This individual leads a team, managing training initiatives that drive continuous learning resulting in improved productivity and claims outcomes. Required to travel to Claims offices and various ...
This individual leads a team, managing training initiatives that drive continuous learning resulting in improved productivity and claims outcomes. Required to travel to Claims offices and various ...
Project Management Professional (PMP). EXPERIENCE * A minimum of seven (7) years of experience in workers compensation claims management, claims operations, or closely related functions.
Project Management Professional (PMP). EXPERIENCE * A minimum of seven (7) years of experience in workers compensation claims management, claims operations, or closely related functions.
Recognizes and gives feedback to management on procedure changes that would result in more ... Knowledge of claims processing and/or Medi-Cal billing, CPT, and ICD-10 knowledge preferred.
Recognizes and gives feedback to management on procedure changes that would result in more ... Knowledge of claims processing and/or Medi-Cal billing, CPT, and ICD-10 knowledge preferred.
Claims Examiner II
Santa Rosa, CA · On-site
... management on procedure changes that would result inmore efficient operations.- Other duties as ... Knowledge of claims processing and/or Medi-Cal billing, CPT, and ICD10 knowledge preferred.
Claims Examiner II
Santa Rosa, CA · On-site
... management on procedure changes that would result inmore efficient operations.- Other duties as ... Knowledge of claims processing and/or Medi-Cal billing, CPT, and ICD10 knowledge preferred.
Overview To research and resolve complex claims issues which cross interdepartmental lines and communicate the outcome to providers and affected Partnership managers. Develops and maintains provider ...
Overview To research and resolve complex claims issues which cross interdepartmental lines and communicate the outcome to providers and affected Partnership managers. Develops and maintains provider ...
Claims Executive Assistant / Project Manager
$60K - $79K/yr
Provides general administrative support to three AVPs and VP of Claims * Manage and enhance department SharePoint Site * Schedules meetings and proactively monitors availability of supported leaders.
Claims Executive Assistant / Project Manager
$60K - $79K/yr
Provides general administrative support to three AVPs and VP of Claims * Manage and enhance department SharePoint Site * Schedules meetings and proactively monitors availability of supported leaders.
Senior Claims Specialist
$100K - $140K/yr
The Senior Claims Specialist is responsible for managing all aspects of complex third-party liability claims, including class actions and high exposure matters, from inception through conclusion ...
Senior Claims Specialist
$100K - $140K/yr
The Senior Claims Specialist is responsible for managing all aspects of complex third-party liability claims, including class actions and high exposure matters, from inception through conclusion ...
Claims Advocate Specialist
Santa Rosa, CA · On-site +1
$20.34 - $27.12/hr
Managing support on inbound rotary to review high priority claims, while resolving multiple customer inquiries simultaneously * Answering incoming calls, chats, emails and voicemails from customers ...
Claims Advocate Specialist
Santa Rosa, CA · On-site +1
$20.34 - $27.12/hr
Managing support on inbound rotary to review high priority claims, while resolving multiple customer inquiries simultaneously * Answering incoming calls, chats, emails and voicemails from customers ...
Claims Advocate Specialist
Santa Rosa, CA · Remote
$20.34 - $27.12/hr
Managing support on inbound rotary to review high priority claims, while resolving multiple customer inquiries simultaneously * Answering incoming calls, chats, emails and voicemails from customers ...
Claims Advocate Specialist
Santa Rosa, CA · Remote
$20.34 - $27.12/hr
Managing support on inbound rotary to review high priority claims, while resolving multiple customer inquiries simultaneously * Answering incoming calls, chats, emails and voicemails from customers ...
Claims Administrative Specialist
$46K - $60K/yr
The Claims Administrative Specialist is responsible for communication with members and callers to ... Refers to designated manager for assignment and follows up. * Serves as first point of contact when ...
Claims Administrative Specialist
$46K - $60K/yr
The Claims Administrative Specialist is responsible for communication with members and callers to ... Refers to designated manager for assignment and follows up. * Serves as first point of contact when ...
Claims Administrative Specialist
Napa, CA · On-site
$46K - $60K/yr
The Claims Administrative Specialist is responsible for communication with members and callers to ... Refers to designated manager for assignment and follows up. * Serves as first point of contact when ...
Claims Administrative Specialist
Napa, CA · On-site
$46K - $60K/yr
The Claims Administrative Specialist is responsible for communication with members and callers to ... Refers to designated manager for assignment and follows up. * Serves as first point of contact when ...
HR Manager
Saint Helena, CA · On-site
$110K - $120K/yr
... claims management Oversee safety programs and training Manage leaves of absence, including FMLA, state leave programs, and accommodations Maintain compliant employee documentation (I-9, personnel ...
HR Manager
Saint Helena, CA · On-site
$110K - $120K/yr
... claims management Oversee safety programs and training Manage leaves of absence, including FMLA, state leave programs, and accommodations Maintain compliant employee documentation (I-9, personnel ...
HR Manager
Saint Helena, CA · On-site
$110K - $120K/yr
... claims management Oversee safety programs and training Manage leaves of absence, including FMLA, state leave programs, and accommodations Maintain compliant employee documentation (I-9, personnel ...
Quick apply
HR Manager
Saint Helena, CA · On-site
$110K - $120K/yr
... claims management Oversee safety programs and training Manage leaves of absence, including FMLA, state leave programs, and accommodations Maintain compliant employee documentation (I-9, personnel ...
Billing Coordinator
Novato, CA · On-site
$30.27 - $33.79/hr
Essential Functions Billing & Claims Management * Prepare and review information necessary for CalAIM and behavioral health service billing, ensuring compliance with Medi-Cal billing requirements and ...
Quick apply
Billing Coordinator
Novato, CA · On-site
$30.27 - $33.79/hr
Essential Functions Billing & Claims Management * Prepare and review information necessary for CalAIM and behavioral health service billing, ensuring compliance with Medi-Cal billing requirements and ...
Billing Coordinator
Novato, CA · On-site
$30.27 - $33.79/hr
Essential Functions Billing & Claims Management * Prepare and review information necessary for CalAIM and behavioral health service billing, ensuring compliance with Medi-Cal billing requirements and ...
Billing Coordinator
Novato, CA · On-site
$30.27 - $33.79/hr
Essential Functions Billing & Claims Management * Prepare and review information necessary for CalAIM and behavioral health service billing, ensuring compliance with Medi-Cal billing requirements and ...
... or Manager, Claims team, or internal or external legal counsels to coordinate reviews processes and procedures. Obtains, maintains records and documents and provides them to internal or external ...
... or Manager, Claims team, or internal or external legal counsels to coordinate reviews processes and procedures. Obtains, maintains records and documents and provides them to internal or external ...
Risk Management Specialist
Saint Helena, CA · On-site
$85K - $128K/yr
... or Manager, Claims team, or internal or external legal counsels to coordinate reviews processes and procedures. Obtains, maintains records and documents and provides them to internal or external ...
Risk Management Specialist
Saint Helena, CA · On-site
$85K - $128K/yr
... or Manager, Claims team, or internal or external legal counsels to coordinate reviews processes and procedures. Obtains, maintains records and documents and provides them to internal or external ...
... or Manager, Claims team, or internal or external legal counsels to coordinate reviews processes and procedures. Obtains, maintains records and documents and provides them to internal or external ...
... or Manager, Claims team, or internal or external legal counsels to coordinate reviews processes and procedures. Obtains, maintains records and documents and provides them to internal or external ...
... or Manager, Claims team, or internal or external legal counsels to coordinate reviews processes and procedures. Obtains, maintains records and documents and provides them to internal or external ...
... or Manager, Claims team, or internal or external legal counsels to coordinate reviews processes and procedures. Obtains, maintains records and documents and provides them to internal or external ...
Human Resources Manager
$80K - $85K/yr
We build and manage affordable housing for seniors living on fixed, limited incomes. Our residents ... Coordinate workers' compensation claims, unemployment claims, and reasonable accommodation ...
Quick apply
Human Resources Manager
$80K - $85K/yr
We build and manage affordable housing for seniors living on fixed, limited incomes. Our residents ... Coordinate workers' compensation claims, unemployment claims, and reasonable accommodation ...
Claims Manager information
See Santa Rosa, CA salary details
$38.3K - $48.6K
4% of jobs
$48.6K - $58.9K
4% of jobs
$58.9K - $69.3K
10% of jobs
$73.2K is the 25th percentile. Wages below this are outliers.
$69.3K - $79.6K
18% of jobs
$79.6K - $90K
12% of jobs
The median wage is $91.7K / yr.
$90K - $100.3K
13% of jobs
$100.3K - $110.6K
14% of jobs
$111.1K is the 75th percentile. Wages above this are outliers.
$110.6K - $121K
12% of jobs
$121K - $131.3K
7% of jobs
$131.3K - $141.6K
4% of jobs
$141.6K - $152K
2% of jobs
$38.3K
$96.1K
$152K
How much do claims manager jobs pay per year?
What does a claims manager do?
What skills and qualifications are needed to be a claims manager?
How does a claims manager balance high case volumes with thorough and accurate claim assessments?
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.
How much do claims managers make in the US?
What is the role of a claims manager?
What are the most commonly searched types of Claims jobs in Santa Rosa, CA?
The most popular types of Claims jobs in Santa Rosa, CA are:
What job categories do people searching Claims Manager jobs in Santa Rosa, CA look for?
The top searched job categories for Claims Manager jobs in Santa Rosa, CA are:
What cities near Santa Rosa, CA are hiring for Claims Manager jobs?
Cities near Santa Rosa, CA with the most Claims Manager job openings:

Claims Learning and Development Supervisor
Bodega Bay, CA • Hybrid
Full-time
Medical, Dental, Vision, Life, Retirement, PTO
Re-posted 5 days ago
Job description
Required to travel to Claims offices and various offsite meetings routinely to meet objectives.
- Leads and develops the Claims Career-Long-Learning team, creating impactful learning content for adjusting roles and implementing practices and processes that can scale across multiple adjusting teams and Claims ancillary teams.
- Collaborates closely with Claims leadership to ensure initiatives are addressing critical needs across all aspects of a claims lifecycle and leverages diverse delivery methods aligned with adult learning principles to improve workforce performance.
- Designs and develops L&D toolkits for needs analysis, instructional design, and post-training effectiveness assessments.
- Facilitates the development of customized training programs to meet the needs of various adjusting job roles. Upgrades existing training with routine improvements in content, format, and/or delivery.
- Leverages technology to improve training efficiency and engagement tools, including, but not limited to, e-learning platforms, interactive software, and AI-enabled solutions.
- Personally presents or leads training on some topics and identifies and prepares subject-matter experts with an aptitude for training to serve as presenters on technical topics.
- Develops and maintains relationships with external vendors to provide specialized training programs as needed.
- Continues to develop expertise on effectively creating and delivering training programs that improve performance.
- Education: High school diploma or equivalent certification; bachelor's degree from an accredited college or university; or equivalent combination of education and technical training combined.
- Certifications/Licenses: Designated for California and licensed to adjust workers compensation claims in one or more jurisdictions required, or ability to achieve within 9 months from placement into position.
- Experience: Minimum of five(5) years of work experience with minimum of three (3) years of insurance claims adjusting, claims operations, or a closely related function. Demonstrated experience developing and executing department-level training. Prior supervisory experience a plus.
- Demonstrated proficiency with Microsoft Office/365 applications and mastery of proprietary and vendor software programs.
- Knowledge of workers compensation regulatory requirements and best practices.
- Familiarity with e-learning platforms and able to rapidly master a variety of multimedia learning tools.
- Able to analyze data and identify issues and trends.
- Able to read and understand basic documents, including statutes, regulations, business periodicals, professional journals, technical procedures, legal opinions, legal correspondence, investigative reports, medical records, medical billing, claim notes, and claim data fields.
- Able to draft clear, concise presentations in various media formats and reports accurately conveying complex and nuanced information, as well as professional business correspondence.
- Able to effectively present information and respond to questions with Management, facilitators, trainees, stakeholders, and external parties both in individual conversations and presentations in groups.
- Hybrid Work Schedule (up to 2 days work from home upon eligibility)
- Paid Time Off
- Paid Holidays
- Immediate Vesting of Retirement Savings + Company Match
- Group Health Insurance (Medical, Dental, and Vision)
- Life and AD&D Insurance
- Long Term Disability Insurance
- Hospital Indemnity Insurance
- Accident and Critical Illness Insurance
- Flexible Savings Accounts
- Paid Community Volunteer Day
- Employee Assistance Program
- Tuition Reimbursement Program
- Employee Referral Program
- Diversity, Equity and Inclusion Program
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