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Insurance Claim Manager Jobs (NOW HIRING)

Highlands Hospital

Insurance Claim Biller

NV · On-site

I Modify charge grouping and registration when necessary for proper claim submission J Manage SSI ... Basic knowledge of third-party insurance plans billing. REQUIRED CERTIFICATIONS: PREFERRED ...

New

CCMSI

Claim Manager

Scottsdale, AZ · On-site

$105K - $125K/yr

Overview Claim Manager Location: Scottsdale, AZ - Hybrid Schedule after initial training period ... Medical, Dental, Vision, Life, and Disability Insurance * Retirement plans : 401(k) and Employee ...

CCMSI

Claim Manager

Scottsdale, AZ · On-site

$105K - $125K/yr

Overview Claim Manager Location: Scottsdale, AZ - Hybrid Schedule after initial training period ... Medical, Dental, Vision, Life, and Disability Insurance * Retirement plans : 401(k) and Employee ...

CCMSI

Claim Manager

Scottsdale, AZ

$105K - $125K/yr

Claim Manager Location: Scottsdale, AZ - Hybrid Schedule after initial training period Schedule: 8 ... Medical, Dental, Vision, Life, and Disability Insurance * Retirement plans : 401(k) and Employee ...

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Insurance Claim Manager information

See salary details

$35K

$87.9K

$139K

How much do insurance claim manager jobs pay per year?

As of Jul 31, 2026, the average yearly pay for insurance claim manager in the United States is $87,861.00, according to ZipRecruiter salary data. Most workers in this role earn between $68,000.00 and $105,000.00 per year, depending on experience, location, and employer.

What are some common challenges faced by Insurance Claim Managers, and how can they be effectively addressed?

Insurance Claim Managers often encounter challenges such as managing high volumes of complex claims, balancing customer satisfaction with company policies, and staying updated on evolving regulations. Effectively addressing these challenges requires strong organizational skills, attention to detail, and ongoing professional development. Collaborating closely with adjusters, legal teams, and clients can also help streamline processes and ensure fair, timely resolutions.

What is the difference between Insurance Claim Manager vs Insurance Adjuster?

AspectInsurance Claim ManagerInsurance Adjuster
CredentialsLicenses, certifications (e.g., CPCU, ARM)Licenses, certifications (e.g., AIC, CPCU)
Work EnvironmentOffice-based, managerial oversightFieldwork, on-site inspections
Employer & IndustryInsurance companies, large agenciesInsurance companies, independent firms
Primary FocusOverseeing claims process, team managementAssessing damages, settling claims

The Insurance Claim Manager typically oversees the entire claims process and manages teams, requiring managerial skills and certifications. In contrast, the Insurance Adjuster focuses on evaluating damages and settling individual claims, often working in the field. Both roles require similar credentials and industry experience but differ in daily responsibilities and work environment.

What are the key skills and qualifications needed to thrive as an Insurance Claim Manager, and why are they important?

To thrive as an Insurance Claim Manager, you need in-depth knowledge of insurance policies, strong analytical abilities, and experience in claims processing, typically supported by a bachelor’s degree in business, finance, or a related field. Familiarity with claims management software, regulatory compliance systems, and sometimes certifications such as AIC (Associate in Claims) are commonly required. Exceptional communication, negotiation, and leadership skills help in resolving disputes and managing teams effectively. These skills are crucial to efficiently handle complex claims, ensure regulatory compliance, and deliver excellent customer service.

What does an Insurance Claim Manager do?

An Insurance Claim Manager oversees the claims process within an insurance company, ensuring that claims are handled efficiently, fairly, and in accordance with company policies and legal requirements. They supervise claim adjusters, review complex or disputed claims, and work to resolve any issues that arise during the claims process. Their role also involves improving claims procedures, training staff, and ensuring customer satisfaction. Insurance Claim Managers play a critical part in minimizing company losses while ensuring policyholders receive the coverage they're entitled to.
What cities are hiring for Insurance Claim Manager jobs? Cities with the most Insurance Claim Manager job openings:
What states have the most Insurance Claim Manager jobs? States with the most job openings for Insurance Claim Manager jobs include:
Insurance Claim Manager jobs near you
Infographic showing various Insurance Claim Manager job openings in the United States as of July 2026, with employment types broken down into 79% Full Time, 19% Part Time, 1% Temporary, and 1% Contract. Highlights an 87% Physical, 4% Hybrid, and 9% Remote job distribution, with an average salary of $87,861 per year, or $42.2 per hour.

Insurance Claim Biller

Highlands Hospital

NV • On-site

Other

Posted 2 days ago

New

Job description

POSITION SUMMARY
(General statement reflecting the overall purpose of the position)
Humboldt General Hospital is looking for an experienced Insurance Claim Biller familiar with claim submissions to insurance companies and experience working with SSI. This candidate will be responsible for submitting correct or self-corrected claims, working patients encounters via established work queues and communicating and coordinating with revenue cycle colleagues. Attention to detail and superior customer service skills is necessary.
TASK LETTER CODE
PRIMARY DUTIES
(Are the essential job tasks or primary responsibilities that the individual who holds the position mist be able to perform unaided or with the assistance of an accommodation. For example: "DO" (action verb) + "WHAT" (object) - "Collects vitals from patients at the being of the visit according to clinic protocol".
% OF TIME PERFORMING DUTY
A
Submit correct clean claim to payors, or submit correction, of UB and/or 1500 claims forms. Review and process claims in various stages of revenue cycle in a timely manner.
B
Resolve encounters assigned via work queues and apply action when appropriate
C
Review claim edits from front and back-end scrubbers to reduce denials
D
Review edits received from SSI, correct claim and regenerate as appropriate.
E
Receives and takes calls from patients with insurance information updates such as COB
F
Receive, and take, Inbound and outbound calls with government payors and commercial insurance payors
G
Prepare and file insurance appeals in a timely manner
H
Work AR as assigned.
I
Modify charge grouping and registration when necessary for proper claim submission
J
Manage SSI web portal to include generating reports, working timely filing claims and troubleshooting claim submissions. Identify and log trending claim denials.
K
Maintains confidentiality adheres to all HIPAA guidelines/regulations
L
Other related duties as assigned.
M
N
O
POSITION QUALIFICATIONS
MINIMUM EDUCATION: High School diploma or General Education Degree
PREFERRED EDUCATION:
MINIMUM EXPERIENCE: Basic knowledge of third-party insurance plans billing.
REQUIRED CERTIFICATIONS:
PREFERRED CERTIFICATIONS/LICENSES: CRCR
SPECIAL SKILLS: Cerner Community Works/Revenue Cycle and SSI experience is preferred. Excellent command of written and spoken English; must be able to communicate effectively when in contact with insurance carriers, third-party payers and patients. Must be able to learn and understand patient accounting policies and procedures and how the EHR computer system works. Intermediate knowledge of Microsoft Word and Excel and the ability to learn new programs and systems is necessary. Dependable in both productivity and attendance.
SUPERVISES: None
PHYSICIAL DEMANDS: For physical demands and working conditions, see next page.

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