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Claims Processing Manager Jobs (NOW HIRING)

Managed Staffing

Claims Processor

Mason, OH · On-site

$16 - $20.25/hr

MAJOR DUTIES & RESPONSIBILITIES: • Processing - Efficiently and accurately processes standard ... EyeMed Account Managers, Operations, Information Systems, Client Representatives and EyeMed ...

Collabera

Claims Processor

Mason, OH · On-site

$16 - $20.25/hr

Processing - Efficiently and accurately processes standard claims or adjustments Consistently ... Managers, Operations, Information Systems, Client Representatives and EyeMed leadership team.

Radiant Info Systems Ltd

Claims Manager

Milwaukee, WI · On-site

The manager must empower staff in meeting performance objectives and provide accurate and timely claims processing in accordance with State and Federal regulations. This position reports directly to ...

Sanford Health

Manager, Claims

Marshfield, WI · Remote

... Manager is under the general supervision of the Sanford Health Plan Director of Claims, in the ... The process includes the review and/or testing of claims, benefits and fee schedules to ensure ...

Astrana Health

Sr. Manager - Claims

Monterey Park, CA · Hybrid

$125K - $140K/yr

In this role, you'll oversee daily claims processing, drive quality and turnaround time performance ... Manage claims inventory and prioritize workloads to consistently meet SLAs * Support onboarding and ...

Sanford Health

Manager, Claims

North Sioux City, SD · Remote

... Manager is under the general supervision of the Sanford Health Plan Director of Claims, in the ... The process includes the review and/or testing of claims, benefits and fee schedules to ensure ...

Sanford Health

Manager, Claims

Fargo, ND · Remote

... Manager is under the general supervision of the Sanford Health Plan Director of Claims, in the ... The process includes the review and/or testing of claims, benefits and fee schedules to ensure ...

Cognizant

Healthcare Claims Testing Manager

Cognizant is seeking a Healthcare Claims Testing Manager to lead the testing strategy and execution for claims processing as part of healthcare Proof of Concept (POC). The role involves collaborating ...

Astrana Health, Inc.

Sr. Manager - Claims

Monterey Park, CA · On-site

$125K - $140K/yr

In this role, you'll oversee daily claims processing, drive quality and turnaround time performance ... Manage claims inventory and prioritize workloads to consistently meet SLAs * Support onboarding and ...

UHA

Claims Services Manager

Honolulu, HI · On-site

$90K - $118K/yr

This leadership role is responsible for ensuring operational excellence in claims processing ... Manage the daily operations of the Claim Services and Claim Services Adjustments departments

New

Astrana Health, Inc.

Sr. Manager - Claims

Monterey Park, CA · Hybrid

$125K - $140K/yr

In this role, you'll oversee daily claims processing, drive quality and turnaround time performance ... Manage claims inventory and prioritize workloads to consistently meet SLAs * Support onboarding and ...

The MH Group LLC

Manager Claim Processing

Hartford, CT · On-site

Oversee and manage daily operations of the claims processing department to ensure timely and accurate claim handling. * Develop, implement, and maintain quality control standards to ensure accuracy ...

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Claims Processing Manager information

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$35K

$87.9K

$139K

How much do claims processing manager jobs pay per year?

As of Jun 26, 2026, the average yearly pay for claims processing manager in the United States is $87,861.00, according to ZipRecruiter salary data. Most workers in this role earn between $68,000.00 and $105,000.00 per year, depending on experience, location, and employer.

Have a claim synonym?

For a Claims Processing Manager, a synonym for 'claim' is often 'request for payment' or 'insurance request.' These terms are used interchangeably in the context of insurance and claims processing roles. Understanding these synonyms can help in effective communication and documentation within the job environment.

What are the three main claims?

In claims processing, the three main types of claims are first-party claims, which involve the policyholder's own coverage; third-party claims, which involve a claim against another party's insurance; and liability claims, which determine legal responsibility for damages. Claims adjusters evaluate these claims to determine coverage and settlement amounts, often using specialized software and industry standards.

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 is the meaning of a claim?

In the context of a Claims Processing Manager, a claim is a formal request made by an insured individual or policyholder to an insurance company for coverage or compensation for a loss or damage covered under their policy. Processing claims involves reviewing documentation, verifying coverage, and determining the appropriate payout. Accurate claim handling requires knowledge of insurance policies, attention to detail, and adherence to regulatory standards.

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 examples of claims?

In claims processing, examples include insurance claims for damages, medical claims for healthcare expenses, and warranty claims for product repairs or replacements. Claims are submitted by policyholders or customers to request coverage or compensation, and processing involves verifying details and determining payout eligibility. Claims processing managers oversee this workflow, ensuring accuracy and efficiency using claims management systems.

What are the key skills and qualifications needed to thrive as a Claims Processing Manager, and why are they important?

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 cities are hiring for Claims Processing Manager jobs? Cities with the most Claims Processing Manager job openings:
What are the most commonly searched types of Claims Processing jobs? The most popular types of Claims Processing jobs are:
Who are the top companies hiring for Claims Processing Manager jobs? The top employers for Claims Processing Manager jobs are:
What states have the most Claims Processing Manager jobs? States with the most job openings for Claims Processing Manager jobs include:
Claims Processing Manager jobs near you
Remote Claims Processing Clerk

Remote Claims Processing Clerk

Conduent, Inc.

Lexington, KY • On-site, Remote

$15/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 10 days ago

Conduent rating

5.9

Company rating: 5.9 out of 10

Based on 183 frontline employees who took The Breakroom Quiz

36th of 71 rated call and contact centers

Job description


Remote Claims Processing Clerk
Schedule: Monday- Friday 8:00 AM - clean desk (based on business needs)
Training Schedule: 4-week paid training
Pay Rate: $15.00 per hour- please note this rate may be below your state's minimum wage. Consider this when applying
Job Type: Full-Time Remote
Job Summary
We are hiring a detail-oriented Claims Processor to support a fast-paced healthcare team. This role is fully remote and requires strong accuracy, time management, multitasking skills and the ability to adapt to changing priorities throughout the day.
Key Responsibilities
  • Review emails and Microsoft Teams messages at the start of each shift
  • Log into internal systems and begin processing claims as they come in
  • Accurately enter and review data in a high-volume environment
  • Monitor team chats and adjust workflow based on team needs
  • Complete assigned tasks and meet productivity goals
  • Follow scheduled breaks and lunch per company policy

What You Get:
  • WEEKENDS OFF
  • Paid Training
  • Health benefits start Day 1 to include Medical, Dental, Vision and 401K savings plan
  • Growth Opportunities in a Team focused environment

Requirements
  • GED or HS Diploma
  • Ability to pass a criminal background check and drug test
  • Ability to pass typing test of 45 wpm or more
  • Strong attention to detail and accuracy
  • Ability to work independently in a remote setting
  • Adaptable and able to shift priorities quickly
  • Proficient with computers and data entry systems
  • Reliable internet connection required
  • Must have a dedicated workspace

Due to varying state and local minimum wage laws, we are currently only able to hire candidates residing in states where our compensation structure complies with applicable wage regulations. As a result, we may be unable to consider applicants from certain states or municipalities at this time.
  • We are currently NOT hiring in the following geographies, including but not limited to:
    States: AK, CA, HI, MA, IL, MT & NY
    Metro Areas: MN - Minneapolis, IL - Chicago, NY - New York City, OR - Portland, MD - Montgomery County, WA - Seattle, Washington, DC

Pay Transparency Laws in some locations require disclosure of compensation and/or benefits-related information. For this position, actual salaries will vary and may be above or below the range based on various factors including but not limited to location, experience, and performance. In addition to base pay, this position, based on business need, may be eligible for a bonus or incentive. In addition, Conduent provides a variety of benefits to employees including health insurance coverage, voluntary dental and vision programs, life and disability insurance, a retirement savings plan, paid holidays, and paid time off (PTO) or vacation and/or sick time. The estimated hourly rate for this role is $15.00.
About Us
Through our dedicated associates, Conduent delivers mission-critical services and solutions on behalf of Fortune 100 companies and over 500 governments - creating exceptional outcomes for our clients and the millions of people who count on them. You have an opportunity to personally thrive, make a difference and be part of a culture where individuality is noticed and valued every day.
About the Team
Conduent is an Equal Opportunity Employer and considers applicants for all positions without regard to race, color, creed, religion, ancestry, national origin, age, gender identity, gender expression, sex/gender, marital status, sexual orientation, physical or mental disability, medical condition, use of a guide dog or service animal, military/veteran status, citizenship status, basis of genetic information, or any other group protected by law.
For US applicants: People with disabilities who need a reasonable accommodation to apply for or compete for employment with Conduent may request such accommodation(s) by submitting their request through this form that must be downloaded: click here to access or download the form. Complete the form and then email it as an attachment to FTADAAA@conduent.com. You may also click here to access Conduent's ADAAA Accommodation Policy.

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About Conduent

Sourced by ZipRecruiter

Through our dedicated associates, Conduent delivers mission-critical services and solutions on behalf of Fortune 100 companies and over 500 governments - creating exceptional outcomes for our clients and the millions of people who count on them. You have an opportunity to personally thrive, make a difference and be part of a culture where individuality is noticed and valued every day.

Industry

It services

Company size

10,000+ Employees

Headquarters location

Florham Park, NJ, US

Year founded

2017

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