1

Claims Processing Manager Jobs in Washington, DC

Experience investigating claims processing errors and transaction failures. * Incident/ticket management experience. * Basic SQL skills for querying and analyzing data. * Experience working with ...

Knowledge of claims processing. Preferred * Applicable industry licensing. * Associate in Claims (AIC) or Associate in Risk Management (ARM) preferred. * Two or four year degree from an accredited ...

Knowledge of claims processing. Preferred * Applicable industry licensing. * Associate in Claims (AIC) or Associate in Risk Management (ARM) preferred. * Two or four year degree from an accredited ...

Claims Adjuster II

Bethesda, MD · On-site

$63K - $92K/yr

Knowledge of claims processing. Preferred * Applicable industry licensing. * Associate in Claims (AIC) or Associate in Risk Management (ARM) preferred. * Two or four year degree from an accredited ...

Claims Assistant

Rockville, MD · Hybrid

$15 - $23.42/hr

... case management and other tasks depending on the specific customer needs. This is a hybrid role. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Sets up new claims * Process mail, handle files (until ...

Claims Assistant

Rockville, MD · On-site

$15 - $23.42/hr

... case management and other tasks depending on the specific customer needs. This is a hybrid role. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Sets up new claims * Process mail, handle files (until ...

Claims Assistant

Rockville, MD · On-site

$15 - $23.42/hr

... case management and other tasks depending on the specific customer needs. This is a hybrid role. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Sets up new claims * Process mail, handle files (until ...

Medical Billing Specialist

Fairfax, VA · On-site +1

$18.50 - $24/hr

Revenue Cycle Management Overview: CMCI is seeking a detail-oriented and experienced Medical Billing Specialist to oversee claims processing, revenue cycle management, and contribute valuable ...

Project Manager

MD · On-site

$90K - $150K/yr

Provide and manage consulting, data transfer, and claims processing services to increase federal revenues in Medicare A, B, D, and Medicaid in IDHS State Operated Facilities * Provide revenue ...

next page

Showing results 1-20

Claims Processing Manager information

See Washington, DC salary details

$39.6K

$99.5K

$157.4K

How much do claims processing manager jobs pay per year?

As of Aug 14, 2026, the average yearly pay for claims processing manager in Washington, DC is $99,511.00, according to ZipRecruiter salary data. Most workers in this role earn between $77,000.00 and $118,900.00 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 Washington, DC?

The most popular types of Claims Processing jobs in Washington, DC are:

Healthcare EDI Claims Analyst

System One

Columbia, MD • On-site

$52.96/hr

Contractor

Medical, PTO

Posted 21 days ago


Job description

Healthcare EDI Claims Analyst

Location: Hybrid – Columbia/Baltimore, MD (2-3 days onsite per month) Duration: 12-Month Contract-to-Hire Pay Rate: $52.96/hour W2 (No PTO)

About the Role

We are seeking a Healthcare EDI Claims Analyst to support healthcare claims processing operations. This role focuses on investigating claims issues, resolving incident tickets, analyzing EDI transactions, and coordinating with internal teams and health plans to ensure successful claims processing.

This is an operational support and claims analysis position—not a software development, production support, or monitoring role.

Responsibilities

  • Investigate and resolve healthcare claims processing issues and incident tickets.
  • Analyze EDI 837 claim transactions, XML files, and claim processing errors.
  • Research transaction rejections, data issues, and claim failures.
  • Run SQL queries to support claims analysis and troubleshooting.
  • Partner with internal teams and external health plans/payers to resolve claims-related issues.
  • Support claims adjudication and vouchering processes.
  • Document incidents, resolutions, and support procedures.
  • Identify opportunities to improve claims processing workflows and efficiency.

Required Qualifications

  • 5+ years of healthcare claims processing experience.
  • Experience with EDI 837 healthcare claim transactions.
  • Experience investigating claims processing errors and transaction failures.
  • Incident/ticket management experience.
  • Basic SQL skills for querying and analyzing data.
  • Experience working with healthcare payers, health plans, or insurance organizations.
  • Strong analytical, troubleshooting, and communication skills.

Preferred Qualifications

  • EDI 835 transaction experience.
  • ServiceNow experience.
  • Claims adjudication experience.
  • BCBS or other healthcare payer experience.

Ideal Background

Candidates with experience in the following roles are encouraged to apply:

  • Healthcare EDI Claims Analyst
  • EDI Analyst
  • EDI Support Analyst
  • Healthcare Claims Analyst
  • Claims Systems Analyst
  • Claims Operations Analyst

What We're Looking For

A healthcare claims professional who enjoys investigating issues, resolving claims-related incidents, working with EDI transactions, and collaborating across teams to drive successful outcomes. This is a hands-on role focused on claims operations and issue resolution rather than software development.

Apply today to join a team supporting critical healthcare claims processing operations.

Ref: #851-Rockville-S1