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Executive Claims Leadership Jobs (NOW HIRING)

Careington

Claims Finance Manager

Frisco, TX

The Claims Finance Manager partners with Accounting & Finance, Claims, Configuration, Revenue Operations, Product, and Executive Leadership to evaluate the financial impact of claims decisions ...

CBCS

Director, Claims Solutions

Dubuque, IA · On-site

This position partners closely with claims operations, sales, marketing, finance, and executive leadership to embed solutions into workflows, strengthen client value, and drive adoption across the ...

CBCS

Director, Claims Solutions

Dubuque, IA · On-site +1

This position partners closely with claims operations, sales, marketing, finance, and executive leadership to embed solutions into workflows, strengthen client value, and drive adoption across the ...

CBCS

Director, Claims Solutions

Dubuque, IA · On-site +1

This position partners closely with claims operations, sales, marketing, finance, and executive leadership to embed solutions into workflows, strengthen client value, and drive adoption across the ...

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Executive Claims Leadership information

See salary details

$26.5K

$93.6K

$184K

How much do executive claims leadership jobs pay per year?

As of Sep 4, 2026, the average yearly pay for executive claims leadership in the United States is $93,552.00, according to ZipRecruiter salary data. Most workers in this role earn between $58,000.00 and $120,500.00 per year, depending on experience, location, and employer.

What is executive claims leadership?

Executive Claims Leadership refers to senior-level roles within an insurance company that oversee the entire claims process, strategy, and teams. These leaders are responsible for setting policies, ensuring regulatory compliance, managing large or complex claims, and driving continuous improvement in claims handling. They also play a key role in customer satisfaction, cost control, and risk management. Typically, executive claims leaders have extensive experience in insurance, strong leadership abilities, and a deep understanding of industry trends and regulations.

What are the key skills and qualifications needed to thrive as an executive claims leader, and why are they important?

To thrive as an Executive Claims Leader, you need deep expertise in claims management, strategic decision-making, and a strong understanding of insurance regulations, typically supported by a bachelor’s degree or higher and extensive industry experience. Familiarity with claims management systems, data analytics platforms, and relevant professional certifications such as CPCU or AIC is often expected. Outstanding leadership, negotiation, and communication skills set top performers apart in this role. These competencies are essential for driving operational excellence, mitigating risk, and ensuring organizational profitability in a highly regulated environment.

What are some typical challenges faced by executive claims leaders, and how can they address them effectively?

Executive Claims Leaders often navigate complex situations such as managing large-scale claims, ensuring regulatory compliance, and leading multidisciplinary teams. Balancing operational efficiency with customer satisfaction can be challenging, especially during high-volume periods or major loss events. To address these challenges, leaders focus on fostering strong communication, leveraging technology for process improvements, and cultivating a culture of continuous learning and collaboration within their teams.

What is the difference between Executive Claims Leadership vs Claims Manager?

AspectExecutive Claims LeadershipClaims Manager
CredentialsTypically requires extensive industry experience, advanced certifications (e.g., CPCU, ARM), and leadership trainingRequires relevant insurance certifications and several years of claims handling experience
Work EnvironmentStrategic, high-level decision-making, overseeing multiple teams or regionsOperational, managing daily claims processes and team supervision
Employer & Industry UsageUsed in large insurance companies, corporate claims departmentsCommon across insurance firms, focusing on claims processing and team management

Executive Claims Leadership focuses on strategic oversight and high-level decision-making within the claims department, often involving leadership of multiple teams or regions. Claims Managers handle daily claims operations, team supervision, and process management. While both roles require industry experience and certifications, Executive Claims Leadership emphasizes strategic planning and organizational leadership, whereas Claims Managers focus on operational execution.

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Cities with the most Executive Claims Leadership job openings:

What states have the most Executive Claims Leadership jobs?

States with the most job openings for Executive Claims Leadership jobs include:

What job categories do people searching Executive Claims Leadership jobs look for?

The top searched job categories for Executive Claims Leadership jobs are:

Executive Claims Leadership jobs near you
Infographic showing various Executive Claims Leadership job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 86% Full Time, 11% Part Time, and 2% Contract. Highlights an 86% Physical, 2% Hybrid, and 12% Remote job distribution, with an average salary of $93,552 per year, or $45 per hour.

Claims Finance Manager

Careington

Frisco, TX

Full-time

Medical, Dental, Vision

Re-posted 11 days ago

Key responsibilities

  • Analyze claims payment activity, adjudication outcomes, and reimbursement trends to ensure financial accuracy and integrity

  • Manage claims operational financial tasks such as funding, payment disbursements, credits, recoupments, and related general ledger activity

  • Develop financial reports, dashboards, and analyses related to claims operations and support budgeting, forecasting, and financial planning activities

Careington rating

8.1

Company rating: 8.1 out of 10

Based on 8 frontline employees who took The Breakroom Quiz

Job description

Careington International is looking to add a Claims Finance Manager to our TEAM. This position will be worked onsite at 7400 Gaylord Pkwy in Frisco, TX.

The Claims Finance Manager serves as the critical link between Claims Operations and Corporate Finance, ensuring financial accountability, payment accuracy, and operational efficiency throughout the claims adjudication lifecycle. This role translates claims activity into financial insights by analyzing claim costs, reimbursement trends, adjudication outcomes, reserve impacts, and operational performance.

The Claims Finance Manager partners with Accounting & Finance, Claims, Configuration, Revenue Operations, Product, and Executive Leadership to evaluate the financial impact of claims decisions, identify opportunities to reduce payment leakage, improve adjudication accuracy, and support strategic business objectives. This position plays a key role in balancing financial stewardship, customer obligations, and operational excellence.

EXPECTED WORK AND PERFORMANCE: 

Claims Finance & Financial Oversight

  • Serve as the primary liaison between Claims Operations and Accounting & Finance, bridging claims adjudication activities with corporate financial objectives
  • Analyze claims payment activity, funding, payment activity, adjudication outcomes, and reimbursement trends to ensure financial accuracy and integrity
  • Monitor claim costs, payment variances, financial leakage, recoveries, and adjustments
  • Evaluate the financial impact of claim processing decisions, benefit configurations, and reimbursement methodologies
  • Support the development of financial controls that ensure accurate and compliant claim payments
  • Manage the claims operational financial tasks such as:
    • Client Request for Funds/Credits
    • Provider Claim Payment Cycle Processing
    • Provider Recoupments
    • Own the reconciliation of claims funding, payment disbursements, credits, recoupments, refunds, and related general ledger activity
    • Research and resolve variances, aged reconciling items, unapplied funds, outstanding payments, and funding shortfalls in partnership with Claims and Accounting & Finance

Claims Adjudication Analysis

  • Review adjudicated claims to identify trends, anomalies, and opportunities for process improvement
  • Partner with Claims and Configuration teams to investigate payment discrepancies and adjudication errors
  • Analyze denial, appeal, adjustment, and rework trends to identify operational and financial risks
  • Monitor first-pass adjudication rates, auto-adjudication performance, and payment accuracy metrics
  • Provide recommendations to improve claims accuracy while reducing administrative costs

Financial Planning & Reporting

  • Develop financial reports, dashboards, and analyses related to claims operations
  • Support budgeting, forecasting, and financial planning activities related to claims volume, costs, and operational expenses
  • Prepare executive-level reporting on claims financial performance, trends, risks, and opportunities
  • Translate operational claims data into meaningful financial insights for leadership decision-making

Business Partnership & Strategy

  • Collaborate with Claims Leadership, Product, Technology, Client Services, and Finance teams to support organizational goals
  • Assess the financial impact of system enhancements, configuration changes, new client implementations, and process improvements
  • Support strategic initiatives focused on reducing claim costs, improving adjudication efficiency, and increasing profitability
  • Provide financial guidance during audits, client reviews, and operational assessments

Risk Management & Compliance

  • Ensure claims-related financial processes comply with contractual, regulatory, and organizational requirements
  • Support internal and external audits related to claims payments and financial controls
  • Identify financial risks associated with claims processing and recommend mitigation strategies
  • Maintain oversight of payment integrity and recovery initiatives

People Management & Development

  • Effectively manage, coach and development members of the team.
QUALIFICATIONS:

Required

  • Bachelor's degree in Finance, Accounting, Business Administration, Healthcare Administration, or related field
  • 5+ years of experience in finance, claims operations, healthcare administration, insurance, or revenue cycle management
  • Strong understanding of claims adjudication, reimbursement methodologies, and payment integrity principles
  • Experience performing financial analysis and reporting in a claims-driven environment
  • Advanced Excel and data analysis skills

Preferred

  • Experience within healthcare claims administration, dental benefits, vision benefits, TPAs, or insurance organizations.
  • Working knowledge of financial procedures like escheatment and 1099 processing.
  • MBA, CPA, CMA, or similar professional certification.
  • Experience with claims adjudication platforms, payment integrity tools, and business intelligence reporting systems.

 SKILLS: 

  • Strong understanding of both claims operations and financial management principles.
  • Ability to connect operational claim outcomes with financial performance.
  • Expertise in claims payment analysis, reimbursement methodologies, and cost containment strategies.
  • Strong analytical and problem-solving skills.
  • Ability to communicate complex financial concepts to operational leaders.
  • Experience leading cross-functional initiatives and process improvement efforts.
  • Excellent presentation, reporting, and stakeholder management skills.

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