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Claims Unit Manager Jobs in Baton Rouge, LA (NOW HIRING)

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Claims Unit Manager information

See Baton Rouge, LA salary details

$33.6K

$84.4K

$133.5K

How much do claims unit manager jobs pay per year?

As of Sep 2, 2026, the average yearly pay for claims unit manager in Baton Rouge, LA is $84,368.00, according to ZipRecruiter salary data. Most workers in this role earn between $65,300.00 and $100,800.00 per year, depending on experience, location, and employer.

What is a claims unit manager?

Claims Unit Managers are professionals who oversee a team of claims adjusters or examiners within an insurance company. They are responsible for managing daily operations, ensuring claims are processed accurately and efficiently, and maintaining compliance with company policies and legal regulations. Claims Unit Managers also handle escalated or complex cases, provide training and mentorship to staff, and monitor performance metrics to improve service quality. Their role is essential in ensuring fair and timely settlements for policyholders while minimizing risk for the company.

What are the key skills and qualifications needed to thrive as a claims unit manager?

To thrive as a Claims Unit Manager, you need expertise in claims processing, insurance regulations, team leadership, and typically a bachelor's degree in business, finance, or a related field. Familiarity with claims management systems, data analysis tools, and, in some cases, certifications like AIC (Associate in Claims) are highly valued. Strong communication, problem-solving, and organizational skills help foster an effective team environment and ensure high service standards. These skills and qualities are crucial to efficiently managing claims operations, minimizing risk, and ensuring regulatory compliance.

What are some common challenges faced by claims unit managers, and how can they effectively address them?

Claims Unit Managers often encounter challenges such as balancing workloads across their teams, ensuring compliance with ever-changing regulations, and maintaining high levels of customer satisfaction. To address these, it's important to implement efficient workflow systems, provide ongoing training for staff on regulatory updates, and foster a collaborative team environment. Regular communication with both team members and upper management is also key to identifying bottlenecks early and implementing solutions proactively.

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

AspectClaims Unit ManagerClaims Adjuster
CredentialsRelevant certifications (e.g., CPCU, ARM), leadership experienceLicenses as required by state, insurance adjuster certifications
Work EnvironmentSupervisory role overseeing teams, administrative tasksField or office-based, evaluating claims and interviewing claimants
Employer & Industry UsageInsurance companies, third-party administratorsInsurance companies, independent adjusting firms
Search & Comparison IntentManagement, leadership, team oversightClaims evaluation, settlement, investigation

The Claims Unit Manager typically oversees a team of claims adjusters, focusing on management, strategy, and administrative duties. In contrast, a Claims Adjuster directly investigates and settles claims. Both roles require insurance knowledge and certifications, but the managerial position emphasizes leadership and team coordination, while the adjuster role centers on claim assessment and resolution.

What are popular job titles related to Claims Unit Manager jobs in Baton Rouge, LA?

For Claims Unit Manager jobs in Baton Rouge, LA, the most frequently searched job titles are:

What job categories do people searching Claims Unit Manager jobs in Baton Rouge, LA look for?

The top searched job categories for Claims Unit Manager jobs in Baton Rouge, LA are:

Claims Unit Manager jobs near you

Program Integrity SURS Clinician

State of Louisiana

Baton Rouge, LA • On-site

Other

Re-posted 15 days ago

State Of Louisiana rating

6.8

Company rating: 6.8 out of 10

Based on 73 frontline employees who took The Breakroom Quiz

44th of 50 rated states

Job description

Salary: Depends on Qualifications
Location : Baton Rouge, LA
Job Type: Unclassified
Job Number: R-002048
Department: University of New Orleans
Opening Date: 07/20/2026
Job Duties and Other Information
Please click HERE to apply.
  • Develop a case based on a complaint and/or data profile while identifying the initial billing problem(s) related to medical and non-medical care programs.
  • Research and analyze all reports and other evidence obtained to determine if aberrant billing has occurred. Apply medical expertise to determine the requests of pertinent records based on review of the sample.
  • Collaborate with a variety of medical consultants relative to questionable billing practices related to medical necessity of services. Work with applicable program management staff, contract staff and other staff from agencies involved in case reviews and investigations.
  • Research and discern pertinent information from Medicaid provider manuals, medical coding and diagnosis publications, Medicaid publications/rules/regulations and other medical resources.
  • Analyze claims and encounter data using a robust computer profiling system to isolate and identify aberrancies and outliers. Produce spreadsheets and other documents to support analyses and findings from the investigations and reviews.
  • Conduct on-site inspections and assessments of provider facilities and procure medical records, equipment lists, employee records, etc. deemed necessary to conduct a thorough and complete review. Possess the interpersonal and professional skills necessary to interview providers and their employees. Verify all medical equipment including laboratory used to bill Medicaid.
  • Interview physicians, office and support staff or other provider types to obtain crucial information needed to complete the reviews. Document and summarize information from interviews and observations from on-sites.
  • Utilize expertise and knowledge to interpret documentation, procedure codes and diagnoses included in provider and recipient histories and associated reports.
  • Interpret claims and encounter histories by utilizing professional clinical publications such as the Current Procedural Terminology (CPT) manuals and companion guides, Healthcare Common Procedure Coding System (HPCS) and International Classification of Diseases (ICD) books.
  • Prepare and maintain documentation for cases. Communicate verbally as well as through written correspondence to providers, recipients, attorneys, etc. Complete and document items timely throughout the review/investigation process.
  • Receive, monitor and track monies recovered as a result of the reviews/investigations. Prepare financial memorandums and promissory notes for payments relating to caseloads.
  • Develop cases while conferring with staff from the Centers for Medicare and Medicaid (CMS), Federal Bureau of Investigations (FBI), Medicaid Fraud Control Unit (MFCU), Office of Inspector General (OIG), United States Attorney and other governmental agencies participating in the review/investigations.
  • Formulate and research information by utilizing the Medicaid Management Information System (MMIS), Microsoft Word, Excel, Access and other applicable software.
  • Supply information needed for the statistical extrapolation process for overpayments.
  • Coordinate, plan, schedule and participate in Informal Hearings with LDH, providers, attorneys, analysts and others involved in the process. Prepares for and testifies in appeal procedures before an Administrative Law Judge and appears in court as an expert witness on behalf of Medicaid.
  • Recommend policy clarifications and changes based on observations and review findings.
  • Perform other related duties as assigned.

QUALIFICATIONS
REQUIRED:
  • Possession of a valid Louisiana Registered Nurse license to practice professional nursing.
  • Three years of professional nursing experience or experience with claims and/or medical record auditing experience with a public and/or private insurance entity.
  • Excellent analytical skills, effective organizational and time management skills.
  • Excellent communication skills both oral and written.
  • Proficient in the use of Microsoft Office products.

DESIRED:
  • Advanced Degree.
  • Five years of professional experience with claims and/or medical record auditing experience with a public and/or private insurance entity.
  • Five years of professional nursing experience.
  • Three years of professional experience with Louisiana Medicaid policies, publications and rules.
  • Professional industry auditing certification (CPC, CPMA, CIC, CFE) and/or other medical certification.

Benefits for unclassified employees are determined by the individual hiring authority.

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About State of Louisiana

Sourced by ZipRecruiter

The State of Louisiana, based in Baton Rouge, LA, US, is not a traditional company per se, but a government body that oversees the administration of the state. As revealed on its official website, louisiana.gov, its wide range of services falls within public administration industry, including education, healthcare, infrastructure, environment conservation, and law enforcement. Founded in 1806, the State of Louisiana’s mission is to ensure a high quality of life for its residents by effectively managing public resources, enforcing laws, and fostering economic growth. Its most notable achievements include the successful implementation of its Coastal Master Plan, aimed at conserving Louisiana's extensive coastline, and the dramatic overhaul of its public education system.

Industry

Public administration

Company size

10,000+ Employees

Headquarters location

Baton Rouge, LA, US

Year founded

1812

Social media

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