Job Summary Responsible for day-to-day management of professional and general liability, property ... Ability to work effectively in a matrix organizational structure with many stakeholders. * Problem ...
Job Summary Responsible for day-to-day management of professional and general liability, property ... Ability to work effectively in a matrix organizational structure with many stakeholders. * Problem ...
Job Summary Responsible for day-to-day management of professional and general liability, property ... Ability to work effectively in a matrix organizational structure with many stakeholders. * Problem ...
Job Summary Responsible for day-to-day management of professional and general liability, property ... Ability to work effectively in a matrix organizational structure with many stakeholders. * Problem ...
(REMOTE) Area Claims Manager
Livonia, MI · On-site +1
General Management Responsibilities: * Knows, understands, incorporates, and demonstrates the ... Requests for authority per Settlement Authority Matrix; * Provides updates as needed regarding high ...
(REMOTE) Area Claims Manager
Livonia, MI · On-site +1
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 ...
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 ...
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 ...
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 ...
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 ...
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 ...
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 ...
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 ...
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 ...
Sr. Manager - Claims
Monterey Park, CA · On-site
$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 ...
Sr. Manager - Claims
Monterey Park, CA · On-site
$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 ...
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 ...
Quick apply
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 ...
SUPERVISOR, CAPITATION CLAIMS
Pomona, CA · On-site
$80K - $93K/yr
Under the guidance of the Director of Managed Care, the Claims Supervisor is responsible for ... Experienced in benefit and financial matrix interpretation. Ability to interpret and apply rules ...
SUPERVISOR, CAPITATION CLAIMS
Pomona, CA · On-site
$80K - $93K/yr
Under the guidance of the Director of Managed Care, the Claims Supervisor is responsible for ... Experienced in benefit and financial matrix interpretation. Ability to interpret and apply rules ...
CLAIMS SPECIALIST - LIABILITY
Alpharetta, GA · On-site
$102K - $170K/yr
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 ...
CLAIMS SPECIALIST - LIABILITY
Alpharetta, GA · On-site
$102K - $170K/yr
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 ...
Program Manager (Ohio Claims Processes)
$66K - $129K/yr
Job Summary Provides support to Molina functional areas through program management, including ... matrix, user training materials and other related documentations. * Generates and distributes ...
Program Manager (Ohio Claims Processes)
$66K - $129K/yr
Job Summary Provides support to Molina functional areas through program management, including ... matrix, user training materials and other related documentations. * Generates and distributes ...
Program Manager (Ohio Claims Processes)
$66K - $129K/yr
Job Summary Provides support to Molina functional areas through program management, including ... matrix, user training materials and other related documentations. * Generates and distributes ...
Program Manager (Ohio Claims Processes)
$66K - $129K/yr
Job Summary Provides support to Molina functional areas through program management, including ... matrix, user training materials and other related documentations. * Generates and distributes ...
Claims Examiner The Claims Examiner will act as a liaison between client, employee and healthcare ... At Reliance Matrix, we believe that fostering an inclusive culture allows us to realize more of our ...
Claims Examiner The Claims Examiner will act as a liaison between client, employee and healthcare ... At Reliance Matrix, we believe that fostering an inclusive culture allows us to realize more of our ...
Program Manager (Ohio Claims Processes)
$66K - $129K/yr
Job Summary Provides support to Molina functional areas through program management, including ... matrix, user training materials and other related documentations. * Generates and distributes ...
Program Manager (Ohio Claims Processes)
$66K - $129K/yr
Job Summary Provides support to Molina functional areas through program management, including ... matrix, user training materials and other related documentations. * Generates and distributes ...
Program Manager (Ohio Claims Processes)
Long Beach, CA · On-site +1
$66K - $129K/yr
Job Summary Provides support to Molina functional areas through program management, including ... matrix, user training materials and other related documentations. * Generates and distributes ...
Program Manager (Ohio Claims Processes)
Long Beach, CA · On-site +1
$66K - $129K/yr
Job Summary Provides support to Molina functional areas through program management, including ... matrix, user training materials and other related documentations. * Generates and distributes ...
Matrix Claims Management information
See salary details
$35K - $44.5K
4% of jobs
$44.5K - $53.9K
4% of jobs
$53.9K - $63.4K
10% of jobs
$67K is the 25th percentile. Wages below this are outliers.
$63.4K - $72.8K
18% of jobs
$72.8K - $82.3K
12% of jobs
The median wage is $83.8K / yr.
$82.3K - $91.7K
13% of jobs
$91.7K - $101.2K
14% of jobs
$101.6K is the 75th percentile. Wages above this are outliers.
$101.2K - $110.6K
12% of jobs
$110.6K - $120.1K
7% of jobs
$120.1K - $129.5K
4% of jobs
$129.5K - $139K
2% of jobs
$35K
$87.9K
$139K
How much do matrix claims management jobs pay per year?
What are the key skills and qualifications needed to thrive in Matrix Claims Management, and why are they important?
What are some common challenges faced by professionals working in Matrix Claims Management, and how can they effectively address them?
What is the difference between Matrix Claims Management vs Claims Adjuster?
| Aspect | Matrix Claims Management | Claims Adjuster |
|---|---|---|
| Credentials | Relevant certifications (e.g., CPCU, ARM), industry experience | Adjuster licenses, certifications (e.g., AIC, CPCU) |
| Work Environment | Office-based, claims management teams, client interaction | Fieldwork, site visits, claims investigation |
| Employer & Industry Usage | Insurance companies, third-party administrators, claims management firms | Insurance carriers, independent adjusting firms |
| Search & Comparison Intent | Understanding claims management roles, career options | Claims 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.

Full-time
Posted 17 days ago
Prisma Health rating
7.0
Based on 334 frontline employees who took The Breakroom Quiz
404th of 869 rated healthcare providers
Job description
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.
What Prisma Health employees say
Pay
Benefits
Hours and flexibility
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About Prisma Health
Sourced by ZipRecruiter
Industry
Health care and social assistance
Company size
10,000+ Employees
Headquarters location
Greenville, SC, US
Year founded
2017