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Insurance Claims Manager Jobs in Rome, NY (NOW HIRING)

Reporting Relationship Manager or above. Skills, Knowledge and Abilities * Advanced technical and product specific expertise, claims resolution skill and knowledge of insurance and claims principles ...

Manages an inventory of highly complex commercial claims with large exposures that require a high ... Experience interpreting complex commercial insurance policies and coverage. * Ability to manage ...

Manages an inventory of low to moderate complexity and exposure commercial claims by following ... Developing basic knowledge of the commercial insurance industry, products and claim practices.

Manages an inventory of low to moderate complexity and exposure commercial claims by following ... Developing basic knowledge of the commercial insurance industry, products and claim practices.

Workers Compensation Claims Specialist, East

Dewitt, NY · Hybrid

$22 - $30.25/hr

Manages an inventory of moderate to high complexity and exposure commercial claims by following ... Solid working knowledge of the commercial insurance industry, products, policy language, coverage ...

Showing results 21-40

Insurance Claims Manager information

See Rome, NY salary details

$33.1K

$83.2K

$131.6K

How much do insurance claims manager jobs pay per year?

As of Sep 1, 2026, the average yearly pay for insurance claims manager in Rome, NY is $83,187.00, according to ZipRecruiter salary data. Most workers in this role earn between $64,400.00 and $99,400.00 per year, depending on experience, location, and employer.

What does an insurance claims manager do?

An Insurance Claims Manager oversees the processing of insurance claims to ensure they are handled efficiently, fairly, and in compliance with company and legal standards. They manage a team of claims adjusters and analysts, review complex or disputed claims, and develop strategies to improve claims procedures. Their role also involves liaising with policyholders, third parties, and legal professionals to resolve issues and minimize fraud or errors. Effective Claims Managers balance customer service with cost control to protect both the insurer and the policyholder.

What are the key skills and qualifications needed to thrive as an insurance claims manager?

To thrive as an Insurance Claims Manager, you need a solid understanding of insurance policies, claims processes, and risk assessment, typically supported by a bachelor's degree in finance, business, or a related field. Familiarity with claims management software (such as Guidewire or ClaimCenter) and certifications like Associate in Claims (AIC) are commonly required. Excellent leadership, negotiation, and problem-solving skills set top performers apart in this role. These abilities are crucial for efficiently managing claims teams, reducing fraud, and ensuring timely, fair settlements for clients.

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

Insurance Claims Managers often encounter challenges such as managing complex claims, addressing customer dissatisfaction, and staying up-to-date with regulatory changes. To overcome these, successful managers prioritize clear communication, maintain strong organizational systems, and foster collaboration between adjusters, underwriters, and legal teams. Proactively investing in ongoing training and leveraging technology for claims processing also helps streamline workflows and improve customer experiences.

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

AspectInsurance Claims ManagerInsurance Adjuster
CredentialsTypically requires a bachelor’s degree; certifications like CPCU or AIC are commonHigh school diploma or bachelor’s; certifications like AIC or state licensing often needed
Work EnvironmentOffice-based, managing teams and claims processesField or office-based, investigating claims and assessing damages
Employer & IndustryInsurance companies, claims departmentsInsurance companies, independent adjusting firms
Primary FocusOverseeing claims processes, managing staff, ensuring policy complianceEvaluating damages, determining claim validity, negotiating settlements

While both roles are integral to the insurance claims process, the Insurance Claims Manager oversees the entire claims operation and manages staff, whereas the Insurance Adjuster focuses on investigating individual claims and assessing damages. The roles often work together but differ in scope and responsibilities.

What are popular job titles related to Insurance Claims Manager jobs in Rome, NY?

For Insurance Claims Manager jobs in Rome, NY, the most frequently searched job titles are:

What job categories do people searching Insurance Claims Manager jobs in Rome, NY look for?

The top searched job categories for Insurance Claims Manager jobs in Rome, NY are:

What cities near Rome, NY are hiring for Insurance Claims Manager jobs?

Cities near Rome, NY with the most Insurance Claims Manager job openings:

Infographic showing various Insurance Claims Manager job openings in Rome, NY as of August 2026, with employment types broken down into 1% As Needed, 77% Full Time, 18% Part Time, and 4% Contract. Highlights an 91% Physical, 1% Hybrid, and 8% Remote job distribution, with an average salary of $83,187 per year, or $40 per hour.

BUSINESS OFFICE MEDICAL BILLER ($1,000 RETENTION BONUS)

Slocum-Dickson Medical Group, PLLC

New Hartford, NY • On-site

$21 - $34.81/hr

Full-time

Re-posted 20 days ago


Job description

Description:

JOB SUMMARY: Under the Supervision of the Business Office Manager is responsible for the timely submission of claims as well as accurate follow-up of claims submitted to the assigned insurance payers. Responsible for notifying Governmental payers of all overpayments per Federal guidelines. Will assist the provider office(s) with any requested benefit verifications. Will keep current of all assigned payer newsletters and bulletins.

DUTIES & RESPONSIBILITIES:

  1. Responsible for ensuring the timely filing of insurance claims through the use of the claim edit work queue as well the follow-up 277 payer rejection work queue.
  2. Responsible for follow–up of insurance claims through the use of payer web sites, portals, and other mechanisms as directed by management.
  3. Responsible for general knowledge of payer rules and contract guidelines and billing procedures in order to accomplish follow-up activity.
  4. Responsible to keep current on all assigned payer newsletters and bulletins for medical or administrative policy changes and communicating said changes to the Special Projects Coordinator, Business Office Manager, or designee.
  5. Responsible for review and correction of denied claims in accordance with rules and regulations both Federal and payer specific.
  6. Responsible for notifying/refunding all governmental overpayments within 60 days of identifying said overpayment.
  7. Will assist the Collection Unit in answering patient inquiries.
  8. Performs other office duties as assigned.
  9. May be exposed to hazardous drugs.  
  10. Attends OSHA training upon initial employee orientation and annually completes an OSHA competency.

RELATIONSHIP WITH OTHERS: Must interact well with providers and clinical staff as well as payer staff and the staff and management in the Business Office. Must exhibit a high degree of attention to detail.

Requirements:

EDUCATION/EXPERIENCE/KNOWLEDGE: Graduated from High School or completed GED requirements.

PHYSICAL REQUIREMENTS: Requires sitting, standing, bending, and reaching. May require lifting up to 20 pounds. Requires manual dexterity sufficient to operate office equipment such as computer, fax, calculator, and telephone. Requires normal hearing and vision.