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Claims Processing Manager Jobs (NOW HIRING)

Amwins

Claims Processing Coordinator

Scottsdale, AZ · On-site

Join Our Team as a Claims Processing Coordinator at Amwins Self-Funded, LLC! Are you ready to make ... Manage monthly claim reports for the administration of the assigned book of business, ensuring ...

Emergent Holdings

Claims Processing Associate

Lansing, MI · On-site

$18 - $24.25/hr

Processes Workers' Compensation claims retrieved from Open Pool queues or via telephone; codes body ... Experience using a document management system with workflows. Other insurance related coursework.

Conduent, Inc.

Claims Processing Clerk

Lexington, KY · On-site

$15/hr

Claims Processing Clerk Schedule: Full-Time Shift-Monday- Friday 8:00 AM - clean desk (based on ... This role is onsite in office and requires strong accuracy, time management, multitasking skills ...

AF Group

Claims Processing Associate

Lansing, MI · On-site

$18 - $24.25/hr

Processes Workers' Compensation claims retrieved from Open Pool queues or via telephone; codes body ... Experience using a document management system with workflows. * Other insurance related coursework.

The AF Group

Claims Processing Associate

Lansing, MI · On-site

$18 - $24.25/hr

Processes Workers' Compensation claims retrieved from Open Pool queues or via telephone; codes body ... Experience using a document management system with workflows. Other insurance related coursework.

AF Group

Claims Processing Associate

Lansing, MI · On-site

$18 - $24.25/hr

Processes Workers' Compensation claims retrieved from Open Pool queues or via telephone; codes body ... Experience using a document management system with workflows. * Other insurance related coursework.

Conduent, Inc.

Claims Processing Clerk

Lexington, KY

$15/hr

Claims Processing Clerk Schedule: Full-Time Shift- Monday- Friday 8:00 AM - clean desk (based on ... This role is onsite in office and requires strong accuracy, time management, multitasking skills ...

Conduent, Inc.

Remote Claims Processing Clerk

KY · Remote

$15/hr

Remote Claims Processing Clerk Schedule: Monday- Friday 8:00 AM - clean desk (based on business ... This role is fully remote and requires strong accuracy, time management, multitasking skills and ...

Winsupply

Claims Processing Specialist

Moraine, OH · On-site

Manage vendor disputes on all filed claims and respond to all inquiries / requests for additional information related to debit memos written; ensure compliance to WSS vendor policies * Processing ...

Winsupply

Claims Processing Specialist

Moraine, OH · On-site

Manage vendor disputes on all filed claims and respond to all inquiries / requests for additional information related to debit memos written; ensure compliance to WSS vendor policies * Processing ...

Cynet Systems

Claims Processor

Mason, OH · On-site

$13.78 - $18.78/hr

Adapt to processing changes related to new plans and benefit designs. * Collaborate with internal ... Maintain strong working relationships with account managers, operations, and client representatives.

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How much do claims processing manager jobs pay per year?

As of Jun 5, 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.

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, 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.
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Claims Processing Manager jobs near you
Claims Processing Specialist

Claims Processing Specialist

BLACKBURNS PHYSICIANS PHARMACY INC

Tarentum, PA • On-site

Other

Posted 28 days ago

Job description

Location: Tarentum, PA
Department: Claims
At Blackburn's Physicians Pharmacy, we help patients gain access to the medical equipment and healthcare services they depend on every day. We are currently seeking an experienced Insurance Claims Coordinator to join our Claims team and support the processing, follow-up, and resolution of medical insurance claims within a fast-paced DME/HME environment.
This position is ideal for someone who is highly organized, detail-focused, and comfortable working with insurance documentation, billing systems, and payer communications.
About the Role
The Claims Specialist is responsible for reviewing and processing healthcare claims, tracking insurance requirements, and supporting reimbursement efforts for medical equipment and related services. This role works closely with internal departments, insurance companies, and healthcare providers to ensure claims are handled accurately and efficiently.
The right candidate will be proactive, dependable, and able to manage multiple priorities while maintaining a high level of accuracy.
Responsibilities
  • Review and process medical insurance claims in accordance with payer guidelines
  • Monitor claim status and perform follow-up on outstanding or denied claims
  • Verify documentation requirements and ensure records are complete before submission
  • Assist with insurance authorizations, reauthorizations, and prescription renewals
  • Communicate with insurance representatives regarding claim status, missing information, or denials
  • Work collaboratively with billing teams, customer service staff, and clinical departments
  • Maintain accurate account notes and supporting documentation
  • Prioritize daily workloads to meet filing deadlines and departmental goals
  • Identify recurring issues and help support process improvements to reduce delays and denials
  • Ensure compliance with company procedures and insurance regulations
What We Offer
  • Stable, full-time position with a growing healthcare organization
  • Supportive team environment with hands-on training
  • Opportunities for advancement and professional development
  • Competitive pay and benefits package
  • The opportunity to make a direct impact on patient care and service

What We're Looking For:
  • Previous experience in healthcare billing, claims processing, DME/HME, or insurance coordination preferred
  • Understanding of Medicare, Medicaid, and commercial insurance processes is a plus
  • Strong attention to detail and problem-solving skills
  • Excellent communication and organizational abilities
  • Ability to work independently and as part of a team
  • Comfortable working in a high-volume, deadline-driven environment
  • Basic proficiency with Microsoft Office and computer-based systems

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