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Claims Resolution Manager Jobs in Minnesota (NOW HIRING)

Securian Financial

Claims Examiner

Saint Paul, MN · On-site

$18.80 - $32.69/hr

... timely claim resolution. * Recognize opportunities where a direct conversation can improve ... Demonstrated ability to make sound decisions and manage multiple priorities. * Ability to learn and ...

Centra Care

Claims Assistant

Saint Cloud, MN · On-site

$19.15 - $29.28/hr

Responsible for the timely submission and resolution of all insurance claims per regulatory, payer ... Responsible for integrating system practice management and other available system technologies into ...

CentraCare Health

Claims Assistant

Saint Cloud, MN · On-site +1

$19.15 - $29.28/hr

Responsible for the timely submission and resolution of all insurance claims per regulatory, payer ... Responsible for integrating system practice management and other available system technologies into ...

Securian Financial

Claims Examiner

Saint Paul, MN

$18.80 - $32.69/hr

... timely claim resolution. * Recognize opportunities where a direct conversation can improve ... Demonstrated ability to make sound decisions and manage multiple priorities. * Ability to learn and ...

CentraCare

Claims Assistant

Saint Cloud, MN · On-site +1

$19.15 - $29.28/hr

Responsible for the timely submission and resolution of all insurance claims per regulatory, payer ... Responsible for integrating system practice management and other available system technologies into ...

CentraCare

Claims Assistant

Saint Cloud, MN · On-site

$18.40 - $27.61/hr

Responsible for the timely submission and resolution of all insurance claims per regulatory, payer ... Responsible for integrating system practice management and other available system technologies into ...

ServiceMaster

Claims Coordinator

Saint Louis Park, MN · On-site

Position Overview As the hub of all claims, the coordinator is responsible for speaking with the ... Manages Customer Service issues and complaints, documenting actions and resolution * Understanding ...

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All JobsClaims Resolution JobsClaims Resolution Manager JobsClaims Resolution Manager Jobs in Minnesota

Claims Resolution Manager information

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.

Is claims processing a stressful job?

Claims resolution managers often handle complex cases and tight deadlines, which can contribute to workplace stress. The job requires strong organizational skills and attention to detail, but stress levels vary depending on workload and company support systems.

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 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.

How much do claims resolution managers make in the US?

Claims resolution managers in the US typically earn a median annual salary of around $70,000 to $90,000, depending on experience, location, and the size of the employer. Salaries can vary based on industry, certifications, and the complexity of claims handled.

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 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

Director of Claims - Workers' Comp

Insurance Staffing

Eden Prairie, MN • Hybrid

$110K - $140K/yr

Full-time

Re-posted 11 days ago

Job description

Director of Claims

Workers' Compensation | Hybrid (3 Days In Office)
Eden Prairie, Minnesota
Salary: $110,000 - $140,000 + Comprehensive Benefits

A leading global third-party administrator (TPA) is seeking an experienced Director of Claims to lead a high-performing Workers' Compensation claims operation. This leadership role is responsible for driving claim outcomes, ensuring operational excellence, developing talent, and delivering exceptional service to clients while maintaining regulatory compliance and best-in-class claim handling standards.

This is an excellent opportunity for a seasoned claims leader who thrives in a fast-paced environment and is passionate about mentoring teams, improving performance, and influencing strategic business results.

Key Responsibilities

  • Provide leadership, direction, and oversight for Workers' Compensation claims operations.
  • Manage and develop claims management staff, fostering a culture of accountability, collaboration, and continuous improvement.
  • Ensure quality claim handling practices that align with organizational standards, client expectations, and regulatory requirements.
  • Monitor operational performance through key metrics, reporting, and data analysis to drive efficiency and claim outcomes.
  • Partner with clients, brokers, internal stakeholders, and senior leadership to address service needs and support business objectives.
  • Oversee claim reserving practices, settlement authority, litigation management, and complex claim resolution.
  • Implement process improvements and operational initiatives designed to enhance service delivery and financial performance.
  • Support business development efforts through client presentations, stewardship meetings, and operational expertise.
  • Maintain compliance with state regulations, company policies, and industry best practices.

Qualifications

Required

  • Ten (10) or more years of claims management experience.
  • Minimum three (3) years of leadership or supervisory experience within a claims environment.
  • Deep knowledge of Workers' Compensation claims administration and regulatory requirements.
  • Proven ability to lead teams, manage performance, and drive operational results.
  • Strong communication, client relationship management, and problem-solving skills.

Preferred

  • Bachelor's degree from an accredited college or university.
  • Industry designations such as CPCU, ARM, AIM, and/or AIC.
  • Applicable claims licenses as required by jurisdiction.

What We're Looking For

The ideal candidate is a strategic claims leader who combines strong technical expertise with a people-first leadership approach. This individual will have a track record of improving claim performance, developing talent, and building trusted relationships with clients and stakeholders.

Compensation & Benefits

  • Base Salary: $110,000 - $140,000
  • Comprehensive benefits package
  • Career advancement opportunities within a leading global organization
  • Hybrid work schedule with three days per week in the office