What is the average Claims Processing Director salary for Modesto, CA?
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As of March 26, 2024, the average Claims Processing Director salary in Modesto, CA is $116,045. The chart below represents localized salaries for some of our most popular Claims Processing Director job titles in Modesto, CA. Salaries can vary greatly depending on numerous factors, including position, location, years of experience, and level of education. Salary.com’s team of Certified Compensation Professionals analyzed survey data collected from thousands of HR departments at companies of all sizes and industries to compile a range of salaries for various Claims Processing Director job titles in Modesto, CA. Apply your personal criteria to one of the job titles below to get your personalized salary estimate.
Claims Processing Director Salaries in Modesto, CA
| Job Title | Salary | Hourly Rate | Location | Date Updated |
| Claims Processing Director - Healthcare | $168,694 | $81.10 | Modesto, CA | March 26, 2024 |
| Claims Examiner III | $88,748 | $42.67 | Modesto, CA | March 26, 2024 |
| Claims Examiner IV | $102,922 | $49.48 | Modesto, CA | March 26, 2024 |
| Claims Examiner II | $71,507 | $34.38 | Modesto, CA | March 26, 2024 |
| Claims Processing Clerk II - Healthcare | $48,606 | $23.37 | Modesto, CA | March 26, 2024 |
| Claims Quality Audit Director | $169,399 | $81.44 | Modesto, CA | March 26, 2024 |
| Claims Clerk I | $42,535 | $20.45 | Modesto, CA | March 26, 2024 |
| Claims Examiner I | $56,645 | $27.23 | Modesto, CA | March 26, 2024 |
| Claims Clerk II | $49,941 | $24.01 | Modesto, CA | March 26, 2024 |
| Claims Adjuster II | $75,016 | $36.07 | Modesto, CA | March 26, 2024 |
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Plans and directs one or more departments responsible for administration of health insurance claims, payment processing, billing research, and responding to inquiries. Establishes and implements organizational policies and procedures; may offer guidance on the appropriate handling of complex or high-value claims. Develops and executes strategic business plans for the department. Coordinates operations with other areas of the organization. Requires a bachelor's degree. Typically reports to top management. Manages a departmental sub-function within a broader departmental function. Creates functional strategies and specific objectives for the sub-function and develops budgets/policies/procedures to support the functional infrastructure. Typically requires 5+ years of managerial experience. Deep knowledge of the managed sub-function and solid knowledge of the overall departmental function. Claims Processing Director - Healthcare Salaries in Modesto, CAAlternate Job Titles:Claims Process Operations Director, Claims Processing Director - Healthcare
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Reviews, evaluates, and processes insurance claims and makes recommendations for resolution. Examines and authorizes insurance claims investigated by insurance adjusters. Studies reports prepared by adjusters and similar claims to determine the extent of insurance coverage and validity of the claim. Communicates with agents, claimants, and policy holders. Determines settlement according to organization practices and procedures. May require a bachelor's degree. Typically reports to a supervisor or manager. Work is generally independent and collaborative in nature. Contributes to moderately complex aspects of a project. Typically requires 4 -7 years of related experience. Claims Examiner III Salaries in Modesto, CA
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Reviews, evaluates, and processes insurance claims and makes recommendations for resolution. Examines and authorizes insurance claims investigated by insurance adjusters. Studies reports prepared by adjusters and similar claims to determine the extent of insurance coverage and validity of the claim. Communicates with agents, claimants, and policy holders. Determines settlement according to organization practices and procedures. May require a bachelor's degree. Typically reports to a supervisor or manager. Work is highly independent. May assume a team lead role for the work group. A specialist on complex technical and business matters. Typically requires 7+ years of related experience. Claims Examiner IV Salaries in Modesto, CA
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Reviews, evaluates, and processes insurance claims and makes recommendations for resolution. Examines and authorizes insurance claims investigated by insurance adjusters. Studies reports prepared by adjusters and similar claims to determine the extent of insurance coverage and validity of the claim. Communicates with agents, claimants, and policy holders. Determines settlement according to organization practices and procedures. May require a bachelor's degree. Typically reports to a supervisor or manager. Occasionally directed in several aspects of the work. Gaining exposure to some of the complex tasks within the job function. Typically requires 2 -4 years of related experience. Claims Examiner II Salaries in Modesto, CAAlternate Job Titles:Claim Review and Settlement Senior Examiner, Senior Claims Examiner, Claims Examiner II
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Receives and inputs new healthcare claims, processes payments, conducts billing research, and responds to telephone inquires. Evaluates claims and administers payment, denies, or returns claims according to policy provisions and organizational guidelines. Produces routine and ad hoc reports. Requires a high school diploma. Typically reports to a supervisor. Works under moderate supervision. Gaining or has attained full proficiency in a specific area of discipline. Typically requires 1-3 years of related experience. Claims Processing Clerk II - Healthcare Salaries in Modesto, CA
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Directs and oversees the operations of the claims quality audit department to follow the audit policies, procedures and regulation. Provides professional knowledge and guidance on technical or procedural problems. Creates claims audit policies and procedures. May recommend changes in claims processing procedures. Typically Requires a bachelor's degree. Typically reports to top management. Manages a departmental sub-function within a broader departmental function. Creates functional strategies and specific objectives for the sub-function and develops budgets/policies/procedures to support the functional infrastructure. Typically requires 5+ years of managerial experience. Deep knowledge of the managed sub-function and solid knowledge of the overall departmental function. Claims Quality Audit Director Salaries in Modesto, CAAlternate Job Titles:Claims Quality and Compliance Audit Director, Claims Quality Audit Director
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Reviews insurance claim forms and supporting documents for completeness and accuracy and obtains missing information as necessary. Inputs claim information into system for processing. Verifies coverage eligibility. Calculates settlement amounts according to guidelines. Processes routine claim payments. Requires a high school diploma or equivalent. Typically reports to a supervisor. Works under the close direction of senior personnel in the functional area. Possesses a moderate understanding of general aspects of the job. May require 0-1 year of general work experience. Claims Clerk I Salaries in Modesto, CAAlternate Job Titles:Claims Payment Processing Clerk, Claims Clerk I
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Reviews, evaluates, and processes insurance claims and makes recommendations for resolution. Examines and authorizes insurance claims investigated by insurance adjusters. Studies reports prepared by adjusters and similar claims to determine the extent of insurance coverage and validity of the claim. Communicates with agents, claimants, and policy holders. Determines settlement according to organization practices and procedures. May require a bachelor's degree. Typically reports to a supervisor or manager. Work is closely managed. Works on projects/matters of limited complexity in a support role. Typically requires 0-2 years of related experience. Claims Examiner I Salaries in Modesto, CAAlternate Job Titles:Claim Review and Settlement Examiner, Claims Examiner I
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Reviews insurance claim forms and supporting documents for completeness and accuracy and obtains missing information as necessary. Inputs claim information into system for processing. Verifies coverage eligibility. Calculates settlement amounts according to guidelines. Processes routine claim payments. Requires a high school diploma or equivalent. Typically reports to a supervisor. Works under moderate supervision. Gaining or has attained full proficiency in a specific area of discipline. Typically requires 1-3 years of related experience. Claims Clerk II Salaries in Modesto, CAAlternate Job Titles:Claims Payment Processing Senior Clerk, Claims Clerk II
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Denies, settles, or authorizes payments to routine property/casualty claims based on coverage, appraisal, and verifiable damage. Responsible for corresponding with policyholders, claimants, witnesses, attorneys, etc. to gather important information to support contested claims. Prepares reports of investigation findings. May conduct field evaluations to inspect and document damage or loss. May require a bachelor's degree. Typically reports to a supervisor or manager. Occasionally directed in several aspects of the work. Gaining exposure to some of the complex tasks within the job function. Typically requires 2-4 years of related experience. Claims Adjuster II Salaries in Modesto, CAAlternate Job Titles:Automotive Claims Adjuster II, Claims Investigator II, Insurance Claims Adjuster, Experienced, Property/Casualty Claims Adjuster II, Claims Adjuster II