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Claims Operations Manager Jobs (NOW HIRING)

Allied

Manager, Claims Operations

Chicago, IL · On-site +1

$70K - $85K/yr

POSITION SUMMARY The Manager, Claims Operations is responsible for managing the day-to-day operational functions of the Claims Appeals, Claims Medical Review, and Subrogation Teams. ESSENTIAL ...

Curative HR LLC

Sr. Director, Claims Operations

Austin, TX · On-site +1

$205K - $235K/yr

Translate operational data into actionable insights that improve claim accuracy and cost management. Quality & Compliance * Establish and oversee claims quality assurance and audit programs to ensure ...

Allied

Supervisor, Claims Operations

Chicago, IL · On-site +1

$60K - $65K/yr

POSITION SUMMARY The Supervisor, Claim Operations will help the Management team monitor the daily work within the Claims department. The Supervisor, Claim Operations, is responsible for the training ...

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$35K

$87.9K

$139K

How much do claims operations manager jobs pay per year?

As of Jun 5, 2026, the average yearly pay for claims operations manager in the United States is $87,861.00, according to ZipRecruiter salary data. Most workers in this role earn between $68,000.00 and $105,000.00 per year, depending on experience, location, and employer.

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.

How much do claims managers make in the US?

Claims operations managers in the US typically earn between $70,000 and $120,000 annually, depending on experience, location, and the size of the organization. Senior claims managers or those in large companies may earn higher salaries, often supplemented with bonuses and benefits.

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.

What are Claims Operations Managers?

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.
More about Claims Operations Manager jobs
What cities are hiring for Claims Operations Manager jobs? Cities with the most Claims Operations Manager job openings:
What are the most commonly searched types of Claims Operations jobs? The most popular types of Claims Operations jobs are:
What states have the most Claims Operations Manager jobs? States with the most job openings for Claims Operations Manager jobs include:
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Claims Operations Manager jobs near you
Infographic showing various Claims Operations Manager job openings in the United States as of May 2026, with employment types broken down into 99% Full Time, and 1% Part Time. Highlights an 94% Physical, 2% Hybrid, and 4% Remote job distribution, with an average salary of $87,861 per year, or $42.2 per hour.
Manager, Claims Operations

Manager, Claims Operations

Allied Benefit Systems

Chicago, IL • Remote

Full-time

Medical, Dental, Vision, Life, PTO

Posted 8 days ago

Allied Benefit Systems rating

8.1

Company rating: 8.1 out of 10

Based on 5 frontline employees who took The Breakroom Quiz

84th of 425 rated business services

Job description

POSITION SUMMARY

The Manager, Claims Operations is responsible for managing the day-to-day operational functions of the Claims Appeals, Claims Medical Review, and Subrogation Teams.

ESSENTIAL FUNCTIONS

  • Maintains collective responsibility for the management of services provided by the Claims Appeals, Claims Medical Review and Subrogation Teams. Additionally, responsible for monitoring metrics and operations within these teams
  • Responsible for implementing best practices based on company goals
  • Identify strategic opportunities based on financial analysis and projections, cost/benefit identification and analysis
  • Provide support, guidance, leadership, and motivation to promote maximum performance
  • Responsible for preparing reporting and analysis that is consistent with defined standards and processes
  • Provide technical guidance to staff on claim investigation, reserving evaluation and resolution of claims
  • Partner with analytical team to produce necessary results and trending reports for leadership
  • Review high dollar appeals, medical review referrals, and subrogation cases from members, providers, and other entities
  • Manage all aspects of the day-to-day operations of claims production
  • Interact extensively with various parties involved in the claim process
  • Remain current and aware of impact on claims management strategies
  • Collaborate with other Claims and business leaders to define and drive enterprise initiatives
  • Assist or prepare files for subrogation
  • Create an environment that encourages and values the opinions of others and promotes sharing of information and ideas
  • Oversee monitoring and tracking of individuals and the unit's performance against established productivity and quality goals and metrics.
  • Lead, coach, motivate and develop. Responsible for one-on-one meetings, performance appraisals, growth opportunities and attracting new talent
  • Clearly communicate expectations, provide employees with the training, resources, and information needed to succeed
  • Actively engage, coach, counsel and provide timely, and constructive performance feedback
  • Other duties as assigned

EDUCATION

  • Bachelor's degree or equivalent work experience required

EXPERIENCE AND SKILLS

  • At least 5 years of TPA or group health insurance experience including at least 3 years at a supervisor level and successfully demonstrated leadership competencies
  • In-depth knowledge of Claims, Benefits and administrative skills and processes required.
  • Intermediate level work experience with Microsoft Office, Word, Excel, Access, and Power Point software applications
  • The ability to easily learn other software and systems
  • Must be able to write business correspondence and procedures

POSITION COMPETENCIES

  • Accountability
  • Coaching and Feedback
  • Collaboration
  • Customer Focus
  • Decision Making
  • Execution Management
  • People Leadership

PHYSICAL DEMANDS

  • This is a standard desk job requiring extended sitting and computer work.

WORK ENVIRONMENT

  • Remote

Here at Allied, we believe that great talent can thrive from anywhere. Our remote friendly culture offers flexibility and the comfort of working from home, while also ensuring you are set up for success. To support a smooth and efficient remote work experience, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 100Mbps download/25Mbps upload. Reliable internet service is essential for staying connected and productive.

The company has reviewed this job description to ensure that essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills, and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate.

Compensation is not limited to base salary. Allied values our Total Rewards, and offers a competitive Benefit Package including, but not limited to, Medical, Dental, Vision, Life and Disability Insurance, Generous Paid Time Off, Tuition Reimbursement, EAP, and a Technology Stipend.

Allied reserves the right to amend, change, alter, and revise, pay ranges and benefits offerings at any time. All applicants acknowledge that by applying to the position you understand that the specific pay range is contingent upon meeting the qualification and requirements of the role, and for the successful completion of the interview selection and process. It is at the Company's discretion to determine what pay is provided to a candidate within the range associated with the role.

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