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Claims Manager Jobs in Rochester, NY (NOW HIRING)

Rsli

Claims Examiner II - SSL

Canandaigua, NY · On-site

$25.10 - $31.37/hr

The Claims Examiner I obtains and analyzes data for thorough, fair, objective, and timely ... Manages assigned case load and processes within the specified time requirements. * Good written ...

Reliance Matrix

Claims Examiner II - SSL

Canandaigua, NY · On-site

$25.10 - $31.37/hr

The Claims Examiner I obtains and analyzes data for thorough, fair, objective, and timely ... Manages assigned case load and processes within the specified time requirements. * Good written ...

Reliance Standard

Claims Assistant SSL

Canandaigua, NY · On-site

$17.68 - $21.87/hr

Accurately file claimant specific information into the DocuWare system with oversight and manager interaction when needed. * Accurately inputting Paid Family Leave and Disability claims into the ...

Reliance Matrix

Claims Assistant SSL

Canandaigua, NY · On-site

$17.68 - $21.87/hr

Accurately file claimant specific information into the DocuWare system with oversight and manger interaction when needed. * Accurately inputting Paid Family Leave and Disability claims into the ...

Reliance Matrix

Claims Assistant SSL

Canandaigua, NY · On-site

$17.68 - $21.87/hr

Accurately file claimant specific information into the DocuWare system with oversight and manger interaction when needed. * Accurately inputting Paid Family Leave and Disability claims into the ...

Rsli

Claims Assistant SSL

Canandaigua, NY · Hybrid

$17.68 - $21.87/hr

Accurately file claimant specific information into the DocuWare system with oversight and manger interaction when needed. * Accurately inputting Paid Family Leave and Disability claims into the ...

ComTon, Inc.

Be Seen First

Claims Processor Customer Service

Penfield, NY · On-site

$18 - $20/hr

Process claims by approving or denying documentation; calculating benefit due; initiating payment or composing denial letter. * Ensures compliance by following company policies, procedures ...

ComTon Inc

Claims Processor Customer Service

Penfield, NY · On-site

$16.25 - $20.50/hr

Process claims by approving or denying documentation; calculating benefit due; initiating payment or composing denial letter. * Ensures compliance by following company policies, procedures ...

Primma, LLC

Senior Claims Analyst

Rochester, NY · On-site

$85K - $98K/yr

Follow standard claims protocols for documentation, coverage investigations, and file management. * Maintain accurate and organized claims files. * Investigate and document incident particulars ...

Primma, LLC

Senior Claims Analyst

Rochester, NY · On-site

$85K - $98K/yr

Follow standard claims protocols for documentation, coverage investigations, and file management. * Maintain accurate and organized claims files. * Investigate and document incident particulars ...

Progressive

Auto Damage Claims Adjuster

Rochester, NY

$67K - $81K/yr

As an auto damage claims adjuster , you'll serve as Progressive's point of contact with customers ... Managing your own inventory while working independently, you'll work closely with body shops and ...

Gallagher

Client Service Supervisor

Batavia, NY · On-site

Bachelor's degree with 5+ years client service and/or claims management experience * OR- * High School degree/GED with 10+ years client service and/or claims management experience. * 1+ years ...

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Showing results 1-20

All JobsClaims JobsClaims Manager JobsClaims Manager Jobs in Rochester, NY

Claims Manager information

See Rochester, NY salary details

$34.5K

$86.7K

$137.2K

How much do claims manager jobs pay per year?

As of Jul 14, 2026, the average yearly pay for claims manager in Rochester, NY is $86,729.00, according to ZipRecruiter salary data. Most workers in this role earn between $67,100.00 and $103,600.00 per year, depending on experience, location, and employer.

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 jobs in the US pay 300,000 a year?

Claims managers in the insurance industry can earn $300,000 or more annually, especially with extensive experience, advanced certifications, and leadership responsibilities. High-level executive roles such as chief claims officer or senior insurance executives also typically reach or exceed this salary level. These positions often require strong analytical skills, industry knowledge, and management expertise.

Which claim adjusters make the most money?

Senior claims adjusters, especially those handling complex or high-value claims such as property or commercial claims, tend to earn the highest salaries in the claims adjusting field. Adjusters with specialized certifications, extensive experience, or who work for large insurance companies also typically earn more. Expertise in negotiation and claims management tools can further increase earning potential.

Is claims adjuster stressful?

A claims manager often finds the role stressful due to handling complex claims, meeting deadlines, and managing customer expectations. The job requires strong organizational skills and the ability to work under pressure, especially during high claim volumes or difficult cases.

What is the role of a claims manager?

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

How does a Claims Manager typically balance the demands of high case volumes with ensuring 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 are the key skills and qualifications needed to thrive as a Claims Manager, and why are they important?

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 Rochester, NY? The most popular types of Claims jobs in Rochester, NY are:
What are popular job titles related to Claims Manager jobs in Rochester, NY? For Claims Manager jobs in Rochester, NY, the most frequently searched job titles are:
What job categories do people searching Claims Manager jobs in Rochester, NY look for? The top searched job categories for Claims Manager jobs in Rochester, NY are:
What cities near Rochester, NY are hiring for Claims Manager jobs? Cities near Rochester, NY with the most Claims Manager job openings:
Claims Manager jobs near you
Infographic showing various Claims Manager job openings in Rochester, NY as of July 2026, with employment types broken down into 87% Full Time, 11% Part Time, and 2% Contract. Highlights an 86% Physical, 4% Hybrid, and 10% Remote job distribution, with an average salary of $86,729 per year, or $41.7 per hour.

Claims Consultant

Tata Consultancy Service Limited

Rochester, NY • On-site

$48K - $55K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 11 days ago

Job description

Responsibilities:
To provide Absence case management and claim adjudications, based on medical documentation and the applicable Disability/FMLA/Paid Family Leave interpretation, including determining benefits due and making timely payments and adjustments.
Review and analyze the claim nuances, eligibility review, and type of claims (intermittent or continuous)
Review and analyze medical information (i.e. attending physician reports, medical records such as diagnostic tests, office notes, operative reports, etc.) to determine if the claimant is disabled as defined.
Approval or denial on FMLA claims as per Insurance carrier, and employers guidelines
Analyzes, approves and authorizes assigned claims and determines benefits due pursuant to US paid family law regulations.
Review claims for Not in good order cases, and work on securing missing documentations including employee, physician, or employer outreach.
Communicates clearly with the claimants and clients to set expectations on all aspects of claims process either by phone and/or written correspondence.
Reviews client critical deliverables, manages the overall workload, and second-level process escalation.
Determines benefits due, makes timely claims payments/approvals and adjustments for Workers Compensation, State Short Term Disability, and other disability offsets.
Refers cases as appropriate to team lead and clinical case management
Responsible for managing the day-to-day workload and first-level process escalation, and reviews processes for accuracy and timeliness where applicable in case of peer reviews.
Provide ideas to management on continuous improvement and service level management
Performs other duties or participates in special projects as assigned
Requirements:
1+ year of Disability/FMLA/PFL claims or insurance claims experience
Experience working with FINEOS
Working knowledge of medical terminology and documents, including APS, Diagnostic Tests, Imaging Tests reports
Knowledge of disability insurance claims, benefits administration, offsets and deductions, disability duration and medical management practices mandatory
Excellent oral and written communication, including presentation skills
Strong Analytical, decision making, problem solving, and people management skills
Computer experience with keyboarding skills and proficiency in using software applications and packages including MS Office (Excel, Word, PPT)
Willingness to embrace change in a fast paced work environment
A strong desire to continuously learn and improve
Identify escalated cases and work with Team Leader to develop a plan to address key issues.
TCS Employee Benefits Summary:
• Discretionary Annual Incentive.
• Comprehensive Medical Coverage: Medical & Health, Dental & Vision, Disability Planning & Insurance, Pet Insurance Plans.
• Family Support: Maternal & Parental Leaves.
• Insurance Options: Auto & Home Insurance, Identity Theft Protection.
• Convenience & Professional Growth: Commuter Benefits & Certification & Training Reimbursement.
• Time Off: Vacation, Time Off, Sick Leave & Holidays.
• Legal & Financial Assistance: Legal Assistance, 401K Plan, Performance Bonus, College Fund, Student Loan Refinancing.
Salary Ran ge: $48,000 - $55,000 per year

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