Claims Finance Manager

We are looking for an experienced Claims Finance Manager to support health insurance finance operations in Minnetonka. This Long-term Contract position will oversee medical claims accounting, month-end activities, regulatory reporting support, and financial analysis tied to healthcare payer operations. The ideal candidate brings strong expertise in claims finance, reserve analysis, and cross-functional coordination to ensure accurate reporting and compliance in a complex environment.

Responsibilities:

• Oversee weekly medical claims activity, track processing patterns, and investigate unusual fluctuations that could affect financial results or operational timeliness.

• Manage month-end accounting for claims-related transactions by preparing journal entries, updating reserves, and recording financial impacts associated with claims and related obligations.

• Perform monthly reconciliations of claims-related accounts, resolve outstanding variances, and address timing or system-driven discrepancies to maintain ledger accuracy.

• Analyze medical expense results against actuarial expectations, explain key drivers of variance, and support accurate financial close reporting.

• Review plan settlement data, confirm calculation accuracy, and record associated receivable, payable, and cash entries within the general ledger.

• Administer accruals, projections, and payment tracking for healthcare vendor and program-related obligations, including intercompany balances and reserve maintenance.

• Contribute to regulatory and statutory reporting by assisting with data requests, Medicare cost reporting activities, filing support, and audit-related analysis.

• Prepare detailed finance schedules such as claims rollforwards, actuarial reconciliations, redundancy analyses, and other supporting reports for leadership and compliance needs.

• Serve as a finance subject-matter expert for system and platform initiatives by supporting testing, validating outputs, troubleshooting issues, and improving financial data quality.

• Provide team guidance through coaching, regular check-ins, and active participation in leadership discussions and departmental initiatives.

Qualifications:

• Bachelor’s degree in Accounting, Finance, or a related discipline is required.
• At least 7 years of progressive experience in healthcare finance, insurance accounting, or medical claims financial management.
• Hands-on background in medical claims processing, claims reserve analysis, and monthly financial close activities.
• Experience supporting Medicare cost reporting, regulatory submissions, and audit documentation within a healthcare payer or health insurance environment.
• Prior leadership, supervisory, or team lead experience with the ability to coach and support colleagues effectively.
• Advanced Excel skills, including complex formulas, pivot tables, and large-volume financial data analysis.
• Experience working with financial and reporting tools such as PeopleSoft, Power BI, Access, QlikSense, or TM1.
• Strong critical thinking, reconciliation, and process improvement skills within health insurance or healthcare payer operations.

Compensation

$55.41-$64.16 Hourly

About Us

Robert Half is the world’s first and largest specialized talent solutions firm that connects highly qualified job seekers to opportunities at great companies. We offer contract, temporary and permanent placement solutions for finance and accounting, technology, marketing and creative, legal, and administrative and customer support roles.

Robert Half works to put you in the best position to succeed. We provide access to top jobs, competitive compensation and benefits, and free online training. Stay on top of every opportunity - whenever you choose - even on the go. Download the Robert Half app and get 1-tap apply, notifications of AI-matched jobs, and much more.

All applicants applying for U.S. job openings must be legally authorized to work in the United States. Benefits are available to contract/temporary professionals, including medical, vision, dental, and life and disability insurance. Hired contract/temporary professionals are also eligible to enroll in our company 401(k) plan. Visit roberthalf.gobenefits.net for more information.

© 2025 Robert Half. An Equal Opportunity Employer. M/F/Disability/Veterans. By clicking “Apply Now,” you’re agreeing to Robert Half’s Terms of Use and Privacy Notice.