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Claims Processing Manager Jobs in Indiana (NOW HIRING)

This position will work with the project manager, software developers, business analysts, and ... Net • Act as liaison between OTC team and the Children's program area on claims processing issues ...

New

This position will work with the project manager, software developers, business analysts, and ... Review update all documentation related to claims processing and EDI transactions Identify ...

New

This position will work with the project manager, software developers, business analysts, and ... Review update all documentation related to claims processing and EDI transactions Identify ...

.Net Developer

Indianapolis, IN · On-site

$46 - $61/hr

... manager, software developers, business analysts, and functional team members on the project activities. Key Responsibilities * Review update all documentation related to claims processing and EDI ...

This position will work with the project manager, software developers, business analysts, and ... Review update all documentation related to claims processing and EDI transactions *Identify ...

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Claims Processing Manager information

See Indiana salary details

$33.3K

$83.6K

$132.3K

How much do claims processing manager jobs pay per year?

As of Jun 11, 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:
EDI Developer

Other

This job post has expired today. Applications are no longer accepted.


Job description

Title : EDI Developer,

Loc : Indiana / Onsite

Need Locals or nearby who can relocate

The EDI Expert is responsible for maintaining the life cycle of claims as they arrive from health providers at IDOH, are loaded into our database, are adjudicated based on state and national pricing standards, and as adjudication messages are generated and sent back to the originating provider.  This position will work with the project manager, software developers, business analysts, and functional team members on the project activities.   

Essential Duties / Responsibilities: 

•    Review update all documentation related to claims processing and EDI transactions

•    Identify incompletely documented claims processing and EDI processes, and document them

•    Work with development team as a SME as IDOH’s ACAPS system is rewritten in .Net

•    Act as liaison between OTC team and the Children’s program area on claims processing issues

•    Working with technical and functional staff on detailed business requirements, understanding business processes and technology, agency standards, federal and state policies to align with project’s goals.

•    Write technical specifications based on conceptual design and stated business requirements.

•    Test new and existing systems

•    Ensure accurate and appropriate file exchanges with external trading partners and resolve EDI data transmission conflicts.

•    Provide helpdesk level support for EDI claim transactions.

o    Provide support to healthcare providers who interact with IDOH’s CSHCS system

o    Assist in onboarding new providers

o    Assist in onboarding new clearinghouses

•    Ability to work independently with less guidance and work with ISDH externals partners as needed.