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.
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.
Manage, coach, and develop a team of annuity in-force and claim processors, set performance goals ... Review complex or escalated claims, support resolution of claim disputes, and provide problem ...
Manage, coach, and develop a team of annuity in-force and claim processors, set performance goals ... Review complex or escalated claims, support resolution of claim disputes, and provide problem ...
Manage, coach, and develop a team of annuity in-force and claim processors, set performance goals ... Review complex or escalated claims, support resolution of claim disputes, and provide problem ...
Manage, coach, and develop a team of annuity in-force and claim processors, set performance goals ... Review complex or escalated claims, support resolution of claim disputes, and provide problem ...
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 ...
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 ...
Claims Title Processor
$17 - $21.50/hr
This position is responsible for the overall management of vehicle titles and any documents related to the processing of vehicle titles on all total loss claims where branding of the title is ...
Claims Title Processor
$17 - $21.50/hr
This position is responsible for the overall management of vehicle titles and any documents related to the processing of vehicle titles on all total loss claims where branding of the title is ...
Claims Title Processor
Carmel, IN · On-site
$17 - $21.50/hr
This position is responsible for the overall management of vehicle titles and any documents related to the processing of vehicle titles on all total loss claims where branding of the title is ...
Claims Title Processor
Carmel, IN · On-site
$17 - $21.50/hr
This position is responsible for the overall management of vehicle titles and any documents related to the processing of vehicle titles on all total loss claims where branding of the title is ...
... management, claims processing services, and service contract underwriting. With over 20+ years of ... experience, we are one of the warranty and service industry's leading providers, which is why many ...
... management, claims processing services, and service contract underwriting. With over 20+ years of ... experience, we are one of the warranty and service industry's leading providers, which is why many ...
... management, claims processing services, and service contract underwriting. With over 20+ years of ... experience, we are one of the warranty and service industry's leading providers, which is why many ...
... management, claims processing services, and service contract underwriting. With over 20+ years of ... experience, we are one of the warranty and service industry's leading providers, which is why many ...
Claims Manager, Provider Services You have: Required Qualifications · Must reside in the state of ... processes, coding, and/or dispute resolution.
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Claims Manager, Provider Services You have: Required Qualifications · Must reside in the state of ... processes, coding, and/or dispute resolution.
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 ...
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 ...
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 ...
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 ...
Claims Adjuster- Bilingual
Jeffersonville, IN · On-site
$47K - $61K/yr
... management, claims processing services, and service contract underwriting. With over 20+ years of experience, we are one of the warranty and service industry's leading providers, which is why many of ...
Claims Adjuster- Bilingual
Jeffersonville, IN · On-site
$47K - $61K/yr
... management, claims processing services, and service contract underwriting. With over 20+ years of experience, we are one of the warranty and service industry's leading providers, which is why many of ...
Claims Adjuster- Bilingual
$47K - $61K/yr
... management, claims processing services, and service contract underwriting. With over 20+ years of experience, we are one of the warranty and service industry's leading providers, which is why many of ...
Claims Adjuster- Bilingual
$47K - $61K/yr
... management, claims processing services, and service contract underwriting. With over 20+ years of experience, we are one of the warranty and service industry's leading providers, which is why many of ...
Medical Billing/Claims/Collections
Merrillville, IN · On-site
$21.85 - $25.30/hr
... management. • At least 2 years of experience in medical billing, claims processing, or collections. • Working knowledge of medical denials management and appeals procedures. • Ability to review ...
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Medical Billing/Claims/Collections
Merrillville, IN · On-site
$21.85 - $25.30/hr
... management. • At least 2 years of experience in medical billing, claims processing, or collections. • Working knowledge of medical denials management and appeals procedures. • Ability to review ...
Claims Consultant
Chesterton, IN · On-site
$48K - $55K/yr
Reviews client critical deliverables, manages the overall workload, and second-level process escalation. Determines benefits due, makes timely claims payments/approvals and adjustments for Workers ...
Claims Consultant
Chesterton, IN · On-site
$48K - $55K/yr
Reviews client critical deliverables, manages the overall workload, and second-level process escalation. Determines benefits due, makes timely claims payments/approvals and adjustments for Workers ...
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?
What are the primary challenges faced by a Claims Processing Manager, and how can they be addressed?
What does a Claims Processing Manager do?
What are the key skills and qualifications needed to thrive as a Claims Processing Manager, and why are they important?
Full-time
Medical, Dental, Vision, Life, Retirement, PTO
Posted 8 days ago
OneAmerica Financial rating
8.5
Based on 5 frontline employees who took The Breakroom Quiz
Job description
The Supplemental Health Claims Consultant is an individual contributor responsible for providing subject matter expertise to design, implement, and continuously improve supplemental health claims processes, procedures, and workflows. This role partners closely with Claims Operations, Product, Compliance, Training, and Technology teams to ensure customer-focused, compliant, and efficient claims practices. The position may also adjudicate claims and support quality initiatives as needed.
Key Responsibilities:
- 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, workflow diagrams, and controls to support consistent, scalable operations.
- Technical claims subject matter expertise: Serve as the go-to expert for supplemental health products (Accident, Critical Illness, Hospital Indemnity, Wellness, etc.) and interpret plan provisions, definitions, limitations, exclusions, riders, and administrative rules to guide accurate claims outcomes.
- Systems design and requirements support: Partner with Technology and business stakeholders to translate operational needs into clear requirements (rules, routing, templates, decision logic, edits, and reporting), validate design, and support testing (UAT) to ensure systems enable compliant and efficient claims processing.
- Eligibility and efficiency optimization: Identify opportunities to improve eligibility verification, evidence collection, and straight-through processing; recommend automation and controls to reduce rework, turnaround time, and preventable denials while maintaining accuracy and customer experience.
- Training and knowledge enablement: Contribute to training program development by creating curriculum content, job aids, and scenario-based learning; deliver or support training for new hires and tenured staff on product knowledge, systems, and procedure changes.
- Continuous improvement and quality: Analyze operational performance (e.g., turnaround time, accuracy, denial drivers, customer contacts), support root-cause investigations, and implement corrective actions; participate in audits and quality reviews to sustain high standards.
- Regulatory compliance and industry awareness: Stay current on applicable federal/state regulations, market trends, and internal compliance requirements; assess impacts to claims handling and proactively recommend updates to procedures, controls, training, and communications.
- Claims adjudication (as assigned): Review and adjudicate supplemental health claims in accordance with plan provisions and procedures
Required Qualifications
- Bachelor's degree (or equivalent combination of education and related experience).
- 3+ years of experience in supplemental health (voluntary benefits) claims operations and/or claims adjudication (Accident, Critical Illness, Hospital Indemnity, Wellness, etc.).
- Experience with process improvement methods, service-level management, and quality/audit programs.
- Experience creating and maintaining operational documentation (SOPs, workflows, job aids) and communicating process changes to stakeholders.
- Experience supporting implementations or migrations of claims platforms (requirements, configuration support, testing, training, go-live readiness).
- Demonstrated training facilitation experience (live sessions, virtual training, train-the-trainer).
- Demonstrated ability to interpret plan provisions/contract language and apply it consistently to claim scenarios.
- Working knowledge of claims systems and operational controls (queue routing, decision rules, correspondence templates, work item management) and participation in testing/UAT.
- Ability to analyze operational issues, identify root causes, and implement improvements that enhance accuracy, compliance, and cycle time.
- Strong written and verbal communication skills, with the ability to explain claim outcomes and technical concepts clearly and professionally.
Preferred Qualifications
- Experience applying Lean and Six Sigma methodologies to drive process improvements
- Experience with FINEOS (Claims, Admin Platform - Any product)
Salary Band: 6A
#LI-SC1
This selected candidate will be expected to work hybrid in Indianapolis, IN or Portland, ME but we may consider remote associates who are not local to Indianapolis, IN or Portland, ME. The candidate will also be expected to physically return to the office in CA, IN or ME as business needs dictate or for team building and collaboration.
Consistent with applicable pay transparency laws, we disclose the compensation range for this position: $66,000 - $110,000 annually. Actual compensation will be determined by factors such as education, experience, geographical location, and other job-related factors permitted by law. In addition to base pay, this role is eligible for an annual incentive program.
We offer a comprehensive total rewards package designed to support you both at work and at home. Full-time and part-time associates working 30 or more hours per week are generally eligible for benefits, including but not limited to:
- Medical & prescription, dental, vision insurance
- Health Savings Account & Flexible Spending Accounts
- Paid Time Off
- 10 weeks 100% paid parental leave (after completing 12 months of employment)
- 401(k) Plan with company match
- Pension Plan
- Company paid life & disability insurance
- Wellness Program & Company paid employee assistance program
- Clinic access subject to location* (*Indianapolis, Charlotte, Cincinnati)
If you are offered and accept this position, please be advised that OneAmerica Financial does not have any offices located in the State of New York and OneAmerica Financial associates are not permitted to work remotely in the State of New York.
Selected employees must be able to perform the essential functions of the position satisfactorily and, if requested, reasonable accommodations will be made to enable employees with disabilities to perform the essential functions of their job, absent undue hardship.
Disclaimer: American United Life Insurance Company ("OneAmerica Financial") is committed to a policy of Equal Employment Opportunity and will not discriminate against an applicant or employee based on race, color, religion, creed, national origin or ancestry, ethnicity, sex (including gender, pregnancy, sexual orientation, gender identity), age, physical or mental disability, veteran or military status, genetic information, citizenship, or any other legally recognized protected basis under federal, state, or local law.
For all positions:
Because this position is regulated by the Violent Crime Control and Law Enforcement Act, if an offer is made, applicants must undergo mandated background checks as a condition of employment. Such background checks include criminal history. A conviction is not necessarily an absolute bar to employment. Consistent with applicable regulatory guidelines and law, factors such as the age of the offense, evidence of rehabilitation, seriousness of violation, and job relatedness are considered.
To learn more about our products, services, and the companies of OneAmerica Financial, visit oneamerica.com/companies.
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.