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Claims Manager Jobs in Rio Rancho, NM (NOW HIRING)

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Claims Manager information

See Rio Rancho, NM salary details

$32.9K

$82.6K

$130.7K

How much do claims manager jobs pay per year?

As of Aug 14, 2026, the average yearly pay for claims manager in Rio Rancho, NM is $82,643.00, according to ZipRecruiter salary data. Most workers in this role earn between $64,000.00 and $98,800.00 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.
More about Claims Manager jobs

What are the most commonly searched types of Claims jobs in Rio Rancho, NM?

The most popular types of Claims jobs in Rio Rancho, NM are:

What are popular job titles related to Claims Manager jobs in Rio Rancho, NM?

For Claims Manager jobs in Rio Rancho, NM, the most frequently searched job titles are:

What job categories do people searching Claims Manager jobs in Rio Rancho, NM look for?

The top searched job categories for Claims Manager jobs in Rio Rancho, NM are:

What cities near Rio Rancho, NM are hiring for Claims Manager jobs?

Cities near Rio Rancho, NM with the most Claims Manager job openings:

Claims Manager jobs near you
Infographic showing various Claims Manager job openings in Rio Rancho, NM as of August 2026, with employment types broken down into 1% As Needed, 84% Full Time, 13% Part Time, and 2% Contract. Highlights an 94% Physical, 2% Hybrid, and 4% Remote job distribution, with an average salary of $82,643 per year, or $39.7 per hour.

Program Manager (Claims - MST hours)

Molina Healthcare

Albuquerque, NM

Full-time

Re-posted 23 days ago

Molina Healthcare rating

8.0

Company rating: 8.0 out of 10

Based on 199 frontline employees who took The Breakroom Quiz

163rd of 307 rated insurance

Job description

JOB DESCRIPTION

Job Summary

Provides support to Molina functional areas (Claims, and claims configuration) through program management, including policy, workflow and process documentation, management of program controls, vendor practices, budgets, governance frameworks, playbooks and best practices, and champion networks, as applicable. 

Job Duties

  • Responsible for ensuring well-documented policies, workflows, program controls, internal and third-party practices, playbooks and best practices for respective claims & claims configuration program.     
  • Manages program budget, as applicable, supporting project prioritization.
  • Collaborates with Legal, Compliance, and Information Security to ensure governance standards are upheld.
  • Tracks performance metrics and ensures value realization from deployed solutions. 
  • Coordinates recurring meetings to support governance framework and decision-making processes, as needed. 
  • At the direction of program (CoE, Shared Service or other functional area) leadership, supports portfolio management and/or initiative-specific change and project management.
  • Collaborates with key stakeholders to support dissemination and adoption of program guardrails, processes, best practices and other collateral.
  • Routinely reviews program collateral to ensure current and accurate reflection of business needs. 
  • Identifies opportunities/gaps and provides recommendations on program enhancements to respective leadership team. 
  • Responsible for creating business requirements documents, test plans, requirements traceability matrix, user training materials and other related documentations.
  • Generates and distributes standard reports on schedule.

JOB QUALIFICATIONS

REQUIRED QUALIFICATIONS:

  • At least 4 years of Program and/or Project management experience, or equivalent combination of relevant education and experience.
  • Operational Process Improvement experience.
  • Managed Care experience, preferably in a shared service, CoE or matrixed environment.
  • Experience with Microsoft Project and Visio. 
  • Strong presentation and communication skills.

PREFERRED QUALIFICATIONS:

  • Clams & claims configuration experience.
  • QNXT
  • Provider Relations

To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

What Molina Healthcare employees say

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About Molina Healthcare

Sourced by ZipRecruiter

Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Long Beach, CA, US

Year founded

1980

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