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Claims Operations Manager Jobs in Hurst, TX (NOW HIRING)

Careington

Claims Finance Manager

Frisco, TX

Manage the claims operational financial tasks such as: * Client Request for Funds/Credits * Provider Claim Payment Cycle Processing * Provider Recoupments * Own the reconciliation of claims funding ...

Cna

General Liability Claims Manager

Plano, TX · Hybrid

... working with claims operations and coverage resources, providing insights to underwriters ... Previous management experience is preferred * Applicable certifications or professional ...

New

Floor & Décor

Operations Manager

Denton, TX · On-site

... by managing the store operations. MAJOR RESPONSIBILITIES * Operations * Demonstrated ability to ... Handle claims and other KCM/MOD duties as needed * Ensure maximum scheduling coverage especially ...

NXTPoint Logistics

Operations Manager

Coppell, TX · On-site

In addition, the Logistics Operations Manager is accountable for achieving company objectives ... Maintains and directs the implementation of procedures to ensure that freight claims are processed ...

Suddath Companies

Operations Manager

Coppell, TX · On-site

In addition, the Logistics Operations Manager is accountable for achieving company objectives ... Maintains and directs the implementation of procedures to ensure that freight claims are processed ...

NXTPoint Logistics

Operations Manager

Coppell, TX · On-site

In addition, the Logistics Operations Manager is accountable for achieving company objectives ... Maintains and directs the implementation of procedures to ensure that freight claims are processed ...

Suddath Van Lines, Inc.

Operations Manager

Coppell, TX · On-site

In addition, the Logistics Operations Manager is accountable for achieving company objectives ... Maintains and directs the implementation of procedures to ensure that freight claims are processed ...

Corvel

Claims Quality Assurance

Dallas, TX · On-site

$70K - $116K/yr

Support the Claims Quality Assurance Program and the EC Operations Team in developing and ... Strong interpersonal, time management, project management, and organizational skills * Ability to ...

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Claims Operations Manager information

See Hurst, TX salary details

$31.1K

$78.2K

$123.7K

How much do claims operations manager jobs pay per year?

As of Aug 31, 2026, the average yearly pay for claims operations manager in Hurst, TX is $78,164.00, according to ZipRecruiter salary data. Most workers in this role earn between $60,500.00 and $93,400.00 per year, depending on experience, location, and employer.

What is a claims operations manager?

Claims Operations Managers are professionals responsible for overseeing and managing the daily operations of an insurance claims department. They ensure that claims are processed efficiently, accurately, and in compliance with company policies and regulations. Their duties often include supervising staff, implementing process improvements, handling escalated issues, and analyzing performance metrics. Claims Operations Managers play a key role in optimizing workflow, maintaining customer satisfaction, and minimizing risk for the organization.

How does a claims operations manager typically interact with cross-functional teams within an insurance organization?

A Claims Operations Manager regularly collaborates with cross-functional teams such as underwriting, customer service, legal, and IT to ensure smooth processing of claims and adherence to company policies. This role often requires coordinating process improvements, addressing compliance requirements, and resolving escalated issues that span multiple departments. Effective communication and project management skills are essential, as the manager must balance operational efficiency with customer satisfaction while ensuring regulatory standards are met.

What are the key skills and qualifications needed to thrive as a claims operations manager, and why are they important?

To thrive as a Claims Operations Manager, you need expertise in insurance claims processes, analytical skills, and a background in business or finance, often supported by a bachelor's degree and relevant industry experience. Familiarity with claims management systems, workflow automation tools, and regulatory compliance platforms is typically required. Strong leadership, problem-solving, and communication skills help manage teams and resolve complex claims efficiently. These abilities are vital for ensuring timely and accurate claims processing, regulatory adherence, and high levels of customer satisfaction.

What is the difference between Claims Operations Manager vs Claims Adjuster?

AspectClaims Operations ManagerClaims Adjuster
CredentialsTypically requires a bachelor’s degree, industry certifications (e.g., CPCU), and management experienceRequires a high school diploma or bachelor’s degree, licensing, and adjuster certifications
Work EnvironmentOversees teams, manages claims processes, and develops policies within an office or corporate settingInvestigates claims, assesses damages, and interacts directly with claimants, often in the field or office
Employer & Industry UsageCommon in insurance companies, large agencies, and corporate claims departmentsFound in insurance companies, independent adjusting firms, and public adjusting roles

The Claims Operations Manager focuses on managing teams and streamlining claims processes, while the Claims Adjuster handles the investigation and evaluation of individual claims. Both roles are essential in the claims lifecycle but differ in responsibilities, work environment, and required credentials.

How much do claims operations managers make in the US?

Claims operations managers in the US typically earn an average salary between $70,000 and $120,000 annually, depending on experience, location, and company size. They often oversee claims processing teams, utilize claims management software, and require strong leadership and industry knowledge.

What job categories do people searching Claims Operations Manager jobs in Hurst, TX look for?

The top searched job categories for Claims Operations Manager jobs in Hurst, TX are:

What cities near Hurst, TX are hiring for Claims Operations Manager jobs?

Cities near Hurst, TX with the most Claims Operations Manager job openings:

Claims Operations Manager jobs near you
Infographic showing various Claims Operations Manager job openings in Hurst, TX as of August 2026, with employment types broken down into 85% Full Time, 12% Part Time, 1% Temporary, and 2% Contract. Highlights an 94% Physical, 2% Hybrid, and 4% Remote job distribution, with an average salary of $78,164 per year, or $37.6 per hour.

Claims Finance Manager

Frisco, TX • On-site

Careington International Corporation
Fitness and Sports Centers • 51 - 200 employees

8.1

Company rating: 8.1 out of 10

Based on 8 frontline employees who took The Breakroom Quiz

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Learn more about Careington International Corporationexternal

Full-time

Medical, Dental, Vision

Re-posted 9 days ago

Job description

Careington International is looking to add a Claims Finance Manager to our TEAM. This position will be worked onsite at 7400 Gaylord Pkwy in Frisco, TX.
The Claims Finance Manager serves as the critical link between Claims Operations and Corporate Finance, ensuring financial accountability, payment accuracy, and operational efficiency throughout the claims adjudication lifecycle. This role translates claims activity into financial insights by analyzing claim costs, reimbursement trends, adjudication outcomes, reserve impacts, and operational performance.
The Claims Finance Manager partners with Accounting & Finance, Claims, Configuration, Revenue Operations, Product, and Executive Leadership to evaluate the financial impact of claims decisions, identify opportunities to reduce payment leakage, improve adjudication accuracy, and support strategic business objectives. This position plays a key role in balancing financial stewardship, customer obligations, and operational excellence.
EXPECTED WORK AND PERFORMANCE:
Claims Finance & Financial Oversight
  • Serve as the primary liaison between Claims Operations and Accounting & Finance, bridging claims adjudication activities with corporate financial objectives
  • Analyze claims payment activity, funding, payment activity, adjudication outcomes, and reimbursement trends to ensure financial accuracy and integrity
  • Monitor claim costs, payment variances, financial leakage, recoveries, and adjustments
  • Evaluate the financial impact of claim processing decisions, benefit configurations, and reimbursement methodologies
  • Support the development of financial controls that ensure accurate and compliant claim payments
  • Manage the claims operational financial tasks such as:
    • Client Request for Funds/Credits
    • Provider Claim Payment Cycle Processing
    • Provider Recoupments
    • Own the reconciliation of claims funding, payment disbursements, credits, recoupments, refunds, and related general ledger activity
    • Research and resolve variances, aged reconciling items, unapplied funds, outstanding payments, and funding shortfalls in partnership with Claims and Accounting & Finance

Claims Adjudication Analysis
  • Review adjudicated claims to identify trends, anomalies, and opportunities for process improvement
  • Partner with Claims and Configuration teams to investigate payment discrepancies and adjudication errors
  • Analyze denial, appeal, adjustment, and rework trends to identify operational and financial risks
  • Monitor first-pass adjudication rates, auto-adjudication performance, and payment accuracy metrics
  • Provide recommendations to improve claims accuracy while reducing administrative costs

Financial Planning & Reporting
  • Develop financial reports, dashboards, and analyses related to claims operations
  • Support budgeting, forecasting, and financial planning activities related to claims volume, costs, and operational expenses
  • Prepare executive-level reporting on claims financial performance, trends, risks, and opportunities
  • Translate operational claims data into meaningful financial insights for leadership decision-making

Business Partnership & Strategy
  • Collaborate with Claims Leadership, Product, Technology, Client Services, and Finance teams to support organizational goals
  • Assess the financial impact of system enhancements, configuration changes, new client implementations, and process improvements
  • Support strategic initiatives focused on reducing claim costs, improving adjudication efficiency, and increasing profitability
  • Provide financial guidance during audits, client reviews, and operational assessments

Risk Management & Compliance
  • Ensure claims-related financial processes comply with contractual, regulatory, and organizational requirements
  • Support internal and external audits related to claims payments and financial controls
  • Identify financial risks associated with claims processing and recommend mitigation strategies
  • Maintain oversight of payment integrity and recovery initiatives

People Management & Development
  • Effectively manage, coach and development members of the team.

QUALIFICATIONS:
Required
  • Bachelor's degree in Finance, Accounting, Business Administration, Healthcare Administration, or related field
  • 5+ years of experience in finance, claims operations, healthcare administration, insurance, or revenue cycle management
  • Strong understanding of claims adjudication, reimbursement methodologies, and payment integrity principles
  • Experience performing financial analysis and reporting in a claims-driven environment
  • Advanced Excel and data analysis skills

Preferred
  • Experience within healthcare claims administration, dental benefits, vision benefits, TPAs, or insurance organizations.
  • Working knowledge of financial procedures like escheatment and 1099 processing.
  • MBA, CPA, CMA, or similar professional certification.
  • Experience with claims adjudication platforms, payment integrity tools, and business intelligence reporting systems.

SKILLS:
  • Strong understanding of both claims operations and financial management principles.
  • Ability to connect operational claim outcomes with financial performance.
  • Expertise in claims payment analysis, reimbursement methodologies, and cost containment strategies.
  • Strong analytical and problem-solving skills.
  • Ability to communicate complex financial concepts to operational leaders.
  • Experience leading cross-functional initiatives and process improvement efforts.
  • Excellent presentation, reporting, and stakeholder management skills.

Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws.
For further information, please review the Know Your Rights notice from the Department of Labor.

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