Claims Administration Manager

Nodak Insurance Company; Fargo (ND); On-site; USD 65,000 - 90,000; Full time

Job summary

Nodak Insurance Company in Fargo, ND seeks a detail-oriented Claim Administration Manager to supervise the Claims Administration Department and coordinate complex clerical duties related to claim processing in the home office. You will lead staff, oversee workflow, ensure accuracy and policy compliance, manage claim setup, processing, and payments, and support adjustments.

Strong communication and organizational skills are essential.

Qualifications

• High school diploma or equivalent.
• Three years or more claim clerical experience preferred.

Responsibilities

• Lead Claims Administration personnel, assign duties, and ensure work accuracy and policy compliance.
• Oversee workflow and train clerical staff; standardize procedures to improve efficiency.
• Manage claim setup, routing, reserves, and adjuster codes within deadlines; support adjusters.
• Process automated and manual drafts, stop payments, and transmittals; forward checks to Accounting.
• Maintain Tax IDs and addresses for vendors, body shops, medical facilities, and attorneys; issue 1099 forms.
• Answer incoming claims calls and assist staff, agents, adjusters, and insureds with inquiries.
• Compile data and complete special projects as assigned.

Skills

Communication

Technical skills

Analytical thinking

Decision making

Mathematical proficiency

Reliability

Education

High school diploma or equivalent

Job description

Job Details

• Job Location: Nodak Insurance Company - Fargo , ND 58102
• Position Type: Full Time
• Job Category: Claims
• Summary: We are seeking a detail-oriented Claim Administration Manager to supervise our Claims Administration Department. This role will also involve coordinating and performing complex clerical duties related to the claim processing in the home office.

Essential Duties and Responsibilities

Essential Duties and Responsibilities include the following. Other duties may be assigned.

• Leadership: Supervise Claims Administration personnel, assign duties, and ensure work accuracy and compliance with policies. Maintain team harmony and resolve grievances.
• Training: Oversee workflow and train clerical staff. Standardize procedures to improve efficiency. Promptly handle rush letters, express claims, and mandated state forms. Index incoming mail and assign tasks to adjusters.
• Claim Entry & Processing: Manage claim setup, claim routing, reserves, and adjuster codes within strict deadlines. Complete requested tasks in support of Claim Adjusters. Index incoming mail and send requested letters.
• Payment & Financial Handling: Process automated and manual drafts, stop payments, voids, and canceled check requests. Process subrogation, salvage, and credit transmittals, updating system amounts and forwarding checks to Accounting.
• Tax & System Maintenance: Maintain Tax ID numbers and addresses for vendors, body shops, medical facilities, and attorneys. Issue and mail annual 1099 forms.
• Communication & Support: Answer incoming claims calls and assist call center staff, agents, adjusters, and insureds with inquiries.
• Administrative & Special Projects: Compile data and complete special projects as assigned.

Qualifications

Education & Experience: High school graduate or equivalent. Three years or more claim clerical experience is preferred.

Required Knowledge and Skills

• Communication: Excellent verbal and written communication skills; able to explain complex information clearly and handle sensitive interactions with professionalism and empathy.
• Technical: Proficient in computer systems, data entry, and claims software; strong organizational, time management, and multitasking abilities.
• Analytical: Ability to interpret policy language, legal principles, and medical documentation accurately.
• Decision-Making: Strong problem-solving and judgment skills; comfortable interpreting contracts and applying company policy.
• Mathematical: Competent in basic math concepts for accurate claim calculations.
• Reliability: Consistent attendance, punctuality, and accountability.

Special Relationships

Frequent and professional communication with agents, insureds, claimants, attorneys, physicians, and other service organizations via the phone and in person. Works efficiently under normal supervision while remaining fully accountable for all results. Communicates effectively with upset or angry individuals, constructively resolving disputes and disagreements. Maintains strong awareness as a company representative, projecting a positive image in every interaction.

Physical Requirements

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is occasionally required to stand, walk, sit, use hands to finger, handle, or feel, reach with hands and arms, climb or balance; stoop, kneel, crouch, or crawl; and talk or hear. The employee may occasionally lift and/or move up to 25 pounds. The noise level in the work environment is usually moderate.

Nodak Insurance Company complies fully with all federal, state, and local employment laws and shall provide equal employment and advancement opportunities for all persons regardless of race, color, creed, religion, national origin, sex, sexual orientation, age, the presence of any mental or physical disability, status with regard to public assistance or marriage, or any other category protected by local, state or federal law.