ZipRecruiter

Log In

1

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

Medix

Pharmacy Billing Specialist

East Syracuse, NY · On-site

$22/hr

Billing & Claims Management: Process pharmacy rejections, manage Prior Authorizations (PAs), and ensure all scripts are accurately billed to insurance. * Census & Reporting: Perform census audits and ...

Allied Universal

Surveillance Investigator

Utica, NY · On-site

$21 - $24/hr

Advance Your Career in Insurance Claims with Allied Universal Compliance and Investigation Services ... Demonstrated ability to manage stressful situations with composure and professionalism * Ability to ...

Allied Universal

Surveillance Investigator

Utica, NY · On-site

$21 - $24/hr

Advance Your Career in Insurance Claims with Allied Universal ® Compliance and Investigation ... Demonstrated ability to manage stressful situations with composure and professionalism * Ability to ...

Cna

Claims Recovery Director

Dewitt, NY

Responsibilities include managing direct staff, as well as outsourced vendor programs, while ... Thorough knowledge of the commercial insurance industry, products and services and awareness of ...

Walgreens

Pharmacy Manager

Utica, NY · On-site

$67.05 - $90.55/hr

Ensures insurance claims are processed accurately to prevent payment rejections. Resolves patient ... Manages the maintenance, housekeeping, and improvement of the pharmacy department including repairs ...

Walgreens Boots Alliance

Pharmacy Manager

Utica, NY · On-site

$66.50 - $78.25/hr

Ensures insurance claims are processed accurately to prevent payment rejections. Resolves patient ... Manages the maintenance, housekeeping, and improvement of the pharmacy department including repairs ...

Walgreens

Pharmacy Operations Manager

Boonville, NY · On-site

Ensures the accurate processing of insurance claims to resolve customer issues and prevent payment ... Manages Community Outreach Portal and coordinates and, at the direction of the Pharmacy Manager ...

previous page

Showing results 41-60

All JobsInsurance Claims JobsInsurance Claims Manager JobsInsurance Claims Manager Jobs in Rome, NY

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:

Insurance Claims Manager jobs near you
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.

Pharmacy Billing Specialist

Medix

East Syracuse, NY • On-site

$22/hr

Full-time

Medical, Dental, Vision, Retirement

Re-posted 21 days ago

Job description

You are applying for a position through Medix, a staffing agency. The actual posting represents a position at one of our clients.
Job Summary
Our client is seeking a Pharmacy Billing Specialist responsible for managing pharmacy billing and claims, handling inbound coordination for facilities, and ensuring accurate monthly processing. This role is crucial in maintaining data integrity and facilitating efficient billing operations in a growing LTC pharmacy organization.
Key Responsibilities
  • Billing & Claims Management: Process pharmacy rejections, manage Prior Authorizations (PAs), and ensure all scripts are accurately billed to insurance.
  • Census & Reporting: Perform census audits and run reports to verify that patient data in the system matches facility records before invoices are finalized.
  • Inbound Coordination: Act as the primary contact for facilities and customers, handling approximately 10+ calls per day regarding billing questions or discrepancies.
  • System Navigation: Utilize EMAR, SharePoint, and pharmacy-specific software daily to maintain data integrity and document workflow.
  • Month-End Processing: Complete designated billing reports to ensure accurate monthly closing for over 20 Skilled Nursing Facilities (SNFs).

Qualifications
  • Previous experience as a pharmacy tech is required.
  • Proficiency in processing pharmacy rejections, working Prior Authorizations (PAs), and navigating insurance claims.
  • High competency in computer systems, specifically EMAR and SharePoint; Excel skills are a strong plus.
  • Experience with census-based billing, ensuring data accuracy between facility records and pharmacy invoices.
  • Ability to handle inbound inquiries regarding billing discrepancies.

Skills
  • Technical skills: EMAR and SharePoint proficiency.
  • Soft skills: Professional communication and financial accuracy.

Additional Requirements
Reliable, predictable schedule with availability needed on the 1st of each month for month-end reports. If the 1st falls on a weekend, the team must be available that day, with a day off during the week.
Benefits
  • Paid Sick Leave (Medix provides paid sick leave according to state and local sick leave ordinances).
  • Health Benefits / Dental / Vision (Medix offers 6 different health plans: 3 Major Medical Plans, 2 Fixed Indemnity Plans (Standard and Preferred), and 1 Minimum Essential Coverage (MEC) Plan. Eligibility for health benefits is based on verifying that an average of 30 hours per week during the first 4 weeks of the work assignment has been met. If you meet eligibility requirements and take action to enroll, you will be covered no earlier than 60 days into your assignment, depending on plan selection(s)).
  • 401k (Eligible on the first 401k open enrollment date following 6 consecutive months on assignment. 401k Open Enrollment dates are 1/1, 4/1, 7/1, and 10/1).
  • Short Term Disability Insurance.
  • Term Life Insurance Plan.

* We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state, and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO), and the California Fair Chance Act (CFCA).
Medix Overview:
With over 20 years of experience connecting organizations with highly qualified professionals, Medix is a leading provider of workforce solutions for clients and candidates across the healthcare, scientific, technology, and government industries. Through our core purpose of positively impacting lives, we're dedicated to creating opportunities for job seekers at some of the nation's top companies. As an award-winning career partner, Medix is committed to helping talent find fulfilling and meaningful work because our mission is to help you achieve yours.
* As a job position within our Allied division, a successful completion of a background check may be required as a condition of employment. This requirement is directly related to essential job functions including but not limited to: providing direct patient care, accessing medical and confidential records, accessing and administering prescription medication or other drugs, working within a clinical setting, handling sharp instruments, conducting medical procedures, and working within departments that care for vulnerable populations, such as, minors, elderly and those with physical or mental disabilities. Due to these job duties, this position has a significant impact on the business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients.
Medix Staffing Solutions logo

About Medix Staffing Solutions

Sourced by ZipRecruiter

Since 2001, we’ve been dedicated to helping you achieve your goals. Medix was created to become a leading provider of workforce solutions for clients and candidates across the healthcare and life sciences industries. Today, we are that leader. Headquartered in Chicago, we have 23 offices across the United States, and staff talent around the world. Medix is committed to fulfilling our core purpose as an organization: to positively impact the lives of our talent, clients, and teammates through employment, philanthropy, and opportunity. The combination of purpose and values has nurtured our thriving culture that encourages our internal team to excel at work and in everyday life.

Industry

Recruiting and staffing services

Company size

1,001 - 5,000 Employees

Headquarters location

Chicago, IL, US

View All Medix Staffing Solutions Jobs

Apply