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

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 ...

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 ...

Showing results 41-60

Medical Claims Manager information

See Springfield, MA salary details

$34.9K

$87.6K

$138.5K

How much do medical claims manager jobs pay per year?

As of Aug 21, 2026, the average yearly pay for medical claims manager in Springfield, MA is $87,554.00, 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 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 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 $87,554 per year, or $42.1 per hour.

Claims Representative , Auto

Sedgwick

Hartford, CT • On-site

$50K/yr

Other

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 11 hours ago


Sedgwick rating

7.6

Company rating: 7.6 out of 10

Based on 326 frontline employees who took The Breakroom Quiz

212th of 311 rated insurance


Job description

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Full time

R76894

By joining Sedgwick, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there’s no limit to what you can achieve.

Newsweek Recognizes Sedgwick as America’s Greatest Workplaces National Top Companies

Certified as a Great Place to Work®

Fortune Best Workplaces in Financial Services & Insurance

Claims Representative , Auto

PRIMARY PURPOSE OF THE ROLE: To analyze and process low to mid-level auto and transportation claims.

ESSENTIAL RESPONSIBLITIES MAY INCLUDE

  • Processes auto property damage and lower level injury claims; assesses damage, makes payments, and ensures claim files are properly documented and correctly coded based on the policy.

  • Develops and maintains action plans to ensure state required contract deadlines are met and to move the file towards prompt and appropriate resolution.

  • Identifies and pursues subrogation opportunities; secures and disposes of salvage.

  • Communicates claim action/processing with insured, client, and agent or broker when appropriate.

  • Maintains professional client relations.

  • Performs coverage, liability, and damage analysis on all claims assignments.

  • Performs other duties as assigned.

  • Supports the organization's quality program(s).

QUALIFICATIONS

  • Education: Bachelor's degree from an accredited college or university preferred. Secure and maintain the State adjusting licenses as required for the position.

  • Familiarity with personal and commercial lines policies and endorsements

  • Ability to review and assess Property Damage estimates, total loss evaluations, and related expenses to effectively negotiate first and third party claims.

  • Knowledge of total loss processing, State salvage forms and title requirements, preferred

  • Excellent oral and written communication, including presentation skills

  • PC literate, including Microsoft Office products

  • Analytical and interpretive skills

  • Strong organizational skills

  • Good interpersonal skills

  • Ability to work in a team environment

  • Ability to meet or exceed Service Expectations

Work environment requirements include –

Physical: Computer keyboarding

Auditory/visual: Hearing, vision and talking

Mental: Clear and conceptual thinking ability; excellent judgement and discretion; ability to meet deadlines.

When applicable and appropriate, consideration will be given to reasonable accommodations.

The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time

As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is $50,000. A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits.

Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.

If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.

Sedgwick is the world’s leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The company’s expertise, combined with the most advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With over 33,000 colleagues and 10,000 clients across 80 countries, Sedgwick provides unmatched perspective, caring that counts, and solutions for the rapidly changing and complex risk landscape. For more, see sedgwick.com


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