Manager, Claims
North Sioux City, SD · Remote
... Manager is under the general supervision of the Sanford Health Plan Director of Claims, in the ... insurance claims submitted by providers and patients for processing. Responsible for the ...
North Sioux City, SD · Remote
... Manager is under the general supervision of the Sanford Health Plan Director of Claims, in the ... insurance claims submitted by providers and patients for processing. Responsible for the ...
North Sioux City, SD · Remote
... Manager is under the general supervision of the Sanford Health Plan Director of Claims, in the ... insurance claims submitted by providers and patients for processing. Responsible for the ...
Fargo, ND · Remote
... Manager is under the general supervision of the Sanford Health Plan Director of Claims, in the ... insurance claims submitted by providers and patients for processing. Responsible for the ...
Fargo, ND · Remote
... Manager is under the general supervision of the Sanford Health Plan Director of Claims, in the ... insurance claims submitted by providers and patients for processing. Responsible for the ...
Marshfield, WI · Remote
... Manager is under the general supervision of the Sanford Health Plan Director of Claims, in the ... insurance claims submitted by providers and patients for processing. Responsible for the ...
Marshfield, WI · Remote
... Manager is under the general supervision of the Sanford Health Plan Director of Claims, in the ... insurance claims submitted by providers and patients for processing. Responsible for the ...
Longterm Contract Onsite or Remote both works here Role Overview The Senior Technical Lead - FINEOS ... Management solutions for insurance enterprises. This role combines deep technical expertise in ...
Longterm Contract Onsite or Remote both works here Role Overview The Senior Technical Lead - FINEOS ... Management solutions for insurance enterprises. This role combines deep technical expertise in ...
Who we are: Through a partnership-based approach, Coterie helps insurance professionals unlock ... Remote). You'll be working closely with our Property Claims Manager and others both internal and ...
Who we are: Through a partnership-based approach, Coterie helps insurance professionals unlock ... Remote). You'll be working closely with our Property Claims Manager and others both internal and ...
New York, NY · Remote
$120K - $135K/yr
About the Role As Regional Claims Manager , you oversee the efforts of a claims team with ... Insurance Expertise : Significant experience with workers' compensation claims handling and several ...
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New York, NY · Remote
$120K - $135K/yr
About the Role As Regional Claims Manager , you oversee the efforts of a claims team with ... Insurance Expertise : Significant experience with workers' compensation claims handling and several ...
Boston, MA · Remote
$120K - $135K/yr
About the Role As Regional Claims Manager , you oversee the efforts of a claims team with ... Insurance Expertise : Significant experience with workers' compensation claims handling and several ...
Quick apply
Boston, MA · Remote
$120K - $135K/yr
About the Role As Regional Claims Manager , you oversee the efforts of a claims team with ... Insurance Expertise : Significant experience with workers' compensation claims handling and several ...
Sherman Oaks, CA · Remote
$19 - $21/hr
Vision insurance * Wellness resources About the Role: Join MedPOINT Management as a Claims ... This is a remote position.
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Sherman Oaks, CA · Remote
$19 - $21/hr
Vision insurance * Wellness resources About the Role: Join MedPOINT Management as a Claims ... This is a remote position.
$42K - $57K/yr
Fully Remote Group Benefit Solutions deliverscomprehensive insurance and absence management ... As a Short Term Disability (STD) Claims Manager, you will develop the knowledge and skills needed ...
$42K - $57K/yr
Fully Remote Group Benefit Solutions deliverscomprehensive insurance and absence management ... As a Short Term Disability (STD) Claims Manager, you will develop the knowledge and skills needed ...
NY · Remote
$72K/yr
Possess active State insurance adjuster's license * Minimum of 5 years claims handling experience including 5+ years of management experience * Excellent communication and customer service skills ...
NY · Remote
$72K/yr
Possess active State insurance adjuster's license * Minimum of 5 years claims handling experience including 5+ years of management experience * Excellent communication and customer service skills ...
Silva-Lining HR is seeking a Fractional Customer Service (Claims) Manager for a client to oversee ... Comfortable working independently in a fully remote environment * Ability to manage sensitive ...
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Silva-Lining HR is seeking a Fractional Customer Service (Claims) Manager for a client to oversee ... Comfortable working independently in a fully remote environment * Ability to manage sensitive ...
$138K/yr
Remote Department/Specialty: Insurance Operations Schedule: Full time, Days Salary range : $138,258 ... Claims Management: Manage employment practices liability, crime, auto liability, property and other ...
$138K/yr
Remote Department/Specialty: Insurance Operations Schedule: Full time, Days Salary range : $138,258 ... Claims Management: Manage employment practices liability, crime, auto liability, property and other ...
The ideal candidate will have a strong background in auto insurance claims, including experience ... Ability to manage time while prioritizing multiple tasks. * Have an aptitude for providing ...
The ideal candidate will have a strong background in auto insurance claims, including experience ... Ability to manage time while prioritizing multiple tasks. * Have an aptitude for providing ...
$138K - $195K/yr
Remote Department/Specialty: Insurance Operations Schedule: Full time, Days Salary range : $138,258 ... Claims Management: Manage employment practices liability, crime, auto liability, property and other ...
$138K - $195K/yr
Remote Department/Specialty: Insurance Operations Schedule: Full time, Days Salary range : $138,258 ... Claims Management: Manage employment practices liability, crime, auto liability, property and other ...
Charlotte, NC · Remote
$52K - $85K/yr
This is a remote role. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Receives Workers' Compensation ... Manages non-complex lost-time workers' compensation claims under close supervision * Communicates ...
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Charlotte, NC · Remote
$52K - $85K/yr
This is a remote role. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Receives Workers' Compensation ... Manages non-complex lost-time workers' compensation claims under close supervision * Communicates ...
Glen Allen, VA · Remote
$52K - $85K/yr
This is a remote role. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Receives Workers' Compensation ... Manages non-complex lost-time workers' compensation claims under close supervision * Communicates ...
Quick apply
Glen Allen, VA · Remote
$52K - $85K/yr
This is a remote role. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Receives Workers' Compensation ... Manages non-complex lost-time workers' compensation claims under close supervision * Communicates ...
Phoenix, AZ · Remote
The Claims Manager provides tactical, technical leadership for claims operations with a focus on ... Remote Responsibilities and Duties : Responsibilities include, but are not limited to the following:
Phoenix, AZ · Remote
The Claims Manager provides tactical, technical leadership for claims operations with a focus on ... Remote Responsibilities and Duties : Responsibilities include, but are not limited to the following:
Portland, OR · Remote
$52K - $85K/yr
The Workers' Compensation Claims Specialist manages within company best practices lower-level, non ... This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Receives Workers' Compensation ...
Quick apply
Portland, OR · Remote
$52K - $85K/yr
The Workers' Compensation Claims Specialist manages within company best practices lower-level, non ... This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Receives Workers' Compensation ...
Atlanta, GA · On-site +1
Vela Insurance Services provides specialized Excess and Surplus Lines Casualty and Professional ... Proven ability to lead and develop remote or virtual teams. * Applicable adjusters license(s) to ...
Atlanta, GA · On-site +1
Vela Insurance Services provides specialized Excess and Surplus Lines Casualty and Professional ... Proven ability to lead and develop remote or virtual teams. * Applicable adjusters license(s) to ...
Glen Allen, VA · Remote
$52K - $85K/yr
The Claims Specialist manages within company best practices low to mid Auto and/or General ... This is a remote role. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Receives auto and general ...
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Glen Allen, VA · Remote
$52K - $85K/yr
The Claims Specialist manages within company best practices low to mid Auto and/or General ... This is a remote role. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Receives auto and general ...
$35K - $44.5K
4% of jobs
$44.5K - $53.9K
4% of jobs
$53.9K - $63.4K
10% of jobs
$67K is the 25th percentile. Wages below this are outliers.
$63.4K - $72.8K
18% of jobs
$72.8K - $82.3K
12% of jobs
The median wage is $83.8K / yr.
$82.3K - $91.7K
13% of jobs
$91.7K - $101.2K
14% of jobs
$101.6K is the 75th percentile. Wages above this are outliers.
$101.2K - $110.6K
12% of jobs
$110.6K - $120.1K
7% of jobs
$120.1K - $129.5K
4% of jobs
$129.5K - $139K
2% of jobs
$35K
$87.9K
$139K
| 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.

6.8
Based on 534 frontline employees who took The Breakroom Quiz
494th of 888 rated healthcare providers
Sanford Health, the largest rural health system in the United States, is dedicated to transforming the health care experience and providing access to world-class health care in America's heartland.
Work Shift:
8 Hours - Day Shifts (United States of America)Scheduled Weekly Hours:
40Compensation:
Union Position:
NoDepartment Details
This position allows some work from home options as well as a flexible scheduleSummary
The Claims Manager is under the general supervision of the Sanford Health Plan Director of Claims, in the areas of health insurance claims submitted by providers and patients for processing.Job Description
Responsible for the implementation and day-to-day performance of process activities related to claims research and resolution. The process includes the review and/or testing of claims, benefits and fee schedules to ensure claims process correctly. Accountable as a resource to all employees in the claims department as well as other departments in the organization. Responsible for the interviewing, hiring, discipline of employees and any other personnel issues that arise. Completes performance appraisals. Coordinates claims processing and adjustment activities within the claims department. Manages claims inventory, ensuring accurate and timely processing. Knowledge of various lines of business that the Sanford Health Plan services and how to differentiate services. Understands the details of professional and institutional claim processing which includes how benefits are assigned and pricing is calculated. Works to help develop and maintain claims policies and procedures. Must communicate effectively with a high level of diplomacy. Demonstrates analytical ability and a good awareness of pertinent details. Assimilates large amounts of information to maintain a broad knowledge base. Exercises good judgement in determining the best method for handling a variety of situations. Maintains good working relationships with staff, physicians, and enrollees. Handles pressure effectively. Maintains confidentiality. Other duties as assigned.Qualifications
Bachelor's degree preferred.Sanford is an EEO/AA Employer M/F/Disability/Vet.
If you are an individual with a disability and would like to request an accommodation for help with your online application, please call 1-877-949-5678 or send an email to talent@sanfordhealth.org.
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Sanford Health is one of the largest and fastest-growing not-for-profit health systems in the United States. We're proud to offer many development and advancement opportunities to our nearly 50,000 members of the Sanford Family who are dedicated to the work of health and healing across our broad footprint.
Health care and social assistance and hospitals
10,000+ Employees
Sioux Falls, SD, US