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How much do claims account manager jobs pay per year?

As of Aug 16, 2026, the average yearly pay for claims account manager in the United States is $72,638.00, according to ZipRecruiter salary data. Most workers in this role earn between $43,000.00 and $101,500.00 per year, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a Claims Account Manager?

To thrive as a Claims Account Manager, you need a solid understanding of insurance policies, claims processing, and account management, typically backed by a bachelor's degree in business or a related field. Familiarity with claims management software, CRM systems, and industry certifications like AINS or CPCU is highly beneficial. Strong negotiation, problem-solving, and client communication skills set top performers apart in this role. These skills and qualifications ensure efficient claims resolution, high client satisfaction, and effective risk management for both the company and its clients.

How does a Claims Account Manager typically collaborate with other departments to resolve complex claims issues?

Claims Account Managers often work closely with underwriting, legal, and risk management teams to address complex claims. This collaboration may involve reviewing policy details, analyzing risk factors, and ensuring compliance with regulations. Effective communication and teamwork are essential, as Claims Account Managers act as the main point of contact between clients and internal departments, helping to expedite resolutions and maintain client satisfaction.

What is the difference between Claims Account Manager vs Claims Adjuster?

Claims Account ManagerClaims Adjuster
Focuses on managing client accounts, policy renewals, and customer relationshipsEvaluates insurance claims, investigates damages, and determines claim validity
Requires strong communication, customer service, and account management skillsRequires claims investigation, assessment, and knowledge of insurance policies
Works primarily in client-facing roles within insurance companies or brokersWorks in claims departments, often in an office or field environment

While both roles are integral to the insurance industry, a Claims Account Manager primarily manages client relationships and policy accounts, whereas a Claims Adjuster focuses on investigating and settling individual claims. Understanding these differences helps job seekers identify the right career path within insurance claims roles.

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Claims Account Manager jobs near you
Infographic showing various Claims Account Manager job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 86% Full Time, 12% Part Time, and 1% Contract. Highlights an 94% Physical, 2% Hybrid, and 4% Remote job distribution, with an average salary of $72,638 per year, or $34.9 per hour.

Claims Account Representative

Verida Inc

Villa Rica, GA • On-site

Full-time

Re-posted 7 days ago

Verida rating

5.0

Company rating: 5.0 out of 10

Based on 11 frontline employees who took The Breakroom Quiz

Job description


SUMMARY: Provides excellent customer service to non-emergency Medicaid and MCO transportation providers. Answers calls regarding existing claims status, including handling tasks associated with those claims. Monitors timely receipt of information to contractors/providers. Ensures complete and sound claim settlements and investigations when necessary. Examines records and ensures that transportation providers are paid according to the contractual terms. Maintains the accuracy and confidentiality of data, records, and files. Provides customers/providers with exceptional quality and efficient customer service.


ESSENTIAL FUNCTIONS

  • Answers calls regarding existing claims status
  • Provides first call resolution; working with appropriate internal/external resources, completing the necessary follow-up, and ensuring closure of the inquiry
  • Answers incoming requests in a friendly manner, responds to routine questions; inputs and/or logs information received into the computer equipment; directs requests to the appropriate department or agency for further action.
  • Resolves claims problems by clarifying issues, researching and exploring answers and alternative solutions, implementing solutions, and escalating unresolved problems.
  • Listens and communicates clearly, professionally and empathetically
  • Works from established procedures, scripts and job aids to handle multiple applications while assisting customers on the phone
  • Escalates problems or inquiries as needed
  • Maintains quality, accuracy and professionalism in a fast-paced environment
  • Ability to multi-task and adapt to changing environment
  • Processes claims
  • Able to handle complex claims
  • Must have good understanding of contracts, claims processing, and policies
  • Excellent knowledge of the organization
  • Claims related project work
  • Other duties as assigned

REQUIRED SKILLS AND ABILITIES

  • Professional telephone etiquette including excellent verbal communication skills and use of proper grammar
  • Ability to process information and react quickly and appropriately
  • Strong work ethic and self-starter, able to effectively manage multiple priorities and adapt to change within a fast-paced business environment
  • Excellent listening skills and the ability to ask probing questions, understand concerns, and overcome objections
  • Prior customer service experience
  • Must adhere to HIPAA standards
  • Displays written and verbal communication skills with executive management and staff, and is able to follow written and oral instructions.
  • Ability to process, formulate and modify policies; train and direct staff.
  • Possesses good organizational skills, ability to focus on assigned tasks
  • Able to work collaboratively, diplomatically, and with integrity in identifying and resolving problems.
  • Displays knowledge of ethical principles and compliance issues in an accounting setting.
  • Ability to foster positive working relationships across all departments
  • Able to handle highly confidential and sensitive information
  • Highly organized, displays strong attention to detail and accuracy
  • Ability to multi-task giving attention to deadlines
  • Intermediate level proficiency in Microsoft Word and Excel
  • Ability to work extended hours when workload necessitates

Professional appearanceQUALIFICATION

  • High School diploma.
  • Minimum of 2 years leadership experience
  • Minimum of 3 years of recent (within the last 5 years) claims processing experience
  • Healthcare, Medicaid and MCO, claims experience a plus


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