ZipRecruiter

Log In

1

Medical Claims Manager Jobs (NOW HIRING)

Renown Health

Claims Examiner 1

Reno, NV · On-site

Under the direction of the Claims Manager, this position is responsible for ensuring accurate and ... Experience with medical claims entry/research or related field preferred. Knowledge of ICD-9/10, ...

Renown Health

Claims Examiner 1

Reno, NV · On-site

$15.76 - $22.06/hr

Under the direction of the Claims Manager, this position is responsible for ensuring accurate and ... Experience with medical claims entry/research or related field preferred. Knowledge of ICD-9/10, ...

Datamark, Inc.

Medical Claims Processor

El Paso, TX · On-site

$16.50/hr

Team as a Medical Claims Processor! Are you looking for an exciting opportunity where your ... Ability to manage productivity metrics in a fast-paced environment * Basic computer proficiency and ...

MWH

Claims Manager

Broomfield, CO · On-site

$125K - $160K/yr

The Claims Manager is responsible for overseeing and managing the claims process, ensuring timely ... Group health & welfare benefits including options for medical, dental and vision * 100% Company ...

MWH

Claims Manager

Salem, OR

$125K - $160K/yr

The Claims Manager is responsible for overseeing and managing the claims process, ensuring timely ... Group health & welfare benefits including options for medical, dental and vision * 100% Company ...

MWH

Claims Manager

Plaistow, NH

$125K - $160K/yr

The Claims Manager is responsible for overseeing and managing the claims process, ensuring timely ... Group health & welfare benefits including options for medical, dental and vision * 100% Company ...

MWH

Claims Manager

Phoenix, AZ

$125K - $160K/yr

The Claims Manager is responsible for overseeing and managing the claims process, ensuring timely ... Group health & welfare benefits including options for medical, dental and vision * 100% Company ...

MWH

Claims Manager

Phoenix, AZ · On-site

$125K - $160K/yr

The Claims Manager is responsible for overseeing and managing the claims process, ensuring timely ... Group health & welfare benefits including options for medical, dental and vision * 100% Company ...

MWH

Claims Manager

Broomfield, CO

$125K - $160K/yr

The Claims Manager is responsible for overseeing and managing the claims process, ensuring timely ... Group health & welfare benefits including options for medical, dental and vision * 100% Company ...

Datamark, Inc.

Medical Claims Processor

El Paso, TX · On-site

$16.50/hr

Team as a Medical Claims Processor! Are you looking for an exciting opportunity where your ... Ability to manage productivity metrics in a fast-paced environment * Basic computer proficiency and ...

Datamark, Inc.

Medical Claims Processor

El Paso, TX · On-site

$16.50/hr

Team as a Medical Claims Processor! Are you looking for an exciting opportunity where your ... Ability to manage productivity metrics in a fast-paced environment * Basic computer proficiency and ...

Integrated Specialty Coverages, LLC

Claims Manager

Comprehensive medical, dental, vision * Life/AD&D Insurance * Confidential, Employee Assistance Program * Health Savings Account, includes company contribution * Short-term disability * Voluntary ...

Orion180

Claims Manager

Irving, TX · On-site

CITON Claims Solutions, LLC stands out as a leading provider of claim management and administration ... Medical, dental, vision, 401k, paid holidays, PTO and more! The office environment is fast-paced ...

Pan-American Life Insurance Group

Claims Manager

Bachelor's degree, plus 2 years of experience in management and medical insurance claims (four additional years of relevant work experience may be substituted in lieu of a degree) Knowledge, Skills ...

Pan-American Life Insurance Group, Inc.

OR · Hybrid

Bachelor's degree, plus 2 years of experience in management and medical insurance claims (four additional years of relevant work experience may be substituted in lieu of a degree) Knowledge, Skills ...

next page

Showing results 1-20

All JobsMedical Claims JobsMedical Claims Manager Jobs

Medical Claims Manager information

See salary details

$35K

$87.9K

$139K

How much do medical claims manager jobs pay per year?

As of Jun 9, 2026, the average yearly pay for medical claims manager 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 as a Medical Claims Manager, and why are they important?

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.
More about Medical Claims Manager jobs
What cities are hiring for Medical Claims Manager jobs? Cities with the most Medical Claims Manager job openings:
What are the most commonly searched types of Medical Claims jobs? The most popular types of Medical Claims jobs are:
What states have the most Medical Claims Manager jobs? States with the most job openings for Medical Claims Manager jobs include:
What job categories do people searching Medical Claims Manager jobs look for? The top searched job categories for Medical Claims Manager jobs are:
Medical Claims Manager jobs near you
Infographic showing various Medical Claims Manager job openings in the United States as of June 2026, with employment types broken down into 1% As Needed, 90% Full Time, 8% Part Time, and 1% Contract. Highlights an 92% Physical, 2% Hybrid, and 6% Remote job distribution, with an average salary of $87,861 per year, or $42.2 per hour.
Claims Examiner 1

Claims Examiner 1

Renown Health

Reno, NV • On-site

Full-time

Posted 8 days ago

Renown Health rating

7.4

Company rating: 7.4 out of 10

Based on 96 frontline employees who took The Breakroom Quiz

250th of 870 rated healthcare providers

Job description

Position Purpose:

Under the direction of the Claims Manager, this position is responsible for ensuring accurate and timely data entry and processing of all HMO, PPO, TPA and dental claims within departmental standards and procedures. This position is also responsible for the research of members and providers to ensure accurate and timely payment.    

Nature and Scope:

This position is responsible  for:

  • Ensuring claims are keyed and accurately adjudicated according to Health Plan, Departmental, State and Federal regulations and procedures.
  • Ensuring the appropriate member benefits and provider contracts have been identified and releasing claims for payment without second review once a benefit determination has been made.
  • Researching claims as needed in order to adjudicate timely and accurately.
  • Processing basic claims to an adjudicated status.
  • Completing projects as assigned by the Claims Manager or other health plan management. 
  • Participating in quality improvement and change management procedures and processes.

The Incumbent must have the ability and desire to work in an environment with quality and production goals.

The Incumbent must comply with all Company HIPAA policies and procedures.

 

This position does not provide patient care.

The foregoing description is not intended and should not be construed to be an exhaustive list of all responsibilities, skills and efforts or work conditions associated with the job. It is intended to be an accurate reflection of the general nature and level of the job.

Minimum Qualifications:  Requirements - Required and/or Preferred

Education:

Must have working-level knowledge of the English language, including reading, writing and speaking English. A minimum of a two year degree in a related field is preferred.

Experience:

Six months experience in data entry required.  Experience with medical claims entry/research or related field preferred.  Knowledge of ICD-9/10, CPT coding, UB-92 Revenue coding, and ADA coding as well as familiarity with universal claim forms such CMS 1500 and UB-92 is preferred.  Keyboard knowledge and expertise, including on-line processes is required.  Medical terminology experience is preferred.

License(s):

None.

Certification(s):

None.

Computer / Typing:

Must possess, or be able to obtain within 90 days, the computers skills necessary to complete online learning requirements for job-specific competencies, access online forms and policies, complete online benefits enrollment, etc.    

What Renown Health employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

Renown Health logo

About Renown Health

Sourced by ZipRecruiter

Renown Health is a leading and respected player in the healthcare industry, based in Reno, NV, US. Established in 1862, the company has a deep-rooted history in providing high-quality healthcare services to the community. Renown Health offers a wide array of services including urgent care centers, lab services, x-ray and imaging services, primary care doctors and specialists. Its central values include excellence in quality and service, caring for people first, being proactive in the community, fiscal responsibility, integrity, and respecting every person.

Industry

Health care and social assistance

Company size

5,001 - 10,000 Employees

Headquarters location

Reno, NV, US

Year founded

1862

Social media

FacebookTwitter

View All Renown Health Jobs

Apply