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Director Health Insurance Claims Jobs (NOW HIRING)

Iatinsurancegroup

Insurance Claims Associate

Raleigh, NC · Hybrid

$17.25 - $23.25/hr

The Claims department at IAT Insurance Group has entry-level openings for Claims Associates located ... Numerous training and development opportunities to assist you in furthering your career * Heal ...

Medix

Health Insurance Specialist

Erie, PA · On-site

$25/hr

Direct Dispute & Appeals Background: Minimum 2+ years of experience specifically in provider payment disputes, claims appeals, out-of-network reimbursement, or health insurance dispute resolution ...

Sprinter Insurance Agency

Be Seen First

Health Insurance Agent

Indianapolis, IN · On-site

$500/wk (+ commission)

Provide support and answer client inquiries regarding claims and benefits Preferred Qualifications * 1+ years in health insurance sales * Willing to train if able to pass background check and obtain ...

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Director Health Insurance Claims information

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$83.5K

$126.9K

$178K

How much do director health insurance claims jobs pay per year?

As of Sep 11, 2026, the average yearly pay for director health insurance claims in the United States is $126,879.00, according to ZipRecruiter salary data. Most workers in this role earn between $105,500.00 and $141,000.00 per year, depending on experience, location, and employer.

What does a director health insurance claims do?

A Director of Health Insurance Claims oversees the entire claims management process within a health insurance organization. Their responsibilities include leading claims teams, ensuring compliance with regulations, optimizing operational efficiency, and resolving complex or escalated claims issues. They develop policies and strategies to improve claims processing accuracy and timeliness, work closely with other departments, and may be involved in budgeting, reporting, and staff training. The role requires strong leadership, analytical skills, and in-depth knowledge of health insurance regulations and procedures.

What are the key skills and qualifications needed to thrive as a director health insurance claims?

To thrive as a Director of Health Insurance Claims, you need in-depth knowledge of claims processing, healthcare regulations, and strong leadership abilities, typically supported by a bachelor's degree in business, healthcare administration, or a related field. Familiarity with claims management software, data analytics tools, and compliance systems such as HIPAA is vital. Exceptional organizational, communication, and problem-solving skills help drive process improvements and manage teams effectively. These capabilities ensure efficient and compliant claims operations, reduce errors, and enhance customer satisfaction.

What are some common challenges faced by a director health insurance claims, and how can they be addressed?

A Director of Health Insurance Claims often encounters challenges such as managing large teams, ensuring regulatory compliance, and streamlining claims processing for efficiency and accuracy. Balancing the demands of cost containment with customer satisfaction can be particularly complex. Addressing these challenges typically involves implementing robust training programs, leveraging technology like claims management software, and fostering open communication with both internal teams and external partners. Staying updated on industry regulations and best practices also helps to minimize errors and maintain high performance.

What is the difference between Director Health Insurance Claims vs Claims Manager?

AspectDirector Health Insurance ClaimsClaims Manager
ResponsibilitiesOversees entire claims department, develops policies, manages teams, and ensures complianceManages daily claims processing, supervises claims staff, and handles escalated claims issues
Required CredentialsTypically requires a bachelor’s degree, industry certifications, and extensive experienceUsually requires a bachelor’s degree and experience in claims processing or management
Work EnvironmentCorporate office, strategic planning, leadership meetingsClaims processing centers, team supervision, operational focus

The main difference between a Director of Health Insurance Claims and a Claims Manager lies in scope and strategic involvement. The director focuses on high-level policies, compliance, and department oversight, while the claims manager handles daily operations and team management. Both roles require relevant industry experience and certifications, but the director's role is more strategic and leadership-oriented.

What are popular job titles related to Director Health Insurance Claims jobs?

For Director Health Insurance Claims jobs, the most frequently searched job titles are:

Infographic showing various Director Health Insurance Claims job openings in the United States as of August 2026, with employment types broken down into 2% As Needed, 76% Full Time, 16% Part Time, and 6% Contract. Highlights an 95% Physical, 1% Hybrid, and 4% Remote job distribution, with an average salary of $126,879 per year, or $61 per hour.

Medical Billing / Insurance Claims Specialist

Mccook, NE • On-site

PHA Health
See more jobs at PHA Healthexternal

$16.50 - $22/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 2 days ago

Job description

PHA Health specializes in providing high-quality, low-cost healthcare to members through our benefit plans. Our commitment to our team and clients is to provide a benefit plan for employers and their employees that is sustainable, affordable, and promotes well-being. Our team members must possess the company's core values:
  • Put People First
  • Do the Right Thing
  • Be Humbly Confident
  • Be Resilient

PHA Health is looking for a full-time Medical Billing / Insurance Claims Specialist.
Essential Duties and Responsibilities:
  • Answer member benefit questions
  • Review member EOB's and member bills to ensure accurate processing
  • Work closely with TPAs for claim processing issues
  • Assist provider offices and facilities with claims status questions
  • Data Entry
  • Filter/disperse incoming claims to appropriate TPAs
  • Create and track invoices
  • Respond to calls and emails in a timely manner
  • Provide excellent customer service

Pay: DOE
Work Location: In person or remote
Job type: Full-Time day shift Monday through Friday
Benefits
  • 401(k)
  • 401(k) matching
  • Dental insurance
  • Health insurance
  • Vision insurance
  • AFLAC benefit package
  • Paid time off

Apply