Claims Manager / Director of Claims Position Summary The Healthcare Claims Operations Supervisor is responsible for the overall operational performance, client satisfaction, KPI achievement ...
Claims Manager / Director of Claims Position Summary The Healthcare Claims Operations Supervisor is responsible for the overall operational performance, client satisfaction, KPI achievement ...
Claims Manager / Director of Claims Position Summary The Healthcare Claims Operations Supervisor is responsible for the overall operational performance, client satisfaction, KPI achievement ...
Claims Manager / Director of Claims Position Summary The Healthcare Claims Operations Supervisor is responsible for the overall operational performance, client satisfaction, KPI achievement ...
Claims Manager / Director of Claims Position Summary The Healthcare Claims Operations Supervisor is responsible for the overall operational performance, client satisfaction, KPI achievement ...
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Claims Manager / Director of Claims Position Summary The Healthcare Claims Operations Supervisor is responsible for the overall operational performance, client satisfaction, KPI achievement ...
Manager, Claims Operations - Auto Claims Core
Tampa, FL · On-site +1
$103K - $197K/yr
USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with ... Acquisition and maintenance of applicable insurance adjuster license within 6 months time in role.
Manager, Claims Operations - Auto Claims Core
Tampa, FL · On-site +1
$103K - $197K/yr
USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with ... Acquisition and maintenance of applicable insurance adjuster license within 6 months time in role.
Casualty Claims Examiner
Tampa, FL · Remote
The Casualty Claims Examiner will work alongside claims management, providing direction and oversight ensuring that compliance with best practices and state/local guidelines is achieved. In addition ...
Casualty Claims Examiner
Tampa, FL · Remote
The Casualty Claims Examiner will work alongside claims management, providing direction and oversight ensuring that compliance with best practices and state/local guidelines is achieved. In addition ...
Insurance Agency Owner
Tampa, FL · Remote
$100K - $200K/yr
... claims * Manage electronic and paper records and ensure all contracting paperwork is kept current Agency Owner Qualifications * High school diploma or equivalent required; Bachelor's degree preferred
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Insurance Agency Owner
Tampa, FL · Remote
$100K - $200K/yr
... claims * Manage electronic and paper records and ensure all contracting paperwork is kept current Agency Owner Qualifications * High school diploma or equivalent required; Bachelor's degree preferred
Insurance Agency Owner
Tampa, FL · Remote
$100K - $200K/yr
... claims * Manage electronic and paper records and ensure all contracting paperwork is kept current Agency Owner Qualifications * High school diploma or equivalent required; Bachelor's degree preferred
Quick apply
Insurance Agency Owner
Tampa, FL · Remote
$100K - $200K/yr
... claims * Manage electronic and paper records and ensure all contracting paperwork is kept current Agency Owner Qualifications * High school diploma or equivalent required; Bachelor's degree preferred
Inside Senior Property Claims Adjuster
Tampa, FL · On-site +1
USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with ... manage moderate complexity property insurance claims. * Apply working knowledge of industry ...
Inside Senior Property Claims Adjuster
Tampa, FL · On-site +1
USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with ... manage moderate complexity property insurance claims. * Apply working knowledge of industry ...
Inside Senior Property Claims Adjuster
Tampa, FL · On-site +1
USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with ... manage moderate complexity property insurance claims. * Apply working knowledge of industry ...
Inside Senior Property Claims Adjuster
Tampa, FL · On-site +1
USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with ... manage moderate complexity property insurance claims. * Apply working knowledge of industry ...
Inside Senior Property Claims Adjuster
Tampa, FL · On-site +1
USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with ... manage moderate complexity property insurance claims. * Apply working knowledge of industry ...
Inside Senior Property Claims Adjuster
Tampa, FL · On-site +1
USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with ... manage moderate complexity property insurance claims. * Apply working knowledge of industry ...
Inside Senior Property Claims Adjuster
Tampa, FL · On-site +1
USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with ... manage moderate complexity property insurance claims. * Apply working knowledge of industry ...
Inside Senior Property Claims Adjuster
Tampa, FL · On-site +1
USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with ... manage moderate complexity property insurance claims. * Apply working knowledge of industry ...
Manage an inventory of litigated claims in accordance with Slide's practices, guidelines, and ... Experience with multiple state-specific insurance laws and good faith claims handling, with ...
Manage an inventory of litigated claims in accordance with Slide's practices, guidelines, and ... Experience with multiple state-specific insurance laws and good faith claims handling, with ...
Sr. Injury Claims Adjuster
Tampa, FL · On-site +1
$63K - $121K/yr
USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with ... Identifies and manages existing and emerging risks that stem from business activities and the job ...
Sr. Injury Claims Adjuster
Tampa, FL · On-site +1
$63K - $121K/yr
USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with ... Identifies and manages existing and emerging risks that stem from business activities and the job ...
Sr. Injury Claims Adjuster
Tampa, FL · On-site +1
$63K - $121K/yr
USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with ... Identifies and manages existing and emerging risks that stem from business activities and the job ...
Sr. Injury Claims Adjuster
Tampa, FL · On-site +1
$63K - $121K/yr
USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with ... Identifies and manages existing and emerging risks that stem from business activities and the job ...
Remote Insurance Agent
Tampa, FL · Remote
$80K - $120K/yr
Manage sales activities and maintain accurate client records in the CRM. * Track performance ... Willingness to obtain a Life & Health insurance license; licensing support and guidance provided.
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Remote Insurance Agent
Tampa, FL · Remote
$80K - $120K/yr
Manage sales activities and maintain accurate client records in the CRM. * Track performance ... Willingness to obtain a Life & Health insurance license; licensing support and guidance provided.
Remote Insurance Agent
Tampa, FL · Remote
$69K/yr
Remote Insurance Representative | Flexible Schedule | Commission-Based This position offers flexible work hours and clear paths for advancement into leadership and management. You will work remotely ...
Quick apply
Remote Insurance Agent
Tampa, FL · Remote
$69K/yr
Remote Insurance Representative | Flexible Schedule | Commission-Based This position offers flexible work hours and clear paths for advancement into leadership and management. You will work remotely ...
Remote Insurance Agent
Tampa, FL · Remote
$69K - $150K/yr
Remote Insurance Representative | Flexible Schedule | Commission Only This position offers flexible work hours and clear paths for advancement into leadership and management. You will work remotely ...
Quick apply
Remote Insurance Agent
Tampa, FL · Remote
$69K - $150K/yr
Remote Insurance Representative | Flexible Schedule | Commission Only This position offers flexible work hours and clear paths for advancement into leadership and management. You will work remotely ...
Claims Examiner - Remote
Tampa, FL · Remote
Claims Examiner - Remote Job Type: Full-time Work Setup: This is a fully remote position Work Hours ... Time management skills * Written and verbal communication skills * Attention to detail * Must be ...
Claims Examiner - Remote
Tampa, FL · Remote
Claims Examiner - Remote Job Type: Full-time Work Setup: This is a fully remote position Work Hours ... Time management skills * Written and verbal communication skills * Attention to detail * Must be ...
Remote Insurance Agent
Clearwater, FL · Remote
$69K - $150K/yr
Remote Insurance Representative | Flexible Schedule | Commission Only This position offers flexible work hours and clear paths for advancement into leadership and management. You will work remotely ...
Quick apply
Remote Insurance Agent
Clearwater, FL · Remote
$69K - $150K/yr
Remote Insurance Representative | Flexible Schedule | Commission Only This position offers flexible work hours and clear paths for advancement into leadership and management. You will work remotely ...
Remote Insurance Agent
Clearwater, FL · Remote
$69K/yr
Remote Insurance Representative | Flexible Schedule | Commission-Based This position offers flexible work hours and clear paths for advancement into leadership and management. You will work remotely ...
Quick apply
Remote Insurance Agent
Clearwater, FL · Remote
$69K/yr
Remote Insurance Representative | Flexible Schedule | Commission-Based This position offers flexible work hours and clear paths for advancement into leadership and management. You will work remotely ...
Remote Insurance Claims Manager information
See Spring Hill, FL salary details
$29.7K - $37.7K
4% of jobs
$37.7K - $45.7K
4% of jobs
$45.7K - $53.8K
10% of jobs
$56.8K is the 25th percentile. Wages below this are outliers.
$53.8K - $61.8K
18% of jobs
$61.8K - $69.8K
12% of jobs
The median wage is $71.1K / yr.
$69.8K - $77.8K
13% of jobs
$77.8K - $85.8K
14% of jobs
$86.2K is the 75th percentile. Wages above this are outliers.
$85.8K - $93.9K
12% of jobs
$93.9K - $101.9K
7% of jobs
$101.9K - $109.9K
4% of jobs
$109.9K - $117.9K
2% of jobs
$29.7K
$74.5K
$117.9K
How much do remote insurance claims manager jobs pay per year?
What does a remote insurance claims manager do?
What are the key skills and qualifications needed to thrive as a remote insurance claims manager?
How does a remote insurance claims manager typically coordinate with on-site team members and external partners?
What is the difference between Remote Insurance Claims Manager vs Remote Insurance Adjuster?
| Aspect | Remote Insurance Claims Manager | Remote Insurance Adjuster |
|---|---|---|
| Credentials | Typically requires a claims management certification or industry experience | Requires licensing and certifications specific to insurance adjusting |
| Work Environment | Oversees claims teams, manages processes remotely | Evaluates individual claims remotely, often in the field or from home |
| Employer & Industry Usage | Used by insurance companies for claims oversight | Used by insurance companies for claim evaluation and settlement |
| Search & Comparison Intent | People compare managerial roles in claims processing | People compare roles focused on claim assessment and settlement |
The main difference is that a Remote Insurance Claims Manager oversees claims teams and manages claims processes remotely, requiring management experience and certifications. In contrast, a Remote Insurance Adjuster evaluates individual claims, often needing specific licensing and adjusting certifications. Both roles are integral to the insurance industry but differ in responsibilities and focus areas.
What are popular job titles related to Remote Insurance Claims Manager jobs in Spring Hill, FL?
For Remote Insurance Claims Manager jobs in Spring Hill, FL, the most frequently searched job titles are:
What job categories do people searching Remote Insurance Claims Manager jobs in Spring Hill, FL look for?
The top searched job categories for Remote Insurance Claims Manager jobs in Spring Hill, FL are:
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What cities near Spring Hill, FL are hiring for Remote Insurance Claims Manager jobs?
Cities near Spring Hill, FL with the most Remote Insurance Claims Manager job openings:
Full-time
Medical, Dental, Vision, Life, Retirement, PTO
Posted 18 days ago
Job description
Job Type: Full-time
Location: Remote
Reports To: Claims Manager / Director of Claims
Position Summary
The Healthcare Claims Operations Supervisor is responsible for the overall operational performance, client satisfaction, KPI achievement, reporting oversight, and leadership of assigned healthcare claims accounts. This role oversees Team Leads and Claims Examiners while serving as a key liaison between clients and internal departments including Operations, Quality, Training, Workforce Management, and Account Management.
The Supervisor is accountable for ensuring production, quality, turnaround time, attendance, compliance, and service-level expectations are consistently achieved. This individual must be highly organized, data-driven, proactive, and capable of managing both operational execution and client relationships in a fast-paced environment.
Success in this role requires the ability to identify operational risks early, drive corrective actions, maintain strong client confidence, and foster a culture of accountability, performance, and continuous improvement.
Key Responsibilities
Operational Leadership & Accountability
- Oversee daily claims operations across assigned accounts and lines of business.
- Ensure achievement of all client KPIs, SLAs, quality standards, and operational deliverables.
- Monitor productivity, inventory, aging, turnaround times, workflow distribution, attendance, and backlog risks.
- Develop and execute action plans to address performance gaps and operational challenges.
- Partner with Workforce Management and Operations Leadership on staffing, forecasting, and capacity planning.
- Support implementations, transitions, and account expansions to ensure operational readiness.
- Successfully complete training and demonstrate proficiency in assigned claims processes.
Performance & KPI Management
- Maintain ownership of account-level operational metrics and performance outcomes.
- Analyze trends related to productivity, quality, error rates, SLA compliance, attendance, inventory aging, and client escalations.
- Hold Team Leads and staff accountable through coaching, performance reviews, corrective actions, and performance improvement plans.
- Drive a culture of urgency, accountability, and continuous improvement.
- Ensure timely resolution of performance issues and consistent execution of operational expectations.
Client Management & Client Satisfaction
- Serve as a primary operational contact for assigned client accounts.
- Participate in weekly, monthly, and quarterly business reviews, client meetings, calibrations, and operational discussions.
- Build strong client relationships through proactive communication and consistent operational performance.
- Manage client concerns and escalations with clear ownership, timely follow-through, and effective resolution.
- Collaborate with Account Management and Leadership to support client satisfaction, retention, and growth.
Reporting & Metrics Management
- Prepare, analyze, and present operational reports, dashboards, and performance metrics.
- Deliver accurate and timely reporting to clients and internal leadership.
- Identify trends, risks, and opportunities through data analysis and recommend actionable solutions.
- Utilize Excel, Power BI, client systems, and operational reporting tools to monitor account performance.
- Present performance results, improvement initiatives, and operational recommendations professionally and effectively.
Quality, Compliance & Process Improvement
- Ensure compliance with client requirements, HIPAA regulations, CMS guidelines, and company policies.
- Partner with Quality Assurance teams on calibrations, audits, error trend analysis, and remediation efforts.
- Conduct root cause analysis and implement corrective actions to improve quality and efficiency.
- Support audit readiness, compliance initiatives, and process improvement programs.
Team Leadership & Development
- Coach, mentor, and develop Team Leads and Claims Examiners.
- Support onboarding, nesting, cross-training, and ongoing employee development.
- Reinforce leadership accountability and operational excellence.
- Promote employee engagement, retention, succession planning, and professional growth.
- Foster a culture of teamwork, ownership, professionalism, and high performance.
Key Performance Indicators (KPIs)
- Production Goal Achievement
- SLA Compliance
- Quality Scores (Target: 98%-100%)
- Inventory & Aging Management
- Attendance & Adherence
- Client Satisfaction
- Escalation Resolution Timeliness
- Reporting Accuracy & Timeliness
- Reduction of Repeat Errors
- Employee Retention & Engagement
- Coaching and Performance Documentation Compliance
Qualifications
- Minimum 3-5 years of healthcare claims leadership experience.
- Prior supervisory experience overseeing production teams required.
- Strong experience managing healthcare payer operations and claims workflows.
- Experience with client-facing operations and client relationship management.
- Strong reporting and data analysis experience required.
- Experience owning operational KPIs and performance deliverables.
- Strong leadership, accountability, organizational, and communication skills.
- Experience with systems such as EZ-CAP, QNXT, Facets, Jiva, Plexis, or similar preferred.
- Intermediate to advanced Excel and reporting/dashboard experience required.
- Experience managing offshore and/or remote teams preferred.
What We Offer
- Remote work offered
- Equipment provided
- Paid training to set you up for success
- Comprehensive benefits: Medical, Dental, Vision, Life, HSA, 401(k)
- Paid Time Off (PTO)
- 7 paid holidays
- A supportive team and a company that values internal growth
Ready to Take the Lead on Something New?
Don't miss this opportunity to shape a new client launch-click "Apply Now" and get started.
COMPANY OVERVIEW
Imagenet is a leading provider of back-office support technology and tech-enabled outsourced services to healthcare plans nationwide. Imagenet provides claims processing services, including digital transformation, claims adjudication and member and provider engagement services, acting as a mission-critical partner to these plans in enhancing engagement and satisfaction with plans' members and providers.
The company currently serves over 70 health plans, acting as a mission-critical partner to these plans in enhancing overall care, engagement and satisfaction with plans' members and providers. The company processes millions of claims and multiples of related structured and unstructured data elements within these claims annually. The company has also developed an innovative workflow technology platform, JetStreamTM, to help with traceability, governance and automation of claims operations for its clients.
Imagenet is headquartered in Tampa, operates 10 regional offices throughout the U.S. and has a wholly owned global delivery center in the Philippines.