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Claims Processing Manager Jobs in Minnesota (NOW HIRING)

Robert Half

Claims Finance Manager

Hopkins, MN · On-site

$55.41 - $64.16/hr

Oversee weekly medical claims activity, track processing patterns, and investigate unusual fluctuations that could affect financial results or operational timeliness. * Manage month-end accounting ...

Medica

Director, Claims Operations

Minnetonka, MN · On-site

$113K - $194K/yr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Provide end-to-end oversight of claims processing from intake through adjudication and payment * Own performance management across daily, monthly, and quarterly KPIs, ensuring controls and actions ...

Imedica

Director, Claims Operations

Minnetonka, MN · On-site

$113K - $194K/yr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Provide end-to-end oversight of claims processing from intake through adjudication and payment * Own performance management across daily, monthly, and quarterly KPIs, ensuring controls and actions ...

Medium

Claims Manager

Minneapolis, MN · On-site

$110 - $150/hr

The Claims Manager is responsible for leading the insurance claims process for residential and multi-family restoration projects, ensuring the Company secures proper coverage and settlement values ...

CSAA

  • Retirement

Job Title Process Manager, Commercial Casualty Claims - Remote Requisition Number R7810 Process Manager, Commercial Casualty Claims - Remote (Open) Location California - Home Teleworkers Additional ...

Wilson-McShane Corp

MEDICAL CLAIMS ADJUSTER

Minneapolis, MN · On-site

$28.80/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

This role requires the ability to balance and manage incoming calls while processing medical and short-term disability claims in a timely and accurate manner. You will have a direct impact on the ...

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All JobsClaims Processing JobsClaims Processing Manager JobsClaims Processing Manager Jobs in Minnesota

Claims Processing Manager information

See Minnesota salary details

$34.3K

$86.1K

$136.1K

How much do claims processing manager jobs pay per year?

As of Aug 13, 2026, the average yearly pay for claims processing manager in Minnesota is $86,052.00, according to ZipRecruiter salary data. Most workers in this role earn between $66,600.00 and $102,800.00 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?

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 Minnesota?

The most popular types of Claims Processing jobs in Minnesota are:

What cities in Minnesota are hiring for Claims Processing Manager jobs?

Cities in Minnesota with the most Claims Processing Manager job openings:

Claims Processing Manager jobs near you

M&R Claims Processor / Subject Matter Expert (SME)

PerigonSoft, LLC

Minneapolis, MN • On-site

$17.75 - $22.50/hr

Other

Posted 10 days ago

Job description


Role: M&R Claims Processor / Subject Matter Expert (SME)
Years of Experience: 5?10+ Years (US Healthcare ? Claims Processing, M&R preferred)
Short Description
We are looking for a highly experienced M&R Claims Processor / SME with strong expertise in UHC claims adjudication and business workflows, capable of handling end-to-end claims processing, conducting quality reviews, training team members, and performing analytical deep dives to improve claims accuracy and operations.
Primary Responsibilities
Claims Processing & Adjudication
* Strong knowledge of COSMOS/CPA applications
* Solid understanding of the M&R line of business
* Familiarity with both facility and physician claims
* Comprehensive understanding of the end-to-end claims lifecycle
* Knowledge of appeals processes is preferred
* Understanding of member enrollment processes and provider contracts
Quality Review & Validation
* Review processed claims for accuracy and compliance
* Conduct audits and peer reviews
* Identify defect trends and perform root cause analysis (RCA)
* Recommend corrective and preventive actions
SME / Domain Expertise
* Act as M&R LOB SME with strong UHC business understanding
* Interpret policies and translate into operational guidelines
* Support complex claims adjudication scenarios and escalations
Training & Knowledge Transfer
* Train and mentor team members on:
* Claims adjudication
* UHC workflows and systems
* Create job aids, SOPs, and training documentation
Analysis & Process Improvement
* Perform data analysis on:
* Claim denials
* Processing accuracy
* Operational gaps
* Support process improvements and automation initiatives
Must Have Skills
* Strong experience in UHC M&R Claims Processing
* Hands-on expertise in:
* Claims adjudication
* Reimbursement and policy interpretation
* Experience working with COSMOS CPA/ ICES / claims systems
* Strong analytical and problem-solving skills
* Experience in claims review and quality validation
* Ability to train and mentor junior resources
Nice To Have Skills
* Exposure to E&I or C&S domain
* Experience in process improvement / automation initiatives
Key Competencies
* Strong UHC domain expertise
* Detail-oriented with strong quality focus
* Excellent communication and stakeholder management skills
* Ability to work independently and in a team environment

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