70 Results for

Claims Processor Jobs in Des Moines, IA

Jobs

Des Moines, IA30+ days ago

$24–$28 Per Hour

p>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. 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.

Des Moines, IA22 days ago

Remote

We are open to remote work in the following approved states: Colorado, Florida, Georgia, Illinois, Indiana, Iowa, Michigan, Minnesota, Missouri, Nebraska, New Jersey, North Carolina, Ohio, South Carolina, Texas, Virginia, Wisconsin. We recognize the benefits of employee engagement as an investment in our workforce-both current and future-to effectively seek, leverage, and include differing and unique perspectives that fuel agility and innovation on high-performing teams.

Des Moines, IA30+ days ago

Infosys McCamish was started in 1985 as a virtual insurance company and went to market as a commercial services provider in 1995.It has an outstanding business perspective and an exemplary track record that no other outsourcer of business solutions can claim generating US$16 billion of recurring premium in less than five years as a virtual insurance company.

Infosys McCamish Systems,(https://www.infosysbpm.com/mccamish.html.) located in Atlanta, Georgia, is the Life Insurance and Retirement Services subsidiary of Infosys BPO Limited.

West Des Moines, IA19 days ago

$24–$28 Per Hour

p>Carrot is the leading global fertility and family care platform, built on intelligent care orchestration: the right clinical guidance, at the right moment, in the context of each member's life.

IA12 days ago

$15–$20 Per Hour

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

West Des Moines, IA30+ days ago

p>What You'll Do: As a Claims Representative, you will have a strong focus on customer service, as you will be responsible for promptly and efficiently answering questions from our customers, as well as following up on outstanding issues.

Work Authorization/Sponsorship: At this time, we are not considering candidates that need any type of immigration sponsorship now or in the future, such as additional or permanent work authorization.

West Des Moines, Iowa30+ days ago

What You'll Do: As a Claim Service Representative - MedPay/PIP, you will review, investigate, and evaluate medical and Personal Injury Protection (PIP) claims payments. ·It will be necessary to maintain a professional and productive relationships with agents, policyholders, claimants, doctors, attorneys and others, to bring credit to the claims department and company.

Iowa30+ days ago

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. 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.

Work At Home, IA15 days ago

$18.50–$42.35 Per Hour

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

Des Moines, IA24 days ago

$58,618.44–$75,262.27 Per Year

p>Essential Functions:

Analyzes, investigates, and adjudicates individual/group life, annuity, and critical, chronic, and terminal illness claims to ensure the timely and accurate payment of contract benefits.
Knowledge, Skills, & Abilities:
- Strong knowledge of life, annuity, WOP, contestable, and critical/chronic claims processing including federal and state regulations and tax legalities.

New!

West Des Moines, IA5 days ago

p>What It Takes to Join Our Team:

College degree or equivalent plus at least five years' underwriting or claims experience, or equivalent work experience required with a broad background in property casualty insurance. 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.

West Des Moines, IA30+ days ago

p>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.

Des Moines, IA30+ days ago

Remote

Full-time

Proficient with claim and coding tools and resources, Clinical Decision Support Tool, Current Procedural Terminology, Health Care Financing Administration Common Procedure Coding System, and American Dental coding. Provides clinical and coding-related information to medical director, providers, peer reviewers, Claims Administration, Program Integrity, Quality Management, and/or the Claims Subcontractor as needed.

IA15 days ago

$18.61–$27.79 Per Hour

Business Communications, Claims Processing, Clerical Skills, Data Entry, Detail-Oriented, Documentations, Insurance Claims, Investigative Thinking, Invoice Processing, Invoices, Large Loss Claims, Large Scale Data Processing, Microsoft Excel, Microsoft Office, Office Administration, Organizing, Outbound Calls, Police Reports, Timeliness. In this role, you will handle a variety of administrative tasks, including ordering police reports, submitting claims to other carriers, completing social media and trace report requests, and processing invoices.

Iowa30+ days ago

Clive, IA30+ days ago

$54,000–$57,500 Per Year

For ideas about how you might be able to protect yourself from job scams, visit our scam-awareness page at https://www.progressive.com/careers/how-we-hire/faq/job-scams/. This is a hybrid role, which means you'll work in-office two days that are selected by local leadership and choose where you want to work the other three days, whether that's at home or in the office, for a period of 12 months.

Des Moines, Iowa30+ days ago

Remote

The actual compensation will be influenced by a wide range of factors including, but not limited to previous experience, education, pay market/geography, complexity or scope, specialized skill set, lines of business/practice area, supply/demand, and scheduled hours.

Click Hereto review our U.S. Eligibility Requirements.

Des Moines, IA30+ days ago

Remote

Full-time

Under limited supervision, manages and performs claims department activities related to recoupments and collections, including validation of recoupment setup, conducting collections calls with providers, establishing payment arrangements, tracking and trending outstanding recoupments, establishing payment arrangements, and coordinating collections activities with other departments. Proficient with claim and coding tools such as Supercoder, Clinical Decision Support Tool, Current Procedural Terminology, Health Care Financing Administration Common Procedure Coding System, and American Dental coding.

Des Moines, IA30+ days ago

Remote

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

Des Moines, IA12 days ago

Remote

In this role you will work remotely and be responsible for investigating, evaluating and negotiating minor to complex vehicle repair costs to accurately determine coverage and liability. American Guardian Warranty Services, Inc. (AGWS), an affiliate of Reynolds and Reynolds, is seeking Claims Adjuster - Automotive for our growing team.

Des Moines, IA30+ days ago

Remote

Full-time

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

Des Moines, IA30+ days ago

$62,500–$115,500 Per Year

p>Nationwide pays on a geographic-specific salary structure and placement within the actual starting salary range for this position will be determined by a number of factors including the skills, education, training, credentials and experience of the candidate; the scope, complexity and location of the role as well as the cost of labor in the market; and other conditions of employment.

For NY residents please review the following state law information: Notice of Employee Rights, Protections, and Obligations LS740 (ny.gov) https://dol.ny.gov/system/files/documents/2022/02/ls740_1.pdf.

Work At Home, IA23 days ago

$17–$28.46 Per Hour

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

Johnston, IA30+ days ago

$26.09–$36.53 Per Hour

Regularly interacts with team members, policyholders, agents, legal counsel, medical providers and injured workers to achieve timely and fair resolution of claims while delivering excellent customer service. This position involves reviewing the validity of claims, gathering relevant medical documents and collaborating with the employer and healthcare providers to ensure that the injured workers medical expenses are paid in accordance with the States guidelines and SFM's best practices.

Urbandale, IA30+ days ago

p>As a Casualty Claims Adjuster for commercial lines, youll investigate low to medium level auto and general liability commercial casualty claims in a prompt, equitable manner by analyzing coverage, liability and damages; evaluating reserves; and negotiating settlement or conclusion of claim.

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.

IA17 days ago

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

New!

Des Moines, IA4 days ago

Remote

$18.17–$32.31 Per Hour

For additional information around work authorization needs please use the following links: Nonimmigrant Workers and Green Card for Employment-Based Immigrants Investment Code of Ethics For Principal Global Investors positions, you'll need to follow an Investment Code of Ethics related to personal and business conduct as well as personal trading activities for you and members of your household. Wichita, KS: $18.17 - $24.23 / hour Des Moines, IA: $19.18 - $25.58 / hour Charlotte, NC: $20.19 - $26.92 / hour Chicago/Minneapolis: $22.21 - $29.62 / hour Los Angeles/New York City: $24.23 - $32.31 / hour Time Off Program Personal Time Off (PTO) is provided to hourly (non-exempt) employees and provides a set amount of accrued time earned each pay period.

Des Moines, IA15 days ago

Remote

$20.34–$36.35 Per Hour

Wichita, KS: $20.34 - $27.26 / hour Des Moines, IA: $21.47 - $28.77 / hour Charlotte, NC: $22.60 - $30.29 / hour Chicago/Minneapolis: $24.86 - $33.32 / hour Los Angeles/New York City: $27.12 - $36.35 / hour Time Off Program Personal Time Off (PTO) is provided to hourly (non-exempt) employees and provides a set amount of accrued time earned each pay period. In this fast-paced environment, every single day offers new challenges and the ability to use your excellent analytical, multitasking, prioritization, and interpersonal skills to assist with our clients' short-term disability claims - all during a time in which they may be facing major changes in life.

Des Moines, Iowa9 days ago

Remote

$20.34–$36.35 Per Hour

h2>Nonimmigrant Workers and Green Card for Employment-Based Immigrants. Check out our careers site to learn more about our purpose, values and benefits.

IA12 days ago

Work Environment:

This position is currently able to work remotely from a home office location for day-to-day operations unless occasional travel for meetings, collaborative activities, or team building activities is specified by leadership.

Des Moines, IA17 days ago

Remote

$20.34–$36.35 Per Hour

This includes, but is not limited to students on F1-OPT, F1-CPT, J-1, etc.) For additional information around work authorization needs please use the following links: Nonimmigrant Workers and Green Card for Employment-Based Immigrants Investment Code of Ethics For Principal Global Investors positions, you'll need to follow an Investment Code of Ethics related to personal and business conduct as well as personal trading activities for you and members of your household. Wichita, KS: $20.34 - $27.26 / hour Des Moines, IA: $21.47 - $28.77 / hour Charlotte, NC: $22.60 - $30.29 / hour Chicago/Minneapolis: $24.86 - $33.32 / hour Los Angeles/New York City: $27.12 - $36.35 / hour Time Off Program Personal Time Off (PTO) is provided to hourly (non-exempt) employees and provides a set amount of accrued time earned each pay period.

IA26 days ago

IA10 days ago

$43,888–$85,068 Per Year

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. The ideal candidate brings strong operational leadership, a continuous improvement mindset, and the ability to translate business priorities into daily execution.

Des Moines, IA30+ days ago

$100,000–$125,000 Per Year

KKR aims to generate attractive investment returns by following a patient and disciplined investment approach, employing world-class people, and supporting growth in its portfolio companies and communities.

If you are a qualified individual with a disability or a disabled veteran, you may request a reasonable accommodation if you are unable or limited in your ability to use or access https://www.kkr.com/careers because of your disability.

Des Moines, IA21 days ago

Remote

Work directly with Health Services leadership, Medical Review staff, leadership within Claims and Customer/Provider Services and Network Engagement, Medical Directors to provide medical coding expertise and PGE rule knowledge to resolve complex claims and/or customer and provider issues. Contribute to the achievement of corporate and UM Product Team objectives by independently serving as primary points of contact and UM Product Team Subject Matter Expert/Guest Star to provide expertise to support the various claims processing systems, including but not limited to PGE rules and table maintenance (FACETS and STAR).

Urbandale, IA30+ days ago

p>The SIU Manager will be responsible for overseeing a team of investigators and support specialists, managing complex and high-exposure investigations, and assisting with investigative tools to support the enterprise anti-fraud efforts.

Completion of one or more of the following designations: Fraud Claims Law Specialist (FCLS), Certified Insurance Fraud Investigator (CIFI), Certified Fraud Examiner (CFE), Chartered Property Casualty Underwriter (CPCU), Associate in Claims (AIC).

Urbandale, Iowa30+ days ago

p style="margin:0px">The SIU Manager will be responsible for overseeing a team of investigators and support specialists, managing complex and high-exposure investigations, and assisting with investigative tools to support the enterprise anti-fraud efforts. Company Details:

DES MOINES, IA30+ days ago

Description: Responsible for completion of applications for provider enrollment for Medicare, Railroad Medicare, BCBS, Medicaid, Managed Care payers, and applicable Commercial payers in a timely manner and when received, notification to appropriate staff. Maintains a positive working relationship with co-workers, medical staff, and personnel of other departments, and assists persons needing help as necessary.

New!

Des Moines, IA5 days ago

$30,000–$45,000 Per Year

This is an excellent opportunity for someone who enjoys customer interaction and wants a stable career path with growth potential in the insurance and financial services industry. If you enjoy helping people, solving problems, and working in a fast-paced office environment, this could be a great fit.

Des Moines, IA24 days ago

Patient Assessment: Assess and interpret patients needs/wants based upon prescription requirements, facial features, lifestyle, and occupation, and suggest the most appropriate products (i.e., frames, lens type, coatings). The Retail Sales Associate, also known as a Retail Optician, will primarily assist patients in selecting the eyeglass frames, lenses, and lens coatings that best suit their needs.

Des Moines, IA30+ days ago

Full-time

Educate Homeowners:Explain and build value in our products and services, our brand, discuss the insurance claims process or retail pricing with financing, ensuring the customer understands their exterior home solution options. Midday: Door-to-door canvassing and neighborhood networking, perform exterior inspections, assist homeowner in claim process or retail quote.

IA22 days ago

Remote

$16–$25.50 Per Hour

Verify, create or update patient accounts for billing, prepare insurance claims forms or related documents, and verify completeness and accuracy. Sanford Health, the largest rural health system in the United States, is dedicated to transforming the health care experience and providing access to world-class health care in America's heartland.

IA30+ days ago

$103,400–$149,430 Per Year

p>Preferred Qualifications:

• Experience in clinical practice with a focus in appeals & grievances, claims processing, utilization review or utilization management/case management • Demonstrated understanding of Utilization Review Guidelines (NYS ART 44 and 49 PHL), InterQual, Milliman or Medicare local coverage guidelines • Extensive experience in healthcare appeals • MBA or master's degree from an accredited institution with focus in training & development, education, business, or healthcare administration • Management experience in an operational department within the healthcare industry focused on clinical leadership • Leadership experience in a focus area of operational excellence or audit • Experience developing strategy and processes for a department or function • Experience managing vendors as an extension of a core team • Familiar with creating accountable ownership of a vendor team.

Minimum Qualifications:

• Bachelor's degree from an accredited institution or equivalent work experience • RN • Experience with utilization management or appeals and grievance processing and compliance • Working experience in a fast-paced environment overseeing multiple priorities, tasks and/or teams • Proven track record of exercising independent thinking, ability to problem solve, understand process flows and correlating platforms to recommend and implement solutions • Experience preparing and delivering written and verbal information to multiple types of audiences • Demonstrated ability to build and foster effective relationships.

Urbandale, IA30+ days ago

Berkley Corporation has grown from a small investment management firm into one of the largest commercial lines property and casualty insurers in the United States. Along the way, we've been listed on the New York Stock Exchange, become a Fortune 500 Company, joined the S&P 500, and seen our gross written premiums exceed $10 billion.

IA30 days ago

Remote

$15–$23 Per Hour

p>Processes daily workflow changes that depending on department may include, eligibility verification, verification of information, payment postings, initiating refunds, processing month end, resolving and troubleshooting incidents, reporting, initial billings and re-billings of claims, scanning and indexing of documents, and be the point of contact to provide assistance as needed.

The Associate Insurance Representative processes and monitors unpaid third party insurance, Medicare, Medicaid or government-assisted program accounts for proper reimbursement; primarily but not limited to prebilled accounts.

IA30+ days ago

li>Design end-to-end retrieval-augmented generation (RAG) systems leveraging enterprise knowledge bases, policy documents, SOPs, and historical claims data. Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience.

IA30+ days ago

$83,100–$120,360 Per Year

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

IA30+ days ago

$98,100–$167,850 Per Year

The individual grants settlement authority on the most complex claims valued in excess of Market Claim Office (MCO) and Regional Claim Office (RCO) limits, approving requests to go to trial on cases where the gross exposure is in excess of MCO authority, and general oversight of all large losses for a specific CSA or CSAs. Bodily Injury Claims, Client Counseling, Commercial Insurance Claims, Complex Claims, Conflict Management, General Liability Insurance, Homeowners Claims, Insurance Claims, Insurance Coverage Analysis, Large Loss Claims, Liability Insurance, Multitasking, Personal Injury Claims, Prioritization, Strategic Thinking, Task Management, Time Management.

DES MOINES, IA30+ days ago

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

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Claims Processor Jobs in Des Moines, IA

Claims Processor Carrot Fertility Inc

Appeals Claims Processor Wisconsin Physicians Service Insurance Corp

Process Specialist (Claims Processor) Infosys Ltd

Claims Processor Carrot

Temporary Subrogation Claim Support Processor AAA Southern New England

Claims Representative Farm Bureau Financial Services

Claims Service Representative- Claims Medical Team Farm Bureau Financial Services

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

Senior Claims Benefit Specialist CVS Health Corp

Senior Claims Administrator - EMC Life EMC Insurance Group Inc.

Quality Assurance Specialist (Storm Claims) Farm Bureau Financial Services

Bilingual Claims Care Representative Homesteaders Life Company

Claims Reviewer TriWest Healthcare Alliance

Large Loss Claims Admin Allstate Insurance Company

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

Claims Adjuster Trainee The Progressive Corp

Senior Lost Time Workers Compensation Claims Adjuster - NE, IN, IL, IA, KS, MO Gallagher

Claims Recoup & Collect Anlyst TriWest Healthcare Alliance

Claims Specialist 1-Remote Wellabe Inc

AGWS Auto Claims Adjustor Remote The Reynolds and Reynolds Company

Sr Claims Reviewer TriWest Healthcare Alliance

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

Claim Benefit Specialist CVS Health Corp

Medical-Only Claim Representative-Workers'''' Compensation SFM Mutual Insurance Company

Claim Representative Auto and General Liability W. R. Berkley Corp

Claim Representative Trainee (PIP) AAA Southern New England

Claim Assistant 2 Principal Financial Group Inc

Short Term Disability Claim Analyst 2 Principal Financial Group Inc

Claim Analyst 2 Principal Financial Group

Temporary Subrogation Claim Representative II AAA Southern New England

Claim Analyst 2 - Specialty Products Principal Financial Group Inc

Regional Senior Casualty Claim Specialist - Litigation AAA Southern New England

Supervisor, Service Operations CVS Health Corp

Associate, TPA Management KKR & Co Inc

Health Services Coding Analyst (CPC Required) Blue Cross and Blue Shield Association

SIU Manager W. R. Berkley Corp

SIU Manager Berkley

Provider Enrollment Coordinator Trinity Health

Customer Service Representative Farmers Insurance Pietzsch Agency

Optical Retail Sales Associate PT Des Moines, IA #099 Eyemart Express LLC

Optical Retail Sales Associate PT Ingersoll, IA #302 Eyemart Express LLC

Outside Sales Representative AmeriPro Roofing

Insurance Representative Sanford Health

Mgr Clinical Appeals and Grievances Healthfirst

SIU Investigator W. R. Berkley Corp

Associate Insurance Representative Sanford Health

Applied & Agentic AI Engineer Sedgwick Claims Management Services, Inc.

Appeals and Grievances Clinical Specialist Healthfirst

Large Loss Bodily Injury Adjuster Allstate Insurance Company

Regional Lab Billing Specialist Trinity Health

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