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Claim processor jobs in Des Moines, IA

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Claim Processor
Claims Representative
Claims Adjudicator
Insurance Claims Processor
Claims Analyst
Claim Processing Specialist
Claim Specialist
Claim Auditor
Claims Supervisor
Insurance Adjuster
Medical Claims Analyst
  • Claims Processor

    Carrot Fertility

    Claim processor job in Des Moines, IA

    About Carrot: Carrot is a global, comprehensive fertility and family care platform, supporting members and their families through many of life's most memorable moments. Trusted by many of the world's leading multinational employers, health plans, and health systems, Carrot's proven clinical program delivers exceptional outcomes and experiences for members and industry-leading cost-savings for employers. Its award-winning products serve all populations, from preconception care through pregnancy, IVF, male factor infertility, adoption, gestational carrier care, and menopause. Carrot offers localized support in over 170 countries and 25 languages. With a comprehensive program that prioritizes clinical excellence and human-centered care, Carrot supports members and their families through many of the most meaningful moments of their lives. Learn more at get-carrot.com. The Role: In this role, you will be responsible for reviewing incoming member out-of-pocket expenses, as well as expenses incurred using their Carrot Card. You will collaborate with members of the Care team, Customer Success and Finance team to ensure an exceptional member experience. This is an in office position in West Des Moines, Iowa. The needed shift is 8:00 am- 5:00 pm or 10:00 am- 7:00 pm CST, Monday through Friday. Training will take place for the first 4 weeks from 8:00 am- 5:00 pm CST. The Team: This role will coordinate activity between our Payments team and insurance payers to ensure that payment for applicable care is quickly and accurately facilitated. Minimum Qualifications: Bachelors Degree 1-3 years of relevant work experience including claims submission/processing experience Highly detail-oriented and organized Structured thinker and love to check things off your to-do list Excellent verbal and written communication skills Problem-solving skills to analyze, troubleshoot and resolve issues An innovative spirit to push the boundaries of claims operations Preferred Qualifications: Literacy in Spanish (to support the translation of documents) Strong Interpersonal Skills Ability to thrive in a fast-paced, results-oriented environment Solve problems creatively and think on your feet Ability to lean in to changing priorities and processes Track claims and denials through the entire lifecycle Identify gaps in claims and reach out to providers for missing information Help members troubleshoot issues involving claims or eligibility Compensation: Carrot offers a holistic, total rewards package designed to support our employees in all aspects of their life inside and outside of work, including health and wellness benefits, retirement savings plans, short- and long-term incentives, paid time off, sick time, parental leave, family-forming assistance, and a competitive compensation package. This is a non-exempt position with a base pay of $56,000-$64,000 ($26.92/hr.- $30.77/hr.). In addition, this role may include variable compensation based on performance. Overtime pay will apply when required, and paid overtime may be necessary during peak periods. The actual rate of pay will be determined based on job-related skills and experience. Why Carrot? Carrot has received national and international recognition for its pioneering work, including Fast Company's Most Innovative Companies and World Changing Ideas, Inc. Power Partners, and Modern Healthcare's Innovators. Carrot's global workforce has been acknowledged with several accolades, including Fortune's Best Workplaces in Healthcare, Great Place to Work, and Age-Friendly Employer certifications. Carrot is regularly featured in media reporting on issues related to the future of work, women in leadership, and healthcare innovation, including MSNBC, The Economist, Bloomberg, The Wall Street Journal, CNBC, National Public Radio, Harvard Business Review, and more. Learn more at carrotfertility.com.
    $56k-64k yearly Auto-Apply 60d+ ago
  • Medical Claim Analyst

    CVS Health 4.6company rating

    Claim processor job in Des Moines, IA

    At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day. **Position Summary** **Position Summary** Responsible for initial review and triage of claims tasked for review. -Determines coverage, verifies eligibility, identifies and redirects misdirects -Responsible for prepping the authorization in the system and triage cases to medical staff for review. -Organized and prioritizes work to meet regulatory and claim turn-around times -Promotes communication, both internally and externally to enhance effectiveness of medical management services and health care team. -Performs non-medical research and support -Adheres to Compliance with PM Policies and Regulatory Standards. -Maintains accurate and complete documentation of required information that meets risk management, regulatory, and accreditation requirements. -Protects the confidentiality of member information and adheres to company policies regarding confidentiality. -Assist in the research and resolution of claims payment issue **Required Qualifications** Effective communication, telephonic and organization skills. Familiarity with basic medical terminology and concepts used in care . -Strong customer service skills to coordinate service delivery including attention to customers, sensitivity to issues, proactive identification and resolution of issues to promote positive outcomes for members. -Computer literacy in order to navigate through internal/external computer systems, including Excel and Microsoft Word **Preferred Qualifications** -2-4 years experience as a medical assistant, office assistant or claim processor -MedCompass, CEC, or ACAS **Education** High School Diploma or G.E.D **Anticipated Weekly Hours** 40 **Time Type** Full time **Pay Range** The typical pay range for this role is: $18.50 - $38.82 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. Our people fuel our future. 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. **Great benefits for great people** We take pride in our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include: + **Affordable medical plan options,** a **401(k) plan** (including matching company contributions), and an **employee stock purchase plan** . + **No-cost programs for all colleagues** including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching. + **Benefit solutions that address the different needs and preferences of our colleagues** including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility. For more information, visit ***************************************** We anticipate the application window for this opening will close on: 12/12/2025 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws. We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.
    $18.5-38.8 hourly 60d+ ago
  • Epic Resolute PB Claims Analyst

    Deloitte 4.7company rating

    Claim processor job in Des Moines, IA

    Are you an experienced, passionate pioneer in technology who wants to work in a collaborative environment? As an experienced Epic Resolute PB Claims Analyst you will have the ability to share new ideas and collaborate on projects as a consultant without the extensive demands of travel. If so, consider an opportunity with Deloitte under our Project Delivery Talent Model. Project Delivery Model (PDM) is a talent model that is tailored specifically for long-term, onsite client service delivery. Work you'll do/Responsibilities As a Project Delivery Senior Analyst (PDSA) at Deloitte, you will work within an engagement team and be responsible for supporting the overall project goals and objectives. In this role, you will interact with stakeholders and cross-functional teams. It is expected that you will be able to perform independent tasks as well as provide technical guidance to team members, as needed. * Work with the implementation team to plan and complete build, implement end-to-end Epic. * Work command center shifts to investigate during go-live, document, and resolve break-fix tickets. * Conduct and document root cause analysis and complete any assigned system maintenance. * Assist in low level design, operational discussions, build, test, and migrate Epic build, provide go-live support following migration of new build. * Communicate regularly with Engagement Managers (Directors), project team members, and representatives from various functional and / or technical teams, including escalating any matters that require additional attention and consideration from engagement management. The Team Join our AI & Engineering team in transforming technology platforms, driving innovation, and helping make a significant impact on our clients' success. You'll work alongside talented professionals reimagining and re-engineering operations and processes that are critical to businesses. Your contributions can help clients improve financial performance, accelerate new digital ventures, and fuel growth through innovation. AI & Engineering leverages cutting-edge engineering capabilities to build, deploy, and operate integrated/verticalized sector solutions in software, data, AI, network, and hybrid cloud infrastructure. These solutions are powered by engineering for business advantage, transforming mission-critical operations. We enable clients to stay ahead with the latest advancements by transforming engineering teams and modernizing technology & data platforms. Our delivery models are tailored to meet each client's unique requirements. Our Industry Solutions offering provides verticalized solutions that transform how clients sell products, deliver services, generate growth, and execute mission-critical operations. We deliver integrated business expertise with scalable, repeatable technology solutions specifically engineered for each sector. Qualifications Required * Current Epic Certification in Epic Professional Billing * 3+ years' experience in Epic Professional Billing * Experience in Epic implementation or enhancement processes * Experience in application design, workflows, build, troubleshooting, testing, and support. * Bachelor's degree, preferably in Computer Science, Information Technology, Computer Engineering, or related IT discipline; or equivalent experience * Limited immigration sponsorship may be available. * Ability to travel 10%, on average, based on the work you do and the clients and industries/sectors you serve Preferred * Hospital or Clinic operations experience * Additional Epic Certifications * ITIL process knowledge * Analytical/ Decision Making Responsibilities * Analytical ability to manage multiple projects and prioritize tasks into manageable work products * Can operate independently or with minimum supervision * Excellent Written and Communication Skills * Ability to deliver technical demonstrations Additional Requirements Information for applicants with a need for accommodation: ************************************************************************************************************ Recruiting tips From developing a stand out resume to putting your best foot forward in the interview, we want you to feel prepared and confident as you explore opportunities at Deloitte. Check out recruiting tips from Deloitte recruiters. Benefits At Deloitte, we know that great people make a great organization. We value our people and offer employees a broad range of benefits. Learn more about what working at Deloitte can mean for you. Our people and culture Our inclusive culture empowers our people to be who they are, contribute their unique perspectives, and make a difference individually and collectively. It enables us to leverage different ideas and perspectives, and bring more creativity and innovation to help solve our clients' most complex challenges. This makes Deloitte one of the most rewarding places to work. Our purpose Deloitte's purpose is to make an impact that matters for our people, clients, and communities. At Deloitte, purpose is synonymous with how we work every day. It defines who we are. Our purpose comes through in our work with clients that enables impact and value in their organizations, as well as through our own investments, commitments, and actions across areas that help drive positive outcomes for our communities. Learn more. Professional development From entry-level employees to senior leaders, we believe there's always room to learn. We offer opportunities to build new skills, take on leadership opportunities and connect and grow through mentorship. From on-the-job learning experiences to formal development programs, our professionals have a variety of opportunities to continue to grow throughout their career. As used in this posting, "Deloitte" means Deloitte Consulting LLP, a subsidiary of Deloitte LLP. Please see ********************************* for a detailed description of the legal structure of Deloitte LLP and its subsidiaries. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability or protected veteran status, or any other legally protected basis, in accordance with applicable law. Requisition code: 316852 Job ID 316852
    $64k-81k yearly est. 10d ago
  • Adjudicator, Provider Claims-Ohio-On the Phone

    Molina Healthcare 4.4company rating

    Claim processor job in Des Moines, IA

    The Provider Claims Adjudicator is responsible for responding to providers regarding issues with claims, coordinating, investigates and confirms the appropriate resolution of claims issues. This role will require actively researching issues to adjudicate claims Requires knowledge of operational areas and systems. **Knowledge/Skills/Abilities** + Facilitates the resolution of claims issues, including incorrectly paid claims, by working with operational areas and provider billings and analyzing the systems. + This role is involved in member enrollment, provider information management, benefits configuration and/or claims processing. + Responds to incoming calls from providers regarding claims inquiries and provides excellent customer service; documents calls and interactions. + Assists in the reviews of state or federal complaints related to claims. + Supports the other team members with several internal departments to determine appropriate resolution of issues. + Researches tracers, adjustments, and re-submissions of claims. + Adjudicates or re-adjudicates high volume of claims in a timely manner to ensure compliance to departmental turn-around time and quality standards. + Manages defect reduction by supporting the identifying and communicating error issues and potential solutions to management. + Handles special projects as assigned. + Other duties as assigned. Knowledgeable in systems utilized: + QNXT + Pega + Verint + Kronos + Microsoft Teams + Video Conferencing + Others as required by line of business or state **Job Function** Provides customer support and stellar service to assist Molina providers with claims inquiries. Leads and resolves issues and addresses needs appropriately and effectively, while demonstrating Molina values in their actions. Responsible for effectively managing and documenting calls and responding to providers regarding issues with claims and inquiries. Handles escalated inquiries, complex provider claims payments, records, and provides counsel to providers. Helps to mentor and coach Provider Claims Adjudicators. **Job Qualifications** **REQUIRED EDUCATION:** Associate's Degree or equivalent combination of education and experience; **REQUIRED EXPERIENCE:** 2-3 years customer service, claims, provider and investigation/research experience. Outcome focused and knowledge of multiple systems. 1+ years of claims research and/or issue resolution or analysis of reimbursement methodologies within the managed care health care industry **PREFERRED EDUCATION:** Bachelor's Degree or equivalent combination of education and experience **PREFERRED EXPERIENCE:** 4 years **PHYSICAL DEMANDS:** Working environment is generally favorable and lighting and temperature are adequate. Work is generally performed in a home or office environment in which there is only minimal exposure to unpleasant and/or hazardous working conditions. Must have the ability to sit for long periods. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential function. To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. Pay Range: $21.16 - $38.37 / HOURLY *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
    $21.2-38.4 hourly 9d ago
  • Claims Auditor I, II & Senior

    Elevance Health

    Claim processor job in West Des Moines, IA

    Claims Auditor I, II and Senior Location : This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. The Claims Auditor I is responsible for pre and post payment and adjudication audits of high dollar claims for limited lines of business, claim types and products including specialized claims with appropriate guidance from management and peers. The Claims Auditor II is responsible for audits of high dollar claims across the stop loss business, including specialized claims, working independently and without significant guidance. The Claims Auditor Senior is responsible for auditing of high dollar claims across the stop loss business, including complex specialized claims within Service Experience. Serves as the subject matter expert for the unit. How you will make an impact : * Performs audits of high dollar claims. * Ensures claim payment accuracy by verifying various aspects of the claim including eligibility, pre-authorization, and medical necessity. * Contacts others to obtain any necessary information. * Completes and maintains detailed documentation of audit which includes decision methodology, system or processing errors, and monetary discrepancies which are used for financial reporting and trending analysis. * Provides feedback on processing errors; identifies quality improvement opportunities and initiates basic requests related to coding or system issues, where applicable. * Refers overpayment opportunities to Recovery Team. * Claims Auditor II - all the above, plus: Independently interprets Medical Policy and Clinical Guidelines. * Claims Auditor Senior - all the above, plus : Service as a subject matter expert for Policy and Clinical Guidelines. Associates at this level serve as a mentor and resource to other audit staff. Must possess strong research and problem solving skills. Minimum Requirements : * Claims Auditor I : Requires a HS diploma or GED and a minimum of 3 years of claims processing experience; or any combination of education and experience which would provide an equivalent background. * Claims Auditor II : Requires a HS diploma or GED and a minimum of 5 years of claims processing experience including a minimum of 1 year related experience in a quality audit capacity (preferably in healthcare or insurance sector); or any combination of education and experience which would provide an equivalent background. * Claims Auditor Senior : Requires a HS diploma or GED and a minimum of 4 years related experience in a quality audit capacity (preferably in healthcare or insurance sector); or any combination of education and experience which would provide an equivalent background. Preferred Skills, Capabilities & Experiences: * Stop loss claims experience highly preferred. * Working knowledge of insurance industry and medical terminology; working knowledge of relevant systems and proven understanding of processing principles, techniques and guidelines strongly preferred. * Ability to acquire and perform progressively more complex skills and tasks in a production environment strongly preferred. * Strong research and problem solving skills preferred. For candidates working in person or virtually in the below location(s), the salary* range for this specific position is : Claims Auditor I $21.41 to $38.88/hr Claims Auditor II $22.54 to $40.94/hr Claims Auditor Senior $25.69 to $46.64/hr Locations: Illinois, Massachusetts, Minnesota, Washington State In addition to your salary, Elevance Health offers benefits such as a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws. * The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, paid time off, stock, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law. Job Level: Non-Management Non-Exempt Workshift: 1st Shift (United States of America) Job Family: CLM > Claims Support Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ******************************************** for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.
    $21.4-38.9 hourly 1d ago
  • 3A - Process Specialist - Claims

    Infosys 4.4company rating

    Claim processor job in Des Moines, IA

    Process Specialist Claims Examiner In the role of Process Specialist, you will serve as a subject matter expert for the claim team in answering team member questions regarding case specifics and assisting with complicated cases. You will respond to phone and email inquiries related to claims and follow up on any outstanding requirements within a specified timeframe. You will maintain detailed, compliant, and accurate documentation of all claim activity and collaborate with the team to update procedures and develop new procedures as appropriate. Responsibilities: Serve as an SME for claim team in answering team member questions regarding case specifics and assisting with complicated cases. Customer Service Experience - respond to phone and email inquiries related to claims. Follow up on any outstanding requirements within a specified timeframe. Maintain detailed, compliant, and accurate documentation of all claim activity. Collaborate with team to update procedures and develop new procedures as appropriate. Coordinate special projects as assigned. Training in new procedures. Perform quality reviews on claims/letters. Qualifications: Basic High School Diploma or GED Equivalent. Will also consider three years of progressive experience in the specialty in lieu of every year of education. 2 years' experience relevant to the job description Preferred Associate or bachelor's degree 3 years' experience analyzing life claims. Effective written and verbal communication skills Knowledge of the insurance industry or insurance products/procedures through a combination of experience and/or coursework Organizational and follow through skills. Sensitivity to service and quality Ability to work with confidential information. Your responsibilities include but may not be limited to Serve as a SME for claim team in answering team member questions regarding case specifics and assisting with complicated cases. Customer Service Experience - respond to phone and email inquiries related to claims. Follow up on any outstanding requirements within a specified timeframe. Maintain detailed, compliant, and accurate documentation of all claim activity. Collaborate with team to update procedures and develop new procedures as appropriate. Coordinate special projects as assigned. Training on new procedures. Perform quality reviews on claims/letters. Note: Applicants for employment in the U.S. must possess work authorization which does not require sponsorship by the employer for a visa (H1B or otherwise). The job entails sitting as well as working at a computer for extended periods of time. Should be able to communicate by telephone, email or face to face. About Us Infosys McCamish Systems,(*********************************** located in Atlanta, Georgia, is the Life Insurance and Retirement Services subsidiary of Infosys BPM Limited.(******************* 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. Seven of the top ten US insurers are among Infosys McCamish's many BPM clients. Infosys McCamish has its operations spread across Atlanta GA and Des Moines IA in USA. U.S. citizens and those authorized to work in the U.S. are encouraged to apply. We are unable to sponsor at this time. EOE/Minority/Female/Veteran/Disabled/Sexual Orientation/Gender Identity/Nationality Infosys is an equal opportunity employer, and all qualified applicants will receive consideration without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, spouse of protected veteran, or disability.
    $72k-87k yearly est. 60d+ ago
  • Liability Claims Specialist II

    Holmes Murphy 4.1company rating

    Claim processor job in Waukee, IA

    We are looking to add a Liability Claims Specialist to join our Creative Risk Solutions team. This role will provide high quality claims handling and expertise for all CRS customers. This includes investigating, communicating, evaluating, and resolving auto and general liability claims utilizing the CRS Best Practice of Claim Handling. Essential Responsibilities: Articulate and assess coverage for commercial auto and commercial general liability claims. Adjudication of claims. Investigate bodily injury/liability claims and negotiate settlements when applicable, utilizing our “Best Practices for Claims.” Enter and maintain accurate loss information on a computer system during the claim process. Set and maintain accurate reserves within reserve authority. Negotiate and process interim and final settlements, within settlement authority. Research information for responding to questions and complaints posed by our insured's, claimants, agency partners and fronting carriers. Qualifications: Education: High school diploma; college degree preferred. Technical designations encouraged, such as AIC and CPCU. Experience: 2+ years of exposure in the liability claims field. Prior agency involvement preferred. Licensing: Active adjusters license required Skills: An ideal candidate should have a fundamental understanding of general and auto liability coverages, along with knowledge of claims processing procedures. Must be able to handle confidential matters with discretion and exercise independent judgment. Proficiency in typing and using various software packages, including Maverick, is also required. Technical Competencies: An ideal candidate will have a strong grasp of claims principles, practices, and insurance coverage interpretation, contributing to workflows and adhering to compliance requirements. They will prioritize problem-solving, actively foster relationships, and collaborate to deliver impactful solutions and a world-class client experience. Here's a little bit about us: Creative Risk Solutions is a leading provider of innovative risk management solutions. We specialize in delivering customized claims management, loss control, and risk consulting services to our clients. Our team is dedicated to excellence, integrity, and creating value for our clients through proactive risk management strategies. In addition to being great at what you do, we place a high emphasis on building a best-in-class culture. 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. Benefits: In addition to core benefits like health, dental and vision, also enjoy benefits such as: Paid Parental Leave and supportive New Parent Benefits - We know being a working parent is hard, and we want to support our employees in this journey! Company paid continuing Education & Tuition Reimbursement - We support those who want to develop and grow. 401k Profit Sharing - Each year, Holmes Murphy makes a lump sum contribution to every full-time employee's 401k. This means, even if you're not in a position to set money aside for the future at any point in time, Holmes Murphy will do it on your behalf! We are forward-thinking and want to be sure your future is cared for. Generous time off practices in addition to paid holidays - Yes, we actually encourage employees to use their time off, and they do. After all, you can't be at your best for our clients if you're not at your best for yourself first. Supportive of community efforts with paid Volunteer time off and employee matching gifts to charities that are important to you - Through our Holmes Murphy Foundation, we offer several vehicles where you can make an impact and care for those around you. DE&I programs - Holmes Murphy is committed to celebrating every employee's unique diversity, equity, and inclusion (DE&I) experience with us. Not only do we offer all employees a paid Diversity Day time off option, but we also have a Chief Diversity Officer on hand, as well as a DE&I project team, committee, and interest group. You will have the opportunity to take part in those if you wish! 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. Discretionary bonus opportunity - Yes, there is an annual opportunity to make more money. Who doesn't love that?! Holmes Murphy & Associates is an Equal Opportunity Employer.
    $51k-72k yearly est. Auto-Apply 56d ago
  • Claims Representative

    CBCS 4.0company rating

    Claim processor job in Des Moines, IA

    Join our Claims Academy - we are building the next generation of expert Claims Adjusters! It's an exciting time at CBCS! We've been experiencing explosive growth, and as a result, we're adding a number of Claims Representatives to our team! No experience? No problem. At CBCS, you'll receive in-depth training, providing you with all the information and tools you'll need to succeed. From day one, you'll be surrounded by and learning from talented industry experts, dedicated trainers, mentors and colleagues all invested in your professional growth! As a Claims Representative you will: Analyze and process claims Talk with injured employees, doctors, CEO's, and attorneys from all across the U.S. Engage private investigators if fraud is suspected Advise clients and negotiate settlements on their behalf Actively manage litigation This position will never leave you bored. No two claims are the same so you'll be constantly learning new things and meeting new people. The ideal candidate will have a Bachelor's degree and prior experience in an office or customer service setting, a competitive spirit, and thrive in a fast-paced professional business environment. Pay & Benefits Salary Most Benefits start Day 1 Medical, Dental, Vision Insurance Flex Spending or HSA 401(k) with company match Profit-Sharing/ Defined Contribution (1-year waiting period) PTO/ Paid Holidays Company-paid ST and LT Disability Maternity Leave/ Parental Leave Subsidized Parking Company-paid Term Life/ Accidental Death Insurance About Cottingham & Butler Claims Services At Cottingham & Butler, we sell a promise to help our clients through life's toughest moments. To deliver on that promise, we aim to hire, train, and grow the best professionals in the industry. We look for people with an insatiable desire to succeed, are committed to growing, and thrive on challenges. Our culture is guided by the theme of “better every day” constantly pushing ourselves to be better than yesterday - that's who we are and what we believe in. As an organization, we are tremendously optimistic about the future and have incredibly high expectations for our people and our performance. Our ability to grow as a company, fuels investments in new resources to better serve our clients and provide the amazing career opportunities our employees want and deserve. This is why we are a growth company and why we are committed to being better every day. Want to learn more? Follow us on ****************** | LinkedIn
    $30k-38k yearly est. Auto-Apply 60d+ ago
  • Claim Representative

    Berkley 4.3company rating

    Claim processor job in Urbandale, IA

    Company Details Rated Best Places to Work 2020, 2022 and 2024 by Business Insurance, Continental Western Group is a regional property casualty insurance company offering commercial products and services through independent agents in the Midwest. CWG provides unique value through the service provided by our experienced group of employees and independent agents. Since 1886 - Strong, Local and Trusted. As a Berkley company, we enjoy operational flexibility that allows us to deliver quality coverage solutions. W. R. Berkley Corporation, and all member insurance companies, are rated A+ (Superior) by A.M. Best Company, and carry Standard & Poor's Financial Rating of A+ (Strong). This role is would ideally be based in one of our two offices where we offer a hybrid work schedule with four days in the office; and one day remote where it makes sense to do so. Urbandale, IA Lincoln, NE The Company is an equal employment opportunity employer. #LI-LD1 Responsibilities As a Casualty Claims Adjuster for commercial lines, you'll investigate low to medium level commercial casualty claims in a prompt, equitable manner by analyzing coverage, liability and damages; evaluating reserves; and negotiating settlement or conclusion of claim. What you can expect: Culture of innovation, teamwork, supportive colleagues and leaders willing to invest in talent Internal mobility opportunities. Visibility to senior leaders and partnership with cross functional teams. Opportunity to impact change. Benefits - competitive compensation, paid time off, comprehensive wellness benefits and programs, employer funded health savings account, profit sharing, 401k, paid parental leave, employee stock purchase plan, tuition assistance and professional continuing education. We'll count on you to: Examine and analyze policies, contracts and claim forms to determine coverage. Investigate loss in a prompt manner by investinagion, telephone, or correspondence to determine the extent of the Company's liability. Request necessary reports, e.g., police reports, fire reports, medical records, property damage inspections, etc. Utilize independent adjusting services to assist in the claim investigation as appropriate. Establish accurate claim reserves and re-evaluate exposures and reserves during the life of the claim. Correctly enter claim data and file documentation into claim and related systems for reporting purposes. Negotiate settlement or conclusion of claim. Participate in educational, coaching and mentoring opportunities to enhance claims adjusting skills and knowledge. Perform other related duties as assigned by management. Qualifications What you need to have: 2+ years related casualty claims experience and/or training; or equivalent combination of education and experience. Ability to travel on an occasional basis. Proficient with Microsoft Word, Excel, and Outlook What makes you stand out: Bachelor's Degree preferred but not required Prior commercial lines casualty claims experience Ability to organize, prioritize and manage multiple tasks in a fast-paced environment; and quickly and professionally respond to inquiries from customers Possess strong customer orientation; problem analysis and problem resolution skills; and interpersonal and communication skills Additional Company Details We do not accept any unsolicited resumes from external recruiting agencies or firms. The company offers a competitive compensation plan and robust benefits package for full time regular employees. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment. Sponsorship Details Sponsorship not Offered for this Role
    $41k-54k yearly est. Auto-Apply 7d ago
  • Bilingual Claims Care Representative

    Homesteaders Life Company Corp

    Claim processor job in West Des Moines, IA

    As a Bilingual Claims Care Representative, you will support policyholders, beneficiaries, and other stakeholders throughout the claims process. Your role will include aiding, answering inquiries, processing claims, and ensuring a smooth customer experience. You'll work with a high level of confidentiality and adhere to all privacy regulations with a compassionate team working alongside you. Your responsibilities will include: Interact with customers via telephone and email to aid with the claims process. Assist customers in completing claims forms, gathering documentation, and submitting claims for processing in both Spanish and English. Update and maintain records in bilingual communication and documentation as needed. Review, verify, and process claims in accordance with company procedure and legal requirements Translate and respond to correspondence and service emails in Spanish. Collaborate with internal departments such as underwriting, legal, and compliance to ensure complex claims are handled efficiently. Resolve customer complaints or issues. When appropriate, collaborate with internal departments to resolve escalated cases. Requirements High school diploma or equivalent Prior experience in call center environment is required. Fluency in both Spanish and English verbal and written communication required. Customer service, claims processing, or a related field, ideally within the insurance industry preferred but not required Prior experience in using CRM systems, claims management software, and other relevant tools is preferred. Knowledge of life insurance policies, claims procedures, and relevant regulations is a plus. Our benefits include: An excellent schedule - office closes at 1 p.m. every Friday Annual profit sharing 401(k) with company match with discretionary contribution Company-sponsored group medical and dental insurance Company-paid life insurance Company-paid long-term disability Hybrid work environment Paid holidays Generous vacation time and sick leave Paid parental leave Casual dress year-round 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. Founded in 1906, Homesteaders is known for secure preneed funding and innovative solutions that help funeral and end-of-life professionals and consumers connect with each other. We are currently not hiring in Colorado, Montana, New York, Illinois, Minnesota, and California. Applicants must be authorized to work for any employer in the U.S. We are unable to sponsor or take over sponsorship of an employment Visa at this time. Salary Description 51,000+
    $30k-41k yearly est. 9d ago
  • Branch Claims Representative

    Auto-Owners Insurance Co 4.3company rating

    Claim processor job in West Des Moines, IA

    We offer a merit-based work-from-home program based on job responsibilities. After initial training in-person, you could have the flexibility of work-from-home time as defined by the leadership team. Auto-Owners Insurance, a top-rated insurance carrier, is seeking a motivated claims trainee to join our team. This job handles entry-level insurance claims under close supervision through the life-cycle of a claim including but not limited to: investigation, evaluation, and claim resolution. This job provides service to agents, insureds, and others to ensure claims resolve accurately and timely. This job includes training and development completion of the Company's claims training program for the assigned line of insurance and requires the person to: * Investigate, evaluate, and settle entry-level insurance claims * Study insurance policies, endorsements, and forms to develop foundational knowledge on Company insurance products * Learn and comply with Company claim handling procedures * Develop entry-level claim negotiation and settlement skills * Build skills to effectively serve the needs of agents, insureds, and others * Meet and communicate with claimants, legal counsel, and third-parties * Develop specialized skills including but not limited to, estimating and use of designated computer-based programs for loss adjustment * Study, obtain, and maintain an adjuster's license(s), if required by statute within the timeline established by the Company or legal requirements Desired Skills & Experience * Bachelor's degree or direct equivalent experience with property/casualty claims handling * Ability to organize data, multi-task and make decisions independently * Above average communication skills (written and verbal) * Ability to write reports and compose correspondence * Ability to resolve complex issues * Ability to maintain confidentially and data security * Ability to effectively deal with a diverse group individuals * Ability to accurately deal with mathematical problems, including, geometry (area and volume) and financial areas (such as accuracy in sums, unit costs, and the capacity to read and develop understanding of personal and business finance documents) * Ability to drive an automobile, possess a valid driver license, and maintain a driving record consistent with the Company's underwriting guidelines for coverage * Continually develop product knowledge through participation in approved educational programs Benefits Auto-Owners offers a wide range of career opportunities, and we are seeking talent that will help us continue our long tradition of success. We offer a friendly work environment, structured training program, employee mentoring and an excellent compensation/benefits package. Along with a competitive base salary, matched 401(k), fully-funded pension plan (once vested), and bonus programs, Auto-Owners also provides generous paid time off including holidays, vacation days, personal time, and sick leave. If you're looking to do rewarding work alongside great people, Auto-Owners is the place for you! Equal Employment Opportunity Auto-Owners Insurance is an equal opportunity employer. The Company hires, transfers, and promotes on the basis of ability, without consideration of disability, age, sex, race, color, religion, height, weight, marital status, sexual orientation, gender identity or national origin, or any factor contrary to federal, state or local law. * Please note that the ability to work in the U.S. without current or future sponsorship is a requirement. #LI-KC1 #LI-Hybrid
    $32k-39k yearly est. Auto-Apply 4d ago
  • Crop Insurance Adjuster I - PT East Central Ohio

    Farmers Mutual Hail 4.3company rating

    Claim processor job in West Des Moines, IA

    Part-Time Crop Insurance Adjuster At Farmers Mutual Hail (FMH), our mission is simple: protect the livelihoods and legacies of America's farmers through the complete farm insurance solutions we offer. As America's Crop Insurance Company™, we are headquartered in the U.S. and have been owned by the farmers we insure for over 125 years. As a Part-Time Crop Insurance Adjuster at FMH, you'll complete field inspections, read maps and aerial photos, measure fields, climb storage bins, and discuss findings of crop losses with producers to enable America's farmers to clothe, feed, and fuel the world. Due to the required travel, the potential candidate will need to be in East Central Ohio to be successful in this role. REQUIREMENTS: To be considered for this role, you will need the following: Experience: A minimum of 1 to 3 years of crop insurance adjusting experience or an agriculture background is preferred. Education: High school diploma or general education degree (GED) required; Associates and/or Bachelor's degree in business or an ag-related field preferred. Skills: Must possess basic computer skills: Ability to use a computer, printer, scanner, Internet and Microsoft Office Products. Additional Requirements: Must be available to attend all Company-mandated training events and conferences and be able to travel for work-related reasons for periods of time exceeding twenty-four (24) hours. Must be able to physically climb heights in excess or ten (10) feet, walk distances over ¼ mile over uneven terrain, and stand without rest for periods of time greater than one hour. Must maintain a valid driver's license, clean MVR, and own a vehicle. RESPONSIBILITIES: Understands and is able to work claims for all major crops, policy/plan types, in all stages of growth. Effectively and clearly communicates regulations and interpretations to producers, agents, and Company staff regarding claims processes. Stays current with RMA-requirements and completes/maintains CAPP certification if working multi-peril crop insurance (MPCI) claims. Maintains a State Adjuster License where required. Does this sound like a good fit for you? Apply today through our website! This position is not eligible for sponsorship for work authorization by Farmers Mutual Hail Insurance Company of Iowa. Therefore, if you will require sponsorship for work authorization now or in the future, we cannot consider your application at this time. Farmers Mutual Hail Insurance Company does not discriminate in employment (EOE). All qualified applicants are encouraged to apply. #LI-DNI
    $43k-56k yearly est. Auto-Apply 60d+ ago
  • Insurance Claims Processor

    Partnered Staffing

    Claim processor job in Des Moines, IA

    Kelly Services is looking to hire several Site Logistics Operators/Material Handlers in Knoxville, TN for an industry leading chemical company. For this opportunity, you could be placed as a Chemical Finished Product Operator or a Polymers Packaging/Warehousing/Shipping Operator on a long-term, indefinite assignment. You will be working with chemicals and should be comfortable doing such - either with previous experience or the willingness to learn. Kelly Services has been providing outstanding employment opportunities to the most talented individuals in the marketplace. We are proud to offer a contract opportunity to work as an Insurance Claims Processor position in a Fortune 500 corporation located in Des Moines, IA! Pay Rate: $13.25 per hour 7:30a - 4p Monday through Friday (unless otherwise specified) Job Information: Responsible for sorting and routing customer and provider claims or inquires to the appropriate areas within and outside the company. Will prepare various claims for entry and ensure all claims are complete and prepares letters to be sent to both members and providers. Pay Rate: $13.25 per hour Requirements: With this specific role, regular attendance is a necessity Medical Claim knowledge strongly preferred. Job Description: Responsible for sorting and routing customer and provider claims or inquires to the appropriate areas within and outside the company. Will prepare various claims for entry and ensure all claims are complete and prepares letters to be sent to both members and providers. Effectively communicates using verbal and written skills with peers, internal and external customers. Ability to work in a fast pace and high production environment. Ensure all claims are complete and prepares letters to be sent to both members and providers. Research errors on claims and provides resolution to allow the claim to be entered into the processing system appropriately. As needed, responsible for the entry, investigation, triage and analysis of basic claims. Completes daily reporting of receipts, production, aging and inventories. Additional Information All your information will be kept confidential according to EEO guidelines.
    $13.3 hourly 60d+ ago
  • Claims Representative

    Ncmic

    Claim processor job in Clive, IA

    Job Purpose: Responsible for the investigation, evaluation, negotiation and resolution of assigned claims, as well as providing policyholders with basic risk management assistance and guidance. Essential Functions 1 Effectively investigate, evaluate, negotiate and resolve claims presented against the insured's of the company within department procedures. Apply medical expertise, solicit subject matter experts and conduct research as needed. Includes working with defense attorneys, claimant, claimant's attorney, and insured. Monitor, evaluate and direct the legal counsel employed for the defense of insured's claims within settlement authority. Handle assigned claims, including court ordered appearances and mediations. 2 Confirm coverage and evaluate petitions as filed against insured. Present appropriate recommendations to Litigation Consultant or Vice-President of Claims in a timely manner. 3 Assist insureds by answering questions, referring to counsel as needed and provide guidance. 4 Performs other job related duties as assigned. Requirements: Education: College degree or equivalent experience. Adjuster license or ability to obtain within 90-120 days if not already licensed. Experience: 3-5 years claims experience with emphasis on general and professional liability claims and/or legal claims experience. AIC, SCLA, RPLU or other professional designations preferred. Skills: Requires negotiation skills, excellent verbal and written communication skills. Excellent presentation skills and interpersonal skills. Requires ability to develop expertise in assigned line of malpractice (medical, dental or legal). Requires knowledge of company coverages, policy terminology and legal concepts. Must maintain confidentiality. Mental Demands: Must have the ability to focus on task for extended periods of time. Must be flexible and have the ability to work with a variety of tasks and employees. Ability to plan, organize, be detail and deadline oriented and maintain a high accuracy rate. Must be able to interpret data/problem solve and make effective decisions with limited or incomplete information. Physical Demands: Continuous sitting for extended periods of time, some standing, walking, bending and reaching. Frequent use of fingers and hands to manipulate computer, telephone and other office equipment. Must be able to travel and work flexible hours. Ability to be able to look and concentrate at a computer/monitor for extended periods of time.
    $30k-41k yearly est. 60d+ ago
  • Claims Processor

    Carrot Fertility

    Claim processor job in Des Moines, IA

    About Carrot: Carrot is a global, comprehensive fertility and family care platform, supporting members and their families through many of life's most memorable moments. Trusted by many of the world's leading multinational employers, health plans, and health systems, Carrot's proven clinical program delivers exceptional outcomes and experiences for members and industry-leading cost-savings for employers. Its award-winning products serve all populations, from preconception care through pregnancy, IVF, male factor infertility, adoption, gestational carrier care, and menopause. Carrot offers localized support in over 170 countries and 25 languages. With a comprehensive program that prioritizes clinical excellence and human-centered care, Carrot supports members and their families through many of the most meaningful moments of their lives. Learn more at get-carrot.com. The Role: In this role, you will be responsible for reviewing incoming member out-of-pocket expenses, as well as expenses incurred using their Carrot Card. You will collaborate with members of the Care team, Customer Success and Finance team to ensure an exceptional member experience. This is an in office position in West Des Moines, Iowa. The needed shift is 8:00 am- 5:00 pm or 10:00 am- 7:00 pm CST, Monday through Friday. Training will take place for the first 4 weeks from 8:00 am- 5:00 pm CST. The Team: This role will coordinate activity between our Payments team and insurance payers to ensure that payment for applicable care is quickly and accurately facilitated. Minimum Qualifications: Bachelors Degree 1-3 years of relevant work experience including claims submission/processing experience Highly detail-oriented and organized Structured thinker and love to check things off your to-do list Excellent verbal and written communication skills Problem-solving skills to analyze, troubleshoot and resolve issues An innovative spirit to push the boundaries of claims operations Preferred Qualifications: Literacy in a language in addition to English (to support the translation of documents) Strong Interpersonal Skills Ability to thrive in a fast-paced, results-oriented environment Solve problems creatively and think on your feet Ability to lean in to changing priorities and processes Track claims and denials through the entire lifecycle Identify gaps in claims and reach out to providers for missing information Help members troubleshoot issues involving claims or eligibility Compensation: Carrot offers a holistic, total rewards package designed to support our employees in all aspects of their life inside and outside of work, including health and wellness benefits, retirement savings plans, short- and long-term incentives, paid time off, sick time, parental leave, family-forming assistance, and a competitive compensation package. This is a non-exempt position with a base pay of $56,000-$64,000 ($26.92/hr.- $30.77/hr.). In addition, this role may include variable compensation based on performance. Overtime pay will apply when required, and paid overtime may be necessary during peak periods. The actual rate of pay will be determined based on job-related skills and experience. Why Carrot? Carrot has received national and international recognition for its pioneering work, including Fast Company's Most Innovative Companies and World Changing Ideas, Inc. Power Partners, and Modern Healthcare's Innovators. Carrot's global workforce has been acknowledged with several accolades, including Fortune's Best Workplaces in Healthcare, Great Place to Work, and Age-Friendly Employer certifications. Carrot is regularly featured in media reporting on issues related to the future of work, women in leadership, and healthcare innovation, including MSNBC, The Economist, Bloomberg, The Wall Street Journal, CNBC, National Public Radio, Harvard Business Review, and more. Learn more at carrotfertility.com.
    $56k-64k yearly Auto-Apply 60d+ ago
  • Adjudicator, Provider Claims

    Molina Healthcare 4.4company rating

    Claim processor job in Des Moines, IA

    Provides support for provider claims adjudication activities including responding to providers to address claim issues, and researching, investigating and ensuring appropriate resolution of claims. - Provides support for resolution of provider claims issues, including claims paid incorrectly; analyzes systems and collaborates with respective operational areas/provider billing to facilitate resolution. - Collaborates with the member enrollment, provider information management, benefits configuration and claims processing teams to appropriately address provider claim issues. - Responds to incoming calls from providers regarding claims inquiries - provides excellent customer service, support and issue resolution; documents all calls and interactions. - Assists in reviews of state and federal complaints related to claims. - Collaborates with other internal departments to determine appropriate resolution of claims issues. - Researches claims tracers, adjustments, and resubmissions of claims. - Adjudicates or readjudicates high volumes of claims in a timely manner. - Manages defect reduction by identifying and communicating claims error issues and potential solutions to leadership. - Meets claims department quality and production standards. - Supports claims department initiatives to improve overall claims function efficiency. - Completes basic claims projects as assigned. **Required Qualifications** - At least 2 years of experience in a clerical role in a claims, and/or customer service setting, including experience in provider claims investigation/research/resolution/reimbursement methodology analysis within a managed care organization, or equivalent combination of relevant education and experience. - Research and data analysis skills. - Organizational skills and attention to detail. -Time-management skills, and ability to manage simultaneous projects and tasks to meet internal deadlines. - Customer service experience. - Effective verbal and written communication skills. - Microsoft Office suite and applicable software programs proficiency. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $21.16 - $38.37 / HOURLY *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
    $21.2-38.4 hourly 10d ago
  • Bilingual Claims Care Representative

    Homesteaders Life Company

    Claim processor job in West Des Moines, IA

    As a Bilingual Claims Care Representative, you will support policyholders, beneficiaries, and other stakeholders throughout the claims process. Your role will include aiding, answering inquiries, processing claims, and ensuring a smooth customer experience. You'll work with a high level of confidentiality and adhere to all privacy regulations with a compassionate team working alongside you. Your responsibilities will include: * Interact with customers via telephone and email to aid with the claims process. * Assist customers in completing claims forms, gathering documentation, and submitting claims for processing in both Spanish and English. Update and maintain records in bilingual communication and documentation as needed. * Review, verify, and process claims in accordance with company procedure and legal requirements * Translate and respond to correspondence and service emails in Spanish. * Collaborate with internal departments such as underwriting, legal, and compliance to ensure complex claims are handled efficiently. * Resolve customer complaints or issues. When appropriate, collaborate with internal departments to resolve escalated cases. Requirements * High school diploma or equivalent * Prior experience in call center environment is required. * Fluency in both Spanish and English verbal and written communication required. * Customer service, claims processing, or a related field, ideally within the insurance industry preferred but not required * Prior experience in using CRM systems, claims management software, and other relevant tools is preferred. * Knowledge of life insurance policies, claims procedures, and relevant regulations is a plus. Our benefits include: * An excellent schedule - office closes at 1 p.m. every Friday * Annual profit sharing * 401(k) with company match with discretionary contribution * Company-sponsored group medical and dental insurance Company-paid life insurance * Company-paid long-term disability * Hybrid work environment * Paid holidays * Generous vacation time and sick leave * Paid parental leave * Casual dress year-round 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. Founded in 1906, Homesteaders is known for secure preneed funding and innovative solutions that help funeral and end-of-life professionals and consumers connect with each other. We are currently not hiring in Colorado, Montana, New York, Illinois, Minnesota, and California. Applicants must be authorized to work for any employer in the U.S. We are unable to sponsor or take over sponsorship of an employment Visa at this time.
    $30k-41k yearly est. 10d ago
  • Claims Representative

    CBCS 4.0company rating

    Claim processor job in West Des Moines, IA

    Job Description Join our Claims Academy - we are building the next generation of expert Claims Adjusters! It's an exciting time at CBCS! We've been experiencing explosive growth, and as a result, we're adding a number of Claims Representatives to our team! No experience? No problem. At CBCS, you'll receive in-depth training, providing you with all the information and tools you'll need to succeed. From day one, you'll be surrounded by and learning from talented industry experts, dedicated trainers, mentors and colleagues all invested in your professional growth! As a Claims Representative you will: Analyze and process claims Talk with injured employees, doctors, CEO's, and attorneys from all across the U.S. Engage private investigators if fraud is suspected Advise clients and negotiate settlements on their behalf Actively manage litigation This position will never leave you bored. No two claims are the same so you'll be constantly learning new things and meeting new people. The ideal candidate will have a Bachelor's degree and prior experience in an office or customer service setting, a competitive spirit, and thrive in a fast-paced professional business environment. Pay & Benefits Salary Most Benefits start Day 1 Medical, Dental, Vision Insurance Flex Spending or HSA 401(k) with company match Profit-Sharing/ Defined Contribution (1-year waiting period) PTO/ Paid Holidays Company-paid ST and LT Disability Maternity Leave/ Parental Leave Subsidized Parking Company-paid Term Life/ Accidental Death Insurance About Cottingham & Butler Claims Services At Cottingham & Butler, we sell a promise to help our clients through life's toughest moments. To deliver on that promise, we aim to hire, train, and grow the best professionals in the industry. We look for people with an insatiable desire to succeed, are committed to growing, and thrive on challenges. Our culture is guided by the theme of "better every day" constantly pushing ourselves to be better than yesterday - that's who we are and what we believe in. As an organization, we are tremendously optimistic about the future and have incredibly high expectations for our people and our performance. Our ability to grow as a company, fuels investments in new resources to better serve our clients and provide the amazing career opportunities our employees want and deserve. This is why we are a growth company and why we are committed to being better every day. Want to learn more? Follow us on ****************** | LinkedIn
    $30k-38k yearly est. 20d ago
  • Insurance Claims Processor

    Partnered Staffing

    Claim processor job in Des Moines, IA

    Kelly Services is looking to hire several Site Logistics Operators/Material Handlers in Knoxville, TN for an industry leading chemical company. For this opportunity, you could be placed as a Chemical Finished Product Operator or a Polymers Packaging/Warehousing/Shipping Operator on a long-term, indefinite assignment. You will be working with chemicals and should be comfortable doing such - either with previous experience or the willingness to learn. Kelly Services has been providing outstanding employment opportunities to the most talented individuals in the marketplace. We are proud to offer a contract opportunity to work as an Insurance Claims Processor position in a Fortune 500 corporation located in Des Moines, IA! Pay Rate: $13.25 per hour 7:30a - 4p Monday through Friday (unless otherwise specified) Job Information: Responsible for sorting and routing customer and provider claims or inquires to the appropriate areas within and outside the company. Will prepare various claims for entry and ensure all claims are complete and prepares letters to be sent to both members and providers. Pay Rate: $13.25 per hour Requirements: With this specific role, regular attendance is a necessity Medical Claim knowledge strongly preferred. Job Description: Responsible for sorting and routing customer and provider claims or inquires to the appropriate areas within and outside the company. Will prepare various claims for entry and ensure all claims are complete and prepares letters to be sent to both members and providers. Effectively communicates using verbal and written skills with peers, internal and external customers. Ability to work in a fast pace and high production environment. Ensure all claims are complete and prepares letters to be sent to both members and providers. Research errors on claims and provides resolution to allow the claim to be entered into the processing system appropriately. As needed, responsible for the entry, investigation, triage and analysis of basic claims. Completes daily reporting of receipts, production, aging and inventories. Additional Information All your information will be kept confidential according to EEO guidelines.
    $13.3 hourly 6h ago
  • Bilingual Claims Care Representative

    Homesteaders Life Company Corp

    Claim processor job in West Des Moines, IA

    Job DescriptionDescription: As a Bilingual Claims Care Representative, you will support policyholders, beneficiaries, and other stakeholders throughout the claims process. Your role will include aiding, answering inquiries, processing claims, and ensuring a smooth customer experience. You'll work with a high level of confidentiality and adhere to all privacy regulations with a compassionate team working alongside you. Your responsibilities will include: Interact with customers via telephone and email to aid with the claims process. Assist customers in completing claims forms, gathering documentation, and submitting claims for processing in both Spanish and English. Update and maintain records in bilingual communication and documentation as needed. Review, verify, and process claims in accordance with company procedure and legal requirements Translate and respond to correspondence and service emails in Spanish. Collaborate with internal departments such as underwriting, legal, and compliance to ensure complex claims are handled efficiently. Resolve customer complaints or issues. When appropriate, collaborate with internal departments to resolve escalated cases. Requirements: High school diploma or equivalent Prior experience in call center environment is required. Fluency in both Spanish and English verbal and written communication required. Customer service, claims processing, or a related field, ideally within the insurance industry preferred but not required Prior experience in using CRM systems, claims management software, and other relevant tools is preferred. Knowledge of life insurance policies, claims procedures, and relevant regulations is a plus. Our benefits include: An excellent schedule - office closes at 1 p.m. every Friday Annual profit sharing 401(k) with company match with discretionary contribution Company-sponsored group medical and dental insurance Company-paid life insurance Company-paid long-term disability Hybrid work environment Paid holidays Generous vacation time and sick leave Paid parental leave Casual dress year-round 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. Founded in 1906, Homesteaders is known for secure preneed funding and innovative solutions that help funeral and end-of-life professionals and consumers connect with each other. We are currently not hiring in Colorado, Montana, New York, Illinois, Minnesota, and California. Applicants must be authorized to work for any employer in the U.S. We are unable to sponsor or take over sponsorship of an employment Visa at this time.
    $30k-41k yearly est. 8d ago

Learn more about claim processor jobs

How much does a claim processor earn in Des Moines, IA?

The average claim processor in Des Moines, IA earns between $21,000 and $51,000 annually. This compares to the national average claim processor range of $26,000 to $62,000.

Average claim processor salary in Des Moines, IA

$33,000

What are the biggest employers of Claim Processors in Des Moines, IA?

The biggest employers of Claim Processors in Des Moines, IA are:
  1. Sedgwick LLP
  2. Carrot Fertility
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