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Claims Administration Manager Jobs (NOW HIRING)

Jbhunt

Claims Adminstration

Lowell, AR

$16.50 - $21/hr

Job Title: Claims Adminstration Department: Administration, Facilities & Secretarial Country ... Perform regular data management activities, such as data imports to claims systems and validating ...

INTEGRO

VSC Claims Supervisor

Tampa, FL · On-site

$70K - $75K/yr

Equivalent experience in Claims Administration or a related field. * 5+ years of recent experience ... Proficiency in using claims management systems and software. * Strong problem-solving and decision ...

INTEGRO

VSC Claims Supervisor

Orlando, FL · On-site

$70K - $75K/yr

Equivalent experience in Claims Administration or a related field. * 5+ years of recent experience ... Proficiency in using claims management systems and software. * Strong problem-solving and decision ...

INTEGRO

VSC Claims Supervisor

Atlanta, GA · On-site +1

$70K - $75K/yr

Equivalent experience in Claims Administration or a related field. * 5+ years of recent experience ... Proficiency in using claims management systems and software. * Strong problem-solving and decision ...

INTEGRO

Ancillary Claims Adjuster

Tampa, FL · On-site

$45K - $55K/yr

As an Ancillary Claims Adjuster, you'll play a critical role in the claims administration process ... Ability to manage multiple claims while maintaining accuracy and efficiency. * High level of ...

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Claims Administration Manager information

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$35K

$87.9K

$139K

How much do claims administration manager jobs pay per year?

As of Jul 24, 2026, the average yearly pay for claims administration manager in the United States is $87,861.00, according to ZipRecruiter salary data. Most workers in this role earn between $68,000.00 and $105,000.00 per year, depending on experience, location, and employer.

What are some common challenges faced by Claims Administration Managers and how can they be addressed?

Claims Administration Managers often face challenges such as managing high volumes of claims, ensuring compliance with evolving regulations, and coordinating effectively between internal teams and external partners. Addressing these challenges requires strong organizational and communication skills, as well as the implementation of efficient workflows and regular staff training. Leveraging technology for claims processing and maintaining open lines of communication can help streamline operations and minimize errors, ultimately improving both team performance and customer satisfaction.

What does a Claims Administration Manager do?

A Claims Administration Manager oversees the processing and management of insurance claims within an organization. They ensure that claims are handled efficiently, accurately, and in compliance with company policies and legal regulations. Their responsibilities often include supervising claims staff, developing procedures to improve workflow, resolving complex claims issues, and liaising with clients or policyholders. This role requires strong leadership, problem-solving skills, and a thorough understanding of insurance processes.

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

AspectClaims Administration ManagerClaims Adjuster
CredentialsTypically requires a bachelor’s degree in insurance, business, or related field; certifications like CPCU or ARM are commonRequires a high school diploma or equivalent; some roles prefer certifications like CPCU or state licensing
Work EnvironmentOversees claims teams, manages processes, and develops policies within insurance companies or third-party administratorsInvestigates and evaluates individual claims, often working in the field or office to determine coverage and settlement
Employer & Industry UsageUsed in insurance companies, third-party administrators, and corporate claims departmentsCommonly employed by insurance carriers, adjusting firms, and independent agencies

The Claims Administration Manager focuses on overseeing claims processes and managing teams, while the Claims Adjuster handles the investigation and evaluation of individual claims. Both roles require insurance knowledge, but the manager position involves more leadership and policy development, whereas the adjuster role is more hands-on with claim assessment.

What are the key skills and qualifications needed to thrive as a Claims Administration Manager, and why are they important?

To thrive as a Claims Administration Manager, you need expertise in claims processing, risk assessment, and regulatory compliance, typically supported by a bachelor's degree in business, finance, or a related field. Familiarity with claims management software, data analytics tools, and industry certifications such as AIC (Associate in Claims) are commonly required. Strong leadership, problem-solving, and interpersonal communication skills help manage teams and resolve complex claims issues. These abilities ensure efficient claims operations, regulatory adherence, and high-quality service for clients and stakeholders.
More about Claims Administration Manager jobs
What cities are hiring for Claims Administration Manager jobs? Cities with the most Claims Administration Manager job openings:
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Claims Administration Manager jobs near you
Infographic showing various Claims Administration Manager job openings in the United States as of July 2026, with employment types broken down into 98% Full Time, and 2% Part Time. Highlights an 68% In-person, 6% Hybrid, and 26% Remote job distribution, with an average salary of $87,861 per year, or $42.2 per hour.
Director Claims Administration

Director Claims Administration

Spectrum Health

Grand Rapids, MI • Hybrid

Full-time

Medical, Retirement

Posted 3 days ago

Job description

Job Summary - Director, Claims Administration

The Director of Claims Administration is responsible for the accurate, timely and efficient adjudication and payment of claims for all product lines at Priority Health. The leader is accountable for claim inventory, claim speed to process, claim auto adjudication rate, claim examiner quality scores, coordination of benefits savings, and third party liability savings.

Essential Functions - Director, Claims Administration

  • Lead and develop a high performing claims adjudication team. Assure proper staffing levels.
  • Implement goals setting, monitoring and achieving service-levels, medical trend management savings, and unit costs.
  • Ensure functions to meet or exceed corporate standards for accuracy and timeliness of claim payment.
  • Foster and maintain relationships with other departments to ensure that claims processes and procedures efficiently support other departments, products and overall customer service. Service on corporate committees as directed.
  • Initiate process improvement and cost-saving measures. Foster an environment that allows for continuous improvement.
  • Develop multi-year roadmaps and meet targets for unit costs, service levels, coaching and development, and other goals as developed.
  • Effectively communicate issues and concerns through verbal and written communications. Effectively communicate operational issues and concerns to leadership.
  • Ensure compliance with state and federal rules and regulations such as HIPAA, Department of Labor, ERISA, Michigan HMO Legislation, Medicaid, MiChild and Medicare.
Qualifications - Director, Claims Administration
  • Required Bachelor's Degree or equivalent education and experience
  • 10 years of relevant experience Prior management experience Required
  • 2 years of relevant experience Prior claims administration management experience Preferred
  • Health care plan claims experience strongly preferred.
    Physical Demands - Director, Claims Administration
    • Pallet to Waist (6" from floor) > 5 lbs: Seldom up to 10 lbs
    • Waist to Waist > 5 lbs: Seldom up to 10 lbs
    • Waist to Chest (below shoulder) > 5 lbs: Seldom up to 10 lbs
    • Waist to Overhead > 5 lbs: Seldom up to 10 lbs
    • Bilateral Carry > 5 lbs: Seldom up to 10 lbs
    • Unilateral Carry > 5 lbs: Seldom up to 10 lbs
    • Pushing Force > 5 lbs: Seldom up to 10 lbs
    • Pulling Force > 5 lbs: Seldom up to 10 lbs
    • Sitting: Frequently
    • Standing: Occasionally
    • Walking: Occasionally
    • Forward Bend - Standing: Seldom
    • Forward Bend - Sitting: Occasionally
    • Trunk Rotation - Standing: Seldom
    • Trunk Rotation - Sitting: Occasionally
    • Reach - Above Shoulder: Seldom
    • Reach - at Shoulder or Below: Seldom
    • Handling: Occasionally
    • Forceful Grip > 5 lbs: Seldom
    • Forceful Pinch > 2 lbs: Seldom
    • Finger/Hand Dexterity: Frequently

    How Corewell Health cares for you
    • Comprehensive benefits package to meet your financial, health, and work/life balance goals. Learn more here.
    • On-demand pay program powered by Payactiv
    • Discounts directory with deals on the things that matter to you, like restaurants, phone plans, spas, and more!
    • Optional identity theft protection, home and auto insurance
    • Traditional and Roth retirement options with service contribution and match savings
    • Eligibility for benefits is determined by employment type and status

    Primary Location

    SITE - Priority Health - 1239 E Beltline Ave NE - Grand Rapids

    Department Name

    Quality and Payment Integrity Administration - PH Managed Benefits

    Employment Type

    Full time

    Shift

    Day (United States of America)

    Weekly Scheduled Hours

    40

    Hours of Work

    9:00 a.m. to 5:00 p.m.

    Days Worked

    Monday through Friday

    Weekend Frequency

    N/A

    CURRENT COREWELL HEALTH TEAM MEMBERS - Please apply through Find Jobs from your Workday team member account. This career site is for Non-Corewell Health team members only.

    Corewell Health is committed to providing a safe environment for our team members, patients, visitors, and community. We require a drug-free workplace and require team members to comply with the MMR, Varicella, Tdap, and Influenza vaccine requirement if in an on-site or hybrid workplace category. We are committed to supporting prospective team members who require reasonable accommodations to participate in the job application process, to perform the essential functions of a job, or to enjoy equal benefits and privileges of employment due to a disability, pregnancy, or sincerely held religious belief.

    Corewell Health grants equal employment opportunity to all qualified persons without regard to race, color, national origin, sex, disability, age, religion, genetic information, marital status, height, weight, gender, pregnancy, sexual orientation, gender identity or expression, veteran status, or any other legally protected category.

    An interconnected, collaborative culture where all are encouraged to bring their whole selves to work, is vital to the health of our organization. As a health system, we advocate for equity as we care for our patients, our communities, and each other. From workshops that develop cultural intelligence, to our inclusion resource groups for people to find community and empowerment at work, we are dedicated to ongoing resources that advance our values of diversity, equity, and inclusion in all that we do. We invite those that share in our commitment to join our team.

    You may request assistance in completing the application process by calling 616.486.7447.

    Apply