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Claims Resolution Manager Jobs in Washington, DC

Geico

Senior Counsel - Claims

Bethesda, MD · On-site

$148K - $260K/yr

Manage litigation filed by or against GEICO-affiliated entities arising out of claims handling ... Advise internal stakeholders on litigation risks, strategy, and resolution options across a wide ...

GEICO

Senior Counsel - Claims

Bethesda, MD · On-site

$148K - $260K/yr

Manage litigation filed by or against GEICO-affiliated entities arising out of claims handling ... Advise internal stakeholders on litigation risks, strategy, and resolution options across a wide ...

Security SBU

Human Resources Manager

Chantilly, VA · On-site

$145K/yr

Oversee and lead benefits administration, annual open enrollment, and complex claims resolution. * Lead and develop a high-performing HR team through coaching, performance management, succession ...

Accelevation LLC

Senior Project Manager

Ashburn, VA · On-site

$120 - $180/hr

Support claims resolution in coordination with Project Executives and leadership. * Manage owner contracts in partnership with Project Executives. * Lead, mentor, and manage the development and ...

Accelevation LLC

Senior Project Manager

Ashburn, VA · On-site

$160K - $170K/yr

Support claims resolution in coordination with Project Executives and leadership. * Manage owner contracts in partnership with Project Executives. * Lead, mentor, and manage the development and ...

Accelevation LLC

Senior Project Manager

Ashburn, VA · On-site

$160K - $170K/yr

Support claims resolution in coordination with Project Executives and leadership. * Manage owner contracts in partnership with Project Executives. * Lead, mentor, and manage the development and ...

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Showing results 21-40

All JobsClaims Resolution JobsClaims Resolution Manager JobsClaims Resolution Manager Jobs in Washington, DC

Claims Resolution Manager information

See Washington, DC salary details

$39.6K

$99.5K

$157.4K

How much do claims resolution manager jobs pay per year?

As of Aug 23, 2026, the average yearly pay for claims resolution 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 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.

Claims Resolution Manager jobs near you
Infographic showing various Claims Resolution Manager job openings in Washington, DC as of August 2026, with employment types broken down into 100% Full Time. Highlights an 92% In-person, 4% Hybrid, and 4% Remote job distribution, with an average salary of $99,511 per year, or $47.8 per hour.

Medical Claims Examiners

Healthcare Support Staffing

Annapolis, MD

$18 - $22/hr

Full-time

Re-posted 22 days ago

Job description

Company Description

HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!

Job Description

Are you an experienced Medical Claims Adjusters in the Annapolis, MD area seeking a great career opportunity? Have you recently been seeking out prestigious, national healthcare companies with which to further your longterm goals? Are you seeking REAL advancement opportunities in-house with a Fortune 500 company? If you answered "yes" to any of these questions - then this opportunity may be for you!


**Preference will go to those who have current or previous experience from CareFirst, BlueCross, or other major insurance payor companies. We are looking for employees that understand PPO plans and have worked on the commercial line of business. Knowledge of processing physicians claims, Hospital claims, and ICD-10**


Daily Responsibilities:

Responsible for the accurate and timely adjudication of all claims in accordance with applicable contracts, state and federal regulations, health plan requirements, policies and procedures, and generally accepted business practices. Reviews providers' disputes and appeals for professional and hospital claims to determine resolution according to policies and procedures. Adheres to state and federal policies and procedures when adjudicating claims, including but not limited to, interest calculation and resolution timeliness.


Shift: Monday-Friday / 8:00 am - 5:00 pm


Pay: $18-22/hr (solely based on experience; Higher pay may be considered)


Advantages of this Opportunity:

  • Competitive hourly pay above regional average!
  • Longterm stability and individual professional growth potential from a national Healthcare company that continues to grow!
  • Daytime, weekday schedule.
  • You will have the opportunity to add great experience to your resume, while getting the chance to network with several future colleagues in a highly-competitive insurance claims field.
Qualifications

What We Look For:

  • Verifiable High School Diploma or GED
  • Ability to pass National Background Check and 10-panel drug test
  • 1+ years of processing of managed care medical claims
  • Knowledge of medical terminology
  • Working knowledge of ICD.9.CM, CPT, HCPCS, RBRVS coding schemes
  • Experience with different software and hardware systems for claims adjudication
  • Accurate input of data for claims adjudication including: diagnostic and procedural coding, pricing schedules, member and provider identification, etc.
Additional Information

Interested in hearing more about this great opportunity? Reach out to Eric Westerfield at HealthCare Support Staffing for IMMEDIATE, SAME-DAY consideration. Interviews are being held THIS WEEK and immediate offers will be extended. Click APPLY NOW for more information; we look forward to hearing for you!

Healthcare Support logo

About Healthcare Support

Sourced by ZipRecruiter

HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!Healthcare Support Staffing, Inc. is an equal employment opportunity employer and will consider all qualified applicants without regard to race, color, religion, disability, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other characteristic protected by applicable local, state, or federal law.

Industry

Recruiting and staffing services

Company size

201 - 500 Employees

Headquarters location

Maitland, FL, US

Year founded

2003

Social media

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