. • Demonstrates a thorough knowledge of all ...
Coding Lead
Reno, NV · Remote
... Manages assigned charge review and coding-related claim work queues to ensure timely and accurate charge capture. Accurately deciphers charge error reasons and plan follow-up steps. • Ensures all ...
Coding Lead
Reno, NV · Remote
... Manages assigned charge review and coding-related claim work queues to ensure timely and accurate charge capture. Accurately deciphers charge error reasons and plan follow-up steps. • Ensures all ...
Coding Lead
Reno, NV · Remote
... Manages assigned charge review and coding-related claim work queues to ensure timely and accurate charge capture. Accurately deciphers charge error reasons and plan follow-up steps. • Ensures all ...
Coding Lead
Reno, NV · Remote
... Manages assigned charge review and coding-related claim work queues to ensure timely and accurate charge capture. Accurately deciphers charge error reasons and plan follow-up steps. • Ensures all ...
NSO Apprentice Interest
Reno, NV · On-site
$20.18 - $31.39/hr
Practice monitoring the progress of a claim from submission to resolution, dealing with VA ... General understanding of business/administrative procedures and systems such as managing clientele ...
Quick apply
NSO Apprentice Interest
Reno, NV · On-site
$20.18 - $31.39/hr
Practice monitoring the progress of a claim from submission to resolution, dealing with VA ... General understanding of business/administrative procedures and systems such as managing clientele ...
Coding Lead
Reno, NV · Remote
... Manages assigned charge review and coding-related claim work queues to ensure timely and accurate charge capture. Accurately deciphers charge error reasons and plan follow-up steps. • Ensures all ...
Coding Lead
Reno, NV · Remote
... Manages assigned charge review and coding-related claim work queues to ensure timely and accurate charge capture. Accurately deciphers charge error reasons and plan follow-up steps. • Ensures all ...
Coding Lead
Reno, NV · Remote
... Manages assigned charge review and coding-related claim work queues to ensure timely and accurate charge capture. Accurately deciphers charge error reasons and plan follow-up steps. • Ensures all ...
Coding Lead
Reno, NV · Remote
... Manages assigned charge review and coding-related claim work queues to ensure timely and accurate charge capture. Accurately deciphers charge error reasons and plan follow-up steps. • Ensures all ...
Coding Lead
Reno, NV · On-site
$32.76 - $45.87/hr
... Manages assigned charge review and coding-related claim work queues to ensure timely and accurate charge capture. Accurately deciphers charge error reasons and plan follow-up steps. • Ensures all ...
Coding Lead
Reno, NV · On-site
$32.76 - $45.87/hr
... Manages assigned charge review and coding-related claim work queues to ensure timely and accurate charge capture. Accurately deciphers charge error reasons and plan follow-up steps. • Ensures all ...
Coding Lead
Reno, NV · On-site
$32.76 - $45.87/hr
... Manages assigned charge review and coding-related claim work queues to ensure timely and accurate charge capture. Accurately deciphers charge error reasons and plan follow-up steps. • Ensures all ...
Coding Lead
Reno, NV · On-site
$32.76 - $45.87/hr
... Manages assigned charge review and coding-related claim work queues to ensure timely and accurate charge capture. Accurately deciphers charge error reasons and plan follow-up steps. • Ensures all ...
Employee Benefits Insurance Account Manager
$55K - $75K/yr
The Account Manager is the primary contact for assigned accounts and works in a team environment to ... claim questions, and more. * Coordinate and may conduct carrier/client enrollment meetings as ...
Employee Benefits Insurance Account Manager
$55K - $75K/yr
The Account Manager is the primary contact for assigned accounts and works in a team environment to ... claim questions, and more. * Coordinate and may conduct carrier/client enrollment meetings as ...
Employee Benefits Insurance Account Manager
Reno, NV · On-site
$55K - $75K/yr
The Account Manager is the primary contact for assigned accounts and works in a team environment to ... claim questions, and more. * Coordinate and may conduct carrier/client enrollment meetings as ...
Employee Benefits Insurance Account Manager
Reno, NV · On-site
$55K - $75K/yr
The Account Manager is the primary contact for assigned accounts and works in a team environment to ... claim questions, and more. * Coordinate and may conduct carrier/client enrollment meetings as ...
Employee Benefits Insurance Account Manager
Reno, NV · On-site
$55K - $75K/yr
The Account Manager is the primary contact for assigned accounts and works in a team environment to ... claim questions, and more. * Coordinate and may conduct carrier/client enrollment meetings as ...
Employee Benefits Insurance Account Manager
Reno, NV · On-site
$55K - $75K/yr
The Account Manager is the primary contact for assigned accounts and works in a team environment to ... claim questions, and more. * Coordinate and may conduct carrier/client enrollment meetings as ...
Pharmacy Order Entry Technician
$21 - $24/hr
Stay current with Medicaid claim regulations and ensure compliance in processing. * Track unpaid or delayed claims; generate reports for management. * Provide excellent customer service in line with ...
Quick apply
Pharmacy Order Entry Technician
$21 - $24/hr
Stay current with Medicaid claim regulations and ensure compliance in processing. * Track unpaid or delayed claims; generate reports for management. * Provide excellent customer service in line with ...
Physician / Anesthesiology - Pain Management / Nevada / Permanent / Anesthesiology - Pain Management
Reno, NV · On-site
$398K/yr
Lastly, Metropolis operates off sincerity and integrity; job postings will never claim a job is ... Management openings!
Physician / Anesthesiology - Pain Management / Nevada / Permanent / Anesthesiology - Pain Management
Reno, NV · On-site
$398K/yr
Lastly, Metropolis operates off sincerity and integrity; job postings will never claim a job is ... Management openings!
Nurse Practitioner - Family Practice/Primary Care job available in Reno, Nevada
Reno, NV · Hybrid
$700/day
... management? Join our network of independent medical consultants performing essential VA Claim (C&P) Exams. Attractive Compensation and Flexibility: * Exceptional Earning Potential: Consultants ...
Nurse Practitioner - Family Practice/Primary Care job available in Reno, Nevada
Reno, NV · Hybrid
$700/day
... management? Join our network of independent medical consultants performing essential VA Claim (C&P) Exams. Attractive Compensation and Flexibility: * Exceptional Earning Potential: Consultants ...
Pharmacy Order Entry Technician
$22 - $25/hr
Stay current with Medicaid claim regulations and ensure compliance in processing. * Track unpaid or delayed claims; generate reports for management. * Provide excellent customer service in line with ...
Quick apply
Pharmacy Order Entry Technician
$22 - $25/hr
Stay current with Medicaid claim regulations and ensure compliance in processing. * Track unpaid or delayed claims; generate reports for management. * Provide excellent customer service in line with ...
Pharmacy Order Entry Technician
Reno, NV · On-site
$21 - $24/hr
Stay current with Medicaid claim regulations and ensure compliance in processing. * Track unpaid or delayed claims; generate reports for management. * Provide excellent customer service in line with ...
Pharmacy Order Entry Technician
Reno, NV · On-site
$21 - $24/hr
Stay current with Medicaid claim regulations and ensure compliance in processing. * Track unpaid or delayed claims; generate reports for management. * Provide excellent customer service in line with ...
Pharmacy Order Entry Technician
Reno, NV · On-site
$17 - $20.25/hr
Stay current with Medicaid claim regulations and ensure compliance in processing. * Track unpaid or delayed claims; generate reports for management. * Provide excellent customer service in line with ...
Pharmacy Order Entry Technician
Reno, NV · On-site
$17 - $20.25/hr
Stay current with Medicaid claim regulations and ensure compliance in processing. * Track unpaid or delayed claims; generate reports for management. * Provide excellent customer service in line with ...
Pharmacy Order Entry Technician
Reno, NV · On-site
$17 - $20.25/hr
Stay current with Medicaid claim regulations and ensure compliance in processing. * Track unpaid or delayed claims; generate reports for management. * Provide excellent customer service in line with ...
Pharmacy Order Entry Technician
Reno, NV · On-site
$17 - $20.25/hr
Stay current with Medicaid claim regulations and ensure compliance in processing. * Track unpaid or delayed claims; generate reports for management. * Provide excellent customer service in line with ...
Claim Manager information
See Reno, NV salary details
$34.9K - $44.3K
4% of jobs
$44.3K - $53.8K
4% of jobs
$53.8K - $63.2K
10% of jobs
$66.8K is the 25th percentile. Wages below this are outliers.
$63.2K - $72.6K
18% of jobs
$72.6K - $82K
12% of jobs
The median wage is $83.6K / yr.
$82K - $91.5K
13% of jobs
$91.5K - $100.9K
14% of jobs
$101.3K is the 75th percentile. Wages above this are outliers.
$100.9K - $110.3K
12% of jobs
$110.3K - $119.7K
7% of jobs
$119.7K - $129.2K
4% of jobs
$129.2K - $138.6K
2% of jobs
$34.9K
$87.6K
$138.6K
How much do claim manager jobs pay per year?
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.
What is a claim manager?
What are the key skills and qualifications needed to thrive as a claim manager, and why are they important?
What are some common challenges claim managers face when handling complex claims, and how can they effectively overcome them?

Renown Health rating
7.3
Based on 98 frontline employees who took The Breakroom Quiz
304th of 887 rated healthcare providers
Job description
Position Purpose
The Senior Insurance and Claims Specialist is responsible for compliant billing, account follow up and system operations to ensure timely and accurate claim submission and prevention of denials per regulatory and payor requirements, as well as improved payment turnaround.
Nature and Scope
The Senior Insurance and Claim Specialist is responsible for:
• Optimization of system that will ensure accurate claim submission and follow-up resulting in timely reimbursement per payor and regulatory guidelines.
• Complete detailed appeal of denial or payment variance to payor, incorporating contract terms, clinical or regulatory justification for reconsideration or additional reimbursement.
• Recommend system changes for clean claim submission to aid in the prevention of denials.
• Work with the Renown Contracting Department or payor representatives to resolve billing issues due to payor or regulatory changes affecting the billing of healthcare claims.
• Assisting with testing and troubleshooting of system for payor or regulatory changes.
• Maintaining expertise for all payor, HIPAA and other regulatory changes affecting the billing of healthcare claims.
• Working hand in hand with Operations Analysts and Information Technology to maintain and improve business system changes based on payor or regulatory changes.
• Acts as a resource for staff on all areas relating to edit and denial/rejection resolution.
• Identify trends in payor non-compliance and inform management if not able to resolve with payor.
• Demonstrates a thorough knowledge of all department functions, processes, and procedures.
This position does not provide patient care
Disclaimer
The foregoing description is not intended to be, and should not be construed as, an exhaustive list of all responsibilities, skills, efforts, or working conditions associated with the job. It is intended to be an accurate reflection of the general nature and level of the job.
Minimum Qualifications
Requirements - Required and/or Preferred
Name
Description
Education:
Ability to read, write, speak, and understand English sufficiently to perform job duties safely and effectively. Associates Degree Preferred.
Experience:
Two years healthcare billing office experience with extensive knowledge of healthcare billing, government and third party payor requirements.
License(s):
None
Certification(s):
Coding Certification Preferred for Professional Billing.
Computer / Typing:
Must be proficient with Microsoft Office Suite, including Outlook, PowerPoint, Excel, Teams, and Word and have the ability to use the computer to complete online learning requirements for job-specific competencies, access online forms and policies, complete online benefits enrollment, etc.
What Renown Health employees say
Pay
Benefits
Hours and flexibility
Workplace
Get the full story on Breakroom
About Renown Health
Sourced by ZipRecruiter
Renown Health is a leading and respected player in the healthcare industry, based in Reno, NV, US. Established in 1862, the company has a deep-rooted history in providing high-quality healthcare services to the community. Renown Health offers a wide array of services including urgent care centers, lab services, x-ray and imaging services, primary care doctors and specialists. Its central values include excellence in quality and service, caring for people first, being proactive in the community, fiscal responsibility, integrity, and respecting every person.
Industry
Health care and social assistance
Company size
5,001 - 10,000 Employees
Headquarters location
Reno, NV, US
Year founded
1862