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Medical Claims Manager Jobs in Springfield, MA (NOW HIRING)

Director, Ocean Marine Claims

Hartford, CT ยท On-site

$131K - $177K/yr

Responsibilities Actively manage litigated and non-litigated claims consistent with Arch claim and ... that includes multiple medical plans plus dental, vision and prescription drug coverage; a ...

In this role, the responsibilities include actively managing commercial claims for medium severity ... that includes multiple medical plans plus dental, vision and prescription drug coverage; a ...

In this role, the responsibilities include actively managing commercial general liability claims ... that includes multiple medical plans plus dental, vision and prescription drug coverage; a ...

In this role, the responsibilities include actively managing commercial general liability claims ... that includes multiple medical plans plus dental, vision and prescription drug coverage; a ...

AVP, Casualty Claims - Excess

Hartford, CT ยท Hybrid

$170K - $195K/yr

Leads, directs and has full management accountability for Claims staff with an emphasis on talent ... that includes multiple medical plans plus dental, vision and prescription drug coverage; a ...

AVP, Casualty Claims - Excess

Hartford, CT ยท Hybrid

$170K - $195K/yr

Leads, directs and has full management accountability for Claims staff with an emphasis on talent ... that includes multiple medical plans plus dental, vision and prescription drug coverage; a ...

Reviewing and approving medical bill payments * Managing vocational rehabilitation Qualifications * College degree or 7+ years' experience handling claims in a relevant line of business including ...

The AGL Claims Specialist: Under the direction of the Claims Team Leader, investigates and settles ... Reviewing and approving medical bill payments * Managing vocational rehabilitation Chubb is a world ...

Sr. Complex Claims Specialist

Hartford, CT ยท Hybrid

$145K - $175K/yr

... medical professional liability claim handling experience is a plus * TPA management/oversight ... claims, or insurance defense/coverage practicing attorney with similar law firm experience #LI-SW1 ...

Sr. Complex Claims Specialist

Hartford, CT ยท Hybrid

$145K - $175K/yr

... medical professional liability claim handling experience is a plus * TPA management/oversight ... claims, or insurance defense/coverage practicing attorney with similar law firm experience #LI-SW1 ...

Coding Payment Resolution Spec

Hartford, CT ยท On-site

$19 - $24.25/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 ...

Showing results 21-40

Medical Claims Manager information

See Springfield, MA salary details

$34.9K

$87.5K

$138.5K

How much do medical claims manager jobs pay per year?

As of Aug 10, 2026, the average yearly pay for medical claims manager in Springfield, MA is $87,549.00, according to ZipRecruiter salary data. Most workers in this role earn between $67,800.00 and $104,600.00 per year, depending on experience, location, and employer.

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 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 popular job titles related to Medical Claims Manager jobs in Springfield, MA? For Medical Claims Manager jobs in Springfield, MA, the most frequently searched job titles are:
What job categories do people searching Medical Claims Manager jobs in Springfield, MA look for? The top searched job categories for Medical Claims Manager jobs in Springfield, MA are:
What cities near Springfield, MA are hiring for Medical Claims Manager jobs? Cities near Springfield, MA with the most Medical Claims Manager job openings:
Infographic showing various Medical Claims Manager job openings in Springfield, MA as of August 2026, with employment types broken down into 100% Full Time. Highlights an 78% In-person, 11% Hybrid, and 11% Remote job distribution, with an average salary of $87,549 per year, or $42.1 per hour.

Director, Ocean Marine Claims

Archgroup

Hartford, CT โ€ข On-site

$131K - $177K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 5 days ago


Job description

With a company culture rooted in collaboration, expertise and innovation, we aim to promote progress and inspire our clients, employees, investors and communities to achieve their greatest potential. Our work is the catalyst that helps others achieve their goals. In short, We Enable Possibility.

Position Summary

Arch Insurance Group Inc., (AIGI), has an opening with the Claims Division on the Marine team as a Director, Ocean Marine Claims. The responsibilities of this role will focus heavily on first party Ocean Marine Cargo claims but will include other marine coverage types, including Hull and P&I, Marine Liabilities, Marine Excess, and more. It is anticipated that the role will initially be an individual contributor role but may evolve as Arch's marine business unit expands.

Responsibilities
Actively manage litigated and non-litigated claims consistent with Arch claim and litigation management guidelines
Communicate with all key claim stakeholders, including insureds and insured representatives, claimants, other insurers, producers, surveyors and adjusters, experts and others to bring claims to resolution
Convey key information about individual losses or broader trends to Claim and Underwriting management
Develop and update action plans and accurately set reserves within authority based on claim investigation and through industry knowledge, skills and experience and escalating when appropriate
Participate as Subject Matter Expert in development of training for internal and TPA staff
For Program claims, maintain contact with the TPA claim staff, business line leader, underwriter, and defense counsel, and program manager
Occasional travel to and from locations within the United States and potentially abroad to attend mediations, trials, and other proceedings relevant to the resolution of claims or to represent Arch Marine at industry events and conferences
Negotiate resolution of claims
Maintain a diary of all claims, post reserves in a timely fashion, and expeditiously respond to claims inquiries from insured, counsel, underwriters, brokers, and senior management

Experience & Required Skills


10-15+ years of Ocean marine claims handling experience
Experience with any Inland Marine coverage types and/or marine recoveries is a plus
Marine insurance and claim operations concepts and working knowledge of insurance claims operations in the area of commercial Ocean Marine claims, including direct experience handling hull and marine liability claims and various forms/coverages (e.g. P&I crew and passenger claims, Charterers Legal Liability, Marina Operators Legal Liability and P&I, Ship Repairers Legal Liability, Stevedores Liability, Wharfingers Legal Liability, etc.)

Extensive experience with marine insurance coverage evaluation/interpretation
Exceptional communication (written and verbal), influencing, evaluation, negotiating, listening, customer relations, and interpersonal skills to effectively develop productive working relationships with internal/external peers and other professionals across organizational lines
Strong time management and organizational skills
Demonstrated ability to take part in active strategic discussions
Demonstrated ability to work well independently and in a team environment
Hands-on experience and strong aptitude with Microsoft Excel, PowerPoint, and Word

Education


Bachelor's degree required
Willing and able to travel 10-15%
Reasonable proximity to major airport

#LI_SW1

#LI_HYBRID

For individuals assigned or hired to work in the location(s) indicated below, the base salary range is provided. Range is as of the time of posting. Position is incentive eligible.

For NYC, Long Island, Jersey City, Morristown: $145,700 - $196,700/year

For Chicago, Philadelphia, Hartford: $131,100 - $177,030/year

  • Total individual compensation (base salary, short & long-term incentives) offered will take into account a number of factors including but not limited to geographic location, scope & responsibilities of the role, qualifications, talent availability & specialization as well as business needs. The above pay range may be modified in the future.

  • Arch is committed to helping employees succeed through our comprehensive benefits package that includes multiple medical plans plus dental, vision and prescription drug coverage; a competitive 401k with generous matching; PTO beginning at 20 days per year; up to 12 paid company holidays per year plus 2 paid days of Volunteer Time Offer; basic Life and AD&D Insurance as well as Short and Long-Term Disability; Paid Parental Leave of up to 10 weeks; Student Loan Assistance and Tuition Reimbursement, Backup Child and Elder Care; and more. Click here to learn more on available benefits.

Do you like solving complex business problems, working with talented colleagues and have an innovative mindset? Arch may be a great fit for you.If this job isn't the right fit but you're interested in working for Arch, create a job alert! Simply create an account and opt in to receive emails when we have job openings that meet your criteria. Join our talent community to share your preferences directly with Arch's Talent Acquisition team.

14400 Arch Insurance Group Inc.