Manager, Complex Claims
$65.48k - $96.89kR1 RCM
Responsibilities Leading daily operations for assigned Complex Claims teams and client hospital accounts Using analytics and performance trends to improve productivity, compliance, and net revenue outcomes Partnering with client leadership to evaluate operational and financial results and drive change initiatives Standardizing workflows, supporting process improvements, and reinforcing quality and compliance expectations Developing frontline leaders and creating accountability for sustained team performance Required Skills & Qualifications Bachelor’s degree or equivalent combination of education, training, and relevant experience 5–8 years of revenue cycle experience, preferably in complex claims, collections, or reimbursement operations 2+ years of supervisory or people leadership experience Experience with analytics and reporting tools such as Power BI Strong knowledge of payer processing, reimbursement methodologies, and claims resolution strategies Compensation For this US-based position, the base pay range is $65,478.00 - $96,885.29 per year. Individual pay is determined by role, level, location, job-related skills, experience, and relevant education or training. This job is eligible to participate in our annual bonus plan at a target of 10.00%. Eligibility & Legal Statements R1 RCM Inc. (“the Company”) is dedicated to the fundamentals of equal employment opportunity. The Company’s employment practices, including those regarding recruitment, hiring, assignment, promotion, compensation, benefits, training, discipline, and termination shall not be based on any person’s age, color, national origin, citizenship status, physical or mental disability, medical condition, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status or any other characteristic protected by federal, state or local law. Furthermore, the Company is dedicated to providing a workplace free from harassment based on any of the foregoing protected categories. If you have a disability and require a reasonable accommodation to complete any part of the job application process, please contact us at View phone number on click.appcast.io for assistance. CA PRIVACY NOTICE: California resident job applicants can learn more about their privacy rights California Consent ( #J-18808-Ljbffr R1 RCM
$104.6k - $125k
Role Overview Join us as a Complex Claims Director - TPA Oversight. In this role, you will lead the analysis, processing and resolution of... ...claims, ensuring prompt and cost‑effective outcomes while managing coverage, reserves and vendor relationships. Responsibilities...Claims- ...A reputable consulting firm is seeking a Project Manager with expertise in HealthRules Payer claims system to lead complex healthcare projects. The role involves stakeholder engagement, ensuring deliverables are met, and managing project teams effectively. Ideal candidates...ClaimsRemote workFlexible hours
$190k - $230k
...Vice President, Experienced Underwriting Manager, Casualty Salary Range: $190,000.00... ...closely with underwriting, loss control, claims, actuarial, and legal teams to assess and... ...that embraces simplicity over complexity and emphasizes individual excellence in...ClaimsTemporary workFlexible hours$250k - $410k
...Environmental and construction-related claims Mass tort and product liability coverage... ...Responsibilities: Evaluate and interpret complex insurance policies to identify potential... ...discovery requests, and motion papers Manage multiple active matters in litigation or...ClaimsLocal areaFlexible hours- ...and Damages team. The successful candidate will contribute to complex litigation matters involving intellectual property valuation, damages... ...type Full-time Job function Accounting/Auditing Industries Claims Adjusting, Actuarial Services Referrals increase your chances...ClaimsFull timeRemote workFlexible hours
$125k - $155k
HICIX Hiscox Insurance Company Inc. in Chicago seeks a Complex Claims Specialist to join its innovative Claims team. This role involves adjusting and resolving complex miscellaneous professional liability claims while driving litigation best practices and leading defense...Claims$125k - $160k
Hiscox is looking for a Complex Claims Specialist in Chicago. This hybrid role involves managing liability claims primarily related to Cyber, Tech E&O, Media, and Crime professional liability lines of business. The ideal candidate will possess strong claims management...Claims$100k - $130k
...30,000 per year Responsibilities Lead complex construction projects with ownership of... ...budgets, forecasting, contracts, and risk management; ensure projects are executed... ...pencil draw submissions, and change order/claims approvals. Manage claims, financial reconciliation...Claims$125k - $140k
...Lead projects involving the design and management of absence, disability, leave, life, and... ...&D programs Apply deep expertise across claims, underwriting, implementation, and ongoing... ...implementation Proven ability to manage complex client engagements and multiple...ClaimsTemporary workLocal areaVisa sponsorshipWork visaFlexible hours- 01460 Continental Casualty Company in Chicago is seeking a self-starter to join the Complex Claims team as a legal malpractice claims manager. You will oversee the evaluation of coverage, liability assessments, and settlement negotiations for legal claims for small law...Claims
- Sedgwick is seeking a Complex Claim Advisor in Chicago, IL, to provide technical guidance and solutions for complex claims management. The role includes developing strategic plans to resolve claims effectively and efficiently. Ideal candidates will have a bachelor’s degree...Claims
- ...The ideal candidate will possess strong technical knowledge and experience in supporting complex equipment, ensuring dealers are well-equipped to handle repairs and warranty claims while driving customer satisfaction and product improvement. #J-18808-Ljbffr Brandt Group...Claims
- ...within commercial and technical Project Management? We're on a growth journey, driven by deep... ...cost/price matrix, change requests, and claim management, as well as conducting... ...Manager, you were accustomed to working in a complex, technical environment on high‑budget projects...ClaimsContract work
$125k - $155k
Hiscox is seeking a Complex Claims Specialist in Chicago to manage mid to high-severity Miscellaneous Professional Liability claims. Candidates must have over 6 years of experience in claims handling, along with expertise in litigation and negotiation processes. The role...Claims$104.6k - $125k
American International Group is seeking a Complex Claims Director in Chicago. This role involves leading the resolution of complex claims... ...Candidate will provide expertise in analysis, processing and managing vendor relationships for bodily injury and property damage claims...Claims- ...OVERVIEW We are currently seeking a Quality Manager I for our Transportation Division in... ...a career with our company: Challenging, complex work Creative and innovative problem-solving... ...testing accuracy, while protecting Walsh from claim exposure. Monitors and reports rework...ClaimsFull timeContract workWork experience placementFor subcontractor
$80k - $95k
...Description: Title: Senior Account Manager - Commercial Lines Hybrid Preferred:... ...and customer service activities, resolving complex issues, and ensuring no errors or... ...requests, policy administration, billing, claims, and coverage analysis. ~ Policy...ClaimsFor contractorsRemote work$65.48k - $96.89k
R1 RCM in Chicago is seeking a results-driven leader to oversee daily operations for Complex Claims teams. The ideal candidate will have 5-8 years of revenue cycle experience, and a bachelor's degree, with strong knowledge in claims resolution and payer processing. This...Claims$150k - $180k
TheBestIRS, Insurance Recruiting Specialists is seeking a Senior Commercial General Liability Claims Adjuster in Chicago, IL. This full-time position involves managing complex casualty claims with a minimum of 7 years experience required. The role demands expertise in handling...ClaimsFull time$80k - $110k
HICIX Hiscox Insurance Company Inc. is looking for a Senior Claims Examiner to manage complex claims effectively. This hybrid position requires attendance in the office at least two days a week and offers a salary range of $80,000 to $110,000 based on experience and skills...ClaimsWork at office2 days per week- ...insurance provider seeks a Workers' Compensation Claims Adjuster for a temporary assignment in Chicago. This role involves adjudicating complex workers' compensation claims, providing... ...are included in this exciting opportunity. #J-18808-Ljbffr Argonaut Management Services, IncClaimsRemote jobTemporary work
- CNA is seeking an experienced claims management professional based in Chicago, IL, to oversee unsupported excess claims. This role involves complex investigations, negotiation of settlements, and collaboration with various stakeholders to ensure the smooth resolution of...ClaimsFlexible hours
$70.56k - $110.88k
...Telephonic Nurse Case Manager I Location: This role enables associates to work virtually... ...the scope of licensure for members with complex and chronic care needs by assessing, developing... ...in problem solving with providers, claims or service issues. Minimum Requirements:...ClaimsFull timeTemporary workWork experience placementWork at officeLocal areaMonday to FridayAfternoon shift1 day per week- ...discrepancies Prepares and participates in unemployment claim hearings. Coaches and counsels Agent/Support Staff and Management workgroups applying C3P and ACP/AMP when... ...and PowerPoint, preferred Ability to perform complex mathematical calculations and quantitative...Claims
$167.6k - $274.5k
...Responsibilities In this role you will manage a team of skilled Property & Casualty production... ...and 14 or more years of experience in claims or underwriting support. Zurich... ...execution experience Experience managing complex portfolios Technical knowledge of insurance...ClaimsFull timeTemporary workApprenticeshipRemote workVisa sponsorship- .... You will act as a strategic evangelist, deeply understanding complex customer needs and communicating how Inaza’s AI-driven data platform... ...with senior executives and stakeholders across underwriting, claims, and IT. Navigate complex sales cycles involving legal,...ClaimsContract workRemote work
$90k - $120k
...seeking an experienced construction professional to manage key aspects of construction project delivery for large complex projects or portfolios of smaller projects,... ...applications, and management of change orders and claims. Experience developing and managing project...ClaimsContract workFor subcontractorLocal area$128.6k - $192.9k
...#HappyatFoley, and we think you will be too. The Manager, Human Resources is a strategic role... ...and concerns ranging from simple to complex. The Manager will assist leaders in implementing... ...home requests, and workers compensation claims. Conduct periodic check-ins with newly...ClaimsLocal areaWork from home$72k - $141k
01460 Continental Casualty Company in Chicago seeks a skilled professional to manage complex commercial claims. You will ensure top-notch customer service while handling claims according to company protocols. The ideal candidate should possess thorough knowledge of the...ClaimsFlexible hours- ...in the Medicare and Medicaid processes (with greater focus on claims management) and provide detailed information on business procedures,... ...engineering use cases to address client challenges with regards to complex business logics and user workflows. Solution design - Provide...ClaimsLocal areaImmediate startRemote work
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