Two (2) years' experience in managed healthcare environment related to claims processing/audit ... Two (2) years' experience with standard coding and reference materials used in a claim setting ...
Two (2) years' experience in managed healthcare environment related to claims processing/audit ... Two (2) years' experience with standard coding and reference materials used in a claim setting ...
Claims Manager- Hybrid (Indianapolis, Indiana)
Indianapolis, IN · Hybrid
$86K - $123K/yr
This role is responsible for overseeing claims processing functions, driving performance ... Manage teams responsible for claims adjudication, adjustments, escalations, inventory management ...
Claims Manager- Hybrid (Indianapolis, Indiana)
Indianapolis, IN · Hybrid
$86K - $123K/yr
This role is responsible for overseeing claims processing functions, driving performance ... Manage teams responsible for claims adjudication, adjustments, escalations, inventory management ...
Claims Manager- Hybrid (Indianapolis, Indiana)
Indianapolis, IN · Hybrid
$86K - $123K/yr
This role is responsible for overseeing claims processing functions, driving performance ... Manage teams responsible for claims adjudication, adjustments, escalations, inventory management ...
Claims Manager- Hybrid (Indianapolis, Indiana)
Indianapolis, IN · Hybrid
$86K - $123K/yr
This role is responsible for overseeing claims processing functions, driving performance ... Manage teams responsible for claims adjudication, adjustments, escalations, inventory management ...
Claims Manager- Hybrid (Indianapolis, Indiana)
West Lafayette, IN · Hybrid
$86K - $123K/yr
This role is responsible for overseeing claims processing functions, driving performance ... Manage teams responsible for claims adjudication, adjustments, escalations, inventory management ...
Claims Manager- Hybrid (Indianapolis, Indiana)
West Lafayette, IN · Hybrid
$86K - $123K/yr
This role is responsible for overseeing claims processing functions, driving performance ... Manage teams responsible for claims adjudication, adjustments, escalations, inventory management ...
Claims Manager- Hybrid (Indianapolis, Indiana)
Indianapolis, IN · On-site
$86K - $123K/yr
This role is responsible for overseeing claims processing functions, driving performance ... Manage teams responsible for claims adjudication, adjustments, escalations, inventory management ...
Claims Manager- Hybrid (Indianapolis, Indiana)
Indianapolis, IN · On-site
$86K - $123K/yr
This role is responsible for overseeing claims processing functions, driving performance ... Manage teams responsible for claims adjudication, adjustments, escalations, inventory management ...
Annuity Claims Manager
Zionsville, IN · Hybrid
Manage and coach a team of annuity claims processors and reviewers * Set performance goals, conduct regular feedback sessions and complete performance reviews * Foster a culture of accountability ...
Annuity Claims Manager
Zionsville, IN · Hybrid
Manage and coach a team of annuity claims processors and reviewers * Set performance goals, conduct regular feedback sessions and complete performance reviews * Foster a culture of accountability ...
The position may also adjudicate claims and support quality initiatives as needed. Key ... Experience with process improvement methods, service-level management, and quality/audit programs.
The position may also adjudicate claims and support quality initiatives as needed. Key ... Experience with process improvement methods, service-level management, and quality/audit programs.
Annuity Claims Manager
Zionsville, IN · On-site
Manage and coach a team of annuity claims processors and reviewers * Set performance goals, conduct regular feedback sessions and complete performance reviews * Foster a culture of accountability ...
Annuity Claims Manager
Zionsville, IN · On-site
Manage and coach a team of annuity claims processors and reviewers * Set performance goals, conduct regular feedback sessions and complete performance reviews * Foster a culture of accountability ...
Process, procedure, and workflow design: Lead the development and implementation of new and revised supplemental health claims processes, standard operating procedures (SOPs), desk-level job aids ...
Process, procedure, and workflow design: Lead the development and implementation of new and revised supplemental health claims processes, standard operating procedures (SOPs), desk-level job aids ...
Claims Processor
Carmel, IN · On-site
$18/hr
Key Responsibilities • Monitor and manage the claims inbox in Outlook, responding to emails and faxes and attaching requested documentation • Process ACH, check, and draft payments to ensure ...
Quick apply
Claims Processor
Carmel, IN · On-site
$18/hr
Key Responsibilities • Monitor and manage the claims inbox in Outlook, responding to emails and faxes and attaching requested documentation • Process ACH, check, and draft payments to ensure ...
Pension Claims Processor
Indianapolis, IN · On-site
$19 - $21/hr
... We manage comprehensive benefit programs-including health, pension, and annuity funds-for sheet ... Participant Services & Retirement Processing * Serve as the primary point of contact for plan ...
Pension Claims Processor
Indianapolis, IN · On-site
$19 - $21/hr
... We manage comprehensive benefit programs-including health, pension, and annuity funds-for sheet ... Participant Services & Retirement Processing * Serve as the primary point of contact for plan ...
Claims Rep - Clinic
East Chicago, IN · On-site
$18 - $26.37/hr
Performs claims processing tasks to ensure that claims are accepted in a timely manner and within payor filing windows. Tracks claim status, manages denials, initiates re-openings and appeals to ...
Claims Rep - Clinic
East Chicago, IN · On-site
$18 - $26.37/hr
Performs claims processing tasks to ensure that claims are accepted in a timely manner and within payor filing windows. Tracks claim status, manages denials, initiates re-openings and appeals to ...
Performs claims processing tasks to ensure that claims are accepted in a timely manner and within payor filing windows. Tracks claim status, manages denials, initiates re-openings and appeals to ...
Performs claims processing tasks to ensure that claims are accepted in a timely manner and within payor filing windows. Tracks claim status, manages denials, initiates re-openings and appeals to ...
The position may also adjudicate claims and support quality initiatives as needed. Key ... Experience with process improvement methods, service-level management, and quality/audit programs.
Quick apply
The position may also adjudicate claims and support quality initiatives as needed. Key ... Experience with process improvement methods, service-level management, and quality/audit programs.
Claims Attorney
Fort Wayne, IN · On-site
... management. * Identify and/or offer guidance regarding appropriate cost containment, loss ... Contribute as requested to departmental or interdepartmental projects or processes that relate to ...
Claims Attorney
Fort Wayne, IN · On-site
... management. * Identify and/or offer guidance regarding appropriate cost containment, loss ... Contribute as requested to departmental or interdepartmental projects or processes that relate to ...
... management. * Identify and/or offer guidance regarding appropriate cost containment, loss ... Contribute as requested to departmental or interdepartmental projects or processes that relate to ...
... management. * Identify and/or offer guidance regarding appropriate cost containment, loss ... Contribute as requested to departmental or interdepartmental projects or processes that relate to ...
Claims Attorney
Fort Wayne, IN · On-site
... management. * Identify and/or offer guidance regarding appropriate cost containment, loss ... Contribute as requested to departmental or interdepartmental projects or processes that relate to ...
Claims Attorney
Fort Wayne, IN · On-site
... management. * Identify and/or offer guidance regarding appropriate cost containment, loss ... Contribute as requested to departmental or interdepartmental projects or processes that relate to ...
Inforce, Claims Processor
Zionsville, IN · On-site
... management, and striving for outcomes. This goal extends to how we hire and onboard our most ... Processing and approving claim payments, generating settlement confirmation letters and tracking of ...
Inforce, Claims Processor
Zionsville, IN · On-site
... management, and striving for outcomes. This goal extends to how we hire and onboard our most ... Processing and approving claim payments, generating settlement confirmation letters and tracking of ...
Job Title Process Manager, Commercial Casualty Claims - Remote Requisition Number R7810 Process Manager, Commercial Casualty Claims - Remote (Open) Location California - Home Teleworkers Additional ...
Job Title Process Manager, Commercial Casualty Claims - Remote Requisition Number R7810 Process Manager, Commercial Casualty Claims - Remote (Open) Location California - Home Teleworkers Additional ...
Be Seen First
Claims & Coding Representative
Evansville, IN · On-site
$15 - $17/hr
We are looking for an individual who has experience in medical billing,coding and claims processing, is detail-orientated with excellent verbal, written communication along with time management ...
Quick apply
Be Seen First
Claims & Coding Representative
Evansville, IN · On-site
$15 - $17/hr
We are looking for an individual who has experience in medical billing,coding and claims processing, is detail-orientated with excellent verbal, written communication along with time management ...
Claims Processing Manager information
See Indiana salary details
$33.3K - $42.3K
4% of jobs
$42.3K - $51.3K
4% of jobs
$51.3K - $60.3K
10% of jobs
$63.7K is the 25th percentile. Wages below this are outliers.
$60.3K - $69.3K
18% of jobs
$69.3K - $78.3K
12% of jobs
The median wage is $79.8K / yr.
$78.3K - $87.3K
13% of jobs
$87.3K - $96.3K
14% of jobs
$96.7K is the 75th percentile. Wages above this are outliers.
$96.3K - $105.3K
12% of jobs
$105.3K - $114.3K
7% of jobs
$114.3K - $123.3K
4% of jobs
$123.3K - $132.3K
2% of jobs
$33.3K
$83.6K
$132.3K
How much do claims processing manager jobs pay per year?
As of Jun 26, 2026, the average yearly pay for claims processing manager in Indiana is $83,606.00, according to ZipRecruiter salary data. Most workers in this role earn between $64,700.00 and $99,900.00 per year, depending on experience, location, and employer.
Have a claim synonym?
For a Claims Processing Manager, a synonym for 'claim' is often 'request for payment' or 'insurance request.' These terms are used interchangeably in the context of insurance and claims processing roles. Understanding these synonyms can help in effective communication and documentation within the job environment.
What are the three main claims?
In claims processing, the three main types of claims are first-party claims, which involve the policyholder's own coverage; third-party claims, which involve a claim against another party's insurance; and liability claims, which determine legal responsibility for damages. Claims adjusters evaluate these claims to determine coverage and settlement amounts, often using specialized software and industry standards.
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 is the meaning of a claim?
In the context of a Claims Processing Manager, a claim is a formal request made by an insured individual or policyholder to an insurance company for coverage or compensation for a loss or damage covered under their policy. Processing claims involves reviewing documentation, verifying coverage, and determining the appropriate payout. Accurate claim handling requires knowledge of insurance policies, attention to detail, and adherence to regulatory standards.
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 examples of claims?
In claims processing, examples include insurance claims for damages, medical claims for healthcare expenses, and warranty claims for product repairs or replacements. Claims are submitted by policyholders or customers to request coverage or compensation, and processing involves verifying details and determining payout eligibility. Claims processing managers oversee this workflow, ensuring accuracy and efficiency using claims management systems.
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.
What are the most commonly searched types of Claims Processing jobs in Indiana? The most popular types of Claims Processing jobs in Indiana are:
What cities in Indiana are hiring for Claims Processing Manager jobs? Cities in Indiana with the most Claims Processing Manager job openings:
Full-time
Medical, Dental, Vision, Retirement, PTO
Posted 18 days ago
Job description
American Health Plans, a division of Franklin, Tennessee-based American Health Partners Inc. owns and operates Institutional Special Needs Plans (I-SNPs) for seniors who reside in long-term care facilities. In partnership with nursing home operators, these Medicare Advantage plans manage medical risk by improving patient care to reduce emergency room visits and avoidable hospitalizations. This division currently operates in Tennessee, Georgia, Missouri, Kansas, Oklahoma, Utah, Texas, Mississippi, Louisiana, Iowa, and Idaho with planned expansion into other states in 2024. For more information, visit AmHealthPlans.com.
If you would like to be part of a collaborative, supportive and caring team, we look forward to receiving your application!
Benefits and Perks include:
- Affordable Medical/Dental/Vision insurance options
- Generous paid time-off program and paid holidays for full time staff
- TeleMedicine 24/7/365 access to doctors
- Optional short- and long-term disability plans
- Employee Assistance Plan (EAP)
- 401K retirement accounts
- Employee Referral Bonus Program
ESSENTIAL JOB DUTIES:
To perform this job, an individual must accomplish each essential function satisfactorily, with or without a reasonable accommodation.
- Conduct pre-pay and post-pay audits to ensure accurate claims payments and denials
- Ensure regulatory compliance and overall quality and efficiency by utilizing strong working knowledge of claims processing standards
- Work closely with delegated claim processor to ensure errors are reviewed and corrected prior to final payment
- Work assigned claim projects to completion
- Provide a high level of customer service to internal and external customers; achieve quality and productivity goals
- Escalate appropriate claims/audit issues to management as required; follow departmental/organizational policies and procedures
- Maintain production and quality standards as established by management
- Participate in and support ad-hoc audits as needed
- Other duties as assigned
JOB REQUIREMENTS:
- Proficient in processing/auditing claims for Medicare and Medicaid plans
- Strong knowledge of CMS requirements regarding claims processing, especially regarding skilled nursing facilities and other complex claim processing rules and regulations
- Current experience with both Institutional and Professional claim payments
- Knowledge of automated claims processing systems
- Hybrid role that may require 2-3 days per week onsite at the Franklin, TN office.
REQUIRED QUALIFICATIONS:
- Experience:
- Two (2) years’ experience with complex claims processing and/or auditing experience in the health insurance industry or medical health care delivery system
- Two (2) years’ experience in managed healthcare environment related to claims processing/audit
- Two (2) years’ experience with standard coding and reference materials used in a claim setting, such as CPT4, ICD10 and HCPCS
- Two (2) years’ experience with CMS requirements regarding claims processing; especially Skilled Nursing Facility and other complex claim processing rules and regulations
- Two (2) years’ experience processing/auditing claims for Medicare and Medicaid plans
- License/Certification(s):
- Coding certification preferred
EQUAL OPPORTUNITY EMPLOYER
Our Organization does not discriminate based on race, color, religion, sex, handicap, disability, age, marital status, sexual orientation, national origin, veteran status, or any other characteristic(s) protected by federal, state, and local laws. The Organization will also make reasonable accommodations for qualified individuals with disabilities should a request for an accommodation be made.
This employer participates in E-Verify.
About American Health Partners
Sourced by ZipRecruiter
American Health Partners is a family of six divisions staffed by outstanding employees who care deeply about others. Since our inception more than 45 years ago, we have been committed to bringing the highest quality healthcare available to our communities. That commitment continues to serve us, our patients, our customers and our partners well. Today, our diverse healthcare offerings serve nearly 12,000 individuals annually across multiple states. We operate in both urban and rural communities where people need healthcare close to home. By working closely with hospitals and other providers, we offer cost-effective options that give individuals greater control over their healthcare.
Industry
Health care and social assistance
Company size
1,001 - 5,000 Employees
Headquarters location
Franklin, TN, US
Year founded
1976