134 Results for

Claims Specialist Jobs in Iowa

Jobs

Iowa

We do this through empowering employees to build trust through honest and caring actions, ensuring clear and constructive communication, establishing meaningful client relationships that support their unique potential, and contributing to the organization's success by effectively influencing and uplifting team members. · Consistent merit increase and promotion opportunities — Annually, employees are reviewed for merit increases and promotion opportunities because we believe growth is important — not only with your financial wellbeing, but also your career wellbeing.

30+ days ago

Des Moines, IA

Remote

Respond to general inquiries by agents, policyholders, and providers concerning policy coverage and other related information by phone, email, letter or other communication channels. Meet the team and learn what makes Wellabe a great place to work by visiting wellabe.com/news/employee-spotlights.

30+ days ago

Waverly, IA

$46,800–$69,500 / year

Job Responsibilities: Provide a high-quality customer service experience characterized by educating customers, keeping customers informed of next steps and answering customer questions. We will continue to strive to offer flexibility and invest in technology and other tools that will make hybrid working normal rather than an exception, so that when "life happens," you can focus on what's most important.

11 days ago

Iowa

30+ days ago

Waverly, IA

$51,000–$76,500 / year

5% - Maintain an awareness of departmental, legal and industry changes which may have an impact on the investigation and settlement of claims, by reading related literature and/or attending available educational programs, departmental and intra-departmental meetings within Credit Union Protection and new product development and exposures in TruStage. 10% - Engage the Account Team (Account Relationship Manager, P&C Specialist, Underwriter and/or Risk Manager) to ensure that the insureds perceived and unperceived needs are addressed across all Credit Union Protection lines of business, as well as focusing on CMG products and services as a whole that may be affected and/or come into play.

23 days ago

West Des Moines, IA

Remote

$59,681–$96,123 / year

ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Receives claim, confirms policy coverage and acknowledgement of the claim Determines validity and compensability of the claim by investigating and gathering information regarding the claim and files necessary documentation with state agencies Establishes reserves and authorizes payments within reserving authority limits Develops and manages well documented action plans with the case manager and outcomes manager to reduce overall cost of the claim Coordinates early return-to-work efforts with the appropriate parties Manages subrogation and litigation of claim as it applies Manages potential claim recoveries of all types Reports claims to the excess carrier when applicable Communicates claim status with the customer and claimant Adheres to client and carrier guidelines and participates in claims review as needed Develops and maintains professional customer relationships Complies with rules and regulations of applicable state Additional duties as assigned. KNOWLEDGE & SKILLS: Excellent written and verbal communication skills Ability to assist team members to develop knowledge and understanding of claims practice Ability to identify, analyze and solve problems Computer proficiency and technical aptitude with the ability to utilize MS Office including Excel spreadsheets Strong interpersonal, time management and organizational skills Ability to work both independently and within a team environment Knowledge of the entire claims administration, case management and cost containment solution as applicable to Workers' Compensation.

30+ days ago

Remote

$137,496–$164,934 / year

Boston metro area, California outside of Los Angeles & San Francisco metro area, Connecticut, Chicago metro area, Denver metro area, New Jersey (outside of New York City metro area), New York State (outside of New York City metro area, including but limited to Albany county), Washington, D. C. Essential Responsibilities: Working under limited oversight under broad management direction, adjudicate construction defect claims at the highest authority limits on assignments reflecting the highest degree of technical complexity, potentially with major impact on departmental results.

11 days ago

Ames, IA

Part time

Utilizes insurance and billing expertise to resolve denials and patient questions/concerns filtered through Patient Services Reps regarding their billing statements and insurance notifications. Candidates should be service-oriented, a team player, and be able to provide extraordinary care, every day to our patients.

5 days ago

Work At Home, IA

$18.50–$42.35 / hour

Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Review and adjust SF (self-funded), FI (fully insured), Reinsurance, and/or RX claims; adjudicates complex, sensitive, and/or specialized claims in accordance with claim processing guidelines.

9 days ago

Ames, IA

Part time

Utilizes insurance and billing expertise to resolve denials and patient questions/concerns filtered through Patient Service reps regarding their billing statements and insurance notifications. Candidates should be service-oriented, a team player, and be able to provide extraordinary care, every day to our patients.

30+ days ago

Ames, Iowa

30+ days ago

Ames, IA

30+ days ago

Des Moines, Iowa

This position requires strong technical knowledge, communication skills, and judgment, along with the ability to partner closely with leadership to ensure training is structured, effective, and aligned with operational expectations. You will prepare new and current employees for success by coordinating training plans, delivering instruction, evaluating progress, and identifying ongoing development needs.

8 days ago

Des Moines, Iowa

8 days ago

Des Moines, IA

Infosys McCamish was started in 1985 as a virtual insurance company and went to market as a commercial services provider in 1995.It has an outstanding business perspective and an exemplary track record that no other outsourcer of business solutions can claim generating US$16 billion of recurring premium in less than five years as a virtual insurance company. Infosys McCamish has expert technology and outsourcing credentials, along with a proven business model for re-engineering systems and performing back-office services at a reduced cost, while reinforcing accuracy, speed and security.

30+ days ago

Des Moines, IA

Infosys McCamish was started in 1985 as a virtual insurance company and went to market as a commercial services provider in 1995.It has an outstanding business perspective and an exemplary track record that no other outsourcer of business solutions can claim - generating US$16 billion of recurring premium in less than five years as a virtual insurance company. Infosys McCamish Systems,(http://www.infosysbpm.com/mccamish) located in Atlanta, Georgia, is the Life Insurance and Retirement Services subsidiary of Infosys BPM Limited.(www.infosysbpm.com)

30+ days ago

Iowa City, IA

$59,059.65–$82,000 / year

Physical agility to allow for: walking; bending, reaching, kneeling, squatting, stooping, frequent lifting, carrying, unfolding, and climbing a ladder; ability to utilizing appropriate equipment in accordance with safety guidelines to traverse roofs at various heights and pitches for inspection of both residential and commercial structures; ability to crawl in tight spaces to gather information needed during the adjustment of a claim. With the opportunity to initially earn up to 20 days annually plus parental leave, paid holidays, celebration day, life leave (40 hours/year), bereavement leave, and community service/education support days, there will be plenty of time for you!

30+ days ago

Des Moines, IA

$59,059.65–$90,000 / year

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5 days ago

By continuing to invest in more advanced technology, pursuing innovative products, and hiring a highly skilled workforce, AAA continues to build upon its heritage of providing quality service and helping our members enjoy life's journey through insurance, travel, financial services, and roadside assistance. Important Note: ACG's Compensation philosophy is to provide a market-competitive structure of fair, equitable and performance-based pay to attract and retain excellent talent that will enable ACG to meet its short and long-term goals.

20 days ago

Des Moines, IA

$62,500–$115,500 / year

Nationwide pays on a geographic-specific salary structure and placement within the actual starting salary range for this position will be determined by a number of factors including the skills, education, training, credentials and experience of the candidate; the scope, complexity and location of the role as well as the cost of labor in the market; and other conditions of employment. In this role, you'll conduct on-site inspections, evaluate property damages, determine policy coverage, and make timely, accurate decisions using a variety of tools and resources, including vendor estimates, independent adjusters, and self-written assessments.

30+ days ago

Cedar Rapids, IA

$154,858–$204,236 / year

Reporting directly to the VP of Corporate Technical Claims, this role serves as a key technical and leadership authority within the claim's organization, providing executive-level guidance on claim strategy, reserving, litigation management, risk transfer, and resolution of high-severity matters. The role operates in a highly collaborative environment, partnering with the VP of Corporate Technical Claims on enterprise-level initiatives involving: Legal, Underwriting, Actuarial, Reinsurance, and external counsel to drive consistent, predictable, and optimal outcomes.

30+ days ago

Work At Home, IA

$17–$28.46 / hour

Analyzes claims data and generate reports to identify trends, patterns, or areas for improvement to help inform process enhancements, policy changes, or training needs within the claims processing department. Performs claim documentation review, verifies policy coverage, assesses claim validity, communicates with healthcare providers and policyholders, and ensures accurate and timely claims processing.

17 days ago

Iowa City, Iowa

As a Property Claims Representative, you must keep a service-oriented attitude at all times by maintaining professional and productive relationships with coworkers, supervisors, agents, agency managers, claimants, policyholders, engineers, restoration specialists, general contractors, attorneys, and others. ·Must be able to work under all kinds of weather conditions and fully appraise all physical aspects of the property and buildings, which includes climbing on ladders.<.

30+ days ago

Des Moines, IA

contributory) and assess likelihood of recovery; Develop supervisor-escalation scenarios that test whether the agent correctly recognizes authority-limit thresholds ($25,000) and stops short of auto-approving; Draft and evaluate reservation-of-rights letter scenarios, verifying language stays within the bad-faith line; Validate coverage-limits math when multiple endorsements (OEM, rideshare, extended rental) stack on a single claim; Document test cases clearly with correct answers, policy citations, and payout calculations. Ideally, contributors will have: Degree in Finance, Business, Insurance, or related field — or equivalent professional experience; no specific degree is required if AIC, CPCU, or comparable credentials are present, or if the candidate has 4+ years of hands-on claims adjusting experience; 3+ years of hands-on auto claims adjusting, examining, or supervisory experience at a U.S. carrier, independent adjusting firm, or SIU team; Ability to make coverage decisions (collision vs.

13 days ago

Des Moines, IA

Remote

Full time

Proficient with claim and coding tools such as Supercoder, Clinical Decision Support Tool, Current Procedural Terminology, Health Care Financing Administration Common Procedure Coding System, and American Dental coding. This role will serve as a SME and will collaborate with Claims leadership, Training, the Claims Content Specialist, and internal business partners to ensure procedures and training materials are accurate and complete.

30+ days ago

$15–$20 / hour

By continuing to invest in more advanced technology, pursuing innovative products, and hiring a highly skilled workforce, AAA continues to build upon its heritage of providing quality service and helping our members enjoy life's journey through insurance, travel, financial services, and roadside assistance. This position also provides support to CR1 staff during periods of high volume, which includes compiling claim packets and referring eligible claims with supporting documentation to collection vendors, excluding claims involving total losses.

6 days ago

Missouri Valley, IA

$18–$20 / hour

The role also includes unloading, transporting, and stocking parts in the warehouse using equipment such as a wave machine, forklift, and stock chaser, while consistently following established procedures to ensure safety and operational efficiency. The specialist also supports daily operations by processing parts orders, fulfilling internal dealership requests, handling customer cores, and submitting warranty claims.

9 days ago

Telecommuter, IA

Mental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines. Knowledge of current medical practices in health care management in a variety of areas (including, but not limited to, orthopedics, general medicine for acute and chronic conditions, general surgery, mental health, obstetrics, oncology, and physical and occupational rehabilitation).

10 days ago

Bettendorf, IA

ORA Orthopedics is the Quad Cities' largest and most comprehensive orthopedic provider, proudly offering an integrated continuum of orthopedic care that includes orthopedic sub-specialty clinics, walk-in care at our Urgent OrthoCARE clinics, diagnostic imaging, physical therapy, outpatient surgery, and more. Key responsibilities include answering incoming phone calls regarding insurance and billing inquiries, collecting patient payments over the phone, and addressing claim denials, credits, and accounts receivable for assigned accounts.

30+ days ago

Waterloo, IA

With 491 licensed beds between the three medical centers, each providing 24-hour emergency lifesaving care, MercyOne is there for you in critical moments: MercyOne Waterloo Medical Center, an Area Level III Trauma Center and an accredited chest pain center. MercyOne Medical Group - Northeast Iowa is made up of more than 30 primary care, pediatric, internal medicine and specialty clinics located throughout Black Hawk, Bremer, Buchanan, Benton, Butler, Fayette and Tama counties.

30+ days ago

New Hampton, IA

Remote

$50,000–$65,000 / year

As a top concrete and aggregate multi-state supplier with more than 150 locations in the USA, we're dedicated to providing top-notch products and customer service. Job Summary: The Payroll Specialist will be responsible for multi-state payroll administration and will be based out of our New Hampton, IA location.

29 days ago

Muscatine, IA

The Risk Management (RM) Specialist supports the organization's enterprise risk, insurance, and business continuity programs by maintaining risk documentation, processing certificates of insurance, assisting with coordination of insurance activities, supporting claims management processes, and assisting with risk analysis and reporting. In addition to managing insurance-related documentation and processes, the role contributes to risk assessments, corporate security initiatives, and business continuity planning activities to ensure the organization is prepared to manage operational disruptions and evolving business risks.

30+ days ago

Oskaloosa, IA

Part time

At Mahaska Health the Registration Specialist is responsible for the registration of patients, including patient interviews, updating information in hospital/clinic computer, obtaining consent, and information accuracy. Registers or pre-registers all scheduled patients for inpatient admissions, outpatient services, and clinic visits according to department policies and procedures.

30+ days ago

Sioux City, IA

Requests and reviews medical records, notes, and/or detailed bills as appropriate; formulates conclusions per protocol and other business partners to determine response; assures timeliness and appropriateness of responses per state, federal and Molina guidelines. Facilitates comprehensive research and resolution of appeals, disputes, grievances, and/or complaints from Molina members, providers, and related outside agencies to ensure that internal and/or regulatory timelines are met.

30+ days ago

Urbandale, IA

In addition to these responsibilities, the Specialist serves as the central triage point for incoming SIU referrals, reviewing each referral for completeness, assessing initial fraud indicators, assigning priority based on established criteria, and routing matters appropriately to investigative staff. The SIU Support Specialist will be responsible for conducting background investigations through the research, analysis, and interpretation of public record databases, online data sources, and social media to support SIU and Claim departments.

30+ days ago

$83,100–$120,360 / year

Position Summary: The Appeals & Grievances (A&G) unit manages Healthfirst member complaints, grievances and appeals that are presented by the member or provider pertaining to the authorization of or delivery of clinical and non-clinical services. Prepare cases for Medical Director Review ensuring that all pertinent information (i.e. case summary, contract information, internal and external responses, diagnosis, and CPT codes and descriptions) has been obtained during investigation and is presented as part of the case.

30+ days ago

Work at Home, IA

$37,454–$59,927 / year

About This Role: As a Fraud and Non-Fraud Investigations Specialist at FNBO, you will be expected to: Communicate with customers who have experienced fraud or a billing error on their account while also reassuring these vulnerable customers that FNBO has their back. Belonging means we are committed to fostering a workplace culture where employees of all backgrounds feel valued, recognized, and empowered to be their authentic selves-no matter their role or where they are in their journey.

23 days ago

Bettendorf, IA

Monitor, identify, and investigate suspicious or potentially fraudulent activity across multiple channels (e.g., debit cards, ACH, wires, online banking). At TBK Bank, a subsidiary of Triumph, we're a team of passionate, driven, collaborative, solutions-minded people who want to make a difference in the lives of our customers and communities.

30+ days ago

DES MOINES, IA

Monitors reports and work queues for appropriate charging, coding/modifiers, transferring charges, correcting charges, reconciling charges, following up on delinquent reports, and problem solving with staff. Provides charge entry, insurance expertise, registration, and customer service to assist the laboratory department and patient and/or client through the revenue cycle for hospital and outreach accounts.

30+ days ago

Bettendorf, Iowa

13 days ago

Hiawatha, IA

In accordance with Florida law, candidates applying for positions located in Florida are required to undergo background screening through the Florida Care Provider Background Screening Clearinghouse, as applicable. High School Diploma, Associate's degree in relatable field, Healthcare Administration, Business Administration or equivalent work experience required.

24 days ago

Des Moines, IA

$50,869–$80,895 / year

To qualify based on education for this grade level you must have 1 full year of graduate level education in a major of safety or occupational health fields (safety, occupational health, industrial hygiene), or degree in other related fields that included or was supplemented by at least 24 semester hours of study from among the following (or closely related) disciplines: safety, occupational health, industrial hygiene, occupational medicine, toxicology, public health, mathematics, physics, chemistry, biological sciences, engineering, and industrial psychology. This announcement is open to Internal and Status candidates; VEOA eligibles, i.e., preference eligible veterans or veterans who have been separated under honorable conditions from the armed forces after 3 or more years of continuous active service may compete under merit promotion procedures; current, permanent Veterans Canteen Service employees may apply, and will be considered in the same manner as a current VA employee.

17 days ago

Council Bluffs, IA

A Day in the Life: The Environmental, Health, and Safety Specialist will support Implementation of EHS programs and plans that reinforce our safety-first culture by continuously improving our ability to prevent serious injuries, fatalities, environmental incidents, and ensuring compliance with applicable EHS regulations. As a premier agribusiness solutions provider, our team of ~37,000 dedicated employees partner with farmers across the globe to move agricultural commodities from where theyre grown to where theyre needed-in faster, smarter, and more efficient ways.

30+ days ago

Des Moines, IA

$88,000–$164,000 / year

Nationwide pays on a geographic-specific salary structure and placement within the actual starting salary range for this position will be determined by a number of factors including the skills, education, training, credentials and experience of the candidate; the scope, complexity and location of the role as well as the cost of labor in the market; and other conditions of employment. If you're passionate about helping people protect what matters most to them at a Fortune 100 company with nearly $70 billion in annual sales, as well as innovating and simplifying processes and operations to provide the best customer value, then Nationwide's Property and Casualty team could be the place for you!

30+ days ago

West Des Moines, IA

Homesteaders provides consumer friendly insurance products to fund prearranged funerals through a network of independent funeral homes located throughout the United States. About Homesteaders: Homesteaders Life Company, a mutual company owned by its policy holders, is a national leader providing products and services to help people design a better farewell.

30 days ago

Des Moines, IA

$75,000–$105,000 / year

This includes but is not limited to the prompt recognition and forwarding of customer complaints (i.e. adverse events, product performance reports, etc.) to Quality Assurance (QA), and by ensuring all promotional messaging (i.e. branding strategies, product claims, etc.) and materials (i.e. literature) discussed or presented to customers are clinically accurate and adhere to AdvaMed guidelines and Terumos policy on Interactions with Healthcare Professionals. Operate computer simulation equipment and support the use of various vessel model units during trade shows, local clinical meetings and PACE sponsored courses to assist in the delivery of education and knowledge transfer related to specific products and procedure guidance.

30+ days ago

Des Moines, IA

Remote

Occasionally research systems, websites, and work with internal departments to accurately follow-up with and resolve basic to moderately complex policyholder and provider complaints and concerns, escalating issues appropriately to more experienced peers to resolve more complex issues and assisting peers through chat lines as needed. Someone in this role will: Receive calls, respond to workflows and chat to answers basic to moderately complex questions from policyholders, medical providers, and sales agents on life, preneed, or health (such as Medicare supplement, dental, vision, hearing, Hospital Indemnity & Ancillary Products) policies such as claims, benefits, and premiums while protecting privacy as outlined by state and federal regulations.

30+ days ago

Total individual compensation (base salary, short & long-term incentives) offered will take into account a number of factors including but not limited to geographic location, scope & responsibilities of the role, qualifications, talent availability & specialization as well as business needs. Work collaboratively with internal stakeholders and brokers to retain key assigned renewals and lead coordination of Risk Services & Claims Service plans for key accounts.

30+ days ago

Des Moines, IA

Remote

Full time

Technical Skills: Knowledge of TRICARE policies and procedures, knowledge of Case Management, Utilization Management, and Quality Management practices and principles, and knowledge of Managed Care concepts, alternative care treatments, and community resources. • Research and investigate medical issues as they relate to potential fraud and abuse cases, to include perform anti-fraud and abuse pre-payment reviews or post-payment reviews.

30+ days ago

Des Moines, IA

Remote

Full time

Technical Skills: Proficient with key databases, including FoxPro, Claims Systems, Medical Management Systems, and Provider Data Management Systems; working knowledge of VA policies and procedures, current knowledge of claims, reimbursement methodology; healthcare or managed care experience. • Communicate clearly through both written and verbal forms of communication and follow up with various parties to ensure tasks are completed within the allotted timeline or issues are escalated appropriately.

30+ days ago

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Claims Specialist Jobs in Iowa

Workers' Compensation Claims Specialist (WV, IA, MD, MT) Creative Risk Solutions

Claims Specialist 1-Remote Wellabe Inc

Lending Claims Specialist ll (Hybrid: Waverly, IA) TruStage Financial Group Inc

Workers' Compensation Claims Specialist (WV, IA, MD, MT) Holmes Murphy

Claim Specialist III, Bond/Corporate Claims (Hybrid in Madison, WI or Waverly, IA) TruStage Financial Group Inc

Senior Indemnity Claims Specialist CorVel Corp

Senior Construction Defect Technical Claims Specialist Argo Group International Holdings Inc

Claims Follow-up Specialist I (FT)| Business Services | Ames | 2026-149 McFarland Clinic, P.C.

Senior Claims Benefit Specialist CVS Health Corp

Claims Follow-up Specialist II (FT)| Business Services | Ames | 2026-096 McFarland Clinic, P.C.

Claims Follow-up Specialist II (FT)| Business Services | Ames | 2026-096 McFarland Brand 2016-09-29

Claims Follow-up Specialist II (FT)| Business Services | Ames | 2026-096 McFarland Clinic PC

Auto Liability Claims Training Specialist Cottingham & Butler

Auto Liability Claims Training Specialist CBCS

Process Specialist (Claims Processor) Infosys Ltd

3A - Process Specialist - Claims Infosys Ltd

Claim Specialist - WCCS Deployed State Farm

Claim Specialist - Property Field Inspection State Farm

Regional Senior Casualty Claim Specialist - Litigation AAA Southern New England

Claims Adjuster II, Field Property - National Catastrophe Nationwide Mutual Insurance Co

AVP - Major Claims Leader United Fire Group Inc

Claim Benefit Specialist CVS Health Corp

Property Claims Representative Farm Bureau Financial Services

Senior Auto Claims Adjuster - Freelance AI Trainer Mindrift

Sr Claims Reviewer TriWest Healthcare Alliance

Temporary Subrogation Claim Support Processor AAA Southern New England

Automotive Parts Shipping & Receiving Specialist Woodhouse Auto Family

Disability Clinical Specialist Sedgwick Claims Management Services, Inc.

Insurance Specialist ORA Orthopedics PC

Colleague Health and Wellness Specialist - Onsite Admin Trinity Health

Payroll Specialist_NOT REMOTE Croell Inc

Enterprise Risk Specialist 4 Locations HNI Corp

Registration Specialist - ER Registration Mahaska County Hospital

Specialist, Appeals & Grievances (Must live in TX and Medicaid experience) Molina Healthcare Inc

SIU Support Specialist W. R. Berkley Corp

Appeals and Grievances Clinical Specialist Healthfirst

Sr. Specialist, Fraud & Non Fraud Investigations ($22.00/hr) First National Bank of Omaha

Fraud Specialist Triumph Financial Inc

Regional Lab Billing Specialist Trinity Health

Fraud Specialist TBK Bank

Operations Specialist AdaptHealth Corp

Safety and Occupational Health Specialist (Technical Career Field (TCF) Trainee) U.S. Department of Veterans Affairs

Environmental, Health and Safety Specialist Bunge Global SA

Specialist, Underwriting Middle Market - Commercial Lines (Agribusiness) Nationwide Mutual Insurance Co

Policy Services Specialist Homesteaders Life Company

Field Clinical Specialist, Des Moines Terumo Medical Corp

Customer Success Specialist 2- Remote Wellabe Inc

Underwriting Specialist, Middle Market Solutions, Property Arch Capital Group Ltd

Program Integrity Clinical Specialist (RN or PA Req'd) TriWest Healthcare Alliance

Provider Data Specialist TriWest Healthcare Alliance

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