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Claims Manager Jobs in Springfield, IL (NOW HIRING)

Memorial Health

Billing Specialist

Springfield, IL

$18.34 - $28.42/hr

Analyzes, investigates, and resolves claims/billing information and/or errors associated with the more complex inpatient/outpatient medical insurance claims. Ensures compliance with managed care ...

Memorial Health

Billing Specialist

Springfield, IL

$18.34 - $28.42/hr

Analyzes, investigates, and resolves claims/billing information and/or errors associated with the more complex inpatient/outpatient medical insurance claims. Ensures compliance with managed care ...

Memorial Health

Billing Specialist

Springfield, IL · On-site

$18.34 - $28.42/hr

Analyzes, investigates, and resolves claims/billing information and/or errors associated with the more complex inpatient/outpatient medical insurance claims. Ensures compliance with managed care ...

Memorial Health

Denial Appeals Specialist

Springfield, IL · Remote

$18.34 - $28.42/hr

... management for processing. * Documents online systems and electronic files to ensure accurate data is noted regarding the status of claims and payments. * Ensures compliance to Medicaid policy ...

Memorial Health

Denial Appeals Specialist

Springfield, IL · On-site

$18.34 - $28.42/hr

... management for processing. * Documents online systems and electronic files to ensure accurate data is noted regarding the status of claims and payments. * Ensures compliance to Medicaid policy ...

Memorial Health

Denial Appeals Specialist

Springfield, IL · Remote

$18.34 - $28.42/hr

... management for processing. * Documents online systems and electronic files to ensure accurate data is noted regarding the status of claims and payments. * Ensures compliance to Medicaid policy ...

Memorial Health

Follow-Up Specialist

Springfield, IL · On-site

$18.34 - $28.42/hr

Follows up on outstanding payments due on all types of open medical insurance claims, i.e., managed care and commercial. Coordinates activities with external insurance companies for the resolution of ...

Memorial Health

Follow-Up Specialist

Springfield, IL · On-site

$18.34 - $28.42/hr

Follows up on outstanding payments due on all types of open medical insurance claims, i.e., managed care and commercial. Coordinates activities with external insurance companies for the resolution of ...

Memorial Health

Follow-Up Specialist

Springfield, IL

$18.34 - $28.42/hr

Follows up on outstanding payments due on all types of open medical insurance claims, i.e., managed care and commercial. Coordinates activities with external insurance companies for the resolution of ...

Springfield Clinic

Insurance Reviewer II

Springfield, IL · On-site

$18.22 - $26.42/hr

Investigate and process claims in the insurance work files and/or on the insurance reports. Must report all incidents to immediate Supervisor or Manager. Assist with special projects and assignments ...

Springfield Clinic

Insurance Reviewer II

Springfield, IL · On-site

$18.22 - $26.42/hr

Investigate and process claims in the insurance work files and/or on the insurance reports. Must report all incidents to immediate Supervisor or Manager. Assist with special projects and assignments ...

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Showing results 41-60

All JobsClaims JobsClaims Manager JobsClaims Manager Jobs in Springfield, IL

Claims Manager information

See Springfield, IL salary details

$34.7K

$87.1K

$137.8K

How much do claims manager jobs pay per year?

As of Jul 28, 2026, the average yearly pay for claims manager in Springfield, IL is $87,080.00, according to ZipRecruiter salary data. Most workers in this role earn between $67,400.00 and $104,100.00 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 Springfield, IL? The most popular types of Claims jobs in Springfield, IL are:
What are popular job titles related to Claims Manager jobs in Springfield, IL? For Claims Manager jobs in Springfield, IL, the most frequently searched job titles are:
What job categories do people searching Claims Manager jobs in Springfield, IL look for? The top searched job categories for Claims Manager jobs in Springfield, IL are:
What cities near Springfield, IL are hiring for Claims Manager jobs? Cities near Springfield, IL with the most Claims Manager job openings:
Claims Manager jobs near you
Infographic showing various Claims Manager job openings in Springfield, IL as of July 2026, with employment types broken down into 84% Full Time, 14% Part Time, and 2% Contract. Highlights an 87% Physical, 4% Hybrid, and 9% Remote job distribution, with an average salary of $87,080 per year, or $41.9 per hour.
Billing Specialist

Billing Specialist

Memorial Health

Springfield, IL

$18.34 - $28.42/hr

Full-time

Posted 14 days ago

Memorial Health rating

6.9

Company rating: 6.9 out of 10

Based on 175 frontline employees who took The Breakroom Quiz

455th of 890 rated healthcare providers

Job description

MinUSD $18.34/Hr.MaxUSD $28.42/Hr.Overview

Position Summary:

Analyzes, investigates, and resolves claims/billing information and/or errors associated with the more complex inpatient/outpatient medical insurance claims. Ensures compliance with managed care guidelines and MMC organizational policies.  Embodies the Memorial Health System Performance Excellence Standards of Safety, Courtesy, Quality, and Efficiency that support our mission, vision and values.

Qualifications

Education:

Education equivalent to graduation from high school or GED is required.

Experience:

Two or more years as a Billing Specialist (or comparable medical claims/billing experience), with the technical knowledge to process all types of applicable claims and resolve errors and complex issues associated with them.

Other Knowledge/Skills/Abilities:

  • Demonstrates thorough knowledge of medical terminology, medical procedural (CPT) and diagnosis (ICD-9 CM) coding, and hospital billing claim form UB04 is required.
  • Demonstrates a comprehensive knowledge of the electronic billing system and key contract billing guidelines and possess the ability to train others on the entire billing process.
  • Basic working knowledge of personal computers and their associate user software is required. Experience with Microsoft Office products Word and Excel is preferred.
  • Ability to work within the guidelines of defined managed care contract policy provisions and company procedures.
  • Demonstrates ability to work successfully with internal customers and external contacts is required.
  • Possesses a highly-developed detail orientation, critical thinking, and problem solving ability.
  • Demonstrates excellent oral and written communication, keyboarding, and basic math skills.
  • Demonstrates ability to work unsupervised as well as the ability to work in a group setting.
Responsibilities

Principal Duties & Responsibilities:

  • Receives and examines daily listings for assigned billing claims and determines which require further analysis and action.
  • Investigates assigned billing claims with incomplete/incorrect information and resolves the more complex problems or errors to ensure complete and compliant information accompanies the claim.
  • Prioritizes claims based on specified criteria and files the claim, either electronically or via paper claim. Ensures careful adherence to insurance guidelines, timeliness, accuracy, and processing procedures.
  • Researches and resolves complex issues associated with patient insurance accounts. As applicable, identifies, documents, and reports problematic trends to management.
  • Embodies the Memorial Health System Performance Excellence Standards of Safety, Courtesy, Quality, and Efficiency that support our mission, vision and values:
    • SAFETY: Prevent Harm - I put safety first in everything I do.  I take action to ensure the safety of others.
    • COURTESY: Serve Others - I treat others with dignity and respect.  I project a professional image and positive attitude.
    • QUALITY: Improve Outcomes - I continually advance my knowledge, skills and performance.  I work with others to achieve superior results.
    • EFFICIENCY: Reduce Waste - I use time and resources wisely.  I prevent defects and delays.
  • Analyzes reports containing rejected account information and performs the necessary research to resolve the reason(s) for the rejection and secures any other required information.
  • Provides input regarding system edits designed to identify and ensure consistent and compliant data necessary for processing medical insurance claims.
  • Responds to requests from internal departments regarding the proper coding, billing, and processing of medical insurance claims.
  • Communicates and resolves issues with a variety of internal and external sources regarding medical insurance claims. This may include internal departments, patients (or other responsible parties), third-party payors, social service agencies, Medicare/Medicaid staff, other insurance carriers, service providers, and collection agencies.
  • Initiates corrections to charges and contractuals / allowances within scope of expertise and authority granted.
  • Identifies and researches the appropriateness of late charges and, as necessary, adjusts the charge / patient account based on research findings
  • Identifies and calculates write-off amounts and secures the necessary approvals from management for processing.
  • Documents online systems and electronic files to ensure accurate data is noted regarding the status of claims and payments.
  • Ensures compliance to managed care contract guidelines and processes at each work step to facilitate accurate and timely reimbursements to the organization.
  • May assist with special projects, analyses, or audits.
  • As directed and defined by management, orients and cross-trains on other unit duties which are outside of regularly assigned area of responsibility. May serve as a back-up for other areas within the unit or department, especially during times of special needs or staff absences.
  • Performs other related work as required or requested.
    • Employment Type: FULL_TIME

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