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Claims Processing Manager Jobs in Baton Rouge, LA

Workers Compensation Adjuster

Baton Rouge, LA · On-site

$63K - $82K/yr

Manages cases to ensure good, timely care in a cost-effective manner. * Calculates applicable payroll, sets reserves on claims, and processes payments in timely manner. * Supervision * Provides ...

Maintains accurate and current claim file documentation throughout the claims process for complex claims. * Maintains high standards of productivity through effective desk management, timely follow ...

Maintains accurate and current claim file documentation throughout the claims process for complex claims. * Maintains high standards of productivity through effective desk management, timely follow ...

Maintains accurate and current claim file documentation throughout the claims process for complex claims. * Maintains high standards of productivity through effective desk management, timely follow ...

ORS SPECIALIST 1/2/3/4

Baton Rouge, LA · On-site

$2.7K - $4.6K/mo

The office manages the full UI lifecycle, including employer tax collection, benefit claims processing, fraud prevention, and appeals This position reviews, interprets, and applies Unemployment ...

Department Supervisor

Donaldsonville, LA · On-site

$65K - $100K/yr

... Manages claims and receiving operations by ensuring proper policies and procedures are followed Ensures the timely processing of claims forexample damaged defective returned liquidated items and ...

Responsible for all project cost administration processes to include; completing/reviewing project ... Responsible for recognizing changes in project scope and or conditions, ability to develop claims ...

New

Showing results 21-40

Claims Processing Manager information

See Baton Rouge, LA salary details

$33.6K

$84.4K

$133.5K

How much do claims processing manager jobs pay per year?

As of Aug 6, 2026, the average yearly pay for claims processing manager in Baton Rouge, LA is $84,368.00, according to ZipRecruiter salary data. Most workers in this role earn between $65,300.00 and $100,800.00 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.

Full-time

Posted 3 days ago

New


Job description

Thank you for your interest in LSU New Orleans.


Once you start the application process, you will not be able to save your work, so you should collect all required information before you begin. The required information is listed below in the job posting.
You must complete all required portions of the application and attach the required documents in order to be considered for employment.

Department

Medicaid Support
Job Summary
Job Description
May serve as the subject matter expert in Third-Party Liability (TPL) Recovery issues related to Estate, Trauma, Special Needs Trusts, and/or restitution recoveries. Provides support in responses to escalated matters.
Develops an advanced working knowledge of Medicaid and Eligibility policy to interpret Medicaid claims.
Participates in the development and implementation of TPL policies and procedural changes related to Estate, Trauma, Special Needs Trusts, and/or restitution recoveries.
Performs advanced research of claims to identify claims associated with accident-related diagnoses and treatments and/or applicable to various recovery types.
Performs advanced calculations to determine appropriate claims recovery amounts and processes incoming payments.
Provides support to the Medicaid Fraud and Recovery Investigative Unit's ongoing, statewide operational activities relative to restitution and fraud recoveries.
Pursues the recovery of funds from third parties (including the estates and Trusts of deceased recipients), as appropriate and according to established policies and procedures; includes issuance of recovery notices and assistance to LDH's Bureau of Legal Service when defending LDH's interest in legal proceedings.
May conduct extensive asset, estate, succession, claim, and other necessary case research. Requires regular coordination with LDH's Bureau of Legal Service, families of deceased Medicaid recipients, attorneys, insurance companies, and other third parties, in the regular management of assigned Recovery caseload.
May serve as the LDH representative for recovery matters under appeal, including preparation of Summaries of Evidence and other documentation and processes required of the LDH's and Department of Administrative Law's fair hearing processes.
Assists in making recommendations for system changes required due to changing federal and/or state regulations, Medicaid policies, and other factors including system modernization efforts.
Participates in planning, development, design, testing, and implementation of changes and/or new specifications to the recovery system.
May serve as backup to team lead (i.e. Recovery Coordinator 2).
Other tasks, as directed.

Required Qualifications:

Bachelor's degree or 6 years' professional work experience in lieu of degree.
Excellent analytical skills, effective organizational and time management skills.
Ability to manage projects, assignments, and competing priorities.
Proficient in the use of Microsoft Office, including but not limited to Outlook, Word, and Excel.
Great attention to detail and follow up, and verbal/written communications skills.

Desired Qualifications:

Advanced degree.
Minimum one year of experience in Medicaid Long Term Care and HCBS programs.
Minimum one year of experience withthe Louisiana Medicaid systems and policy.
Minimum one year of experience with liability insurance claims processing.
CPT, ICD9 or ICD10 coding, and HCPCS knowledge.
SALARY: 40-50k

Required Attachments


Please upload the following documents in the Resume/Cover Letter section.

  • Detailed resume listing relevant qualifications and experience;
  • Cover Letter indicating why you are a good fit for the position and LSU New Orleans;
  • Names and contact information of three references;

Applications that do not include the required uploaded documents may not be considered.

Posting Close DateThis position will remain open until filled.

Note to Applicant:


Applicants should fully describe their qualifications and experience with specific reference to each of the minimum and preferred qualifications in their cover letter. The search committee will use this information during the initial review of application materials.

References will be contacted at the appropriate phase of the recruitment process.

This position may require a criminal background check to be conducted on the candidate(s) selected for hire.

As part of the hiring process, applicants for positions at LSU New Orleans may be required to demonstrate the ability to perform job-related tasks.


LSU New Orleans seeks to recruit a highly productive workforce and will provide equal employment opportunities to all employees and prospective employees. Employment decisions shall be based strictly on merit and without regard to religious or political beliefs, sex, race, or any other non-merit factor.