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Claims Resolution Manager Jobs in Minnesota (NOW HIRING)

Techlink Systems

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Claims Examiner - Liability (ONSITE) FB2026

Eden Prairie, MN · On-site

$45/hr

Manages the litigation process; ensures timely and cost effective claims resolution. * Coordinates vendor referrals for additional investigation and/or litigation management. * Uses appropriate cost ...

New

JNR Adjustment

Claims Representative

Minneapolis, MN · On-site

You will be managing difficult callers at times. * File Resolution: Investigate and evaluate auto/property damage claims to determine accurate coverage, loss, liability, and settlement values. * Real ...

Imedica

Director, Claims Operations

Minnetonka, MN · On-site

$113K - $194K/yr

... resolution, and provider appeals. A skilled people and operations leader, the Director, Claims ... Own performance management across daily, monthly, and quarterly KPIs, ensuring controls and actions ...

Medica

Director, Claims Operations

Minnetonka, MN · On-site

$113K - $194K/yr

... resolution, and provider appeals. A skilled people and operations leader, the Director, Claims ... Own performance management across daily, monthly, and quarterly KPIs, ensuring controls and actions ...

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Claims Resolution Manager information

What does a claims resolution manager do?

A Claims Resolution Manager oversees the process of handling insurance claims from initiation to closure, ensuring that claims are resolved efficiently and fairly. They investigate claim details, coordinate with adjusters, clients, and third parties, and work to resolve disputes or issues that may arise during the claims process. Their goal is to ensure compliance with company policies and legal regulations while optimizing customer satisfaction and minimizing losses for the organization.

What are the primary challenges a claims resolution manager faces when balancing client expectations with policy limitations?

Claims Resolution Managers often navigate the delicate balance between meeting client expectations and adhering to insurance policy terms. One common challenge is communicating complex policy details to clients who may be experiencing stress or frustration. Additionally, managers must ensure timely and fair claims processing while coordinating with adjusters, legal teams, and external vendors. Success in this role requires strong negotiation skills, empathy, and a thorough understanding of regulatory and company guidelines.

What are the key skills and qualifications needed to thrive as a claims resolution manager, and why are they important?

To thrive as a Claims Resolution Manager, you need a solid background in insurance claims processing, dispute resolution, and regulatory compliance, often supported by a bachelor's degree in business, finance, or a related field. Familiarity with claims management software, CRM tools, and relevant certifications such as AIC or CPCU is common. Strong analytical thinking, negotiation skills, and effective communication are crucial soft skills for managing complex cases and guiding teams. These abilities ensure efficient claims handling, customer satisfaction, and minimized financial risk for the organization.

What is the difference between Claims Resolution Manager vs Claims Adjuster?

AspectClaims Resolution ManagerClaims Adjuster
CredentialsInsurance licenses, sometimes management certificationsInsurance licenses, specific to claims handling
Work EnvironmentSupervisory roles, team coordinationField or office-based, claims investigation
Employer & Industry UsageInsurance companies, claims departmentsInsurance companies, third-party administrators
Search & Comparison IntentUnderstanding managerial roles in claimsDetails about claims handling and investigation

The Claims Resolution Manager oversees claims processes and manages teams, focusing on strategy and resolution. Claims Adjusters handle the investigation and evaluation of individual claims. While both roles require insurance licenses, the manager's role is more supervisory, whereas the adjuster is more hands-on with claims investigation.

What cities in Minnesota are hiring for Claims Resolution Manager jobs?

Cities in Minnesota with the most Claims Resolution Manager job openings:

Claims Resolution Manager jobs near you

Claims Examiner - Liability

Apidel Technologies

Eden Prairie, MN • On-site

Other

Posted 2 days ago

New

Job description

Position: Claims Examiner - Liability

Duration: Project Starting With 3+ months of contract and after understanding of facility, Work environment of facility & bonding with manager the project it will go to FTE.

Location: Eden Prairie, MN

 

Primary Purpose:

  • To analyze complex or technically difficult general liability claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service requirements; and to identify subrogation of claims and negotiate settlements.

 

Essential Functions and Responsibilities:

  • Analyzes and processes complex or technically difficult general liability claims by investigating and gathering information to determine the exposure on the claim; manages claims through well-developed action plans to an appropriate and timely resolution.
  • Assesses liability and resolves claims within evaluation.
  • Negotiates settlement of claims within designated authority.
  • Calculates and assigns timely and appropriate reserves to claims; manages reserve adequacy throughout the life of the claim.
  • Calculates and pays benefits due; approves and makes timely claim payments and adjustments; and settles clams within designated authority level.
  • Prepares necessary state fillings within statutory limits.
  • Manages the litigation process; ensures timely and cost effective claims resolution.
  • Coordinates vendor referrals for additional investigation and/or litigation management.
  • Uses appropriate cost containment techniques including strategic vendor partnerships to reduce overall cost of claims for our clients.
  • Manages claim recoveries, including but not limited to: subrogation, Second Injury Fund excess recoveries and Social Security and Medicare offsets.
  • Reports claims to the excess carrier; responds to requests of directions in a professional and timely manner.
  • Communicates claim activity and processing with the claimant and the client; maintains professional client relationships.
  • Ensures claim files are properly documented and claims coding is correct.
  • Refers cases as appropriate to supervisor and management.
  • ADDITIONAL FUNCTIONS and RESPONSIBILITIES
  • Performs other duties as assigned.
  • Supports the organization''s quality program(s).
  • Travels as required.

Education & Licensing

  • Bachelor''s degree from an accredited college or university preferred. Professional certification as applicable to line of business preferred.
  • Experience: Five (5) years of claims management experience or equivalent combination of education and experience required.
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About Apidel Technologies

Sourced by ZipRecruiter

We understand that attracting, qualifying, placing, and retaining the best candidates for our clients requires exceptional talent. That’s why our highly skilled and dedicated recruitment team works tirelessly to develop lifelong associations with all candidates and clients. We prioritize helping our employees achieve their career goals while providing effective staffing solutions to our clients and candidates. At Apidel, we believe in simple yet established core values that are ingrained within each member of our team. These values are time and again illustrated in our approach to employees, candidates, and clients. Our unwavering belief that our core values of integrity, client satisfaction, innovation, and intellect distinguish us from our competitors is what drives us forward. We remain focused on improving and sustaining a measurable client satisfaction program that has created an organizational culture where our associates provide world-class service every day.

Industry

Recruiting and staffing services

Company size

501 - 1,000 Employees

Headquarters location

Plainfield, IL, US

Year founded

2012

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