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Matrix Claims Management Jobs (NOW HIRING)

Reliance Matrix

Claims Examiner II - SSL

Canandaigua, NY · On-site

$25.10 - $31.37/hr

Manages assigned case load and processes within the specified time requirements. * Good written ... Reliance Matrix will provide qualified employees with a reasonable accommodation in accordance with ...

Reliance Matrix

LTD Claims Examiner II

Phoenix, AZ · On-site

$52K - $65K/yr

Consistently manage assigned case load of 60-80 simple to complex cases independently ... What We Offer At Reliance Matrix, we believe that fostering an inclusive culture allows us to ...

Collabera

Claims Processor

Mason, OH

$16 - $20.25/hr

Accurately and efficiently processes manual claims and other simple processes such as matrix and ... Managers, Operations, Information Systems, Client Representatives and EyeMed leadership team.

Rsli

Claims Examiner II - SSL

Canandaigua, NY

$25.10 - $31.37/hr

Manages assigned case load and processes within the specified time requirements. * Good written ... Reliance Matrix will provide qualified employees with a reasonable accommodation in accordance with ...

TecTammina

Business Analyst

Richmond, VA

... Insurance and Claims management web sites business analysis Experience in a .NET/ JAVA Web ... Strong Requirement Traceability Matrix mapping. Experience with Web Development E commerce projects.

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All JobsMatrix Claims Management Jobs

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.
Program Manager (Ohio Claims Processes)

Program Manager (Ohio Claims Processes)

Molina Healthcare

Akron, OH

$66K - $129K/yr

Full-time

Posted 28 days ago

Molina Healthcare rating

8.0

Company rating: 8.0 out of 10

Based on 192 frontline employees who took The Breakroom Quiz

145th of 260 rated insurance

Job description

JOB DESCRIPTION

Job Summary

Provides support to Molina functional areas through program management, including policy, workflow and process documentation, management of program controls, vendor practices, budgets, governance frameworks, playbooks and best practices, and champion networks, as applicable. 

 This role focuses specifically on claims processes and collaborates heavily with Claims Operations, Provider Relations, and Payment Integrity to ensure Ohio claims are paid timely an accurately.

Job Duties

  • Responsible for ensuring well-documented policies, workflows, program controls, internal and third-party practices, playbooks and best practices for respective program.     
  • Manages program budget, as applicable, supporting project prioritization.
  • Collaborates with Legal, Compliance, and Information Security to ensure governance standards are upheld.
  • Tracks performance metrics and ensures value realization from deployed solutions. 
  • Coordinates recurring meetings to support governance framework and decision-making processes, as needed. 
  • At the direction of program (CoE, Shared Service or other functional area) leadership, supports portfolio management and/or initiative-specific change and project management.
  • Collaborates with key stakeholders to support dissemination and adoption of program guardrails, processes, best practices and other collateral.
  • Routinely reviews program collateral to ensure current and accurate reflection of business needs. 
  • Identifies opportunities/gaps and provides recommendations on program enhancements to respective leadership team. 
  • Responsible for creating business requirements documents, test plans, requirements traceability matrix, user training materials and other related documentations.
  • Generates and distributes standard reports on schedule.

JOB QUALIFICATIONS

REQUIRED QUALIFICATIONS:

  • At least 4 years of Program and/or Project management experience, or equivalent combination of relevant education and experience.
  • Operational Process Improvement experience.
  • Managed Care experience, preferably in a shared service, CoE or matrixed environment.
  • Experience with Microsoft Project and Visio. 
  • Strong presentation and communication skills.

PREFERRED QUALIFICATIONS:

  • Diverse practical experience in Ohio Medicaid Claims Adjudication and Payment Policy.
  • Experienced in claims adjudication of Medicare and Marketplace (ACA) claims.
  • Ideal candidate will be proficient with Excel and use of Pivot tables to organize claims data to understand outcomes and trends.
  • Experience working with Enterprise Information Management to develop claims based reports, analysis, and Key Process Indicators (KPIs)

To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

Pay Range: $66,456 - $129,590 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Employment Type: Full Time

What Molina Healthcare employees say

Pay

Benefits

Hours and flexibility

Workplace

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About Molina Healthcare

Sourced by ZipRecruiter

Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Long Beach, CA, US

Year founded

1980

Social media

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