... management, medical coding, DRG methodologies, CPT/HCPCS coding guidelines, physician specialty guidelines, reimbursement programs, claims adjudication processes, member contract benefits, and ...
... management, medical coding, DRG methodologies, CPT/HCPCS coding guidelines, physician specialty guidelines, reimbursement programs, claims adjudication processes, member contract benefits, and ...
Pharmacy Biller
$17.25 - $22.25/hr
This role reviews claims, resolves denials, and supports patients with billing and insurance ... Other duties as directed by management. LEVEL OF AUTHORITY & RESTRICTIONS This position requires ...
Pharmacy Biller
$17.25 - $22.25/hr
This role reviews claims, resolves denials, and supports patients with billing and insurance ... Other duties as directed by management. LEVEL OF AUTHORITY & RESTRICTIONS This position requires ...
Pharmacy Biller
Coos Bay, OR · On-site
$24.65/hr
This role reviews claims, resolves denials, and supports patients with billing and insurance ... management. LEVEL OF AUTHORITY & RESTRICTIONS • This position requires working independently ...
Pharmacy Biller
Coos Bay, OR · On-site
$24.65/hr
This role reviews claims, resolves denials, and supports patients with billing and insurance ... management. LEVEL OF AUTHORITY & RESTRICTIONS • This position requires working independently ...
Pharmacy Biller
Coos Bay, OR · On-site
$17.25 - $22.25/hr
This role reviews claims, resolves denials, and supports patients with billing and insurance ... management. LEVEL OF AUTHORITY & RESTRICTIONS · This position requires working independently ...
Quick apply
Pharmacy Biller
Coos Bay, OR · On-site
$17.25 - $22.25/hr
This role reviews claims, resolves denials, and supports patients with billing and insurance ... management. LEVEL OF AUTHORITY & RESTRICTIONS · This position requires working independently ...
... Manager. ABOUT THE ROLE You are the technical backbone of the commercial team. You bring application expertise directly to the field, resolving quality claims, conducting equipment and rope ...
... Manager. ABOUT THE ROLE You are the technical backbone of the commercial team. You bring application expertise directly to the field, resolving quality claims, conducting equipment and rope ...
Payroll Clerk/Human Resources Coordinator
Bandon, OR · On-site
$63K/yr
PTO
Manage unemployment claims and responses in a timely manner. Maintain documentation and ensure compliance with state unemployment regulations. * Develop and implement procedures to ensure ongoing ...
Payroll Clerk/Human Resources Coordinator
Bandon, OR · On-site
$63K/yr
PTO
Manage unemployment claims and responses in a timely manner. Maintain documentation and ensure compliance with state unemployment regulations. * Develop and implement procedures to ensure ongoing ...
Payroll Clerk/Human Resources Coordinator
Bandon, OR · On-site
$63K/yr
PTO
Manage unemployment claims and responses in a timely manner. Maintain documentation and ensure compliance with state unemployment regulations. * Develop and implement procedures to ensure ongoing ...
Payroll Clerk/Human Resources Coordinator
Bandon, OR · On-site
$63K/yr
PTO
Manage unemployment claims and responses in a timely manner. Maintain documentation and ensure compliance with state unemployment regulations. * Develop and implement procedures to ensure ongoing ...
Pharmacy Technician / Pharm Tech Apprenticeship
North Bend, OR · On-site
$19.50 - $23/hr
... claims for third party program prescription services in a timely and efficient manner, and performs other clerical duties, as assigned by the Pharmacy Manager. * Assists and supports Pharmacy ...
Pharmacy Technician / Pharm Tech Apprenticeship
North Bend, OR · On-site
$19.50 - $23/hr
... claims for third party program prescription services in a timely and efficient manner, and performs other clerical duties, as assigned by the Pharmacy Manager. * Assists and supports Pharmacy ...
Pharmacy Technician / Pharm Tech Apprenticeship
North Bend, OR · On-site
$16.25 - $19.75/hr
... claims for third party program prescription services in a timely and efficient manner, and performs other clerical duties, as assigned by the Pharmacy Manager. * Assists and supports Pharmacy ...
Pharmacy Technician / Pharm Tech Apprenticeship
North Bend, OR · On-site
$16.25 - $19.75/hr
... claims for third party program prescription services in a timely and efficient manner, and performs other clerical duties, as assigned by the Pharmacy Manager. * Assists and supports Pharmacy ...
Sales Executive, L&A
OR · On-site +1
In this role, you will manage the strategy and end to end complex sales cycle for Sapiens Suite of offerings including Policy Administration, Billing, Claims and our data and digital software ...
Sales Executive, L&A
OR · On-site +1
In this role, you will manage the strategy and end to end complex sales cycle for Sapiens Suite of offerings including Policy Administration, Billing, Claims and our data and digital software ...
Pharmacy Technician / Pharm Tech Apprenticeship
North Bend, OR · On-site
$16.25 - $19.75/hr
... claims for third party program prescription services in a timely and efficient manner, and performs other clerical duties, as assigned by the Pharmacy Manager. * Assists and supports Pharmacy ...
Pharmacy Technician / Pharm Tech Apprenticeship
North Bend, OR · On-site
$16.25 - $19.75/hr
... claims for third party program prescription services in a timely and efficient manner, and performs other clerical duties, as assigned by the Pharmacy Manager. * Assists and supports Pharmacy ...
Associate General Counsel, Employment Law - Temporary
OR · Remote
$152K - $202K/yr
Medical
Life
Partner with stakeholders across the organization to support employee relations, workforce management, and policy-related issues. * Respond to employment-related claims, demands, wage disputes, and ...
Associate General Counsel, Employment Law - Temporary
OR · Remote
$152K - $202K/yr
Medical
Life
Partner with stakeholders across the organization to support employee relations, workforce management, and policy-related issues. * Respond to employment-related claims, demands, wage disputes, and ...
Senior Counsel, Global Commercial Legal - U.S. Market Access and Pricing
$130K - $177K/yr
Medical
Dental
Vision
Retirement
PTO
Market Access and Pricing functions advising on price reporting, Anti-Kickback Statute and False Claims Act matters. * Provide strategic legal counsel to senior management on product pricing and ...
Quick apply
Senior Counsel, Global Commercial Legal - U.S. Market Access and Pricing
$130K - $177K/yr
Medical
Dental
Vision
Retirement
PTO
Market Access and Pricing functions advising on price reporting, Anti-Kickback Statute and False Claims Act matters. * Provide strategic legal counsel to senior management on product pricing and ...
Pediatric Dentist
Roseburg, OR · On-site
Medical
Dental
Vision
Life
Retirement
PTO
... Management, Compliance, Accounting & Finance, etc. As a valued team member, you'll enjoy a ... claims Benefits Available: * Paid Time Off and 9 Paid Holidays * 401k * Uniforms/Scrubs Provided
Pediatric Dentist
Roseburg, OR · On-site
Medical
Dental
Vision
Life
Retirement
PTO
... Management, Compliance, Accounting & Finance, etc. As a valued team member, you'll enjoy a ... claims Benefits Available: * Paid Time Off and 9 Paid Holidays * 401k * Uniforms/Scrubs Provided
Senior Counsel, Global Commercial Legal - U.S. Market Access and Pricing
OR · On-site +1
$160K/yr
Medical
Dental
Vision
Retirement
PTO
Market Access and Pricing functions advising on price reporting, Anti-Kickback Statute and False Claims Act matters. * Provide strategic legal counsel to senior management on product pricing and ...
Senior Counsel, Global Commercial Legal - U.S. Market Access and Pricing
OR · On-site +1
$160K/yr
Medical
Dental
Vision
Retirement
PTO
Market Access and Pricing functions advising on price reporting, Anti-Kickback Statute and False Claims Act matters. * Provide strategic legal counsel to senior management on product pricing and ...
Pediatric Dentist
Roseburg, OR · On-site
Medical
Dental
Vision
Life
Retirement
PTO
... Management, Compliance, Accounting & Finance, etc. As a valued team member, you'll enjoy a ... claims Benefits Available: * Paid Time Off and 9 Paid Holidays * 401k * Uniforms/Scrubs Provided
Pediatric Dentist
Roseburg, OR · On-site
Medical
Dental
Vision
Life
Retirement
PTO
... Management, Compliance, Accounting & Finance, etc. As a valued team member, you'll enjoy a ... claims Benefits Available: * Paid Time Off and 9 Paid Holidays * 401k * Uniforms/Scrubs Provided
Provider Relations Representative
Roseburg, OR · On-site
$59K - $68K/yr
Medical
Dental
Vision
Life
Retirement
PTO
Representatives work under the direction of the Provider Relations Manager and collaborate with ... Respond to provider questions and help resolve issues related to claims status, eligibility ...
Quick apply
Provider Relations Representative
Roseburg, OR · On-site
$59K - $68K/yr
Medical
Dental
Vision
Life
Retirement
PTO
Representatives work under the direction of the Provider Relations Manager and collaborate with ... Respond to provider questions and help resolve issues related to claims status, eligibility ...
Provider Relations Representative
Roseburg, OR · On-site
$59K - $68K/yr
Medical
Dental
Vision
Life
Retirement
PTO
Representatives work under the direction of the Provider Relations Manager and collaborate with ... Respond to provider questions and help resolve issues related to claims status, eligibility ...
Provider Relations Representative
Roseburg, OR · On-site
$59K - $68K/yr
Medical
Dental
Vision
Life
Retirement
PTO
Representatives work under the direction of the Provider Relations Manager and collaborate with ... Respond to provider questions and help resolve issues related to claims status, eligibility ...
Senior Counsel, Global Commercial Legal - U.S. Market Access and Pricing
OR · Remote
$142K - $194K/yr
Medical
Dental
Vision
Retirement
PTO
Market Access and Pricing functions advising on price reporting, Anti-Kickback Statute and False Claims Act matters. * Provide strategic legal counsel to senior management on product pricing and ...
Senior Counsel, Global Commercial Legal - U.S. Market Access and Pricing
OR · Remote
$142K - $194K/yr
Medical
Dental
Vision
Retirement
PTO
Market Access and Pricing functions advising on price reporting, Anti-Kickback Statute and False Claims Act matters. * Provide strategic legal counsel to senior management on product pricing and ...
Pediatric Dentist
Roseburg, OR · On-site
Medical
Dental
Vision
Life
Retirement
PTO
... Management, Compliance, Accounting & Finance, etc. As a valued team member, you'll enjoy a ... no negative claims Compensation Range 200,000 to 320,000 Benefits Available Benefits Available:
Pediatric Dentist
Roseburg, OR · On-site
Medical
Dental
Vision
Life
Retirement
PTO
... Management, Compliance, Accounting & Finance, etc. As a valued team member, you'll enjoy a ... no negative claims Compensation Range 200,000 to 320,000 Benefits Available Benefits Available:
Claims Manager information
See Remote, OR salary details
$35K - $44.4K
4% of jobs
$44.4K - $53.9K
4% of jobs
$53.9K - $63.3K
10% of jobs
$66.9K is the 25th percentile. Wages below this are outliers.
$63.3K - $72.7K
18% of jobs
$72.7K - $82.2K
12% of jobs
The median wage is $83.8K / yr.
$82.2K - $91.6K
13% of jobs
$91.6K - $101.1K
14% of jobs
$101.5K is the 75th percentile. Wages above this are outliers.
$101.1K - $110.5K
12% of jobs
$110.5K - $120K
7% of jobs
$120K - $129.4K
4% of jobs
$129.4K - $138.9K
2% of jobs
$35K
$87.8K
$138.9K
How much do claims manager jobs pay per year?
How much do claims managers make in the US?
What is the difference between Claims Manager vs Claims Adjuster?
| Aspect | Claims Manager | Claims Adjuster |
|---|---|---|
| Credentials | Typically requires a bachelor’s degree, industry certifications (e.g., CPCU), and management experience | Usually requires a high school diploma or bachelor’s degree, with certifications like AIC or CPCU preferred |
| Work Environment | Oversees claims departments, manages teams, and develops policies within insurance companies | Evaluates individual claims, investigates damages, and determines settlement amounts |
| Employer & Industry Usage | Commonly employed in insurance companies, handling claims processes and team management | Found in insurance firms, adjusting claims directly with policyholders and providers |
In summary, Claims Managers oversee the claims process and manage teams, requiring leadership skills and industry certifications. Claims Adjusters focus on evaluating individual claims, investigating damages, and determining payouts. Both roles are essential in the insurance industry but differ in scope and responsibilities.
What is the role of a claims manager?
How does a claims manager balance high case volumes with thorough and accurate claim assessments?
What skills and qualifications are needed to be a claims manager?
What does a claims manager do?
What are the most commonly searched types of Claims jobs in Remote, OR?
The most popular types of Claims jobs in Remote, OR are:
What are popular job titles related to Claims Manager jobs in Remote, OR?
For Claims Manager jobs in Remote, OR, the most frequently searched job titles are:
What job categories do people searching Claims Manager jobs in Remote, OR look for?
The top searched job categories for Claims Manager jobs in Remote, OR are:
What cities near Remote, OR are hiring for Claims Manager jobs?
Cities near Remote, OR with the most Claims Manager job openings:

Full-time
Re-posted 16 days ago
Job description
Bluespine is an innovative new startup in the health-IT domain. By employing cutting-edge technologies, Bluespine is developing an engine that detects errors in medical billing, which causes billions of dollars in losses across the entire industry. Bluespine can offer personalized precision by tailoring assessments to each unique medical claim, considering the relevant provider, payer, and plan, and ensuring unparalleled accuracy.
We are looking for a Payment Accuracy and Concept Lead to discover medical billing errors and fraudulent billing patterns of medical claims for commercial payers.
Utilized Bluespine platform to develop and enhance new audit concepts using healthcare. Leads concept creation across multiple audit verticals, collaborating with R&D for testing
Responsibilities
- Leverages the Bluespine platform to develop and refine new audit concepts in healthcare. Leads concept creation across multiple audit verticals.
- Works closely with Medical Coders, Data Sciences, and Engineering teams to ensure alignment and drive impactful results
- Lead in-depth research of new ideas and concepts
Requirements
- Extensive knowledge of medical terminology, medical records, health information management, medical coding, DRG methodologies, CPT/HCPCS coding guidelines, physician specialty guidelines, reimbursement programs, claims adjudication processes, member contract benefits, and provider billing systems and practices.
- Previous auditing or consulting experience in a provider or payer environment is preferred
Advantages
- Registered Nurse required; Bachelor's or Graduate degree
- Previous auditing or consulting experience with self-insured companies