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Matrix Claims Management Jobs (NOW HIRING)

General Management Responsibilities: * Knows, understands, incorporates, and demonstrates the ... Requests for authority per Settlement Authority Matrix; * Provides updates as needed regarding high ...

General Management Responsibilities: * Knows, understands, incorporates, and demonstrates the ... Requests for authority per Settlement Authority Matrix; * Provides updates as needed regarding high ...

Job Responsibilities and Requirements The Claims Examiner will act as a liaison between client ... What We Offer At Reliance Matrix, we believe that fostering an inclusive culture allows us to ...

Claims Manager Pan-American Life Insurance Group (PALIG) Location: US Remote | Hybrid Work ... time management skills * Strong interpersonal skills * Ability to work with matrix partners and ...

OR · Hybrid

Claims Manager Pan-American Life Insurance Group (PALIG) Location: US Remote | Hybrid Work ... time management skills * Strong interpersonal skills * Ability to work with matrix partners and ...

Manage the prompt and accurate investigation, adjudication, and payment (where appropriate) of ... Reliance Matrix will provide qualified employees with a reasonable accommodation in accordance with ...

Sr. Manager - Claims

Monterey Park, CA · Hybrid

$125K - $140K/yr

A.) from a four-year college or university; or four (4) years current Management or equivalent ... Experience with contract law and Division Responsibility matrix interpretation * Comprehensive ...

Support establishment of claims management procedures on new business accounts in association with ... Experience working in a complex, global matrix organization. * The ability to utilize AI tools to ...

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Matrix Claims Management information

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$35K

$87.9K

$139K

How much do matrix claims management jobs pay per year?

As of Jun 7, 2026, the average yearly pay for matrix claims management 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 the key skills and qualifications needed to thrive in Matrix Claims Management, and why are they important?

To thrive in Matrix Claims Management, you need expertise in insurance policies, claims processing, and risk assessment, often supported by a degree in business, finance, or a related field. Familiarity with claims management software, database systems, and relevant certifications such as AIC (Associate in Claims) are commonly required. Strong analytical thinking, attention to detail, and effective communication set top performers apart in this role. These skills ensure accurate claim handling, regulatory compliance, and high levels of customer satisfaction.

What are some common challenges faced by professionals working in Matrix Claims Management, and how can they effectively address them?

Professionals in Matrix Claims Management often encounter challenges such as managing large volumes of complex claims, navigating evolving regulations, and balancing the needs of multiple stakeholders. Effective communication, strong organizational skills, and ongoing training in regulatory updates are key to overcoming these challenges. Collaborating closely with team members and leveraging claims management technology can also help streamline workflows and ensure timely, accurate claim resolutions.

What is the difference between Matrix Claims Management vs Claims Adjuster?

AspectMatrix Claims ManagementClaims Adjuster
CredentialsRelevant certifications (e.g., CPCU, ARM), industry experienceAdjuster licenses, certifications (e.g., AIC, CPCU)
Work EnvironmentOffice-based, claims management teams, client interactionFieldwork, site visits, claims investigation
Employer & Industry UsageInsurance companies, third-party administrators, claims management firmsInsurance carriers, independent adjusting firms
Search & Comparison IntentUnderstanding claims management roles, career optionsClaims investigation, settlement processes

Matrix Claims Management professionals oversee the claims process, coordinate with adjusters, and manage client relationships. Claims Adjusters focus on investigating, evaluating, and settling individual claims. While both roles are integral to insurance claims, Matrix Claims Management involves broader oversight and administrative duties, whereas Claims Adjusters are directly involved in claim assessment and resolution.

Infographic showing various Matrix Claims Management job openings in the United States as of May 2026, with employment types broken down into 94% Full Time, and 6% Contract. Highlights an 100% In-person job distribution, with an average salary of $87,861 per year, or $42.2 per hour.
Claims Adjuster, Legal Affairs (Full-time, Day)

Claims Adjuster, Legal Affairs (Full-time, Day)

Prisma Health

Columbia, SC • On-site

Full-time

Posted 17 days ago


Prisma Health rating

7.0

Company rating: 7.0 out of 10

Based on 334 frontline employees who took The Breakroom Quiz

404th of 869 rated healthcare providers


Job description

Inspire health. Serve with compassion. Be the difference.
Job Summary
Responsible for day-to-day management of professional and general liability, property, and auto claims. This includes represented and non-represented cases from beginning to final resolution. Maintain professional client relationships during interactions with internal and external parties to successfully resolve claims made against our healthcare providers. Supports the campus/site clinical and administrative leadership team, related Subject Matter Experts (SME), stakeholder groups, and ad hoc teams on claims management and litigation activities.
Essential Functions
  • All team members are expected to be knowledgeable and compliant with Prisma Health's purpose: Inspire health. Serve with compassion. Be the difference.
  • Plans, controls, and coordinates claim activity and workflow within claims unit/department in order to maintain the highest professional customer service and technical standards, and to ensure work is produced in a timely matter. Responsible for claims management functions to include assignment of defense counsel and monitor case developments. Establishes and maintains litigation budget. Monitors defense and indemnity cost and expenditures. Coordinates and manages litigation.
  • Conducts investigations related to new claims/litigation. This includes interviewing providers directly involved or eyewitnesses to an event. Obtains relevant records and documents to defend claims.
  • Works in conjunction with defense team to answer discovery. This includes collection of documents for request to produce, interrogatories or request to admit. Schedules meetings to interview team members necessary to answer discovery.
  • Maintains claim files, ensuring proper documentation. Initially sets, reviews, and update reserves. Determines evaluations of liability, damages, settlement values, verdict ranges and percent chance to win.
  • Participates in key witness meetings, depositions, mediations and trials.
  • Performs ongoing analysis of claims and litigation, identifying trends and opportunities to share at claims committee.
  • Interacts directly with patients/clients, utilizing professional written and oral communication.
  • Coordinates subpoenas and other claim requests.
  • Prepares reports on claims status to include making settlement recommendations to leadership.
  • Promotes an environment that encourages collaboration and creativity to advance efforts within each operational unit. Maintains and encourages open communication among the various teams within the organization. Works with all levels of leadership and personnel in the formulation and implementation of policies, standardized procedures, and decisions affecting claims management.
  • Performs other duties as assigned.

Supervisory/Management Responsibilities
  • This is a non-management job that will report to a supervisor, manager, director or executive.

Minimum Education
  • Education - Bachelor's degree in Insurance, Business, Healthcare, Law or related field of study.
  • Experience - Five (5) years in medical malpractice/professional liability claims and litigation management.

In Lieu Of
NA
Required Certifications, Registrations, Licenses
Claims Adjuster license preferred
Knowledge, Skills and Abilities
  • Knowledge of the legal environment and litigation process
  • Knowledge of insurance industry compliance requirements
  • Ability to work independently within a defined strategy.
  • Ability to work effectively in a matrix organizational structure with many stakeholders.
  • Problem solving skills
  • Critical thinking / Reasoning skills
  • Negotiation skills
  • Communication skills

Work Shift
Day (United States of America)
Location
Richland
Facility
7001 Corporate
Department
70019000 Legal Affairs
Share your talent with us! Our vision is simple: to transform healthcare for the benefits of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health.

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