This position manages complex medical claims, acting as a subject matter expert to investigate ... to Senior Management. • Proactive approach to resolving discrepancies between insurance policy ...
This position manages complex medical claims, acting as a subject matter expert to investigate ... to Senior Management. • Proactive approach to resolving discrepancies between insurance policy ...
This position manages complex medical claims, acting as a subject matter expert to investigate ... to Senior Management. i, Proactive approach to resolving discrepancies between insurance policy ...
This position manages complex medical claims, acting as a subject matter expert to investigate ... to Senior Management. i, Proactive approach to resolving discrepancies between insurance policy ...
This position manages complex medical claims, acting as a subject matter expert to investigate ... to Senior Management. • Proactive approach to resolving discrepancies between insurance policy ...
This position manages complex medical claims, acting as a subject matter expert to investigate ... to Senior Management. • Proactive approach to resolving discrepancies between insurance policy ...
This position manages complex medical claims, acting as a subject matter expert to investigate ... to Senior Management. i, Proactive approach to resolving discrepancies between insurance policy ...
This position manages complex medical claims, acting as a subject matter expert to investigate ... to Senior Management. i, Proactive approach to resolving discrepancies between insurance policy ...
Manage a caseload of insurance defense cases, from initial claim evaluation to final resolution. * Conduct thorough legal and factual research, and develop effective defense strategies for clients.
Manage a caseload of insurance defense cases, from initial claim evaluation to final resolution. * Conduct thorough legal and factual research, and develop effective defense strategies for clients.
Senior Account Manager - Commercial Lines Work Mode: Remote (Eastern and Central Times Zones only ... Thorough knowledge of insurance brokerage and client needs * Required active licensing ...
Senior Account Manager - Commercial Lines Work Mode: Remote (Eastern and Central Times Zones only ... Thorough knowledge of insurance brokerage and client needs * Required active licensing ...
Senior Account Manager - Commercial Lines Work Mode: Remote (Eastern and Central Times Zones only ... Thorough knowledge of insurance brokerage and client needs * Required active licensing ...
Senior Account Manager - Commercial Lines Work Mode: Remote (Eastern and Central Times Zones only ... Thorough knowledge of insurance brokerage and client needs * Required active licensing ...
Senior Account Manager - Commercial Lines Work Mode: Remote (Eastern and Central Times Zones only ... Thorough knowledge of insurance brokerage and client needs * Required active licensing ...
Senior Account Manager - Commercial Lines Work Mode: Remote (Eastern and Central Times Zones only ... Thorough knowledge of insurance brokerage and client needs * Required active licensing ...
Minimum Qualifications • Bachelor's degree • 5+ years of experience in Life Insurance Manager ... with senior management, business, and IT areas to influence decision making • Strong multi ...
Quick apply
Minimum Qualifications • Bachelor's degree • 5+ years of experience in Life Insurance Manager ... with senior management, business, and IT areas to influence decision making • Strong multi ...
Technology Strategy | Enterprise Architecture Senior Manager FS / Insurance Industry We Are: We are Advisory. Our vision is to become the world's leading advisors in harnessing technology and ...
Technology Strategy | Enterprise Architecture Senior Manager FS / Insurance Industry We Are: We are Advisory. Our vision is to become the world's leading advisors in harnessing technology and ...
AVP, Claim Field Finance and Workforce Operations
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Oversee, synthesize, and present exhibits, results, observations, and recommendations to senior ... Previous management experience. What Is in It for You? * Health Insurance : Employees and their ...
AVP, Claim Field Finance and Workforce Operations
Hartford, CT · On-site
$146K - $241K/yr
Oversee, synthesize, and present exhibits, results, observations, and recommendations to senior ... Previous management experience. What Is in It for You? * Health Insurance : Employees and their ...
AVP, Claim Field Finance and Workforce Operations
$146K - $241K/yr
Oversee, synthesize, and present exhibits, results, observations, and recommendations to senior ... Previous management experience. What Is in It for You? * Health Insurance :Employees and their ...
AVP, Claim Field Finance and Workforce Operations
$146K - $241K/yr
Oversee, synthesize, and present exhibits, results, observations, and recommendations to senior ... Previous management experience. What Is in It for You? * Health Insurance :Employees and their ...
Senior Counsel - Bond & Specialty Insurance
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... insurers in the industry for over 170 years. Join us to discover a culture that is rooted in ... The Sr. Counsel role may manage a limited number of support staff. What Will You Do? * Provides ...
Senior Counsel - Bond & Specialty Insurance
$146K - $241K/yr
... insurers in the industry for over 170 years. Join us to discover a culture that is rooted in ... The Sr. Counsel role may manage a limited number of support staff. What Will You Do? * Provides ...
Senior Counsel - Bond & Specialty Insurance
Hartford, CT · On-site
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... insurers in the industry for over 170 years. Join us to discover a culture that is rooted in ... The Sr. Counsel role may manage a limited number of support staff. What Will You Do? * Provides ...
Senior Counsel - Bond & Specialty Insurance
Hartford, CT · On-site
$146K - $241K/yr
... insurers in the industry for over 170 years. Join us to discover a culture that is rooted in ... The Sr. Counsel role may manage a limited number of support staff. What Will You Do? * Provides ...
Senior Counsel - Bond & Specialty Insurance
$146K - $241K/yr
... insurers in the industry for over 170 years. Join us to discover a culture that is rooted in ... The Sr. Counsel role may manage a limited number of support staff. What Will You Do? * Provides ...
Senior Counsel - Bond & Specialty Insurance
$146K - $241K/yr
... insurers in the industry for over 170 years. Join us to discover a culture that is rooted in ... The Sr. Counsel role may manage a limited number of support staff. What Will You Do? * Provides ...
Senior P&C Insurance Product Management Specialist
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We are seeking a Senior Property & Casualty Insurance Product Manager - Personal Lines with expertise in product rationalization, new product development, product run-offs, regulatory strategy ...
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Senior P&C Insurance Product Management Specialist
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We are seeking a Senior Property & Casualty Insurance Product Manager - Personal Lines with expertise in product rationalization, new product development, product run-offs, regulatory strategy ...
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We are seeking a Senior Property & Casualty Insurance Product Manager - Personal Lines with expertise in product rationalization, new product development, product run-offs, regulatory strategy ...
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Quick apply
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Senior Insurance Manager information
See Springfield, MA salary details
$22.8K - $34.4K
8% of jobs
$34.4K - $46.1K
13% of jobs
$49.6K is the 25th percentile. Wages below this are outliers.
$46.1K - $57.7K
15% of jobs
$57.7K - $69.4K
13% of jobs
The median wage is $70.9K / yr.
$69.4K - $81K
13% of jobs
$81K - $92.7K
12% of jobs
$94.4K is the 75th percentile. Wages above this are outliers.
$92.7K - $104.3K
13% of jobs
$104.3K - $116K
5% of jobs
$116K - $127.6K
5% of jobs
$127.6K - $139.3K
2% of jobs
$139.3K - $150.9K
1% of jobs
$22.8K
$80.9K
$150.9K
How much do senior insurance manager jobs pay per year?
What is the difference between Senior Insurance Manager vs Insurance Underwriter?
| Aspect | Senior Insurance Manager | Insurance Underwriter |
|---|---|---|
| Required Credentials | Typically requires a bachelor’s degree in business, finance, or related field; professional certifications like CPCU or ARM are common | Requires a bachelor’s degree in finance, economics, or related field; certifications like CPCU or ARe are advantageous |
| Work Environment | Leads teams, manages insurance policies, and develops strategies within insurance companies or brokerages | Evaluates risks, assesses applications, and determines policy terms, often working independently or in underwriting teams |
| Employer & Industry Usage | Used in insurance companies, brokerages, and risk management firms | Primarily employed within insurance carriers and underwriting agencies |
The main difference is that a Senior Insurance Manager oversees teams and strategic operations, while an Insurance Underwriter focuses on evaluating individual risks and determining policy terms. Both roles require similar credentials and are integral to the insurance industry, but they differ in responsibilities and work scope.
What is the highest paid job in insurance?
What jobs pay 2000 a day?
What is the highest paid position in insurance?
What does a Senior Insurance Manager do?
What are the key skills and qualifications needed to thrive as a Senior Insurance Manager, and why are they important?
How much does a 215 license make?
What are some common challenges faced by Senior Insurance Managers in leading diverse teams?
Full-time
Posted 10 days ago
Job description
Note: The compensation range noted above represents the base salaries for all positions at a given grade across the health system. Typically, a new hire can expect a starting salary somewhere in the lower part of the range. Actual salaries will be determined based on the candidate's relevant experience. No employee will be paid below the minimum of the range.
Holyoke Medical Center is looking for a Sr Insurance Specialist. This position manages complex medical claims, acting as a subject matter expert to investigate, adjudicate negotiate settlements, ensure compliance and mentor junior staff, focusing on accurate and timely and cost-effective claims resolution while maintaining strong communication with providers, payers and internal teams. Works all claims as assigned/directed.
DUTIES AND RESPONSIBILITIES:
• Serve as subject matter expert, providing guidance on policy, regulations and complex claims scenarios.
• Conduct in-depth analysis, research discrepancies, prevent fraud and develop plans for claims resolution.
• Handles escalated inquires, build relationships with providers/payers and communicate claims status.
• Assist in training, coaching and provide senior support to less experienced team members.
• Review and process complex hospital claims and determine coverage based on policy, medical necessity and contracts.
• Able to work all aspects of Commercial Managed Care, Medicare Advantage, and Medicaid Advantage Care accounts sliding between Financial Classes as needed for Billing, Follow-up, Denials Management, Credit Balance and Account resolution.
Required Skills
• Must show honesty, integrity, strong ethics, data entry skills and time management skills
• Insurance follow up experience especially Blue Cross and all Commercial Lines
• Strong understanding of Medetech and finThrive billing programs
• Strong Verbal and written skills for preparing and presenting appeals, negotiating settlements and presenting reports to Senior Management.
• Proactive approach to resolving discrepancies between insurance policy terms and provider charges
• Ability to analyze complex data, identify issues and solve problems
• Proven background in handling complex institutional or healthcare related claims
• Proficiency with claims software and MS Office (especially Excel).
• Strong time management, organization skills and ability to work independently or in a team
• Good plus knowledge of ICS/HCPCS/CPT Coding and medical terminology
• Knowledge of commercial, state and federal healthcare regulations
• Excellent Math Skills and knowledge of general accounting principals
• Ability to logically and accurately organize data
• Excellent problem solving skills
• Strong attention to detail
QUALIFICATIONS/JOB REQUISITES:
Education: High School Diploma or GED is required, an Associate or Bachelor's degree in Health Administration or related Study preferred
Experience: Eight plus (8+) years in the health insurance, hospital business office or claims processing/management.
About Valley Health Systems
Sourced by ZipRecruiter
Industry
Non-profits
Company size
201 - 500 Employees
Headquarters location
Huntington, WV, US
Year founded
1975