What is the average Insurance Claim Service Manager I salary for Philadelphia, PA?
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As of August 01, 2026, the average Insurance Claim Service Manager I salary in Philadelphia, PA is $128,149. The chart below represents localized salaries for some of our most popular Insurance Claim Service Manager I job titles in Philadelphia, PA. 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 Insurance Claim Service Manager I job titles in Philadelphia, PA. Apply your personal criteria to one of the job titles below to get your personalized salary estimate.
Insurance Claim Service Manager I Salaries in Philadelphia, PA
| Job Title | Salary | Hourly Rate | Location | Date Updated |
| Claims Examiner I | $60,902 | $29.28 | Philadelphia, PA | August 01, 2026 |
| Insurance Risk Manager | $151,605 | $72.89 | Philadelphia, PA | August 01, 2026 |
| Insurance Claims Service Manager I | $105,795 | $50.86 | Philadelphia, PA | August 01, 2026 |
| Insurance Claims Service Representative I | $42,663 | $20.51 | Philadelphia, PA | August 01, 2026 |
| Underwriter I | $69,914 | $33.61 | Philadelphia, PA | August 01, 2026 |
| Insurance Risk Analyst V | $192,037 | $92.33 | Philadelphia, PA | August 01, 2026 |
| Insurance Claims Service Manager II | $128,467 | $61.76 | Philadelphia, PA | August 01, 2026 |
| Health Insurance Service Operations Senior Manager | $166,262 | $79.93 | Philadelphia, PA | August 01, 2026 |
| Claims Examiner II | $75,414 | $36.26 | Philadelphia, PA | August 01, 2026 |
| Claims Examiner III | $94,688 | $45.52 | Philadelphia, PA | August 01, 2026 |
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Examines and adjudicates insurance claims to determine coverage, validity, and appropriate payment in accordance with policy terms and regulations. Reviews claim documentation, policy provisions, and supporting evidence to assess liability and exposure. Authorizes claim payments within established authority limits. Investigates questionable or complex claims and coordinates with adjusters, providers, or external parties as needed. Documents findings, decisions, and rationale clearly within the claims system. Ensures compliance with company guidelines, regulatory requirements, and service standards. Requires a bachelor's degree. Typically reports to a 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 Philadelphia, PAAlternate Job Titles:Claim Review and Settlement Examiner I, Insurance Claims Examiner I, Claims Examiner I
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Manages the analysis of insurance needs of an organization to provide optimum coverage, costs, and claim settlements. Collects, classifies, and analyzes data from multiple sources such as audits, claims, renewals, and financial reporting. Identifies and classifies risk exposures to provide optimum coverage, costs, and claim settlements. Conducts regular policy reviews and research. Implements processes that identify risk exposure and classify, measure, and manage insurable risks. Compiles loss trends and reviews actuarial estimations to make recommendations. Administers systems to collect data and generate meaningful models and reporting to support decisions. Prepares policy renewals and applications. May administer self-insured plans. 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. Insurance Risk Manager Salaries in Philadelphia, PAAlternate Job Titles:Insurance Coverage Manager, Organizational Insurance Risk Manager, Insurance Risk Manager
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Manages the claims service function to ensure prompt, accurate, and high-quality service to claimants, policyholders, and providers. Oversees a team of supervisors and representatives responsible for responding to inquiries, resolving issues, and supporting the claims process. Develops service standards, procedures, and performance metrics to ensure consistency and customer satisfaction. Monitors service levels, call volumes, and quality results to identify and address operational gaps. Resolves escalated complaints and complex service issues requiring management attention. Ensures compliance with regulatory requirements, company policies, and service-level commitments. May require a bachelor's degree. Typically reports to a director. Supervises a group of primarily para-professional level staffs. May also be a level above a supervisor within high volume administrative/production environments. Makes day-to-day decisions within or for a group/small department. Has some authority for personnel actions. Typically requires 3-5 years experience in the related area as an individual contributor. Thorough knowledge of functional area and department processes. Insurance Claims Service Manager I Salaries in Philadelphia, PAAlternate Job Titles:Claims Service Manager, Insurance Claims Customer Service Manager I, Insurance Claims Service Manager I
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Responds to inquiries and requests from claimants, policyholders, and providers to support the timely handling of insurance claims. Provides information on claim status, coverage, documentation requirements, and next steps. Gathers and updates claim and customer information accurately within the claims system. Documents all interactions and follow-up actions according to established procedures. Ensures compliance with company policies, service standards, and regulatory requirements. Requires a high school diploma. 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. Insurance Claims Service Representative I Salaries in Philadelphia, PAAlternate Job Titles:Claims Representative I, Insurance Claims Customer Service Representative I, Insurance Claims Service Representative I
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Responsible for reviewing and analyzing risk characteristics on insurance applications, renewals, and change requests. Utilizes underwriting guidelines, rules, and standards to accept, reject, or mitigate risk for applications. Calculates renewal rates, and determines appropriate premiums, limits, and coverages. Ensures compliance with all industry and governmental regulations. May coordinate with field agents to collect or clarify information or decisions. Requires a bachelor's degree. Typically reports to a manager. Work is closely managed. Works on projects/matters of limited complexity in a support role. Typically requires 0-2 years of related experience. Underwriter I Salaries in Philadelphia, PAAlternate Job Titles:Insurance Underwriter I, Underwriter ICategory : Insurance
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Analyzes the insurance needs of an organization to provide optimum coverage, costs, and claim settlements. Collects, classifies, and analyzes data from multiple sources such as audits, claims, renewals, and financial reporting. Creates risk forecasting models and reporting using business intelligence tools. Evaluates insurance proposals and makes recommendations. Negotiates insurance premiums and coverage terms directly with insurance companies and/or through brokers. Collaborates with cross-functional teams to ensure reporting and processing of all policy audits, payments, claims, and renewals. Supports loss prevention and safety initiatives. Reviews insurance policies for accuracy and works with brokers and underwriters to resolve discrepancies. Requires a bachelor's degree. Typically reports to a manager. Works autonomously. Goals are generally communicated in "solution" or project goal terms. May provide a leadership role for the work group through knowledge in the area of specialization. Works on advanced, complex technical projects or business issues requiring state of the art technical or industry knowledge. Typically requires 10+ years of related experience. Insurance Risk Analyst V Salaries in Philadelphia, PAAlternate Job Titles:Insurance Coverage Analyst V, Organizational Insurance Risk Analyst V, Insurance Risk Analyst V
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Manages the claims service function to ensure prompt, accurate, and high-quality service to claimants, policyholders, and providers. Oversees a team of supervisors and representatives responsible for responding to inquiries, resolving issues, and supporting the claims process. Develops service standards, procedures, and performance metrics to ensure consistency and customer satisfaction. Monitors service levels, call volumes, and quality results to identify and address operational gaps. Resolves escalated complaints and complex service issues requiring management attention. Ensures compliance with regulatory requirements, company policies, and service-level commitments. May require 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. Insurance Claims Service Manager II Salaries in Philadelphia, PAAlternate Job Titles:Claims Service Senior Manager, Insurance Claims Customer Service Manager II, Insurance Claims Service Manager II
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Oversees and manages the team responsible for handling inquiries and operational transactions that support the administration of health insurance services. Monitors and supports daily health insurance service operations by answering inquiries regarding policies, coverage, eligibility, and other plan provisions. Handles escalated service inquiries regarding policies or claims and ensures client satisfaction. Monitors performance of each service area, including but not limited to account implementation, client support, claim processing, and enrollment and eligibility. Requires a bachelor's degree. Typically reports to a director. Typically manages through subordinate managers and professionals in larger groups of moderate complexity. Provides input to strategic decisions that affect the functional area of responsibility. May give input into developing the budget. Typically requires 3+ years of managerial experience. Capable of resolving escalated issues arising from operations and requiring coordination with other departments. Health Insurance Service Operations Senior Manager Salaries in Philadelphia, PAAlternate Job Titles:Health Insurance Operations Senior Manager, Healthcare Insurance Operations Senior Manager, Health Insurance Service Operations Senior Manager
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Examines and adjudicates insurance claims to determine coverage, validity, and appropriate payment in accordance with policy terms and regulations. Reviews claim documentation, policy provisions, and supporting evidence to assess liability and exposure. Authorizes claim payments within established authority limits. Investigates questionable or complex claims and coordinates with adjusters, providers, or external parties as needed. Documents findings, decisions, and rationale clearly within the claims system. Ensures compliance with company guidelines, regulatory requirements, and service standards. Requires a bachelor's degree. Typically reports to a 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 Philadelphia, PAAlternate Job Titles:Claim Review and Settlement Examiner II, Insurance Claims Examiner II, Claims Examiner II
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Examines and adjudicates insurance claims to determine coverage, validity, and appropriate payment in accordance with policy terms and regulations. Reviews claim documentation, policy provisions, and supporting evidence to assess liability and exposure. Authorizes claim payments within established authority limits. Investigates questionable or complex claims and coordinates with adjusters, providers, or external parties as needed. Documents findings, decisions, and rationale clearly within the claims system. Ensures compliance with company guidelines, regulatory requirements, and service standards. Requires a bachelor's degree. Typically reports to a 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 Philadelphia, PAAlternate Job Titles:Claim Review and Settlement Examiner III, Insurance Claims Examiner III, Claims Examiner III