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Claims Processing Manager Jobs in Minnesota (NOW HIRING)

WE ARE THE KIND OF EMPLOYER YOU DESERVE. illumifin is a leading provider of business process ... The Claims Manager position is responsible for evaluation and rendering eligibility decisions on ...

Claims Manager

Eden Prairie, MN · On-site +1

$60K/yr

WE ARE THE KIND OF EMPLOYER YOU DESERVE. illumifin is a leading provider of business process ... The Claims Manager position is responsible for evaluation and rendering eligibility decisions on ...

In a fast-paced environment, you'll learn how to resolve a full case load of claims efficiently while managing the claims process from start to finish. You'll have the support of a collaborative team ...

Posted today

Senior Claims Specialist

Saint Paul, MN · On-site

$79K - $129K/yr

... process with professionalism and empathy. As a trusted resource, you may also partner with Claims ... Ability to manage a pending of severe complexity claims assigned under minimal supervision.

Showing results 21-40

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 14, 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 Manager

LTCG

Eden Prairie, MN • Hybrid

$60K/yr

Full-time

Re-posted 29 days ago


Job description

The nation's leading administrator of long term care insurance services is looking for YOU. This is your opportunity to join a company with a culture that promotes respect for people, integrity, learning and initiative.
WE ARE THE KIND OF EMPLOYER YOU DESERVE.
illumifin is a leading provider of business process outsourcing for the insurance industry, managing over 1.3 million long-term care policies for the nation's largest insurers. We also provide clients with unique risk management insight built upon our proprietary long term care databases.
The Claims Manager position is responsible for evaluation and rendering eligibility decisions on home and facility based Long Term Care claims (standalone and hybrid), chronic illness riders and/or critical illness within client contract and policy parameters, while providing quality customer service to our policy holders, their representatives and providers. A Claims Manager will be required to review and certify for chronic illness.
CLAIMS MANAGER RESPONSIBILITIES
  • Review internal databases, client guidelines and policy contract language to evaluate routine home and facility-based claims, in accordance with department processes and standards.
  • Communicate clearly and routinely with claimants, representatives, third parties, physicians and healthcare providers via written letters and phone calls as required by agreed upon SLAs and. Additionally, effectively communicate with team members and leadership on cases, as needed.
  • Query service providers to obtain licensure information, proof of loss and dates of service. Verify that provider and/or care is appropriate base on the claimant's diagnosis and is in accordance with contract language and government regulations regarding healthcare providers.
  • Maintain clear and concise documentation of all claim activity within the required databases.
  • Create plans of care and complete Chronic Illness Certification as appropriate.
  • Provide prompt, courteous and excellent customer service to internal and external customers.
  • Demonstrate effective communication skills, level of attentiveness and use of appropriate lines of authority. Promptly share accurate and complete information to others who need it, based on HIPAA and legal documents regarding release.
  • Perform work accurately and demonstrate ability to prioritize workload.
  • Participate in team meetings and assist colleagues with their work loads when appropriate.
  • Uphold the principles of compliance as outlined in the Code of Conduct, Employee Handbook and related policies and procedures. Supports and participates in the mandatory Corporate Compliance Program training initiative on an annual or more frequent basis, as required.
  • Meet established quality and production expectations as established and communicated by the department.
  • Work independently with minimal direction.
  • Other duties as assigned.
Minimum Qualifications
  • Current and Unrestricted Registered Nurse (RN) or Social Work license.
  • Four-year college degree or equivalent formal training program.
  • Two years' experience in medical, insurance or risk management setting.
  • One-year work experience in claim processing.
  • Intermediate level experience with Microsoft Office products.
  • Excellent verbal and written communication.

Preferred Qualifications

  • Experience working in a geriatric healthcare environment
  • Knowledge of health, long-term care of disability insurance

The annual compensation target is at $60,000 depending on experience and qualifications