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Manager Adjudication Jobs in Michigan (NOW HIRING)

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Manage the end-to-end administration of pension plans, including plan design, compliance, and ... adjudication, benefit payment, FASB ASC 965 (formerly SOP 92-6), COBRA, HIPAA, SPD's, QMCSO's or ...

... Manager to oversee inpatient and outpatient pharmacy functions across our Michigan locations ... Monitor and track all pharmacy claims across TPAs, PBMs, and payors to ensure accurate adjudication.

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Manager Adjudication information

What are the roles and responsibilities of a manager adjudication?

A Manager Adjudication oversees the process of reviewing and making decisions on claims, disputes, or applications, often within insurance, healthcare, or government sectors. Their responsibilities include managing a team of adjudicators, ensuring compliance with policies and regulations, reviewing complex cases, and implementing process improvements. They also provide training and support to staff, handle escalated cases, and work to streamline adjudication procedures for efficiency and fairness.

What are the key skills and qualifications needed to thrive as a manager adjudication?

To thrive as a Manager Adjudication, you need strong analytical skills, deep knowledge of claims processing, and typically a bachelor’s degree in business, healthcare administration, or a related field. Familiarity with adjudication software, claims management systems, and regulatory compliance tools is essential. Leadership, effective communication, and problem-solving abilities are crucial soft skills for managing teams and complex case reviews. These competencies ensure accurate, timely claims decisions and maintain compliance with industry standards, directly impacting organizational efficiency and client satisfaction.

What are some common challenges faced by a manager adjudication, and how can they be addressed?

A Manager Adjudication often faces challenges such as managing high volumes of complex cases, ensuring consistent and fair decision-making, and keeping up with changing regulations or organizational policies. Balancing efficiency while maintaining accuracy can be demanding, especially when deadlines are tight. These challenges can be addressed by implementing robust training programs for staff, leveraging technology for workflow management, and fostering clear communication within the team to ensure everyone is aligned on best practices and updates.

What is the difference between Manager Adjudication vs Claims Supervisor?

AspectManager AdjudicationClaims Supervisor
CredentialsTypically requires insurance or healthcare certifications, relevant degreesSimilar credentials, often with insurance or healthcare background
Work EnvironmentOffice-based, insurance or healthcare settingOffice-based, insurance or healthcare setting
Industry UsageCommon in insurance, healthcare, and claims processingCommon in insurance, healthcare, and claims departments
Primary FocusReviewing and approving claims, making adjudication decisionsOverseeing claims processing, managing claims staff

While both roles operate within the insurance and healthcare industries, the Manager Adjudication primarily focuses on reviewing and making decisions on claims, whereas the Claims Supervisor manages the claims team and oversees the claims process. Both roles require similar credentials and work environments, but their core responsibilities differ in scope and focus.

What are popular job titles related to Manager Adjudication jobs in Michigan?

For Manager Adjudication jobs in Michigan, the most frequently searched job titles are:

What job categories do people searching Manager Adjudication jobs in Michigan look for?

The top searched job categories for Manager Adjudication jobs in Michigan are:

What cities in Michigan are hiring for Manager Adjudication jobs?

Cities in Michigan with the most Manager Adjudication job openings:

Infographic showing various Manager Adjudication job openings in Michigan as of June 2026, with employment types broken down into 94% Full Time, and 6% Contract. Highlights an 100% In-person job distribution.

Sr Manager, Life & Annuities Claims

DXC Technology

Detroit, MI • On-site

Full-time

Re-posted 3 days ago


DXC Technology rating

7.0

Company rating: 7.0 out of 10

Based on 48 frontline employees who took The Breakroom Quiz

153rd of 225 rated it services


Job description

Job Description:

About DXC Technology

DXC Technology is a leading enterprise technology and innovation partner delivering software, services, and solutions to global enterprises and public sector organizations - helping them harness AI to drive outcomes at a time of exponential change with speed. With deep expertise in Managed Infrastructure Services, Application Modernization, and Industry-Specific Software Solutions, DXC modernizes, secures, and operates some of the world's most complex technology estates.

DXC's Insurance Software and BPS (ISB) helps insurers around the world modernize and run their core operations at scale by combining deep industry expertise, proven software platforms, and innovative AI-driven solutions. A global market leader in core insurance platforms, ISB delivers solutions across policy administration, claims, billing, analytics, and digital engagement supporting Life & Annuity, Property & Casualty, and Specialty insurance markets. You'll directly shape how the world's leading insurers operate by helping to transform the policy, underwriting, and claims systems that millions of people rely on every day.

We are seeking a Senior Manager, Life & Annuities Claims to lead managed claims operations supporting a strategic client. This leader will oversee end-to-end claims processing, drive operational excellence, ensure regulatory compliance, and deliver exceptional service levels while leading a high-performing team.

Key Responsibilities
  • Lead day-to-day operations for Life & Annuities claims processing, ensuring timely, accurate, and compliant adjudication of claims.
  • Manage and develop a team of managers, supervisors, claims analysts, and claims processors, fostering a culture of accountability, collaboration, and continuous improvement.
  • Drive operational performance by monitoring service level agreements (SLAs), productivity, quality, turnaround times, and customer satisfaction metrics.
  • Partner with client stakeholders to ensure contractual obligations, operational goals, and business priorities are consistently achieved.
  • Identify opportunities to streamline claims processes through automation, workflow optimization, and best practices to improve efficiency and reduce operational risk.
  • Ensure compliance with regulatory requirements, client policies, internal controls, and audit standards.
  • Lead root cause analysis and corrective action planning for operational issues, quality findings, and client escalations.
  • Analyze operational data and key performance indicators to identify trends, recommend improvements, and provide executive-level reporting.
  • Collaborate with technology, quality, training, and transformation teams to implement process enhancements and support digital initiatives.
  • Support workforce planning, resource allocation, budgeting, and capacity management to meet evolving business demands.
  • Champion continuous improvement initiatives using Lean, Six Sigma, or other operational excellence methodologies.
  • Build strong relationships with internal and external stakeholders to ensure successful service delivery and client satisfaction.
Required Qualifications
  • Bachelor's degree in Business, Finance, Insurance, or a related field, or equivalent combination of education and experience.
  • 8+ years of progressive experience in Life & Annuities insurance operations, including significant experience in claims administration.
  • 3+ years of leadership experience managing claims operations, including managers, supervisors, or large operational teams.
  • Demonstrated expertise in Life & Annuities claims processing, claims adjudication, policy administration, and operational controls.
  • Experience managing client-facing operations within a Business Process Services (BPS), shared services, or outsourced operations environment preferred.
  • Proven ability to lead operational transformation and continuous improvement initiatives.
  • Strong analytical and problem-solving skills with experience using operational metrics and KPIs to drive performance.
  • Excellent communication, leadership, stakeholder management, and organizational skills.
  • Experience managing multiple priorities in a fast-paced, service delivery environment.
Preferred Qualifications
  • Advanced degree (MBA or related field) preferred.
  • Lean Six Sigma Green Belt or Black Belt, PMP, or other process improvement certifications preferred.
  • Experience with Life & Annuities claims administration platforms and workflow management systems.
  • Knowledge of digital claims transformation, automation, AI-assisted claims processing, and business process optimization.
  • Experience leading geographically dispersed or global operations teams.

At DXC Technology, we believe strong connections and community are key to our success. Our work model prioritizes in-person collaboration while offering flexibility to support wellbeing, productivity, individual work styles, and life circumstances. We're committed to fostering an inclusive environment where everyone can thrive.

If you are an applicant from the United States, Guam, or Puerto Rico

DXC Technology Company (DXC) is anEqual Opportunity employer. All qualified candidates will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, pregnancy, veteran status, genetic information, citizenship status, or any other basis prohibited by law. View postings below .

We participate in E-Verify. In addition to the posters already identified, DXC provides access to prospective employees for theFederal Minimum Wage Poster, Federal Polygraph Protection Act Poster as well as any state or locality specific applicant posters. To access the postings in the link below, select your state to view all applicable federal, state and locality postings. Postings are available in English, and in Spanish, where required. View postings below.

Postings Link

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If you are an individual with a disability, a disabled veteran, or a wounded warrior and you are unable or limited in your ability to access or use this site as a result of your disability, you may request a reasonable accommodation by contacting us viaemail.

Please note: DXC will respond only to requests for accommodations due to a disability.

Recruitment fraud is a scheme in which fictitious job opportunities are offered to job seekers typically through online services, such as false websites, or through unsolicited emails claiming to be from the company. These emails may request recipients to provide personal information or to make payments as part of their illegitimate recruiting process. DXC does not make offers of employment via social media networks and DXC never asks for any money or payments from applicants at any point in the recruitment process, nor ask a job seeker to purchase IT or other equipment on our behalf.More information on employment scams is availablehere.


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