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Claims Manager Jobs in Remote, OR (NOW HIRING)

Pharmacy Biller

Coos Bay, OR

$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 ...

... 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 ...

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 ...

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 ...

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 ...

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:

Showing results 21-40

Claims Manager information

See Remote, OR salary details

$35K

$87.8K

$138.9K

How much do claims manager jobs pay per year?

As of Aug 16, 2026, the average yearly pay for claims manager in Remote, OR is $87,775.00, according to ZipRecruiter salary data. Most workers in this role earn between $67,900.00 and $104,900.00 per year, depending on experience, location, and employer.

How much do claims managers make in the US?

Claims managers in the US typically earn a median annual salary of around $80,000 to $100,000, with experienced professionals and those in senior roles earning higher. Salaries can vary based on location, industry, and level of experience, and many claims managers hold certifications such as the Chartered Property Casualty Underwriter (CPCU).

What is the difference between Claims Manager vs Claims Adjuster?

AspectClaims ManagerClaims Adjuster
CredentialsTypically requires a bachelor’s degree, industry certifications (e.g., CPCU), and management experienceUsually requires a high school diploma or bachelor’s degree, with certifications like AIC or CPCU preferred
Work EnvironmentOversees claims departments, manages teams, and develops policies within insurance companiesEvaluates individual claims, investigates damages, and determines settlement amounts
Employer & Industry UsageCommonly employed in insurance companies, handling claims processes and team managementFound 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?

A claims manager oversees the processing and settlement of insurance claims, ensuring accuracy and compliance with policies. They evaluate claim validity, coordinate with adjusters and clients, and may use claims management software to streamline operations.

How does a claims manager balance high case volumes with thorough and accurate claim assessments?

Claims Managers often face the challenge of managing a large number of claims while maintaining quality and compliance. To address this, they implement efficient workflows, delegate tasks among team members, and use claims management software to automate routine processes. Regular team meetings and performance tracking help ensure that each claim is processed accurately and within regulatory timelines. Strong organizational skills and effective communication are key to balancing these demands and supporting both claimants and internal stakeholders.

What skills and qualifications are needed to be a claims manager?

To thrive as a Claims Manager, you need expertise in insurance policies, risk assessment, and claims processing, usually supported by a degree in business, finance, or a related field. Familiarity with claims management software, regulatory compliance tools, and industry certifications such as AIC (Associate in Claims) is typically required. Strong analytical thinking, negotiation skills, and effective communication help you manage complex cases and lead teams successfully. These skills and qualities are vital for ensuring accurate claims resolution, minimizing financial loss, and maintaining client trust.

What does a claims manager do?

A Claims Manager oversees the processing and resolution of insurance claims within an organization. Their responsibilities include evaluating claims, ensuring compliance with company policies and legal regulations, and managing a team of claims adjusters or examiners. Claims Managers work to ensure claims are handled efficiently and fairly, often acting as a point of escalation for complex or disputed cases. They also analyze data to improve claims processes and mitigate risk. Effective communication and leadership skills are essential in this role.

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:

Infographic showing various Claims Manager job openings in Remote, OR as of August 2026, with employment types broken down into 100% Full Time. Highlights an 75% In-person, and 25% Hybrid job distribution, with an average salary of $87,775 per year, or $42.2 per hour.

Bluespine-Payment Accuracy and Concept Lead (AI-Driven)

Team8

OR • On-site, Remote

Full-time

Re-posted 16 days ago


Job description

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