Liability Claims Specialist II
Claim specialist 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.
Auto-ApplyClaims Processor
Claim specialist 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.
Auto-ApplyPublic Adjuster
Claim specialist job in Des Moines, IA
Job DescriptionDescriptionPosition: Production Public Adjuster (Licensed) Location: Primary Locations: KS City, Des Moines IA, State of CO, State of CA, St. Louis, State of IL with emphasis on ChicagoCompensation: $75,000 - $100,000 compensation + Performance-based bonuses
QUICK FACTS:
Must have Public Adjuster License
Must have experience with Xactimate
Must have network of Condo, Apartment, Property Management partners
Must be able to physically examine all buildings top to bottom (roofs as well)
About the Company:A well-established, industry-leading public adjusting firm is seeking motivated and driven Outside Sales Representatives to join our growing team. We specialize in advocating for policyholders, ensuring they receive fair settlements for property damage claims. Our sales team plays a critical role in developing strong client relationships and driving company growth.
Position Overview:We are looking for a results-oriented Outside Sales Representative with a strong background in direct-to-consumer (D2C) or business-to-business (B2B) sales. This role requires a motivated self-starter who thrives in building and maintaining client relationships while working in a fast-paced, competitive environment.
Key ResponsibilitiesKey Responsibilities:
Identify and pursue new business opportunities with homeowners, contractors, and referral partners.
Educate prospective clients on our services and guide them through the insurance claims process.
Develop and maintain a pipeline of leads through prospecting and networking efforts.
Conduct presentations and training sessions to build brand awareness and establish partnerships.
Provide exceptional customer service to existing clients, ensuring their satisfaction and retention.
Work closely with internal teams to optimize the sales process and improve closing rates.
Maintain accurate records of sales activities and client interactions.
Skills, Knowledge and ExpertiseQualifications & Experience:
3+ years of proven sales experience as a licensed Public Adjuster
Strong ability to generate leads, manage relationships, and close deals.
Bachelor's degree in Business, Marketing, Communications, or equivalent experience.
Familiarity with CRM tools, Microsoft Office Suite, and digital communication platforms.
Highly organized with strong follow-through skills in a fast-paced environment.
Public Adjuster license
BenefitsWhat We Offer:
Extensive training and support to help you succeed.
Flexible work environment with opportunities for growth and career advancement.
A team-oriented culture with strong leadership and professional development opportunities.
If you're a highly motivated sales professional looking for a rewarding career with a company that makes a difference, apply today!
3A - Process Specialist - Claims
Claim specialist 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.
Daily Claims Adjuster Des Moines Iowa
Claim specialist job in Des Moines, IA
CENCO Claims is hiring a Daily Property Adjuster to inspect and handle residential and commercial property claims in the Des Moines, IA area. This is a field-based role with steady claim volume and flexible scheduling.
Key Responsibilities:
Conduct on-site inspections and assess property damage
Prepare estimates using Xactimate software
Take clear photos and write accurate reports
Communicate with policyholders and insurance carriers
Submit complete claim files in a timely manner
Qualifications:
2+ years of property adjusting experience preferred
Proficiency in Xactimate
Knowledge of property construction and damage assessment
Strong time management and communication skills
Reliable vehicle and valid driver's license
Active Adjuster License
What We Offer:
Competitive per-claim compensation
Regular claim assignments
Flexible schedule
Support from an experienced claims management team
Opportunities for ongoing work and growth
Apply Now!
Field Claims Adjuster
Claim specialist job in Des Moines, IA
At EAC Claims Solutions, we are dedicated to resolving claims with integrity and efficiency. Join us in delivering exceptional service while upholding the highest standards of professionalism and compliance. Explore more about our commitment to innovation and community impact at **********************
Overview:
Join EAC Claims Solutions as a Property Field Adjuster, where you will be managing insurance claims from inception to resolution.
Key Responsibilities:
- Planning and organizing daily workload to process claims and conduct inspections
- Investigating insurance claims, including interviewing claimants and witnesses
- Handling property claims involving damage to buildings, structures, contents and/or property damage
- Conducting thorough property damage assessments and verifying coverage
- Evaluating damages to determine appropriate settlement
- Negotiating settlements
- Uploading completed reports, photos, and documents using our specialized software systems
Requirements:
- Ability to perform physical tasks including standing for extended periods, climbing ladders, and navigating tight spaces
- Strong interpersonal communication, organizational, and analytical skills
- Proficiency in computer software programs such as Microsoft Office and claims management systems
- Self-motivated with the ability to work independently and prioritize tasks effectively
- High school diploma or equivalent required
- Previous experience in insurance claims or related field is a plus but not required
Next Steps:
If you're passionate about making a difference, thrive on challenges, and deeply value your work, we invite you to apply. Should your application progress, a recruiter will reach out to discuss the next steps.
Join us at EAC Claims Solutions, where your passion meets purpose, and where your contributions truly matter.
Independent Insurance Claims Adjuster in Des Moines, Iowa
Claim specialist job in Des Moines, IA
IS IT TIME FOR A CAREER CHANGE? INDEPENDENT INSURANCE CLAIMS ADJUSTERS NEEDED NOW! Are you ready to embark on a dynamic and in-demand career as an Independent Insurance Claims Adjuster? This is your chance to join a thriving industry with endless opportunities for growth and advancement.
Why This Opportunity Matters:
With the current surge in storm-related events sweeping across the nation, there's an urgent need for new adjusters to meet the escalating demand.
As a Licensed Claims Adjuster, you'll play a crucial role in helping individuals and businesses recover from unforeseen disasters and rebuild their lives.
This is not just a job-it's a rewarding career path where you can make a real difference in people's lives while enjoying flexibility, autonomy, and competitive compensation.
Join Our Team:
Are you actively working as a Licensed Claims Adjuster with 100 claims or more under your belt?
If so, that's great! If not, no problem! Let us help you on your career path as a Licensed Claims Adjuster.
You're welcome to sign up on our jobs roster if you meet our guidelines.
How We Can Help You Succeed:
At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting.
Our expert instructor, with years of industry experience, will provide you with hands-on training, insider tips, and practical insights to prepare you for real-world challenges.
Whether you're a seasoned professional or a newcomer to the field, our training programs are designed to meet you where you are and help you reach your full potential as a claims adjuster.
Don't miss out on this opportunity-let us assist you in advancing your career in claims adjusting and achieving your professional goals. With our guidance and support, you'll have the opportunity to thrive in a dynamic and rewarding industry, making a positive impact on the lives of others while achieving your professional goals.
Seize the Opportunity Today!
Contact us now at ************ or [email protected] to learn more about our training programs and take the first step towards a fulfilling career as a Licensed Claims Adjuster. Visit our website at ******************************** to explore our offerings and view our 375+ Five-Star Google Reviews.
You can also find us on YouTube at: (*********************************************************
and Facebook at: (************************************************** for additional resources and updates.
APPLY HERE
#AdjustersNeeded #CareerOpportunity #ClaimsAdjusterTraining #MileHighAdjustersHouston
By applying to this position, you consent to receive informational and promotional messages from MileHigh Adjusters Houston about training opportunities and related career programs. You may opt out at any time.
Auto-ApplyClaims Representative
Claim specialist 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
Auto-ApplyClaims Adjustor
Claim specialist job in Des Moines, IA
Description We are looking for a dedicated Claims Adjustor to join our team on a contract basis in Des Moines, Iowa. In this role, you will handle medical-only workers' compensation claims, ensuring accuracy and prompt processing. This position requires excellent customer service skills and attention to detail to effectively manage a low volume of daily calls and claims.
Responsibilities:
- Review workers' compensation claims to ensure compliance with medical and insurance standards.
- Process medical-only claims accurately and in a timely manner.
- Communicate with customers to address inquiries and provide exceptional service.
- Collaborate with team members to maintain organized and efficient claim workflows.
- Handle medical billing and insurance claim documentation with precision.
- Monitor and manage medical denials and appeals to resolve issues.
- Support hospital billing processes and ensure proper claim handling.
- Maintain detailed records for claims and related communications.
- Identify discrepancies in claim submissions and take corrective actions.
- Provide regular updates and reports on claim processing activities. Requirements - At least 1 year of experience in medical billing, insurance claims, or a related field.
- Strong knowledge of medical collections and workers' compensation processes.
- Familiarity with medical denials and appeals procedures.
- Experience in hospital billing and insurance claims management.
- Excellent customer service skills with the ability to handle inquiries effectively.
- Strong organizational abilities and attention to detail.
- Ability to manage low volumes of calls (10-20 daily) while maintaining productivity.
- Proficiency in handling medical billing systems and related tools.
Robert Half is the world's first and largest specialized talent solutions firm that connects highly qualified job seekers to opportunities at great companies. We offer contract, temporary and permanent placement solutions for finance and accounting, technology, marketing and creative, legal, and administrative and customer support roles.
Robert Half works to put you in the best position to succeed. We provide access to top jobs, competitive compensation and benefits, and free online training. Stay on top of every opportunity - whenever you choose - even on the go. Download the Robert Half app (https://www.roberthalf.com/us/en/mobile-app) and get 1-tap apply, notifications of AI-matched jobs, and much more.
All applicants applying for U.S. job openings must be legally authorized to work in the United States. Benefits are available to contract/temporary professionals, including medical, vision, dental, and life and disability insurance. Hired contract/temporary professionals are also eligible to enroll in our company 401(k) plan. Visit roberthalf.gobenefits.net for more information.
© 2025 Robert Half. An Equal Opportunity Employer. M/F/Disability/Veterans. By clicking "Apply Now," you're agreeing to Robert Half's Terms of Use (https://www.roberthalf.com/us/en/terms) .
Branch Claims Representative
Claim specialist 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
Auto-ApplyClaims Representative
Claim specialist job in West Des Moines, IA
Will be filled at the appropriate level based on experience Do you thrive in a work environment where you must multi-task and have strong organizational skills? Are you a go-getter with high initiative and a positive attitude? Do you have strong customer service and time management skills? If so, this Claim Representative opportunity could be a great fit for you!
Who We Are: With Farm Bureau Financial Services, our client/members can feel confident knowing their family, home, cars and other property are protected. We value a culture where integrity, teamwork, passion, service, leadership and accountability are at the heart of every decision we make and every action we take. We're proud of our more than 80-year commitment to protecting the livelihoods and futures of our client/members and creating an atmosphere where our employees thrive.
What You'll Do: As a Claim Representative, you will review, investigate, evaluate, negotiate and settle assigned claims involving multi-line insurance coverage that do not require field investigation. You must investigate the facts of the loss, interpret the policy, and determine whether the loss is covered and if our client member is liable. You will also determine the value of lost property and assist in setting reasonable reserves. While handling the claim, you will prepare detailed and organized running notes, written reports and documentation in accordance with established procedures. As a Claim 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, doctors, attorneys, and others.
What It Takes to Join Our Team:
* Associates degree and/or 1-2 years equivalent insurance experience preferred.
* High attention to detail.
* Strong time management and organizational skills.
* Exceptional customer service skills are essential.
* Ability to exercise independent judgment and arrive at decisions through sound, logical reasoning in order to handle complex claims in accordance with policy provisions and compliance guidelines.
* Excellent phone skills required as approximately 50% of time will be spent on the phone.
* Must be PC literate and able to effectively use our systems. Familiarity with Outlook, Microsoft Word and Excel is preferred.
* Strong verbal and written communication skills.
What We Offer You: When you're on our team, you get more than a great paycheck. You'll hear about career development and educational opportunities. We offer an enhanced 401K with a match, low cost health, dental, and vision benefits, and life and disability insurance options. We also offer paid time off, including holidays and volunteer time, and teams who know how to have fun. Add to that an onsite wellness facility with fitness classes and programs, a daycare center, a cafeteria, and for many positions, even consideration for a hybrid work arrangement.
Farm Bureau....where the grass really IS greener! If you're interested in joining a company that appreciates its employees, provides growth and professional development opportunities, and offers great benefits, we invite you to apply today!
Work Authorization / Sponsorship: Applicants must be currently authorized to work in the United States on a full-time basis. We are not able to sponsor now or in the future, or take over sponsorship of, an employment visa or work authorization for this role. For example, we are not able to sponsor OPT status.
Claims Representative
Claim specialist 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.
Claims Follow-up Specialist I (FT)| Business Services | Ames | 2025-245
Claim specialist job in Ames, IA
McFarland Clinic is currently accepting applications for Claims Follow-up Specialist for its Ames office. Candidates should be service-oriented, a team player, and be able to provide extraordinary care, every day to our patients.
Responsibilities include: Applies insurance carrier guidelines to submit accurate claims for proper reimbursement. â Maintains broad knowledge of Epic not limited to Prelude, Cadence, Ambulatory and Professional Billing. â Utilizes insurance and billing expertise to resolve denials and patient questions/concerns filtered through Patient Services Reps regarding their billing statements and insurance notifications. â Stays current with changes in reimbursement regulations. â Reviews open claims for correct and timely remittances. â Reviews documentation and provides responses to insurance carriers to assist in resolving claim denials. â Reviews and processes record requests from insurance companies. â Answers telephone and provides information as necessary. â Attends required meetings and participates on committees as requested. â Participates in professional development activities and maintains professional affiliations. â Maintains patient confidentiality. â Performs related work as required. â Other duties as assigned
Education
High School Diploma, GED or HiSET
Days: Monday - Friday.
Hours: 8:00 AM - 4:00PM.
Experience
2 years of medical coding experience with exposure to coding activities or insurance claims preferred.
Pre-employment drug screen and criminal history background checks are a condition of hire.
Benefits
McFarland Clinic offers a comprehensive benefits package, including health and dental insurance, 401(k), and PTO. Click here for details.
McFarland Clinic is central Iowa's largest physician-owned multi-specialty clinic. Join our team and join a group of caring professionals, dedicated to providing Extraordinary Care, Every Day! We value quality care and extraordinary service, trusting relationships and an exceptional workplace. Our organization has more than 75 years experience of caring for people. We welcome applicants who can help us enhance the health and well-being of our patients and communities we serve.
McFarland Clinic is an Equal Opportunity Employer
McFarland Clinic makes every effort to comply with all requirements of federal, state and local laws relating to Equal Employment Opportunity.
Crop Insurance Adjuster I - PT East Central Ohio
Claim specialist 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
Auto-ApplyInsurance Follow-Up Specialists
Claim specialist job in Des Moines, IA
HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!
Job Description
Are you an experienced Medical Biller or Insurance Follow-up Specialist in the Des Moines, IA area seeking a great career opportunity? Have you recently been seeking out prestigious, national healthcare companies with which to further your longterm goals? Are you seeking REAL advancement opportunities in-house with a Fortune 500 company? If you answered “yes" to any of these questions - then this opportunity may be for you!
**These are Temp-to-Permanent openings, so we CAN beat your current payrate during the training period. Offers will only be made to candidates who display career aspirations, as this is NOT a short-term opportunity**
Daily Responsibilities:
In this role, you will be conducting insurance follow-up on all final billed claims. You will be conducting research on denied claims and taking steps towards resolution. Qualified candidates will be responsible for correcting claims errors and re-submitting claims for payment. This role does require intermediate starting experience with Microsoft Word & Excel to maintain/update spreadsheets and reports.
Shift:
Monday-Friday / 8:00 am - 5:00 pm (hours will be flexible beyond initial training)
Advantages of this Opportunity:
Competitive hourly pay above regional average!
Longterm stability and individual professional growth potential from a national Healthcare company that continues to grow!
Daytime, weekday schedule.
You will have the opportunity to add great experience to your resume, while getting the chance to network with several future colleagues in a highly-competitive insurance claims field.
Qualifications
1+ RECENT years of medical billing or insurance follow-up experience from a hospital, physician group, or third-party setting
Previous experience with either UB-04, UB-92, or HCFA1500 claims forms
Full understanding of the insurance denials / appeals process
Excellent computer skills with emphasis on use of Excel spreadsheets
High School Diploma or GED
Additional Information
Interested in hearing more about this great opportunity? Reach out to Eric Westerfield at HealthCare Support Staffing for IMMEDIATE, SAME-DAY consideration. Interviews are being held THIS WEEK and immediate offers will be extended. Click APPLY NOW for more information; we look forward to hearing for you!
Insurance Specialist
Claim specialist job in Urbandale, IA
Job DescriptionDescription:
AMBA is seeking a talented Life and Health Insurance Specialist to join our growing team! We are looking for someone who is detail-oriented, a critical thinker, and highly adaptable and can thrive in an agile, team-oriented environment.
About AMBA
Since 1981, AMBA has been a trusted provider of essential coverage for retired public servants nationwide. Our reach extends to diverse groups, including hardworking public employees, state retirees, educators, military personnel, trade professionals, firefighters, law enforcement, Unions, Alumni groups, Allied Healthcare, and other non-profit associations. As a full-service marketing and membership development company, we proudly offer outstanding insurance services to our vast network of 44 million members across 450+ associations in all 50 states.
Benefits
Comprehensive benefits package including medical, dental, and vision insurance, spending accounts, and other voluntary benefits.
Annual Bonus Program.
Corporate 401k Matching.
Generous time off including vacation days, 10 paid company holidays, and paid parental leave.
Sick time that can be used for both physical and mental wellness days.
Community Involvement perks, including 1 paid day off each year to volunteer with a local charity of your choice and company volunteer events.
Free, confidential counseling and support through our Employee Assistance Program (EAP).
Support & development to cultivate your knowledge and continuing education to support your professional designations.
Business casual dress code.
Hybrid work arrangement.
About the Role
The Insurance Specialist supports the organization by ensuring accurate and timely processing of all policy transactions. This role is responsible for completing all functions associated with the record maintenance system, inputting transactions across multiple systems, and maintaining accurate records. As an entry-level individual contributor, this role applies attention to detail, critical thinking, and analytical skills to deliver high-quality work while continuing to develop expertise through collaboration with managers and senior team members.
Day to Day
Process applications, determines eligibility, and issues or declines coverage.
Ensure correct processing guidelines are used for each application, change, and update received from clients.
Perform follow up process as needed by matching issuance output to files and verifying correspondence.
Order system letters for missing information and approvals, creates free form letters, and ensures that proper documentation is recorded.
Communicate with colleagues to obtain or provide information.
Manage tasks according to guidelines to meet departmental standards, based on turnaround time, quality and production standards and client/carrier specific guidelines.
Collaborate with internal teams to ensure alignment with operational standards and regulatory requirements, while identifying opportunities to improve efficiency and accuracy.
Other duties as assigned.
Requirements:
High school diploma or equivalent.
Strong organizational and time-management skills, with the ability to prioritize tasks and meet production requirements.
Excellent written and verbal communication skills to effectively interact with both internal and external customers.
Detail-oriented, ensuring accuracy in all work.
Quick thinker with the ability to adapt to changing priorities and environments.
Proficient in navigating multiple systems independently.
Skilled in Microsoft Word, Outlook, and Excel.
AMBA is an equal opportunity employer committed to providing a workplace free from harassment and discrimination. We celebrate the unique differences of our employees because that is what drives curiosity, innovation, and the success of our business. We do not discriminate based on race, religion, color, national origin, gender, sexual orientation, gender identity or expression, age, marital status, veteran status, disability status, pregnancy, parental status, genetic information, political affiliation, or any other status protected by the laws or regulations in the locations where we operate. We value diversity and the skills, knowledge, and experience that difference brings to our culture, attracting top talent with shared values and forming the foundation for a great place to work.
Claims Processor
Claim specialist 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.
Auto-ApplyClaims Representative
Claim specialist 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
Independent Insurance Claims Adjuster in Ames, Iowa
Claim specialist job in Ames, IA
IS IT TIME FOR A CAREER CHANGE? INDEPENDENT INSURANCE CLAIMS ADJUSTERS NEEDED NOW! Are you ready to embark on a dynamic and in-demand career as an Independent Insurance Claims Adjuster? This is your chance to join a thriving industry with endless opportunities for growth and advancement.
Why This Opportunity Matters:
With the current surge in storm-related events sweeping across the nation, there's an urgent need for new adjusters to meet the escalating demand.
As a Licensed Claims Adjuster, you'll play a crucial role in helping individuals and businesses recover from unforeseen disasters and rebuild their lives.
This is not just a job-it's a rewarding career path where you can make a real difference in people's lives while enjoying flexibility, autonomy, and competitive compensation.
Join Our Team:
Are you actively working as a Licensed Claims Adjuster with 100 claims or more under your belt?
If so, that's great! If not, no problem! Let us help you on your career path as a Licensed Claims Adjuster.
You're welcome to sign up on our jobs roster if you meet our guidelines.
How We Can Help You Succeed:
At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting.
Our expert instructor, with years of industry experience, will provide you with hands-on training, insider tips, and practical insights to prepare you for real-world challenges.
Whether you're a seasoned professional or a newcomer to the field, our training programs are designed to meet you where you are and help you reach your full potential as a claims adjuster.
Don't miss out on this opportunity-let us assist you in advancing your career in claims adjusting and achieving your professional goals. With our guidance and support, you'll have the opportunity to thrive in a dynamic and rewarding industry, making a positive impact on the lives of others while achieving your professional goals.
Seize the Opportunity Today!
Contact us now at ************ or [email protected] to learn more about our training programs and take the first step towards a fulfilling career as a Licensed Claims Adjuster. Visit our website at ******************************** to explore our offerings and view our 375+ Five-Star Google Reviews.
You can also find us on YouTube at: (*********************************************************
and Facebook at: (************************************************** for additional resources and updates.
APPLY HERE
#AdjustersNeeded #CareerOpportunity #ClaimsAdjusterTraining #MileHighAdjustersHouston
By applying to this position, you consent to receive informational and promotional messages from MileHigh Adjusters Houston about training opportunities and related career programs. You may opt out at any time.
Auto-ApplyPublic Adjuster
Claim specialist job in Des Moines, IA
Department
Insurance & Financial Services
Employment Type
Full Time
Location
Iowa
Workplace type
Hybrid
Compensation
$90,000 - $120,000 / year
Key Responsibilities Skills, Knowledge and Expertise Benefits About The Misch Group Stone Hendricks Group is a direct-hire search firm that brings together years of experience and a diverse range of talent to connect businesses with exceptional job candidates. With a focus on timely and effective recruitment, we understand the power of a well-formed employee base in helping businesses achieve their goals. We offer our services to businesses of all sizes, providing qualified candidates for blue- and grey-collar roles, as well as white-collar and executive positions. The success of our direct-hire search process is driven by our advanced training, proprietary technology, and extensive network across industries. At Stone Hendricks Group, we value integrity and prioritize connectedness, commitment, and candor in our interactions with both employers and job seekers. Our clients consider us trusted advisors, relying on the highly personalized service we provide and our ability to find candidates that are an ideal fit for their unique needs. Choose Stone Hendricks Group for unsurpassed direct-hire search services that match successful organizations with talented job candidates.