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Claims Processing Manager Jobs in Austin, TX (NOW HIRING)

Claims Team Lead

Austin, TX · On-site

$70 - $95/hr

Work closely with Management to monitor department performance, track KPIs, and implement process improvements as needed. * Coordinate with various departments to enhance the claims processing ...

Claims Specialist

Austin, TX · Remote

$48K - $60K/yr

... claims processing organized, accurate, and moving quickly through the right next steps. We're looking for someone who is detail-oriented, dependable, and comfortable managing that day-to-day work.

... claims processing is a plus * Strong attention to detail and organizational skills * Excellent verbal and written communication abilities * Ability to manage multiple priorities in a fast-paced ...

Own full accountability for the assigned claims operation, ensuring claims are processed accurately ... Manage vendor relationships supporting the operation across clearinghouse, cost containment ...

Senior Claims Consultant

Austin, TX · On-site

$90 - $140/hr

Participate in strategic planning discussions regarding claims management and risk financing. * Identify opportunities to improve claims processes, workflows, and reporting. * Assist in the ...

Claims Processing * Supervise day-to-day claims intake, adjudication, and payment workflows to ... Manage assigned operational projects such as process improvement initiatives, system upgrades, or ...

Participate in strategic planning discussionsregardingclaims management and risk financing. Process Improvement & Operational Excellence * Identifyopportunities to improve claims processes, workflows ...

Senior Claims Consultant

Austin, TX · On-site

$65K - $84K/yr

Participate in strategic planning discussions regarding claims management and risk financing. Process Improvement & Operational Excellence * Identify opportunities to improve claims processes ...

Ensure adjudication processes follow stated acceptable standards * Assist the Claims Manager with scheduled and unscheduled internal and external claim file audits * Conduct trend analysis to ...

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Claims Processing Manager information

See Austin, TX salary details

$34.7K

$87.1K

$137.8K

How much do claims processing manager jobs pay per year?

As of Aug 23, 2026, the average yearly pay for claims processing manager in Austin, TX is $87,089.00, according to ZipRecruiter salary data. Most workers in this role earn between $67,400.00 and $104,100.00 per year, depending on experience, location, and employer.

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 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 are the most commonly searched types of Claims Processing jobs in Austin, TX?

The most popular types of Claims Processing jobs in Austin, TX are:

What cities near Austin, TX are hiring for Claims Processing Manager jobs?

Cities near Austin, TX with the most Claims Processing Manager job openings:

Claims Team Lead

Jobtailor

Austin, TX • On-site

$70 - $95/hr

Other

Posted 5 days ago


Job description

Responsibilities
  • Lead a team of 4-7 Claims Processors and Senior Claims Processors, providing ongoing support, answering questions, and offering guidance in handling complex or escalated cases.
  • Oversee daily claims processing tasks, ensuring timely and accurate handling of member claims, reviewing medical invoices, and processing payments in alignment with company guidelines and deadlines.
  • Serve as the primary point of contact for escalated issues, working closely with members and providers to resolve disputes or sensitive cases.
  • Assist in training new and junior staff members, providing coaching and feedback to help them grow and improve their performance.
  • Work closely with Management to monitor department performance, track KPIs, and implement process improvements as needed.
  • Coordinate with various departments to enhance the claims processing experience for members and ensure a seamless workflow.
  • Identify inefficiencies within the team and recommend automation, system enhancements, or procedural changes to optimize claims processing.
  • Ensure compliance with internal and external policies by maintaining accurate member records in the CRM system and conducting periodic audits of claims processed by the team.
  • Handle direct communication with members, ensuring queries and escalations are managed with professionalism, empathy, and accuracy.
Requirements
  • Bachelor's degree or equivalent experience in a related field
  • 2-3 years of experience in healthcare, claims processing, or a related field, including 1-2 years of leadership experience
  • Experience in process improvement, team management, or case management is preferred.
  • Experience with CRM systems, such as Salesforce, is a plus.
  • Advanced knowledge of medical terminology, claims processing, and medical billing practices.
  • Proficiency in working both independently and collaboratively within a fast-paced, team environment.
  • High level of attention to detail, accuracy in documentation, and data entry.
  • Critical thinking and problem-solving skills, especially when resolving escalated issues.
  • Ability to multitask and adapt to changing priorities efficiently.
Core Competencies

Demonstrates expertise in claims processing, team leadership, and process improvement within the healthcare sector. Proficient in managing escalated issues, ensuring compliance, and enhancing operational efficiency through effective communication and collaboration.

Highest-signal resume keywords
  • Claims Processing
  • Team Leadership
  • Process Improvement
  • Medical Terminology
  • CRM Systems
ATS Optimization Keywords Hard Skills
  • Claims Processing
  • Medical Billing
  • Data Entry
  • Process Improvement
  • KPI Tracking
Soft Skills
  • Critical Thinking
  • Problem-Solving
  • Attention to Detail
  • Communication
  • Empathy
Industry Keywords
  • Healthcare
  • Claims Processing
  • Medical Terminology
  • Escalated Issues
  • Compliance
Tools & Technologies
  • CRM Systems
  • Salesforce
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