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Claims Administration Manager Jobs (NOW HIRING)

Sourcedge Solutions

FACETS Claims Processor

Albany, NY · Remote

$17 - $21.25/hr

... Claims Administration requirements * High school diploma or equivalent required * Must have 5+ years of relevant claim processing experience in healthcare industry (managed care or TPA Company) to ...

ProviDRs Care

Claims Director

Wichita, KS · On-site

$95K - $125K/yr

Develop a strong understanding of Unified Health Plan's claims administration system and adjudication workflows. * Partner with Systems, Data, Account Management, and Implementation teams to ensure ...

New

Corvel

Claims Manager

Nottingham, MD · On-site

$87K - $134K/yr

Knowledge of the entire claims administration, case management and cost containment solution as applicable to Workers' Compensation EDUCATION & EXPERIENCE: * Bachelor's degree or a combination of ...

CWA Recruiting

VP Claims / Risk Management

Hempstead, NY · On-site

... Manager to lead the development, implementation, and oversight of our organization's comprehensive ... Coordinate the investigation, administration, and resolution of insurance claims with third-party ...

Corvel

Claims Manager

Nottingham, MD · On-site

$87K - $134K/yr

Knowledge of the entire claims administration, case management and cost containment solution as applicable to Workers' Compensation EDUCATION & EXPERIENCE: * Bachelor's degree or a combination 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 Aug 14, 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?

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.
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Cities with the most Claims Administration Manager job openings:

What states have the most Claims Administration Manager jobs?

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Claims Administration Manager jobs near you
Infographic showing various Claims Administration Manager job openings in the United States as of August 2026, with employment types broken down into 98% Full Time, and 2% Part Time. Highlights an 70% In-person, 5% Hybrid, and 25% Remote job distribution, with an average salary of $87,861 per year, or $42.2 per hour.

FACETS Claims Processor

Sourcedge Solutions

Albany, NY • Remote

$17 - $21.25/hr

Contractor

Re-posted yesterday

Job description

Location: Remote 
Reply at: Jobs@sourcedge.com
FACETS SENIOR CLAIMS PROCESSOR 
Job Description:
 
  • 5 Years Facets Claims Adjudication Experience
 
  • The Claims Examiner must maintain production and inventory standards compliant with Claims Administration requirements
 
  • High school diploma or equivalent required
 
  • Must have 5+ years of relevant claim processing experience in healthcare industry (managed care or TPA Company) to support our clients
 
  • Possess high productivity and quality standards within a claims processing automation environment
 
  • Knowledge of CPT, HCPC, ICD-10 codes
 
  • Knowledge of HMO, PPO, Medicare and Medicaid plans
 
  • Knowledge of Medical terminology
 
  • Computer with 2 Monitors
 
  • High Speed Internet Connection
 
  • Ability to work remote 8 hour day, Mon-Fri.

Responsibilities:
 
  • The claims examiner is responsible for accurate and timely adjudication of claims for the Health Plans lines of business
 
  • Primary duties include analysis and resolution of claims, including reviewing pended claims and manually resolving based on client specified direction and criteria, including  third-party liability claims
 
  • The claims examiner must be able to work independently, effectively prioritizing work in a production environment that frequently changes to meet production standards and contractual requirements
 
  • Success in this position will be based on the individual's ability to effectively prioritize work, identify, and resolve complex concerns in a professional manner, and work in a team environment to achieve and maintain production and audit standards
 
  • Timely and accurate processing and adjudication of all types of claims from assigned workflow queues
 
  • Compliance with state, federal and contractual requirements to Claims Administration
 
  • Demonstrate a thorough knowledge of the Plan's claims processing procedures as provided in training materials and proficiency with the core and ancillary system applications
 
  • Demonstrates the ability to think analytically to resolve complicated claim issues and identify appropriately when to escalate issues for review
 
  • Ability to review and apply Plan directives and desktop procedures to claims, following step by step guidelines
 
  • Claim analysis of coding and billing compliance, potential third-party liability, accurate coordination of benefits (COB), benefit application including limitations and restrictions, pre-existing conditions, subrogation, medical necessity and other claim investigation as appropriate
 
  • Complete all mandatory claims training/refresher courses
 
  • Actively participates and supports department and organization-wide efforts to improve efficiencies while supporting departmental goals and objectives
 
  • Complete all mandatory compliance and corporate training
 
  • Must be able to adapt to a changing work priorities and requirements and perform other duties as directed to support the overall functions of Claims Administration and support of staff without boundaries within the Plan