Claims Manager
$85K/yr
... Coordinate programming updates and client communications for Plan changes. • Run reports as ... claims productivity and auto-adjudication rates. • Perform other special projects as assigned.
Quick apply
Claims Manager
$85K/yr
... Coordinate programming updates and client communications for Plan changes. • Run reports as ... claims productivity and auto-adjudication rates. • Perform other special projects as assigned.
Claims Manager
Pewaukee, WI · On-site
$85K/yr
... Coordinate programming updates and client communications for Plan changes. • Run reports as ... claims productivity and auto-adjudication rates. • Perform other special projects as assigned.
Quick apply
Claims Manager
Pewaukee, WI · On-site
$85K/yr
... Coordinate programming updates and client communications for Plan changes. • Run reports as ... claims productivity and auto-adjudication rates. • Perform other special projects as assigned.
Director, Claims Solutions
Morristown, NJ · On-site
This is a hands-on player-coach role focused on delivery excellence, engineering rigor, and building internal capability. Key Responsibilities Strategy & Leadership * Define and execute the Claims ...
Director, Claims Solutions
Morristown, NJ · On-site
This is a hands-on player-coach role focused on delivery excellence, engineering rigor, and building internal capability. Key Responsibilities Strategy & Leadership * Define and execute the Claims ...
Claims Manager
Pewaukee, WI · Remote
$85K/yr
Paid time off Summary The Claims Manager is responsible for supervising, coordinating, and ... Coordinate programming updates and client communications for Plan changes. Run reports as needed.
Quick apply
Claims Manager
Pewaukee, WI · Remote
$85K/yr
Paid time off Summary The Claims Manager is responsible for supervising, coordinating, and ... Coordinate programming updates and client communications for Plan changes. Run reports as needed.
Contract Claims Manager
Baltimore, MD · On-site
Join us. AECOM is seeking a Contract Claims Manager to be based in our Baltimore, MD office to ... Bachelor's degree in Engineering, Construction Management, Business Management, Law or equivalent ...
Contract Claims Manager
Baltimore, MD · On-site
Join us. AECOM is seeking a Contract Claims Manager to be based in our Baltimore, MD office to ... Bachelor's degree in Engineering, Construction Management, Business Management, Law or equivalent ...
Contract Claims Manager
Baltimore, MD · On-site
Join us. AECOM is seeking a Contract Claims Manager to be based in our Baltimore, MD office to ... Bachelor's degree in Engineering, Construction Management, Business Management, Law or equivalent ...
Contract Claims Manager
Baltimore, MD · On-site
Join us. AECOM is seeking a Contract Claims Manager to be based in our Baltimore, MD office to ... Bachelor's degree in Engineering, Construction Management, Business Management, Law or equivalent ...
Contract Claims Manager
Baltimore, MD · On-site
Join us. AECOM is seeking a Contract Claims Manager to be based in our Baltimore, MD office to ... Bachelor's degree in Engineering, Construction Management, Business Management, Law or equivalent ...
Contract Claims Manager
Baltimore, MD · On-site
Join us. AECOM is seeking a Contract Claims Manager to be based in our Baltimore, MD office to ... Bachelor's degree in Engineering, Construction Management, Business Management, Law or equivalent ...
Collaborate with Product and Engineering teams to influence roadmap priorities based on claims analysis findings and client needs. * Serve as a senior analytics representative in client-facing ...
Collaborate with Product and Engineering teams to influence roadmap priorities based on claims analysis findings and client needs. * Serve as a senior analytics representative in client-facing ...
OR · On-site
Collaborate with Product and Engineering teams to influence roadmap priorities based on claims analysis findings and client needs. * Serve as a senior analytics representative in client-facing ...
OR · On-site
Collaborate with Product and Engineering teams to influence roadmap priorities based on claims analysis findings and client needs. * Serve as a senior analytics representative in client-facing ...
Principal Claims Consultant
$130K - $200K/yr
Principal Claims Consultant Arcadis is the world's leading company delivering sustainable design, engineering, and consultancy solutions for natural and built assets. We are more than 36,000 people ...
Principal Claims Consultant
$130K - $200K/yr
Principal Claims Consultant Arcadis is the world's leading company delivering sustainable design, engineering, and consultancy solutions for natural and built assets. We are more than 36,000 people ...
Engineering Manager, Claims Technology
Boston, MA · On-site
$150K - $170K/yr
Berkshire Hathaway Specialty Insurance (BHSI) has an exciting opportunity for a highly capable and innovation‑driven Engineering Manager to lead our Claims Automation & AI Technology initiatives.
New
Quick apply
Engineering Manager, Claims Technology
Boston, MA · On-site
$150K - $170K/yr
Berkshire Hathaway Specialty Insurance (BHSI) has an exciting opportunity for a highly capable and innovation‑driven Engineering Manager to lead our Claims Automation & AI Technology initiatives.
New
Head of Claims
New York, NY · On-site
$150K - $200K/yr
Partner with product and engineering teams to automate and improve workflows using AI Own technical claims excellence * Define claims handling standards across auto, property, liability, travel ...
Head of Claims
New York, NY · On-site
$150K - $200K/yr
Partner with product and engineering teams to automate and improve workflows using AI Own technical claims excellence * Define claims handling standards across auto, property, liability, travel ...
Principal Claims Consultant
Los Angeles, CA · On-site
$130K - $200K/yr
Arcadis is the world's leading company delivering sustainable design, engineering, and consultancy ... Role description: Arcadis seeks a Principal Claims Consultant with a broad and established ...
Principal Claims Consultant
Los Angeles, CA · On-site
$130K - $200K/yr
Arcadis is the world's leading company delivering sustainable design, engineering, and consultancy ... Role description: Arcadis seeks a Principal Claims Consultant with a broad and established ...
Principal Claims Consultant
Los Angeles, CA · On-site
$130K - $200K/yr
Arcadis is the world's leading company delivering sustainable design, engineering, and consultancy ... Role description: Arcadis seeks a Principal Claims Consultant with a broad and established ...
Principal Claims Consultant
Los Angeles, CA · On-site
$130K - $200K/yr
Arcadis is the world's leading company delivering sustainable design, engineering, and consultancy ... Role description: Arcadis seeks a Principal Claims Consultant with a broad and established ...
Claims Director, Rideshare
Atlanta, GA · On-site +1
As our Claims Director , you'll lead a team of Claims Professionals managing real property and auto ... Partner with Product and Engineering to inform the development of tools, systems, and processes ...
Claims Director, Rideshare
Atlanta, GA · On-site +1
As our Claims Director , you'll lead a team of Claims Professionals managing real property and auto ... Partner with Product and Engineering to inform the development of tools, systems, and processes ...
This team is responsible for the management and handling of Surety claims such as Contract Surety, Commercial Surety, Developer Surety and Home Warranty in a team environment. Your claims experience ...
This team is responsible for the management and handling of Surety claims such as Contract Surety, Commercial Surety, Developer Surety and Home Warranty in a team environment. Your claims experience ...
Claims Transformation Domain Lead
Jersey City, NJ · On-site
$180K - $275K/yr
The role will serve as the primary bridge between business strategy, product, and AI/engineering teams, ensuring solutions are purpose-built for claims operations and deliver tangible outcomes for ...
Claims Transformation Domain Lead
Jersey City, NJ · On-site
$180K - $275K/yr
The role will serve as the primary bridge between business strategy, product, and AI/engineering teams, ensuring solutions are purpose-built for claims operations and deliver tangible outcomes for ...
Claims Transformation Domain Lead
Jersey City, NJ · On-site
$180K - $275K/yr
The role will serve as the primary bridge between business strategy, product, and AI/engineering teams, ensuring solutions are purpose-built for claims operations and deliver tangible outcomes for ...
Claims Transformation Domain Lead
Jersey City, NJ · On-site
$180K - $275K/yr
The role will serve as the primary bridge between business strategy, product, and AI/engineering teams, ensuring solutions are purpose-built for claims operations and deliver tangible outcomes for ...
Step beyond traditional operational boundaries to serve as a critical liaison between Claims, Product, Engineering, Safety, Legal, and Actuarial. Translate operational data into compelling policy ...
Step beyond traditional operational boundaries to serve as a critical liaison between Claims, Product, Engineering, Safety, Legal, and Actuarial. Translate operational data into compelling policy ...
Join our AI & Engineering team in transforming technology platforms, driving innovation, and ... Gather and document business requirements for claims intake, adjudication, workflow, vendor ...
Join our AI & Engineering team in transforming technology platforms, driving innovation, and ... Gather and document business requirements for claims intake, adjudication, workflow, vendor ...
Claims Developer information
See salary details
$12.02 - $14.03
2% of jobs
$14.03 - $16.04
13% of jobs
$17.95 is the 25th percentile. Wages below this are outliers.
$16.04 - $18.05
11% of jobs
$18.05 - $20.06
14% of jobs
The median wage is $20.81 / hr.
$20.06 - $22.07
29% of jobs
$22.07 - $24.08
6% of jobs
$24.21 is the 75th percentile. Wages above this are outliers.
$24.08 - $26.09
9% of jobs
$26.09 - $28.10
3% of jobs
$28.10 - $30.11
3% of jobs
$30.11 - $32.12
3% of jobs
$32.12 - $34.13
7% of jobs
$12
$22
$34
How much do claims developer jobs pay per hour?
As of Jun 3, 2026, the average hourly pay for claims developer in the United States is $22.34, according to ZipRecruiter salary data. Most workers in this role earn between $18.27 and $25.48 per hour, depending on experience, location, and employer.
What are the key skills and qualifications needed to thrive as a Claims Developer, and why are they important?
To thrive as a Claims Developer, you need strong analytical skills, proficiency in claims processing, and a solid understanding of insurance policies and regulations, often supported by a relevant degree or experience in insurance or software development. Familiarity with claims management systems, programming languages like SQL or Python, and knowledge of industry-specific software such as Guidewire or Facets is typically required. Attention to detail, problem-solving abilities, and effective communication are crucial soft skills for this role. These skills ensure accurate, efficient claims processing and enable collaboration with cross-functional teams to resolve complex issues and improve system workflows.
How does a Claims Developer typically collaborate with other teams during the claims process?
A Claims Developer frequently works alongside claims adjusters, business analysts, and IT specialists to design, implement, and refine claims processing systems. Collaboration often involves gathering user requirements, discussing workflow improvements, and troubleshooting system issues to ensure efficient claims management. Regular meetings and clear communication are crucial, as the Claims Developer translates operational needs into technical solutions that align with the organization's objectives.
What are Claims Developers?
Claims Developers are professionals who design, implement, and maintain software solutions that handle insurance claims processing. They work closely with business analysts and claims adjusters to understand workflow requirements, then translate these needs into efficient, automated systems. Their role often includes coding, testing, troubleshooting, and optimizing claims management platforms to ensure accurate and timely processing of claims. Claims Developers are typically proficient in programming languages and familiar with insurance industry standards and regulations.
More about Claims Developer jobs
What job categories do people searching Claims Developer jobs look for? The top searched job categories for Claims Developer jobs are:
- Virtual Remote Claims Manager
- Contractual Remote Claims Manager
- Work From Home Workers Compensation Claims Assistant
- Remote Insurance Claims Executive
- Full Time Cigna Claims Representative
- Senior Fsa Claims Processor
- Environmental Claims Manager
- Remote Cognizant Claims Processing
- Part Time Workers Compensation Claims Manager
- Nationwide Claims
$85K/yr
Full-time
Medical, Dental, Vision, PTO
Posted 17 days ago
Job description
Summary
The Claims Manager is responsible for supervising, coordinating, and implementing a wide range of departmental projects and programs, as well as overseeing the day-to-day operations of the Claims Department. The Claims Department processes medical, dental, vision, disability, and HRA claims and provides customer service support to participants.
Essential Duties and Responsibilities
Operational Responsibilities
• Process and audit all types of claims—including medical, dental, vision, HRA, and loss-of-time (short-term disability)—for active members and retirees.
• Ensure claims are processed accurately and meet quality, timeliness, and production standards.
• Research and resolve appealed, questionable, or denied claims to ensure fair and timely outcomes.
• Conduct phone monitoring to ensure quality service.
• Respond promptly and professionally to phone, written, and walk-in inquiries from participants, trustees, employers, and union representatives.
• Draft written correspondence regarding claim inquiries, determinations, and appeals.
• Coordinate programming updates and client communications for Plan changes.
• Run reports as needed. Analyze report data and notify Administrative Manager of concerns or recommendations for improvement.
• Collaborate with consultants, attorneys, and management on benefit interpretations, subrogation, workers’ compensation, and preparation of plan materials and booklets.
• Communicate and collaborate with vendors such as PBM, PPO, UR, Case Management, etc as needed.
• Support efforts to improve electronic claims productivity and auto-adjudication rates.
• Perform other special projects as assigned.
Supervisory Responsibilities
• Ensure employees follow organizational policies and procedures.
• Manage scheduling for PTO, assign overtime, and arrange coverage for absent staff.
• Regularly assess departmental and employee needs to maintain efficient operations.
• Develop individualized training plans to ensure employees have the expertise required for their roles; provide ongoing coaching and guidance.
• Prepare agendas for regular staff meetings.
• Maintain performance standards for staff roles, provide constructive feedback, and identify opportunities for improvement.
• Develop performance improvement plans when necessary, as well as recognize and reward strong performance.
Qualifications
• Post–high school education and/or relevant work experience preferred.
• Five or more years of experience in an automated claims processing or benefits administration environment.
• At least two years of management or supervisory experience.
• Thorough knowledge of claims operations, including claim payment, contract interpretation, and benefit communication.
• Ability to read and interpret documents such as Summary Plan Descriptions and Plan rules. Ability to communicate clearly and professionally with participants and internal departments.
• Ability to apply common sense understanding to carry out detailed written or oral instructions.
Physical Demands
Ability to sit or stand for long periods of time. The physical demands listed are representative of those required to successfully perform the essential functions of this position. Reasonable accommodations may be provided to enable individuals with disabilities to perform these functions.
Work Environment
In office work environment Monday through Friday. Limited ability to work from home. May require occasional travel for meetings with vendors or participants.
The company is an equal opportunity employer. This description is not intended and should not be construed to be an exhaustive list of all responsibilities, skills, effort, work conditions, and benefits associated with the job.
The Claims Manager is responsible for supervising, coordinating, and implementing a wide range of departmental projects and programs, as well as overseeing the day-to-day operations of the Claims Department. The Claims Department processes medical, dental, vision, disability, and HRA claims and provides customer service support to participants.
Essential Duties and Responsibilities
Operational Responsibilities
• Process and audit all types of claims—including medical, dental, vision, HRA, and loss-of-time (short-term disability)—for active members and retirees.
• Ensure claims are processed accurately and meet quality, timeliness, and production standards.
• Research and resolve appealed, questionable, or denied claims to ensure fair and timely outcomes.
• Conduct phone monitoring to ensure quality service.
• Respond promptly and professionally to phone, written, and walk-in inquiries from participants, trustees, employers, and union representatives.
• Draft written correspondence regarding claim inquiries, determinations, and appeals.
• Coordinate programming updates and client communications for Plan changes.
• Run reports as needed. Analyze report data and notify Administrative Manager of concerns or recommendations for improvement.
• Collaborate with consultants, attorneys, and management on benefit interpretations, subrogation, workers’ compensation, and preparation of plan materials and booklets.
• Communicate and collaborate with vendors such as PBM, PPO, UR, Case Management, etc as needed.
• Support efforts to improve electronic claims productivity and auto-adjudication rates.
• Perform other special projects as assigned.
Supervisory Responsibilities
• Ensure employees follow organizational policies and procedures.
• Manage scheduling for PTO, assign overtime, and arrange coverage for absent staff.
• Regularly assess departmental and employee needs to maintain efficient operations.
• Develop individualized training plans to ensure employees have the expertise required for their roles; provide ongoing coaching and guidance.
• Prepare agendas for regular staff meetings.
• Maintain performance standards for staff roles, provide constructive feedback, and identify opportunities for improvement.
• Develop performance improvement plans when necessary, as well as recognize and reward strong performance.
Qualifications
• Post–high school education and/or relevant work experience preferred.
• Five or more years of experience in an automated claims processing or benefits administration environment.
• At least two years of management or supervisory experience.
• Thorough knowledge of claims operations, including claim payment, contract interpretation, and benefit communication.
• Ability to read and interpret documents such as Summary Plan Descriptions and Plan rules. Ability to communicate clearly and professionally with participants and internal departments.
• Ability to apply common sense understanding to carry out detailed written or oral instructions.
Physical Demands
Ability to sit or stand for long periods of time. The physical demands listed are representative of those required to successfully perform the essential functions of this position. Reasonable accommodations may be provided to enable individuals with disabilities to perform these functions.
Work Environment
In office work environment Monday through Friday. Limited ability to work from home. May require occasional travel for meetings with vendors or participants.
The company is an equal opportunity employer. This description is not intended and should not be construed to be an exhaustive list of all responsibilities, skills, effort, work conditions, and benefits associated with the job.