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

Lifeworks

Disability Case Manager

Albuquerque, NM

With regard to FMLA, will manage all DOL category claims; including re-certifications and the 2nd and 3rd opinion processes * Conduct case assessments, contacting the employee and their manager / HR ...

AECOM

Program Manager - Mine Closure

Albuquerque, NM · On-site

$160K - $200K/yr

Support contract negotiations and claims management. * Work with leadership on achieving contract key performance indicators. * Identify opportunities for operational efficiencies and cost savings.

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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 15, 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.

Medical Only Claim Representative I

CCMSI

Albuquerque, NM • Hybrid

$20/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 17 days ago

Job description

Claim Representative – Medical Only

Location: Albuquerque, NM (InOffice)

Schedule: Monday–Friday, 8:00 AM – 4:30 PM (37.5 hours per week)

Salary Range: $20.00 per hour

Build Your Career With Purpose at CCMSI

At CCMSI, we partner with global clients to solve their most complex risk management challenges, delivering measurable results through advanced technology, collaborative problemsolving, and an unwavering commitment to their success.

We don’t just process claims—we support people. As the largest privatelyowned Third Party Administrator (TPA), CCMSI delivers customized claim solutions that help our clients protect their employees, assets, and reputations. We are a certified Great Place to Work®, and our employeeowners are empowered to grow, collaborate, and make meaningful contributions every day.

Job Summary

The Medical Only Claim Representative is responsible for managing medicalonly workers’ compensation claims from start to finish for a multipleclient desk spanning various industries within the New Mexico jurisdiction. This role focuses on quality medical management, accurate documentation, and compliance with CCMSI standards and client handling instructions.

This is an inoffice position in Albuquerque, NM, with a potential opportunity for a hybrid schedule in the future based on performance and business needs. This role may also serve as a training and development position for advancement into higherlevel claim roles.


  • Set up and manage medicalonly workers’ compensation claim files in accordance with corporate standards and New Mexico regulations
  • Review incoming medical documentation and summarize correspondence and records in claim notes
  • Establish initial reserves and provide reserve recommendations under direct supervision
  • Review, approve, and process medical and miscellaneous invoices related to designated claims
  • Assist with bill negotiations or dispute resolution under guidance
  • Coordinate and monitor medical treatment to ensure timely and appropriate care
  • Maintain accurate, timely, and welldocumented electronic claim files
  • Close claim files when appropriate and retrieve closed files as needed
  • Support claim staff and client service teams with medicalonly claim activity
  • Maintain compliance with corporate claim handling standards and clientspecific instructions

Required:
  • Associate degree OR two (2) years of related business experience
  • Ability to manage medicalonly claims cradletograve
  • Active New Mexico Adjuster License OR ability to obtain within 60 days of hire
  • Strong attention to detail and organization skills
  • Ability to follow established procedures and meet deadlines
  • Proficiency with Microsoft Office (Word, Excel, Outlook)
  • Strong written and verbal communication skills
  • Reliable, predictable attendance during scheduled hours
  • Ability to work in a fastpaced, inoffice environment
Nice to Have:
  • Prior medicalonly or workers’ compensation claims experience
  • Knowledge of medical terminology
  • Experience working with multiple clients or industries
  • Prior experience in a TPA environment

Bilingual (Spanish) proficiency — highly valued for communicating with claimants, employers, or vendors, but not required.

Why You’ll Love Working Here

• 4 weeks (Paid time off that accrues throughout the year in accordance with company policy) + 10 paid holidays in your first year
• Comprehensive benefits: Medical, Dental, Vision, Life, and Disability Insurance
• Retirement plans: 401(k) and Employee Stock Ownership Plan (ESOP)
• Career growth: Internal training and advancement opportunities
• Culture: A supportive, teambased work environment

How We Measure Success

At CCMSI, medicalonly claim professionals succeed through accuracy and consistency. Success in this role is measured by:


• Queue management – timely handling of assigned medicalonly claims
• Audit performance – compliance with corporate standards and NM regulations
• Accuracy & documentation – clear, complete, and timely claim notes
• File progression – appropriate reserve activity and timely claim closure
• Team support & reliability – responsiveness and dependable inoffice attendance
• Cultural alignment – recognizing that every claim represents a real person

This is where we shine, and we hire claim professionals who want to shine with us.

Compensation & Compliance

The posted salary reflects CCMSI’s goodfaith estimate in accordance with applicable pay transparency laws. Actual compensation will be based on qualifications, experience, geographic location, and internal equity.

CCMSI offers comprehensive benefits including medical, dental, vision, life, and disability insurance. Paid time off accrues throughout the year in accordance with company policy, with paid holidays and eligibility for retirement programs in accordance with plan documents.

Visa Sponsorship: CCMSI does not provide visa sponsorship for this position.
ADA Accommodations: CCMSI is committed to providing reasonable accommodations throughout the application and hiring process.
Equal Opportunity Employer: CCMSI complies with all applicable employment laws, including pay transparency and fair chance hiring regulations.

Background checks, if required for the role, are conducted only after a conditional offer and in accordance with applicable fair chance hiring laws.

Our Core Values

At CCMSI, we believe in doing what’s right—for our clients, our coworkers, and ourselves. We look for team members who:

Lead with transparency – We build trust by being open and listening intently in every interaction.
Perform with integrity – We choose the right path, even when it is hard.
Chase excellence – We set the bar high and measure our success. What gets measured gets done.
Own the outcome – Every employee is an owner, treating every claim and decision as our own.
Win together – Our greatest victories come when our clients succeed.

We don’t just work together—we grow together. If that sounds like your kind of workplace, we’d love to meet you.

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