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Claims Processing Manager Jobs (NOW HIRING)

The Claims Processing Manager serves as the primary operational expert and visionary leader for an assigned "Pod"-a cross-functional team managing the daily flow of claims. You will collaborate ...

National Claims Processing Manager Location: Lenexa, KS / Remote Reports to: Director of Insurance Operations Employment Type: Full-Time Job Requisition ID: 2026-? Requisition Begin Date: 3/16/2026 ...

National Claims Processing Manager Location: Lenexa, KS / Remote Reports to: Director of Insurance Operations Employment Type: Full-Time Job Requisition ID: 2026-? Requisition Begin Date: 3/16/2026 ...

National Claims Processing Manager Location: Lenexa, KS / Remote Reports to: Director of Insurance Operations Employment Type: Full-Time Job Requisition ID: 2026-? Requisition Begin Date: 3/16/2026 ...

The Manager, Claims Processing works within specific guidelines and procedures; applies advanced technical knowledge to solve moderately complex problems; receives assignments in the form of ...

New

Manage and verify third-party medical claims for accuracy and compliance. * Collaborate with cross-functional teams to resolve billing discrepancies and insurance denials. * Process claims ...

Manage and verify third-party medical claims for accuracy and compliance. * Collaborate with cross-functional teams to resolve billing discrepancies and insurance denials. * Process claims ...

Claims Processing Representative

Louisville, KY ยท On-site +1

$40K - $52K/yr

Ability to manage multiple or competing priorities, including use of multiple computer applications ... CAS Claims processing experience Required Work Schedule: Training: * The start date for this ...

Claims Processing Associate

Bluffton, IN

$16.25 - $21.75/hr

Join Our Team as a Claims Processing Associate at Amwins Self-Funded, LLC! Are you ready to make a ... Manage monthly claim reports for the administration of the assigned book of business, ensuring ...

CLAIMS PROCESSING ASSISTANT

Grants Pass, OR ยท On-site

$18.25 - $23/hr

Responsibilities include managing Coordination of Benefits (COB) reporting, implementing updates within the EZ-CAP claims system, processing refunds and overpayment recoveries, and assisting with ...

Join Our Team as a Claims Processing Coordinator at Amwins Self-Funded, LLC! Are you ready to make ... Manage monthly claim reports for the administration of the assigned book of business, ensuring ...

Claims Processing Associate

Lansing, MI ยท On-site

$18 - $24.25/hr

Processes Workers' Compensation claims retrieved from Open Pool queues or via telephone; codes body ... Experience using a document management system with workflows. Other insurance related coursework.

Join Our Team as a Claims Processing Coordinator at Amwins Self-Funded, LLC! Are you ready to make ... Manage monthly claim reports for the administration of the assigned book of business, ensuring ...

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Claims Processing Manager information

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$35K

$87.9K

$139K

How much do claims processing manager jobs pay per year?

As of Jun 5, 2026, the average yearly pay for claims processing 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.

What are the primary challenges faced by a Claims Processing Manager, and how can they be addressed?

Claims Processing Managers often navigate challenges such as ensuring timely and accurate claim adjudication, managing a team with varying workloads, and staying up to date with regulatory changes. Balancing efficiency with compliance requires strong organizational skills and effective communication. Successful managers foster a collaborative environment, implement regular training, and leverage technology to streamline processes, all while maintaining high standards of customer service and data integrity.

What does a Claims Processing Manager do?

A Claims Processing Manager oversees the team responsible for reviewing, evaluating, and processing insurance claims. Their duties include ensuring claims are handled efficiently and accurately, developing procedures to improve workflow, and maintaining compliance with industry regulations. They also resolve complex or escalated claims issues, provide staff training, and report on performance metrics. The role requires strong leadership, analytical skills, and attention to detail to ensure a fair and timely claims process.

What are the key skills and qualifications needed to thrive as a Claims Processing Manager, and why are they important?

To thrive as a Claims Processing Manager, you need expertise in insurance claims procedures, analytical skills, and a solid understanding of regulatory compliance, often supported by a bachelor's degree and relevant industry experience. Familiarity with claims management software, workflow automation tools, and data analysis systems is typically required. Strong leadership, attention to detail, and effective communication are crucial soft skills that set top performers apart in this role. These abilities ensure accurate and efficient claims processing, regulatory adherence, and effective team management, all of which are vital for organizational success.
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Claims Processing Manager

VBG (Veteran Benefits Guide)

Las Vegas, NV โ€ข On-site

$80K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 3 days ago


Job description

Description:

What is VBG:

Veteran Benefits Guide has been proud to serve our nationโ€™s service members for more than 10 years. Founded by a U.S. Marine Corps Veteran, VBG assists Veterans through the challenging VA claims process to efficiently secure their hard-earned benefits. Now operating with more than 250 team members nationwide, VBG has helped over 55,000 Veterans through the VA claims process. The company is dedicated to honoring service and supporting the Veteran community through ongoing advocacy, community partnerships, and meaningful opportunities within its workforce.

Who weโ€™re looking for:

Step into a pivotal leadership role driving operational excellence and team success at Veteran Benefits Guide. The Claims Processing Manager serves as the primary operational expert and visionary leader for an assigned "Pod"โ€”a cross-functional team managing the daily flow of claims. You will collaborate closely with the Lead Conversion, Case Management, Underwriting and Case Review Managers to ensure seamless workflows, optimize staff performance, and champion our organizational mission. Leadership relies on this role to act as a credible coach and mentor, making sound business judgments to consistently achieve all operational goals.


What do we offer:

We invest in our people, supporting their growth through mentorship and professional development. We strive to offer a work-life balance, creating a culture that is people-focused and fun. Here are some of the benefits you can expect as part of our team:

  • Work from home: Flexibility to work from home based on business needs and policies.
  • Work/life balance: We offer a Monday โ€“ Friday 8 a.m. to 5 p.m. schedule.
  • Benefits: Choice of Medical, Vision, and Dental plans with company premium contributions, vacation and sick time, 8 paid holidays plus a floating holiday, 401k with company match after 90 days & other ancillary benefits.
  • Growth and development: In-house training and on-the-job development prepare our employees for promotional advancement, leadership opportunities, and lateral transfer skill development.

Essential functions:

Reasonable accommodation may be made to enable individuals with disabilities to perform essential functions.

  • Oversee daily operations and manage the flow of claims through the pod.
  • Identify and implement process improvements to increase efficiency and quality.
  • Monitor budgets, track costs, and optimize resource allocation.
  • Track performance metrics, prepare reports, and present findings to leadership.
  • Lead, coach, and develop team members; support hiring, onboarding, and performance management.
  • Maintain compliance, data security, and risk management standards.
  • Collaborate with managers and cross-functional teams to achieve shared goals.

Qualifications and Competencies:

  • 5โ€“7 years of operations or production management experience, preferably in claims processing, insurance, finance, or healthcare.
  • At least 3 years of people management experience.
  • Strong analytical, communication, and time management skills.
  • Proficiency in Microsoft Office and general computer applications.
  • Detail-oriented, adaptable, and comfortable working in a high-pressure environment.
  • Strong leadership, coaching, and mentoring abilities.

Education

  • Bachelorโ€™s degree in Business Administration, Operations Management, Finance, or a related field required.
  • MBA or other advanced degree preferred.
  • Certifications such as PMP, Lean Six Sigma Green/Black Belt, or Certified Manager (CM) are a plus.

Supervisory Responsibilities

This position has supervisory responsibilities for pod team members and any additional assigned staff.


Travel:

Travel to out-of-state off-site training or meetings may be required and is estimated at up to 50% within the first 90 days of employment.


Why VBG:

  • VBG find meaning in their day-to-day work because every process, every project, and every decision connects back to real Veteransโ€™ lives.
  • VBG fosters a culture that values service, integrity, and continuous improvement.
  • When you work at VBG, youโ€™re not just advancing your careerโ€”youโ€™re honoring service, empowering Veterans, and helping to build a better system for those who gave so much.


EEO:

Veteran Benefits Guide provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, national origin, ancestry, physical disability, mental disability, medical condition, marital status, sex (including pregnancy, childbirth, breastfeeding or related medical conditions), gender (including gender identity and gender expression) genetic characteristic, sexual orientation, registered domestic partner status, age, military or veteran status, hairstyle or hair texture, reproductive health decision making, or any other characteristic protected by federal, state, or local laws.

Requirements: