| Claims Manager |
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| Also referred to as: Claims Manager, Claims Examinations/Adjustments Manager, Claims Processing Manager, Claims Review and Settlement Manager, Claims Service and Operations Manager |
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| Requirements and Responsibilities |
| Manages the operations of an insurance claims department to ensure timely, accurate, and compliant claims handling. Oversees the investigation, evaluation, negotiation, and settlement of claims to meet operational, financial, and service requirements. Develops and enforces procedures, quality controls, and performance metrics to maintain consistency and compliance. Reviews complex or high-exposure claims and provides technical guidance and settlement authority to staff. Monitors caseloads, productivity, and reserve accuracy to meet departmental goals. Ensures compliance with applicable regulations, company policies, and customer service expectations. Requires a bachelor's degree. Typically reports to a director. Manages subordinate staff in the day-to-day performance of their jobs. True first level manager. Ensures that project/department milestones/goals are met and adhering to approved budgets. Has full authority for personnel actions. Typically requires 5 years experience in the related area as an individual contributor. 1-3 years supervisory experience may be required. Extensive knowledge of the function and department processes. |
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| Similar Jobs: Claims Manager, Senior, Disability Claims Manager, Disability Claims Examiner III, Claims Examiner II, Claims Examiner III, Claims Examiner I, Claims Examiner IV, VP of Claims, Claims Clerk IV |
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| Level of Education: Claims Manager Salaries with a Bachelor's Degree, Claims Manager Salaries with a Master's Degree or MBA, Claims Manager Salaries with a JD, MD, PhD or Equivalent |
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| Industries: Business Services, Edu., Gov't. & Nonprofit, Energy & Utilities, Financial Services, Healthcare, Insurance, MFG Nondurable, Retail & Wholesale, Transportation | |
