medical claims manager

Suncorp

Take the next step. Be part of something bigger at Suncorp.<ul><li>Contract Role: Commencing 24 November 2025 until 29 April 2026</li><li>Hours: Full-time, Monday-Friday (rotating roster 8am-6pm)</li><li>Salary: $79,500 inclusive of 12% super</li><li>Training: 5-week structured program</li></ul> What It's Really Like to Be a Claims Manager at Suncorp As a Claims Manager, people think I just manage claims. But what I really do is help people on some of the worst days of their lives - and we're looking for others who are just as passionate about making a difference.When storms hit or fires break out, our phones ring. I could be speaking to someone whose home is underwater, whose roof has collapsed, or who's just lost everything. It's not easy, but it's real, human work, that matters - because customer obsession is at the heart of everything we do.I joined Suncorp because I wanted to make a difference. What I found was a role where I'm challenged every day, backed by a team who truly gets it, and supported by leaders who check in, especially after the tough calls.What I Do as a Claims Manager:No two days are ever quite the same, but here's what you can expect:<ul><li>Listen, really listen: I speak with customers who are often overwhelmed or vulnerable. I give them the space to be truly heard, because customer obsession starts with understanding.</li><li>Be a calm, steady guide: I walk them through what's covered in their policy, what will happen next, and make the complex feel simple.</li><li>Balance heart with policy: I make fair, transparent decisions that respect both the customer's situation and our guidelines.</li><li>Keep things moving: I manage my own portfolio of claims end-to-end, making timely decisions and keep things moving, especially during busy times.</li><li>Solve problems: Every customer's situation is different. I think critically and creatively to find the best way forward, especially when things don't go to plan.</li><li>Stay on top of the detail: I document everything accurately, it's how we stay accountable and ensure customers feel confident in the process.</li><li>Lean on your team: Some calls are challenging, but I'm part of a supportive group who debrief together, check in, and keep things human.</li></ul>What You'll Bring:This isn't a script-reading call centre job. It's fast-paced, emotionally complex and deeply human.You'll do well here if you bring:<ul><li>Compassion: A calm, compassionate voice that brings reassurance, even in tough conversations</li><li>Resilience: Emotional resilience with the ability to manage your wellbeing and stay grounded</li><li>Confidence: Confidence to make clear, fair decisions and communicate them with clarity</li><li>Detail-Focused: Sharp attention to detail paired with the skill to balance multiple priorities</li><li>Empathy: Genuine empathy and care for customers navigating challenging times</li><li>Growth Mindset: Experience in customer service, claims, insurance, or fast-paced environments is valued, but what matters most is a growth mindset and passion to make a real difference</li><li>Work From Home Setup: Reliable internet & ergonomic desk and chair. Laptop & headset will be provided.</li></ul>What's in it for you:<ul><li>Hours: Full-time, Monday to Friday (rotating roster between 8am-6pm) - contract role until 29 th April 2026.</li><li>Location: Hybrid working - just two days a week in the office</li><li>Salary: $79,500 inclusive of 12% super</li><li>Training: Five weeks of structured, supportive training, setting you up to succeed and grow from day one.</li><li>Equipment: Laptop and headset will be provided.</li><li>Support: Leaders who genuinely care, real-time coaching to help you shine, access to Employee Assistance Programs, and a kind, capable team that has your back.</li></ul>Why I Stay:This job isn't for everyone. You need thick skin and a big heart. You'll have days where the calls are tough, and you feel stretched. But if you're someone who finds purpose in helping people when it really counts, you'll find this role incredibly fulfilling.We're hiring now. If this speaks to you, apply today.And if you're unsure? Apply anyway, we'd love to speak with you. Some of the best Claims Managers here had no idea they'd be good at this, until they gave it a go.For more information, please contact our delivery partners on .At Suncorp, we are committed to building futures and protecting what matters. We value the unique experiences, insights and diverse workforce that benefits our people, our business, and our customers. We'd love to see your application and speak with you even if you do not match the above mentioned.Advertised: 29 Oct 2025 AUS Eastern Daylight Time Applications close: 09 Nov 2025 AUS Eastern Daylight TimeDon't see your dream job posted? No problem, sign up for job alerts and we'll let you know once something becomes available.

Claims Manager

Leading Edge

Job Title: Motor Claims Manager Location: Riyadh Contract: 3-6 months (extendable) Overview Our client, a top-tier insurer in Saudi Arabia, is hiring a Motor Insurance Claims Expert to lead cost-saving initiatives and optimize average claim costs. Responsibilities <ul><li>Drive cost-reduction and benefit realization initiatives.</li><li>Optimize average motor claim costs and settlement frameworks.</li><li>Apply regional and international best practices in motor claims.</li><li>Work with actuarial, operations, and finance teams.</li><li>Handle motor insurance policies, including quotations, issuance, and renewals.</li><li>Conduct risk assessments and policy reviews.</li><li>Contribute to developing and launching new motor insurance products.</li></ul> Requirements <ul><li>Motor claims operations and claims analytics & cost control.</li><li>2+ years in the motor insurance industry, with exposure to GCC or international insurance markets.</li><li>Excellent customer service, communication, and analytical skills.</li><li>Proficiency in Arabic and English.</li></ul>

Motor Claims Manager

Aston Charles

Motor Claims Manager (Home-Based) - Newcastle Job Type: Permanent Sector: General Insurance Specialism: Claims, General Management, Senior Appointments Location: North East & Scotland Town/City: Newcastle Salary range: £40, 000 - £49, 999, £50, 000 - £59, 999 Salary Description: to £55K plus benefits Posted: 17-Sep-25 Start Date: ASAP Recruiter: Aston Charles Job Ref: RJ-3122TM Job Views: 16A true 'digital disrupter', this cutting-edge Insurtech is turning the claims landscape on its head; challenging the status quo and the previously accepted norms - and delivering fantastic customer outcomes as a result!This 'Third Party Administrator - with a difference' is the brain child of several insurance veterans with rich pedigrees in utilising state-of-the-art technology to tackle longstanding problems in the claims industry. Cash rich, it has been backed by a number of specialist VC firms, and has long-term agreements in place with some of the best-known MGA's on the planet.Reporting to the Motor Director, you will lead a number of Team Leaders and Motor Adjusters handling complex Motor claims, ensuring compliance and efficiency throughout. We're looking for a strong people leader with excellent technical expertise, problem-solving skills, and the ability to build a collaborative, high-performing culture.This is a 100% home-based role, where you will be provided with all the tools needed to make a real success of this role (including a top of the range Apple MacBook with additional screens etc), and benefiting from an extremely friendly and supportive team environment.As well as leadership responsibilities, your duties will include, but not be limited to, implementing and maintaining best practices for claims handling, as well as monitoring and analysing claims data to identify trends, patterns, and areas for process improvement. You'll serve as a resource for escalated claims, whilst being responsible for the accuracy and adequacy of all aspects of claim reserving. In addition, you'll execute on performance management (attract, hire, retain and provide high level of training), and also prepare and present comprehensive claims reports, metrics, and analysis to clients and customers.It is essential that you have extensive managerial experience within Motor claims, ideally encompassing Motor Damage losses. As this dynamic firm is seen as somewhat of a 'disrupter' in the claims sector, you must also be dynamic, able to thrive in a fast-paced and constantly-evolving environment, and be willing to challenge the status quo. Equally, as this firm is growing so rapidly, you must be willing to get involved in a variety of different projects and assignments.You will be rewarded with a competitive basic salary ranging from £50K-£55K (Negotiable, depending on experience), together with a range of company benefits, including private healthcare. For the ambitious, the sky really is the limit in this company! With more high-profile insurers being onboarded all the time, there is clearly going to be a myriad of opportunities for progression in the short, medium and longer-term!Aston Charles - a personalised service from industry expertsGeneral Insurance and Financial Services Recruitment

Motor Claims Manager (Home

USAA

Why USAA?At USAA, our mission is to empower our members to achieve financial security through highly competitive products, exceptional service and trusted advice. We seek to be the choice for the military community and their families.Embrace a fulfilling career at USAA, where our core values - honesty, integrity, loyalty and service - define how we treat each other and our members. Be part of what truly makes us special and impactful.The OpportunityAs a dedicated Manager, Claims Operations, you will lead and be accountable for auto, and other claims operations member service employees who are responsible for serving our members, and providing appropriate solutions as they investigate, evaluate and negotiate the claim. Develop engaged employees through regular coaching and feedback to deliver business results. Complete process improvements, provide feedback on the process and lead organizational process changes. Drive execution of operational risk management, regulatory compliance training, policies and, procedures.We offer a flexible work environment that requires an individual to be in the office 4 days per week. This position can be based in the following location: Phoenix, AZ. Relocation assistance is not available for this position.What you'll do:<ul><li>Inspect and review quality of claim files and provide feedback to employees as appropriate.</li><li>Responsible for ongoing coaching and driving awareness so employees understand how their work and contributions support the overall claims and Enterprise strategies.</li><li>Proactively find opportunities to improve operational efficiency, member experiences and processes providing feedback to internal partners</li><li>Build conditions for success removes obstacles, leads and champions change.</li><li>Achieve optimal efficiency through leading workload volumes, staffing, training needs, and identifying and implementing appropriate solutions.</li><li>Responsible for ongoing monitoring of work to ensure consistent execution of processes and adherence to guidelines and frameworks.</li><li>Handle critical issues and make appropriate decisions based on the policy.</li><li>Facilitate and guide employees through skill identification and developing for career progression. Support projects by serving as a subject matter expert.</li><li>Hire, develop, and coach claims employees for results delivery.</li><li>Consistently coach employees on claims handling and find opportunities to improve overall process and engagement</li><li>Ensure risks associated with business activities are efficiently identified, measured, supervised, and controlled in accordance with risk and compliance policies and procedures</li></ul>What you have:<ul><li>Bachelor's degree; OR 4 years of related experience (in addition to the minimum years of experience required) may be substituted in lieu of degree.</li><li>6 years of progressive customer service, operational, military or leadership experience to include a minimum of 2 years of claims handling experience required with demonstrated proficiency.</li><li>2 years of direct team lead, supervisory or management experience.</li><li>Experience using and interpreting data to make decisions.</li><li>Demonstrated leadership, initiative, customer service and/or claims handling skills.</li><li>Acquisition and maintenance of applicable insurance adjuster license within 6 months time in role.</li></ul>What sets you apart:<ul><li>3+ years of recent Claims Leadership experience</li><li>Previous experience handling and settling Auto total loss claims.</li><li>Master's Degree and/or CPCU designation</li><li>Experience leading large-scale projects or initiatives</li><li>Prior experience in a process or compliance capacity</li><li>US military experience through military service or a military spouse/domestic partner</li></ul>Compensation range: The salary range for this position is: $103,450-$186,210.USAA does not provide visa sponsorship for this role. Please do not apply for this role if at any time (now or in the future) you will need immigration support (i.e., H-1B, TN, STEM OPT Training Plans, etc.). Compensation: USAA has an effective process for assessing market data and establishing ranges to ensure we remain competitive. You are paid within the salary range based on your experience and market data of the position. The actual salary for this role may vary by location. Employees may be eligible for pay incentives based on overall corporate and individual performance and at the discretion of the USAA Board of Directors. The above description reflects the details considered necessary to describe the principal functions of the job and should not be construed as a detailed description of all the work requirements that may be performed in the job. Benefits: At USAA our employees enjoy best-in-class benefits to support their physical, financial, and emotional wellness. These benefits include comprehensive medical, dental and vision plans, 401(k), pension, life insurance, parental benefits, adoption assistance, paid time off program with paid holidays plus 16 paid volunteer hours, and various wellness programs. Additionally, our career path planning and continuing education assists employees with their professional goals. For more details on our outstanding benefits, visit our benefits page on Applications for this position are accepted on an ongoing basis, this posting will remain open until the position is filled. Thus, interested candidates are encouraged to apply the same day they view this posting. USAA is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

Manager, Claims Operations - Auto Non Injury Complex

Interactive Insurance Brokers LLC

An insurance brokerage firm in Dubai is seeking a Claims Operations Supervisor for Pet Insurance to manage claims processing and oversee departmental operations. The ideal candidate will have veterinary clinic experience, excellent communication skills, and a strong customer service orientation. Responsibilities include educating pet owners, managing the claims process, and training sales teams on pet insurance products.

Pet Insurance Claims Operations Leader - Dubai

Luster National

<div>About the Position

We are seeking an experienced Claims and Change Specialist to join our team on major NY transit and infrastructure projects. This role is critical in managing project changes to ensure compliance with contractual requirements, budgetary constraints, and schedule commitments. The ideal candidate will have a strong background in claims and change management processes within large-scale heavy civil or transportation projects.

This is a long-term, on-site position located in New York City.

Responsibilities may include, but are not limited to, the following:
<ul>
<li>Oversee and manage the change control process for a large-scale heavy-civil design-build contract, ensuring alignment with contract terms and client procedures while utilizing Unifier and other required tracking tools.</li>
<li>Evaluate and confirm change requests submitted by the Design-Builder, adhering to contractual timelines and client guidelines.</li>
<li>Conduct research and provide recommendations regarding the validity and merit of Notices of Change.</li>
<li>Develop comprehensive documentation for each change request, including cost and schedule impact assessments in collaboration with project controls teams (estimators and schedulers).</li>
<li>Partner with estimators, schedulers, and construction management teams to analyze potential impacts.</li>
<li>Keep accurate and up-to-date records of all change orders and approvals within the authorized project change log.</li>
<li>Lead meetings to address changes, resolve disputes, or clarify issues in coordination with construction management and contract administration teams.</li>
<li>Deliver consistent status updates and reports to the project team on a weekly basis or more frequently as required.</li>
<li>Assist in negotiating change orders by organizing sessions with the Design-Builder and PMT staff and preparing negotiation summaries.</li>
<li>Ensure adherence to client C&amp;D standards and procurement requirements throughout all change management activities.</li>
<li>Provide support for audits and reviews related to change control processes.</li>
</ul>
Attributes
<ul>
<li>Excellent written and verbal communication and interpersonal skills. You are a persuasive communicator and skilled negotiator who builds trust across technical, legal, and executive audiences.</li>
<li>Excellent multi-tasking and organizational skills.</li>
<li>Strong analytical mindset with the ability to translate schedule and cost data into actionable commercial strategies.</li>
<li>Collaborative mindset that fosters teamwork, trust, and positive relationships and thrives in multidiscipline, owner-representative environments.</li>
<li>Natural curiosity, problem-solving abilities, and a passion for continuous improvement.</li>
</ul>
Minimum Qualifications
<ul>
<li>Bachelor's degree in Engineering, Construction Management, Business, or related field, or equivalent combination of education/experience.</li>
<li>7+ years of hands-on contracts, change order, or claims management experience on heavy-civil infrastructure programs. major transit or rail programs, including at least one project exceeding $500 million total contract value.</li>
<li>Experience with alternative delivery methods (e.g., DB, CM/GC, P3) and associated risk-allocation mechanisms.</li>
<li>Demonstrated successful negotiation strategy and achieving favorable commercial outcomes for public sector transit owners or operators.</li>
<li>Ability to interpret design documents, schedules, cost reports, and commercial terms to build clear entitlement narratives and quantum analyses.</li>
<li>Proficiency with industry standard project management, schedule/cost and/or EDMS tools (e.g., P6, EcoSys, Unifier, MS Project, Bluebeam, etc.)</li>
<li>Proficiency with Microsoft Office Suite/Office 365 (e.g., Outlook, Teams, Word, Excel, PowerPoint, etc.).</li>
</ul>
Preferred Qualifications
<ul>
<li>Master's degree in Engineering, Construction Management, Construction Law, or MBA.</li>
<li>One or more of the following certifications: Project Management Professional (PMP through PMI), National Contract Management Association (NCMA) certifications such as Certified Professional Contracts Manager (CPCM) or Certified Contract Manager (CCM).</li>
<li>Prior success steering claims through mediation, DRB, or litigation.</li>
<li>Proficiency with Microsoft Power BI, Oracle Cloud Analytics, or other dashboard KPI reporting software.</li>
</ul>
Compensation Details

The salary range listed for this role is $145k-$176k/year ($70-$85/hour). The final salary offered will be based on multiple factors and thoughtfully aligned with each candidate's level of experience, breadth of skills, total education achieved, certifications/licenses that have been obtained, geographic location, etc.

Just LOOK at the Benefits We Offer!
<ul>
<li>Unlimited flexible time off</li>
<li>Paid holidays</li>
<li>Paid parental leave</li>
<li>Health, dental, and vision insurance</li>
<li>Flexible spending accounts (healthcare and dependent or elder care)</li>
<li>Long-term disability insurance</li>
<li>Short-term disability insurance</li>
<li>Life insurance and accidental death and dismemberment</li>
<li>401(k) plan with guaranteed employer contribution</li>
<li>Formal career planning and development program</li>
<li>$2,500 annually toward professional development</li>
<li>Wellness program with monthly wellness stipend</li>
<li>Company cell phone or cell phone plan reimbursement</li>
<li>Free personalized meal planning and nutrition support with a registered dietitian</li>
<li>Free personal financial planning services</li>
<li>Employee assistance program</li>
<li>Employee discounts</li>
<li>Employee referral bonus</li>
</ul>
Specific plan details and coverage for each benefit noted above will be provided upon offer. #IN-LNJS<div>
Luster is committed to creating an inclusive work environment with a diverse workforce. All qualified applicants will receive consideration for employment without regard to criminal history, race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status. This employer participates in E-Verify. The employer will provide the Social Security Administration (SSA) and, if necessary, the Department of Homeland Security (DHS) with information from each new employee's I-9 to confirm work authorization.

All positions may be subject to a background check and drug test once a conditional offer of employment is made for any convictions directly related to its duties and responsibilities, in accordance with all applicable local, state, and/or federal regulations.

This job description is meant to describe the general nature and level of work being performed; it is not intended to be construed as an exhaustive list of all responsibilities, duties and skills required for the position.

Luster does not accept unsolicited resumes. In the absence of a signed agreement, Luster will not consider or agree to payment of any kind. Any unsolicited resumes presented to Luster personnel, including those submitted to Luster hiring managers, are deemed to be the property of Luster.

Please email hiring@luster.com for accommodations necessary to complete the application process.</div></div>

Claims and Change Specialist

Macrise Tech Solutions

We are seeking a highly organized and detail-oriented Accounts Receivable &amp; Denials Resolution Specialist to support our medical billing operations. In this role, you will be responsible for managing outstanding insurance claims, resolving denials, and ensuring accurate and timely reimbursement from payers. The ideal candidate is analytical, efficient, and capable of communicating professionally with patients, providers, and insurance representatives in a fast-paced healthcare environment.Key ResponsibilitiesAccounts Receivable &amp; Denial Resolution<ul><li>Monitor, track, and manage outstanding insurance claims to reduce overall Accounts Receivable (AR).</li><li>Conduct daily follow-ups on denied claims to ensure timely and effective resolution.</li><li>Review Electronic Remittance Advice (ERA) reports to identify recurring denial trends and recommend preventive or corrective actions.</li><li>Prepare, submit, and track appeals for denied or underpaid claims, ensuring all supporting documentation is complete and accurate.</li><li>Investigate payment variances and escalate complex or unresolved issues to the Billing Manager as needed.</li><li>Maintain accurate AR aging reports and provide consistent weekly and monthly performance updates.</li><li>Process and manage claims related to specialized services, including TMS, Spravato, and psychological evaluations.</li><li>Collaborate closely with the Billing Manager to meet AR reduction, recovery, and accuracy targets.</li></ul>Patient &amp; Provider Coordination<ul><li>Respond promptly and professionally to billing inquiries from patients, providers, and internal departments.</li><li>Verify and update patient account details prior to initiating any collection activities.</li><li>Work with providers to correct claim errors, including coding inaccuracies and incomplete documentation.</li><li>Coordinate with insurance payers regarding eligibility verification, prior authorizations, and network participation.</li><li>Address patient concerns respectfully and process refunds when applicable.</li></ul>System &amp; Process Optimization<ul><li>Create, track, and resolve billing-related support tickets within eClinicalWorks (eCW).</li><li>Provide training and guidance to team members on AR and denial management workflows.</li><li>Coordinate with U.S.-based billing teams to ensure timely and accurate claim submissions.</li><li>Participate in performance review meetings, analyze trends, and recommend workflow and process improvements.</li><li>Stay current with payer policies, regulatory requirements, and evolving medical billing best practices.</li></ul>Job Type: Full-timePay: Rs45,000.00 - Rs70,000.00 per monthAbility to commute/relocate:<ul><li>Wapda Town: Reliably commute or planning to relocate before starting work (Required)</li></ul>Application Question(s):<ul><li>Willing to work as per US timing, Wapda Town, Lahore</li></ul>Experience:<ul><li>Medical Billing: 1 year (Preferred)</li></ul>Language:<ul><li>English (Required)</li></ul>Work Location: In person

Medical Billing AR Executive

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