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Medical Claims Manager Jobs in Rochester, NY (NOW HIRING)

Angels In Your Home

Medical Biller

Rochester, NY · Remote

$20 - $25/hr

Monitor aging accounts and follow up on unpaid or denied claims. * Communicate with payers, managed ... or medical claims processing preferred. * Experience with LHCSA, home care, or long-term care ...

Angels In Your Home

Medical Biller

Rochester, NY · On-site

$20 - $25/hr

Monitor aging accounts and follow up on unpaid or denied claims. * Communicate with payers, managed ... or medical claims processing preferred. * Experience with LHCSA, home care, or long-term care ...

Angels In Your Home LHCSA

Medical Biller

Rochester, NY · On-site

$20 - $25/hr

Monitor aging accounts and follow up on unpaid or denied claims. * Communicate with payers, managed ... or medical claims processing preferred. * Experience with LHCSA, home care, or long-term care ...

Primma, LLC

Complex Claims Specialist

Rochester, NY · On-site

$127K - $148K/yr

Manage significant client relationships for claims department, collaborate with underwriting on ... Six years' claims handling experience required; medical professional liability strongly preferred

Trice Healthcare

Coding Payment Resolution Spec

Farmington, NY · On-site

$18.50 - $23.75/hr

... managed care organization or other health care financial service setting, performing medical claims processing, financial counseling, financial clearance, accounting or customer service activities or ...

Sedgwick

Claims Representative , Auto

Rochester, NY · On-site

$50K/yr

Management retains the discretion to add or to change the duties of the position at any time As ... A comprehensive benefits package is offered including but not limited to, medical, dental, vision ...

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Medical Claims Manager information

See Rochester, NY salary details

$34.5K

$86.7K

$137.1K

How much do medical claims manager jobs pay per year?

As of Aug 22, 2026, the average yearly pay for medical claims manager in Rochester, NY is $86,690.00, according to ZipRecruiter salary data. Most workers in this role earn between $67,100.00 and $103,600.00 per year, depending on experience, location, and employer.

What does a medical claims manager do?

A Medical Claims Manager oversees the processing of insurance claims related to healthcare services. They ensure that claims are handled efficiently, accurately, and in compliance with industry regulations. Their responsibilities include supervising claims staff, reviewing and resolving complex claims issues, and coordinating with healthcare providers and insurance companies. Medical Claims Managers also work to identify and prevent fraudulent claims and improve overall claims processing procedures.

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

To thrive as a Medical Claims Manager, you need a strong background in healthcare administration, claims processing, and knowledge of insurance regulations, typically supported by a bachelor's degree in a related field. Familiarity with claims management systems, billing software, and certification such as Certified Professional Coder (CPC) are often required. Exceptional attention to detail, problem-solving abilities, and effective communication set top performers apart. These skills ensure accurate claims processing, regulatory compliance, and efficient resolution of disputes, which are critical for organizational success.

What are some common challenges medical claims managers face when overseeing claims processing teams?

Medical Claims Managers often encounter challenges such as keeping up with changing healthcare regulations, ensuring accurate and timely claims processing, and managing workflow during periods of high claim volume. They must also address discrepancies or denials efficiently and provide ongoing training to team members to maintain compliance and quality standards. Effective communication with insurance carriers, healthcare providers, and internal teams is crucial to resolving issues and streamlining operations.

What are popular job titles related to Medical Claims Manager jobs in Rochester, NY?

For Medical Claims Manager jobs in Rochester, NY, the most frequently searched job titles are:

What job categories do people searching Medical Claims Manager jobs in Rochester, NY look for?

The top searched job categories for Medical Claims Manager jobs in Rochester, NY are:

What cities near Rochester, NY are hiring for Medical Claims Manager jobs?

Cities near Rochester, NY with the most Medical Claims Manager job openings:

Medical Claims Manager jobs near you
Infographic showing various Medical Claims Manager job openings in Rochester, NY as of August 2026, with employment types broken down into 1% As Needed, 76% Full Time, 16% Part Time, and 7% Contract. Highlights an 90% Physical, 1% Hybrid, and 9% Remote job distribution, with an average salary of $86,690 per year, or $41.7 per hour.

Workers' Compensation Claims Consultant

Acrisure

Rochester, NY • On-site

$75K - $85K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 6 days ago

Acrisure rating

7.5

Company rating: 7.5 out of 10

Based on 122 frontline employees who took The Breakroom Quiz

226th of 311 rated insurance

Job description

Job Description
About Acrisure
A global fintech leader, Acrisure empowers millions of ambitious businesses and individuals with the right solutions to grow boldly forward. Bringing cutting-edge technology and top-tier human support together, we connect clients with customized solutions across a range of insurance, reinsurance, payroll, benefits, cybersecurity, mortgage services - and more.
In the last twelve years, Acrisure has grown in revenue from $38 million to almost $5 billion and employs over 19,000 colleagues in more than 20 countries. Acrisure was built on entrepreneurial spirit. Prioritizing leadership, accountability, and collaboration, we equip our teams to work at the highest levels possible.
Responsibilities:
  • Provide clients with customer service such as answering claims related questions, discussing claims processes and following up with the client at the conclusion of the claim to ensure all issues were addressed
  • Contact clients and gather all appropriate information to adequately report claims and report claims to all appropriate carriers under all appropriate lines of business
  • Enter all claims into Epic and generate Acord notices and follow up with carriers to ensure that the claim was reported, obtain necessary adjuster contact information and claim number then provide client with this information
  • Inform producers and managers of any problems or issues concerning a client or a claim
  • Actively manage claims for assigned clients and follow open claims utilizing activity system, obtaining status and updating Epic Continuously document claim file notes with all activities conducted on claim. Proactively guide claims to a timely resolution
  • Advocate for client in reserving and claim evaluations. Coordinate carrier request with clients
  • Coordinates claim reviews between the carrier and insureds
  • Actively participate in claim reviews for assigned
  • Develop relationships with assigned clients and carriers
  • Prepare loss summary reports for internal customers
  • Comply with agency standards, policies and procedures and assist claims manager with all tasks as requested

Requirements:
  • HS Diploma or recognized equivalent
  • 3-5 years of relevant experience
  • Property & Casualty Insurance License a plus
  • Proficiency with MS Office
  • Prior experience with Applied Epic is a plus

Pay Details:
The base compensation range for this position is $75,000 - $85,000. This range reflects Acrisure's good faith estimate at the time of this posting. Placement within the range will be based on a variety of factors, including but not limited to skills, experience, qualifications, location, and internal equity.
Candidates should be comfortable with an on-site presence to support collaboration, team leadership, and cross-functional partnership.
Why Join Us:
At Acrisure, we're building more than a business, we're building a community where people can grow, thrive, and make an impact. Our benefits are designed to support every dimension of your life, from your health and finances to your family and future.
Making a lasting impact on the communities it serves, Acrisure has pledged more than $22 million through its partnerships with Corewell Health Helen DeVos Children's Hospital in Grand Rapids, Michigan, UPMC Children's Hospital in Pittsburgh, Pennsylvania and Blythedale Children's Hospital in Valhalla, New York.
Employee Benefits
We also offer our employees a comprehensive suite of benefits and perks, including:
  • Physical Wellness: Comprehensive medical insurance, dental insurance, and vision insurance; life and disability insurance; fertility benefits; wellness resources; and paid sick time.
  • Mental Wellness: Generous paid time off and holidays; Employee Assistance Program (EAP); and a complimentary Calm app subscription.
  • Financial Wellness: Immediate vesting in a 401(k) plan; Health Savings Account (HSA) and Flexible Spending Account (FSA) options; commuter benefits; and employee discount programs.
  • Family Care: Paid maternity leave and paid paternity leave (including for adoptive parents); legal plan options; and pet insurance coverage.
  • ... and so much more!

This list is not exhaustive of all available benefits. Eligibility and waiting periods may apply to certain offerings. Benefits may vary based on subsidiary entity and geographic location.
Acrisure is an Equal Opportunity Employer. We consider qualified applicants without regard to race, color, religion, sex, national origin, disability, or protected veteran status. Applicants may request reasonable accommodation by contacting leaves@acrisure.com.
Final candidates will be required to complete post-offer verification processes related to the role and in accordance with applicable laws.
California Residents: Learn more about our privacy practices for applicants by visiting the Acrisure California Applicant Privacy Policy.
Recruitment Fraud: Please visit here to learn more about our Recruitment Fraud Notice.
Welcome, your new opportunity awaits you.

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