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Medical Claims Manager Jobs (NOW HIRING)

Perdue Farms

Claims Manager

Salisbury, MD · On-site

$89K - $133K/yr

As a Claims Manager, you will lead the strategic oversight of the company's casualty, workers ... In addition to the base salary, Perdue offers a competitive benefits package, including medical/Rx ...

Corvel

Claims Manager

Nottingham, MD

$87K - $134K/yr

The Claims Manager is responsible for the overall operation of a designated office. The Claims ... A comprehensive benefits package is available for full-time regular employees and includes Medical ...

LTCG

Claims Manager

Eden Prairie, MN · Hybrid

$60K/yr

The Claims Manager position is responsible for evaluation and rendering eligibility decisions on ... Two years' experience in medical, insurance or risk management setting. * One-year work experience ...

Corvel

Claims Manager

Nottingham, MD · On-site

$87K - $134K/yr

The Claims Manager is responsible for the overall operation of a designated office. The Claims ... A comprehensive benefits package is available for full-time regular employees and includes Medical ...

Jimcor Agency Inc.

Claims Manager

Montvale, NJ · On-site

$80K - $95K/yr

Oversee all daily functions of the Claims Department Liaise between Upper Management and Claims ... Paid Medical, Dental, Vision, Life Insurance, Education Assistance, Various Voluntary Benefits ...

Ccfs

Risk Claims Manager

Phoenix, AZ · Remote

$85K - $95K/yr

Risk Claims Manager Department: Compliance Job Status: Exempt Compensation: Direct Reports: Yes ... Thorough understanding of complex medical treatments, treatment outcomes, tort, venue, and ...

JENSEN INFRASTRUCTURE

Claims Manager

Reno, NV · On-site

WHAT YOU'LL BE DOING As Claims Manager, you will oversee Jensen Infrastructure's Workers ... Jensen Infrastructure offers various competitive benefits, including medical, dental, vision, life ...

Ccfs

Risk Claims Manager

Denver, CO · Remote

$85K - $95K/yr

Risk Claims Manager Department: Compliance Job Status: Exempt Compensation: Direct Reports: Yes ... Thorough understanding of complex medical treatments, treatment outcomes, tort, venue, and ...

Ccfs

Risk Claims Manager

Kansas City, KS · Remote

$85K - $95K/yr

Risk Claims Manager Department: Compliance Job Status: Exempt Compensation: Direct Reports: Yes ... Thorough understanding of complex medical treatments, treatment outcomes, tort, venue, and ...

Jimcor Agency Inc.

Claims Manager

Montvale, NJ · On-site

$80K - $95K/yr

Oversee all daily functions of the Claims Department Liaise between Upper Management and Claims ... Paid Medical, Dental, Vision, Life Insurance, Education Assistance, Various Voluntary Benefits ...

Ccfs

Risk Claims Manager

Las Vegas, NV · Remote

$85K - $95K/yr

Risk Claims Manager Department: Compliance Job Status: Exempt Compensation: Direct Reports: Yes ... Thorough understanding of complex medical treatments, treatment outcomes, tort, venue, and ...

Ccfs

Risk Claims Manager

Salt Lake City, UT · Remote

$85K - $95K/yr

Risk Claims Manager Department: Compliance Job Status: Exempt Compensation: Direct Reports: Yes ... Thorough understanding of complex medical treatments, treatment outcomes, tort, venue, and ...

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Medical Claims Manager information

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$35K

$87.9K

$139K

How much do medical claims manager jobs pay per year?

As of Aug 16, 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?

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.
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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?

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Medical Claims Manager jobs near you
Infographic showing various Medical Claims Manager job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 78% Full Time, 15% Part Time, and 6% Contract. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution, with an average salary of $87,861 per year, or $42.2 per hour.

Claims Manager

AIDS Healthcare Foundation

Los Angeles, CA • On-site

Full-time

Posted 12 days ago

AIDS Healthcare Foundation rating

8.0

Company rating: 8.0 out of 10

Based on 29 frontline employees who took The Breakroom Quiz

Job description

The Claims Department Manager is responsible for overseeing the day-to-day operations of the health plan's claims processing unit. This role ensures timely and accurate adjudication of claims, manages a team of claims examiners and support staff, and maintains compliance with regulatory and contractual obligations. The manager will also lead initiatives to improve operational efficiency, manage claim denials and appeals, and collaborate with internal departments and external providers to resolve complex issues.
The Claims Department Manager enhances the reputation of AHF by meeting key respobsibities as assigned by department management.
You will be a passionate advocate for our top initiatives.
To be successful as the Claims Department Manager , it is crucial to ensure that the AHF Core Values and Mission stay top of mind with all that you do. At AHF, we are nimble and able to adapt in a dynamic environment to assist in providing the best experience for our clients and workplace for our employees.
AHF has a collaborative organizational structure where staff are accountable to multiple leaders.
The Claims Department Manager will work as a part of a close-knit team to description
Key Responsibilities:• Team Leadership & Supervision• Manage, coach, and develop a team of claims examiners and department support associates. Monitor performance metrics and conduct regular performance evaluations. Foster a culture of accountability, collaboration, and continuous improvement.• Ensure timely and accurate processing of provider claims in accordance with plan policies and regulatory requirements Oversee daily inventory management to ensure workloads are balanced and service levels are met. Monitor and manage claim denials, rework, and appeals/disputes processes. Ensure compliance with all regulatory requirements.• Quality Assurance & Auditing• Implement and oversee internal audits to ensure claims accuracy and identify trends or training needs. Collaborate with the Quality and Compliance teams to address audit findings and implement corrective actions.• System & Process Management• Partner with IT and vendors to ensure claims system functionality, updates, and issue resolution. Identify and implement process improvements to enhance efficiency and reduce errors.• Provider & Stakeholder Relations• Serve as a liaison with providers to resolve claim disputes and ensure timely communication. Collaborate with Provider Relations, Member Services and UM/Medical Management to address cross-functional issues.• Reporting & Analytics• Generate and analyze operational reports to track productivity, turnaround times, and denial trends. Present findings and recommendations to leadership for strategic planning.• Other Duties• Perform other related duties and special projects as assigned to support departmental and organizational goals. Qualifications: 3-5 years of Claims Management experience preferred.
AMAZING INDIVIDUALS WORKING FOR POSITIVE PEOPLE at AIDS Healthcare Foundation!
Does the idea of doing something that really makes a difference in people's lives while being well-compensated intrigue you? Are you looking to work for an organization that encourages growth and success from each and every one of its employees?
If so, AIDS Healthcare Foundation is the place for you!
Founded in 1987, AIDS Healthcare Foundation is the largest specialized provider of HIV/AIDS medical care in the nation. Our mission is to provide cutting edge medicine and advocacy, regardless of ability to pay. Through our healthcare centers, pharmacies, health plan, research and other activities, AHF provides access to the latest HIV treatments for all who need them.
AHF's core values are:
  • Patient-Centered
  • Value Employees
  • Respect for Diversity
  • Nimble
  • Fight for What's Right

Please review our Advocacy page for the latest news on how AHF is Fighting for What's Right! Advocacy News.
Benefits at AHF
AHF offers comprehensive benefits to help our employees do and be their very best! These benefits are intended to enhance employee physical, financial, spiritual and professional health.

What AIDS Healthcare Foundation employees say

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