Claim Processor Jobs in Des Moines, IA

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Senior Claims Analyst
  • Claims Analyst Hybrid

    Ascendo Resources 4.3company rating

    Claim Processor Job In Des Moines, IA

    We are hiring for a dynamic sales and marketing company specializing in merchandising products in retail stores. We work closely with brands and retailers to ensure successful in-store execution. Our team is dedicated to delivering top-notch service and seamless project execution. Job Overview: We are seeking a detail-oriented Claims Analtst to serve as the first point of contact for clients regarding issues related to contracts, projects, and missing or incorrect deliverables. This role ensures that all claims are handled efficiently and resolved in a timely manner while maintaining strong client relationships. Key Responsibilities: Act as the primary contact for client claims related to incorrect or missing project details, deliverables, and contract issues. Investigate and document client concerns, gathering necessary information to facilitate resolution. Coordinate with internal teams (sales, marketing, merchandising, and operations) to resolve discrepancies and ensure prompt corrective action. Maintain accurate records of claims, resolutions, and communication history. Provide updates to clients on claim status and resolution timelines. Identify recurring issues and suggest process improvements to minimize future claims. Ensure compliance with company policies and client agreements when processing claims. Support contract review processes to identify potential risks or inconsistencies. Qualifications & Skills: Previous experience in claims processing, client services, or a similar role preferred. Strong problem-solving and critical-thinking skills. Excellent communication and interpersonal skills. Highly organized with keen attention to detail. Ability to multitask and manage multiple claims efficiently. Proficiency in Microsoft Office (Excel, Word, Outlook) and CRM software. Experience in sales, merchandising, or project management is a plus.
    $29k-35k yearly est. 22d ago
  • Claims Processor

    Carrot Fertility

    Claim Processor Job 9 miles from Des Moines

    About Carrot: Carrot Fertility is the leading global fertility, family-building, and lifelong hormonal healthcare platform providing care for everyone, everywhere. Trusted by more than a thousand multinational employers, health plans, and health systems, Carrot's comprehensive clinical program delivers industry-leading cost savings for employers and award-winning experiences for millions of people worldwide. From maternity through menopause and pre-pregnancy through parenting, Carrot is dedicated to expanding access and improving outcomes. Carrot empowers members with compassionate, personalized, and inclusive support. The Role: In this role, you will be responsible for reviewing incoming member out-of-pocket expenses, as well as expenses incurred using the Carrot Card. You will collaborate with members of the Care team, Customer Success and Finance team to ensure an exceptional member experience. You need to be able to work between the hours of 6 am- 3 pm or 10 am-7 pm CST, while noting our operations hours are 6am-8pm CST. This role will be based in office in West Des Moines, Iowa. The Team: The Payments team is a group of compassionate and dedicated individuals focused on contributing to Carrot's mission of inclusivity and accessibility in fertility and family-forming services. This team is responsible for adjudicating all incoming member reimbursement requests, while ensuring an exceptional member experience. The team will coordinate activity with 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 customer service and claims processing experience * Highly detail-oriented with superior multi-tasking skills * Ability to work independently with little management or direction on routine duties or projects * Exceptional verbal and written communication skills * Strong problem-solving skills to analyze, troubleshoot and resolve issues * Ability to empathetically support a diverse member population through all paths to parenthood * An innovative spirit to push the boundaries of claims operations Preferred Qualifications: * Knowledgable with insurance regulations and industry best practices * Experience working at a fast-growing tech company or digital health company * Proficiency and comfort using business tools (e.g., Jira, Confluence, Zendesk, Airtable, G-Suite) 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, parental leave, family-forming assistance, and a competitive compensation package. The starting base salary for this position will range from $56,000-$64,000 ($26.92/hr.- $30.77/hr.). Actual compensation may vary from posted base salary depending on your confirmed 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 2d ago
  • Claims Lead Analyst

    Ford Motor Company 4.7company rating

    Claim Processor Job In Des Moines, IA

    We are the movers of the world and the makers of the future. We get up every day, roll up our sleeves and build a better world -- together. At Ford, we're all a part of something bigger than ourselves. Are you ready to change the way the world moves? **In this position...** You will be a part of a unique team with an opportunity to be at the birth of a brand new order processing system that is replacing a 44 year old system/process. You will also gain more exposure of other areas of the business such as; purchasing, supply chain, transportation, etc. **This position is located in Dearborn, MI and is a hybrid role.** **What you'll do...** Lead development efforts for claims/returns modernization, ensuring current and future business requirements are met with new system design: \> Claims workflows and automation \> Re-routing claims for high damage parts from air to truck \> Reverse logistics setup \> 60-day returns + Develop process maps and system specifications for the new order management system related to claims and returns + Develop and perform test cases and analysis to ensure system output meets specifications + Develop training document for internal and external users + Collaborate with internal and external users (Dealers, Distributors, Commercial/Fleet, Export, etc.) to develop system design + Develop metrics and analytics to ensure system performance **You'll have:** + Previous experience with legacy claims processing system + Knowledge of warehouse operations with respect to claims processing + 2 years experience in NA warehouse transportation, with a strong understanding of NA transportation processes + Prior experience with system improvement implementation + Analytical skills (data analysis, test case development, etc.) + Ability to work in a global team environment - strong collaboration skills required + Strong communication and listening skills + Experience with MS Office (Word, Excel, PowerPoint, etc.) **Even better, you may have...** + Experience with Ford Parts, Supply & Logistics Systems (MMP, PCS, EPRS, uSAP preferred) You may not check every box, or your experience may look a little different from what we've outlined, but if you think you can bring value to Ford Motor Company, we encourage you to apply! As an established global company, we offer the benefit of choice. You can choose what your Ford future will look like: will your story span the globe, or keep you close to home? Will your career be a deep dive into what you love, or a series of new teams and new skills? Will you be a leader, a changemaker, a technical expert, a culture builder...or all of the above? No matter what you choose, we offer a work life that works for you, including: + Immediate medical, dental, and prescription drug coverage + Flexible family care, parental leave, new parent ramp-up programs, subsidized back-up childcare and more + Vehicle discount program for employees and family members, and management lease + Tuition assistance + Established and active employee resource groups + Paid time off for individual and team community service + A generous schedule of paid holidays, including the week between Christmas and New Year's Day + Paid time off and the option to purchase additional vacation time. For a detailed look at our benefits, click here: ********************************** This position is a range of salary grades **SG7-SG8** . **Visa sponsorship is not available for this position.** **Requisition ID** : 34629
    $59k-89k yearly est. 60d+ ago
  • Commercial Claims Examiner II

    Merchants Bonding Company 3.3company rating

    Claim Processor Job 9 miles from Des Moines

    Job Details West Des Moines, IADescription Claim Investigation and Loss Analysis Reviews and analyzes correspondence and documents primarily submitted by claimants and principals, interviews involved persons and requests additional documentation in order to determine loss and exposure. Documents investigation efforts in claim file and maintains relevant file documentation within SIMS claim file. If necessary, retains consultants or outside counsel to assist with claim investigation, defense, or salvage and indemnity aspects of claim. Evaluates potential sources of salvage, reimbursement and indemnification for any loss or expense that may be paid. Pursues recovery of loss, expenses and costs in accordance with the terms of the indemnity agreement or the surety's statutory or common law equitable rights or rights of equitable subrogation as appropriate. Negotiates directly with stakeholders to resolve claims, including creating secured re-payment plans, referrals to collection agencies or pursuing indemnity actions. Drafts reasoned determination letters and reviews recommendations with Senior Claims Attorney - Commercial Claims Manager, as appropriate. Prepares documentation for payments. Makes decisions regarding collateral or other indemnity or subrogation rights with assistance of Senior Claims Attorney - Commercial Claims Manager as appropriate. Coordinates with accounting on large losses or to establish cash collateral accounts. Obtains reimbursement pursuant to agreements such as collateral trust agreements. Audits journal entries periodically for accuracy. Makes reserve recommendations and posts reserves. Conducts review of entire principal account, including open bonds, principal file and involves underwriters and agents as appropriate. Prepares correspondence and documents for claimants, principals or third parties along with underwriters and agents, if necessary. Attend meetings and legal proceedings independently or in collaboration with Senior Claims Attorney - Commercial Claims Manager as appropriate in connection with claims handling process. Prepares and delivers presentations within the organization and participates in learning opportunities with underwriters and other internal staff. Research and Consultation Seeks legal counsel or retains consultants as appropriate based on the merits of the claims. Audits outcomes and performance to assure competence. Reviews bills for accuracy and reasonableness. Authorizes payment. Stays abreast of commercial claims handling requirements in corresponding jurisdictions and attends required claim and anti-fraud training. Reviews and analyzes bond language, contracts, codes, statutes and case law, as applicable to specific claims. Stays abreast of statutory changes or other developments potentially impacting bond liability. Coordinates with the compliance department to obtain new licenses, if appropriate. Assists claims department with projects as required from time to time. Provides support to key agency partners. Participates in mentorship and training of commercial claims examiners. Reporting Prepares year end reports, as required, for files by reviewing: status of open claims, principal's financial condition and evaluating accounts for necessary reserve changes. Prepares closing memorandums summarizing the claim issues and resolution as well as losses incurred and salvage recovered. Prepare claim summaries or other reports for compliance department as necessary. Attends industry conferences and events as appropriate. Assists management with monthly reporting to key agency partners as requested. Prepare reserve summaries with assistance of management for internal and external reporting purposes. Qualifications Education and Experience: Bachelor's degree in Finance, Accounting, Business or Economics or equivalent work experience plus 10+ years of experience investigating and adjudicating commercial claims in the surety industry. Per the claims adjuster licensing policy, must be able to acquire within the first 30 days of employment and maintain an adjuster's license in every state that requires a license. Competencies: Excellent written and verbal communication skills; able to work well with diverse groups of peers; communicate positively and respectfully; provide excellent customer service to external and internal stakeholders; self-motivated to work independently; balance workload assignments within time constraints; problem-solving and research skills; accuracy; business acumen, and retain strict confidentiality. Experience with word processing, spreadsheets, and a working knowledge of Microsoft Office products preferred. Essential Functions: This associate needs to have critical thinking skills to investigate and adjudicate claim situations. They need to be able to physically examine construction sites and claims locations. They require a high degree of detail orientation and accuracy in their work and able to communicate complex concepts in an understandable way. Physical Demands: The physical demands described here are representative of those that must be met by an associate to successfully perform the essential functions of the job. Reasonable accommodations may be made to enable associate's with disabilities to perform essential functions. The associate's work is performed in an office environment and requires the ability to operate standard office equipment and keyboards; and repetitive motion with substantial movements (motions) of the wrists, hands, and/or fingers. The associate frequently is required to sit walk; climb; balance and stoop, kneel, crouch, or crawl. The associate may, infrequently, be asked to lift and/or move up to 25 pounds. The associate is required to have close visual acuity to perform an activity such as: preparing and analyzing data and figures. Working Conditions: The work environment characteristics described here are representative of those associate encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions. While performing the duties of this job, the associate is exposed to normal office working conditions that are climate-controlled. The associate would not be exposed to extreme heat cold or other workplace hazards. The noise level in the work environment is usually low. This job description is not intended to be an exhaustive list of skills, efforts, duties, responsibilities or working conditions associated with this position. The Commercial Claims Examiner II assumes other responsibilities as assigned by the VP - Claims.
    $28k-40k yearly est. 28d ago
  • Claims Examiner, Bodily Injury

    Sedgwick 4.4company rating

    Claim Processor Job In Des Moines, IA

    Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It's an opportunity to do something meaningful, each and every day. It's having support for your mental, physical, financial and professional needs. It means sharpening your skills and growing your career. And it means working in an environment that celebrates diversity and is fair and inclusive. A career at Sedgwick is where passion meets purpose to make a positive impact on the world through the people and organizations we serve. If you are someone who is driven to make a difference, who enjoys a challenge and above all, if you're someone who cares, there's a place for you here. Join us and contribute to Sedgwick being a great place to work. Great Place to Work Most Loved Workplace Forbes Best-in-State Employer Claims Examiner, Bodily Injury **PRIMARY PURPOSE** : To analyze and process complex auto and commercial transportation claims by reviewing coverage, completing investigations, determining liability and evaluating the scope of damages. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Processes complex auto commercial and personal line claims, including bodily injury and ensures claim files are properly documented and coded correctly. + Responsible for litigation process on litigated claims. + Coordinates vendor management, including the use of independent adjusters to assist the investigation of claims. + Reports large claims to excess carrier(s). + Develops and maintains action plans to ensure state required contact deadlines are met and to move the file towards prompt and appropriate resolution. + Identifies and pursues subrogation and risk transfer opportunities; secures and disposes of salvage. + Communicates claim action/processing with insured, client, and agent or broker when appropriate. **ADDITIONAL FUNCTIONS and RESPONSIBILITIES** + Performs other duties as assigned. + Supports the organization's quality program(s). + Travels as required. **QUALIFICATIONS** **Education & Licensing** Bachelor's degree from an accredited college or university preferred. Professional certification as applicable to line of business preferred. Secure and maintain the State adjusting licenses as required for the position. **Experience** Five (5) years of claims management experience or equivalent combination of education and experience required to include in-depth knowledge of personal and commercial line auto policies, coverage's, principles, and laws. **Skills & Knowledge** + In-depth knowledge of personal and commercial line auto policies, coverage's, principles, and laws + Knowledge of medical terminology for claim evaluation and Medicare compliance + Knowledge of appropriate application for deductibles, sub-limits, SIR's, carrier and large deductible programs. + Strong oral and written communication, including presentation skills + PC literate, including Microsoft Office products + Strong organizational skills + Strong interpersonal skills + Good negotiation skills + Ability to work in a team environment + Ability to meet or exceed Service Expectations **WORK ENVIRONMENT** When applicable and appropriate, consideration will be given to reasonable accommodations. **Mental:** Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines **Physical:** Computer keyboarding, travel as required **Auditory/Visual:** Hearing, vision and talking _As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is_ **_$65,000- $77,000_** _. A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits._ **_Always accepting applications._** The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time. at any time. Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace. **If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.** **Taking care of people is at the heart of everything we do. Caring counts** Sedgwick is a leading global provider of technology-enabled risk, benefits and integrated business solutions. Every day, in every time zone, the most well-known and respected organizations place their trust in us to help their employees regain health and productivity, guide their consumers through the claims process, protect their brand and minimize business interruptions. Our more than 30,000 colleagues across 80 countries embrace our shared purpose and values as they demonstrate what it means to work for an organization committed to doing the right thing - one where caring counts. Watch this video to learn more about us. (************************************** BGSfA)
    $24k-32k yearly est. 60d+ ago
  • Commercial Bodily Injury Claims Supervisor

    Cottinghambutlerinsuranceservicesinc

    Claim Processor Job In Des Moines, IA

    Cottingham & Butler Claims Services was built upon driven, ambitious people like yourself. “Better Every Day” is not just a slogan, it is a promise we make to ourselves and our clients. We are looking to add an experienced Claims Supervisor to our team. As a Claims Supervisor, you will be responsible for: Management - supervising a team of Auto/Liability/Bodily Injury Adjusters, coordinating their training and development, and ensuring they develop to their fullest capabilities and provide the same high level of service. Compliance - ensures that claims handling is conducted in compliance with applicable statutes, regulations and other legal requirements, and that all applicable company procedures and policies are followed. Claims - investigating, taking statements, estimating damages, determining liability, denying claims, subrogation, litigation, etc. The ideal candidate for this position will have 5+ years of commercial bodily injury adjusting experience and 1-5 years of management experience. Do you think this might be a fit for you? Send us your resume - we'd love to talk! Pay & Benefits Salary - Flexible based on your experience level. 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 Company-paid Term Life/ Accidental Death Insurance About the company At Cottingham & Butler, we sell a promise to help our clients through life's toughest moments. To ensure we keep that promise, we hold ourselves to a set of principles that we believe position our clients and our company for long-term success. Our Guiding Principles are not just words on paper, they are a promise we make to ourselves and our clients. These principles have become a driving force of our culture and share many common themes with the values of our clients. First, we hire and develop amazing people that have an insatiable desire to succeed, are committed to learning, and thrive on challenges. Secondly, we pride ourselves on serving our clients' best interests through quality service, innovative solutions, and constantly evaluating our performance. Third, we have embraced and are guided by the theme of "better every day" constantly pushing ourselves to be better than yesterday. Ultimately, we get more energy from the future we are creating for our people, our clients, and our company than from our past success. As an organization, we are very optimistic about the future and have incredibly high expectations for our people and our performance. We also understand that our growth is fueled by becoming better, not bigger - growth funds investments in new resources to better serve our clients and provide the 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.
    $40k-68k yearly est. 1d ago
  • Claims Specialist

    Assuredpartners 4.2company rating

    Claim Processor Job 9 miles from Des Moines

    The Claims Specialist administers information from clients by phone, email and fax to process insurance claims. They work with clients, adjusters, and producers on claims status, problems, and questions. Additionally, this role is responsible for managing claims, collaborating with insureds, and assisting with problem solving in conjunction with Senior Claims Specialists, Director of Claims and Producers. The Ideal Candidate You have a customer service mindset and enjoy solving people's problems with a smile You are a dependable team player and are able to get the work done as assigned to you You are good at written and verbal communication If this sounds like you, we invite you to keep reading and apply! What You'll Do Reports claims for clients and works directly with both insureds and claimants to identify new claims. Reviews claim forms and related documents for completeness and calls or writes insured or other involved persons for missing information and posts or attaches information to claim file. Follows up on claims to secure Adjuster and claim number and updates claim reporting information for companies. Serves as contact between Insurance Carrier Adjuster and Client for claims related issues. Resolves coverage questions to provide best possible claim outcomes for clients. Resolves customer claim issues in coordination with Senior Claims Specialist, Director of Claims and Producers in order to reduce E&O exposure. Other duties as assigned. What's in it For You? To help you make the best decision for your personal growth, it's important to us to share a glimpse of what we offer our top asset, our people: Competitive base salary Generous 30+ Days Comprehensive Paid Time Off Package inclusive of Paid Time Off, 10 Company Holidays, 2 Floating Holidays, 5 Sick Days, and 2 Volunteer Days Health benefit options with you in mind; 5 affordable medical plan options with rates based on your salary, company paid HSA contribution with eligible HSA plan selection, 2 dental plan options offering orthodontia coverage and 3 cleanings per year, and 2 vision plan options Company match 401(k) plan - 50% up to 6%! Support of your fitness wellness goals! We offer up to 75% off at over 11,000 gyms and fitness centers Opportunity to prioritize your mental health with 24/7 access to licensed therapists Pet benefits & discounts Access to our Employee-led Resource Groups (ERGs) that lend a voice to the variety of demographics represented throughout AssuredPartners What You'll Need Advanced degree from college or technical school; or 4-8 years of related experience and/or training; or equivalent combination of education and experience Property & Casualty claims experience with carrier, third-party administrator (TPA) and/or agency/broker required Experience with specialty lines claims a plus Must meet any local or state license/designation requirements Tech savvy; ability to learn multiple systems including Microsoft Office Suite and Agency Management software Strong organization and communication skills Grow, with us AssuredPartners is passionate about fueling our clients' innovation and growth. That makes us the perfect place for creative, dynamic people who want to grow their career while helping businesses, families and people thrive. We're proud to be the fastest-growing independent insurance broker in America, but we're even prouder of the honest, caring relationships that our employees build with our clients every day. Working with us will give you the opportunity to do work that matters while you learn with us, advance with us, and most importantly, grow with us. AssuredPartners is committed to embracing diversity, equity and inclusion to create a workplace that welcomes and thrives on the unique experiences, perspectives and contributions of all team members. AssuredPartners is bringing the best people and most diverse talent forward to drive growth, innovate and think bigger!
    $44k-70k yearly est. 1d ago
  • Liability Claims Specialist

    HMA Group Holdings 3.7company rating

    Claim Processor Job 14 miles from Des Moines

    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. The salary range for this role is $45,00 - $78,000. Compensation is based on several factors, including, but not limited to, education, work experience and industry certifications. In addition to your salary, Holmes Murphy offers a comprehensive total rewards program including annual bonuses, total wellbeing benefits and support for professional development. #LI-EG1
    $78k yearly 41d ago
  • Sr Analyst, Healthcare Claims Analytics (SQL, Power BI)

    Molina Healthcare 4.4company rating

    Claim Processor Job In Des Moines, IA

    Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and cost containment information. Evaluates, writes, and presents healthcare utilization and cost containment reports and makes recommendations based on relevant findings. **KNOWLEDGE/SKILLS/ABILITIES** + Develop ad-hoc reports using SQL programming, SQL Server Reporting Services (SSRS), Medinsight, RxNavigator, Crystal Reports, Executive Dashboard, and other analytic / programming tools as needed. + Generate and distribute standard reports on schedule using SQL, Excel, and other reporting software. + Create new databases and reporting tools for monitoring, tracking and trending based on project specifications. + Collects and documents report / programming requirements from requestors to ensure appropriate creation of reports and analyses. Uses peer-to-peer review process and end-user consultation to reduce report writing errors and rework. + Responsible for timely completion of projects, including timeline development and maintenance; coordinates activities and data collection with requesting internal departments or external requestors. + Identify and complete report enhancements/fixes; modify reports in response to approved change requests; retain old and new report design for audit trail purposes. + Analyze data sets and trends for anomalies, outliers, trend changes and opportunities, using statistical tools and techniques to determine significance and relevance. Utilize extrapolation, interpolation, and other statistical methodologies to predict future trends in cost, utilization and performance. Provide executive summary of findings to requestors. + Create comprehensive workflows for the production and distribution of assigned reports, document reporting processes and procedures. + Assist with research, development and completion of special projects as requested by various internal departments, or in support of requests from regulatory agencies, contracting agencies, or other external organizations. + Maintains SharePoint Sites as needed. **JOB QUALIFICATIONS** **Required Education** Bachelor's Degree in Finance, Economics, Computer Science **Required Experience** + 5-7 years increasingly complex database and data management responsibilities + 5-7 years of increasingly complex experience in quantifying, measuring, and analyzing financial/performance management metrics + Demonstrate Healthcare experience in Quantifying, Measuring and Analyzing Financial and Utilization Metrics of Healthcare + Basic knowledge of SQL + Preferred Education + Bachelor's Degree in Finance, Economics, Math, or Computer Science **Preferred Experience** Preferred experience in Medical Economics and Strong Knowledge of Performance Indicators: + Proactively identify and investigate complex suspect areas regarding medical cost issues + Initiate in-depth analysis of the suspect/problem areas and suggest a corrective action plan + Apply investigative skill and analytical methods to look behind the numbers, assess business impacts, and make recommendations through use of healthcare analytics, predictive modeling, etc. + Analysis and forecasting of trends in medical costs to provide analytic support for finance, pricing and actuarial functions + Healthcare Analyst I or Financial/Accounting Analyst I experience desired + Multiple data systems and models + BI tools 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: $77,969 - $155,508 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
    $50k-74k yearly est. 9d ago
  • Lockbox Processor

    Bankers Trust 4.5company rating

    Claim Processor Job In Des Moines, IA

    There are important qualities you look for in an employer - meaningful work, community engagement, competitive benefits, commitment to employee development, and so many more. At Bankers Trust, our team members experience an inclusive and community-focused culture and we're proud of the premier workplace we've created. We regularly receive best in class results through our biennial employee engagement survey. We're also proud to receive recognition from others, including our designation as a "Best Place for Working Parents," being a four-time recipient of the Greater Des Moines Partnership's Inclusion Award, and being named one of the "Best Businesses Supporting Local Charity" by readers of the Business Record. Job Summary: The Lockbox Processor extracts remittances based on standard operating procedures and deadlines. This position is responsible for maintaining specific productivity and quality levels while reconciling transactions in accordance with established processing procedures. This position is considered a production-oriented position, which includes adherence to client based service level agreement goals. Additional job duties include the documentation of custodial services to ensure loan files have been received or released within the department for tracking, imaging and auditing purposes. Primary Functions and/or Responsibilities: * Meets customer deposit, scanning and transmission deadlines by operating high or low speed scanning equipment with a high degree of accuracy while maintaining production standards and goals for the department * Sorts mail using OPEX mail sorting equipment * Hand sorts accounts by box while meeting department production & quality standards * Fully operates, cleans and maintains all mail equipment * Maintains internal control standards * Updates tracking systems of loan documents received within the department and released to outside departments * Cross-trains and delivers results in other areas of the department as needed * Performs data entry keystrokes at department production & quality standard * Performs other duties as assigned Education and/or Experience: * High school diploma or GED preferred * 2-4 years related experience Specific Skills, Knowledge & Abilities: * Intermediate computer knowledge required * Alpha/numeric data entry experience required * At least one year of previous Lockbox experience desired * CRT experience This is a Part time position averaging 35-38 hours per week. Here at Bankers Trust positions working at least 21 hours per week are offered the same benefits as fulltime. Hiring Salary Range The hiring range below reflects targeted base salary. Actual compensation will be determined based on the candidate's prior related experience & education and will be finalized at the time of offer. In addition to base salary, most positions are also eligible to participate in our annual bonus program. Select positions may also be eligible to earn incentives and/or commissions. Hiring Salary Range: $17.50 - $20.25 (Annualized at 40 hours per week: $35,360 - $41,600) Benefits * Group Health, Dental, and Vision Insurance * Generous Paid Time Off (PTO) * Volunteer Time Off (VTO) * 401(k) plan with lucrative company match * Tuition assistance * Company Paid Life Insurance * Paid Parental Leave * Lifestyle Accounts that provide employees with reimbursement for the things that are most important to them such as childcare, student loan payments, gym memberships, pet insurance and much more. * Team Member Banking - a suite of products and services with special benefits for employees Hybrid Eligibility: Position may be eligible for a hybrid work schedule (requiring some days in the office each week). AFFIRMATIVE ACTION/EQUAL OPPORTUNITY EMPLOYER "PROTECTED VETERANS" AND "INDIVIDUAL WITH DISABILITY"
    $35.4k-41.6k yearly 24d ago
  • Claims Care Representative

    Homesteaders Life Company Corp

    Claim Processor Job 9 miles from Des Moines

    As a 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 confidentially and adhere to all privacy regulations with a compassionate team working alongside you. Your responsibilities will include: Accepts and processes inbound, and outbound calls, emails, and other communications related to life insurance claims inquiries. Assist customers in completing claims forms, gathering necessary documentation, and submitting claims for processing. Updates and maintains customer records and data in the system. Review, verify, and process claim submissions by company policies and legal requirement. Approve and process EFT claim payments or may authorize claim payment by draft for claims submitted via phone, fax or internet. Collaborate with internal departments such as underwriting, legal, and compliance to ensure complex claims are handled efficiently. Meet or exceed performance targets related to claim resolution time, accuracy, and customer satisfaction Requirements Equivalent to high school degree Prior experience in customer service, claims processing, or a related field, ideally within the insurance industry. Strong communication and interpersonal skills, with the ability to explain complex information clearly and empathetically. Attention to detail and accuracy in reviewing claims documents and processing information. Problem-solving skills and the ability to handle difficult conversations with professionalism. Proficiency in using CRM systems, claims management software, and other relevant tools. Pay and Benefits Summary: Hours: Monday-Thursday 10:00-6:00 PM and Friday 12:00 PM-5:00 PM An excellent schedule 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 Salary Description $46,000
    $46k yearly 22d ago
  • Embedded ROI Processor I

    Datavant

    Claim Processor Job In Des Moines, IA

    Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world's leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, you're stepping onto a high-performing, values-driven team. Together, we're rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare. This is a Remote role - Full-Time: 6am - 5pm Monday -Thursday - Comfortable working in a high-volume production environment. - Processing medical record requests by taking calls from patients, insurance companies and attorneys to provide medical record status - Documenting information in multiple platforms using two computer monitors. - Proficient in Microsoft office (including Word and Excel) We offer: Comprehensive onsite/virtual training program followed by job shadowing with an assigned mentor Company equipment will be provided to you (including computer, monitor, virtual phone, etc.) Full Benefits: PTO, Health, Vision, and Dental Insurance and 401k Savings Plan and tuition Assistance Pay ranges for this job title may differ based on location, responsibilities, skills, experience, and other requirements of the role. The estimated base pay range per hour for this role is: $15-$18 USD To ensure the safety of patients and staff, many of our clients require post-offer health screenings and proof and/or completion of various vaccinations such as the flu shot, Tdap, COVID-19, etc. Any requests to be exempted from these requirements will be reviewed by Datavant Human Resources and determined on a case-by-case basis. Depending on the state in which you will be working, exemptions may be available on the basis of disability, medical contraindications to the vaccine or any of its components, pregnancy or pregnancy-related medical conditions, and/or religion. This job is not eligible for employment sponsorship. Datavant is committed to a work environment free from job discrimination. We are proud to be an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, or other legally protected status. To learn more about our commitment, please review our EEO Commitment Statement here (************************************************** . Know Your Rights (*********************************************************************** , explore the resources available through the EEOC for more information regarding your legal rights and protections. In addition, Datavant does not and will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay. At the end of this application, you will find a set of voluntary demographic questions. If you choose to respond, your answers will be anonymous and will help us identify areas for improvement in our recruitment process. (We can only see aggregate responses, not individual ones. In fact, we aren't even able to see whether you've responded.) Responding is entirely optional and will not affect your application or hiring process in any way. Datavant is committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities. If you need an accommodation while seeking employment, please contact us at *********************** . We will review your request for reasonable accommodation on a case-by-case basis. For more information about how we collect and use your data, please review our Privacy Policy (**************************************** .
    $15-18 hourly 3d ago
  • Processor (Full-Time)

    Many Hands for Haiti

    Claim Processor Job In Des Moines, IA

    Full-time Description As a processor you will have the opportunity to receive items from generous donors. You'll evaluate and price the donations that come in (you'll occasionally come across some really interesting items!) You'll also have the opportunity to display items in a way that sets Many Hands Thrift apart from other thrift and many retail stores. Join our team to make a difference to those in need! What you'll do Receives donated items Sorts items by their specific type (Clothing, hard goods, etc) Evaluate donations based on conditions and discard items that don't meet our standards Places items in the appropriate location within the store Create an attractive, organized display of goods Cashiering as needed All other duties as assigned Reports to Store Manager Requirements What you bring Excellent interpersonal and customer service skills Excellent organization skills and attention to detail Ability to accurately determine value of donated items Ability to apply a sense of style to create aesthetically pleasing displays Ability to positively represent the ministry of Many Hands, including its mission, vision, and core values to all outside constituencies Preferably a high school diploma Physical Requirements: Prolonged periods of standing Must be able to lift 50 lbs.
    $26k-36k yearly est. 54d 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 26d ago
  • Claims Representative

    Ncmic

    Claim Processor Job 10 miles from Des Moines

    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. 45d ago
  • Claims Processor (Portuguese Literate)

    Carrotfertility

    Claim Processor Job 9 miles from Des Moines

    About Carrot: Carrot Fertility is the leading global fertility, family-building, and lifelong hormonal healthcare platform providing care for everyone, everywhere. Trusted by more than a thousand multinational employers, health plans, and health systems, Carrot's comprehensive clinical program delivers industry-leading cost savings for employers and award-winning experiences for millions of people worldwide. From maternity through menopause and pre-pregnancy through parenting, Carrot is dedicated to expanding access and improving outcomes. Carrot empowers members with compassionate, personalized, and inclusive support. The Role: In this role, you will be responsible for reviewing incoming member out-of-pocket expenses, as well as expenses incurred using the Carrot Card. You will collaborate with members of the Care team, Customer Success and Finance team to ensure an exceptional member experience. You need to be able to work between the hours of 6 am- 3 pm or 10 am-7 pm CST, while noting our operations hours are 6am-8pm CST. This role will be based in office in West Des Moines, Iowa. The Team: The Payments team is a group of compassionate and dedicated individuals focused on contributing to Carrot's mission of inclusivity and accessibility in fertility and family-forming services. This team is responsible for adjudicating all incoming member reimbursement requests, while ensuring an exceptional member experience. The team will coordinate activity with 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 customer service and claims processing experience Fluent in Portuguese (supporting translation of documents) Highly detail-oriented with superior multi-tasking skills Ability to work independently with little management or direction on routine duties or projects Exceptional verbal and written communication skills Strong problem-solving skills to analyze, troubleshoot and resolve issues Ability to empathetically support a diverse member population through all paths to parenthood An innovative spirit to push the boundaries of claims operations Preferred Qualifications: Knowledgable with insurance regulations and industry best practices Experience working at a fast-growing tech company or digital health company Proficiency and comfort using business tools (e.g., Jira, Confluence, Zendesk, Airtable, G-Suite) 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, parental leave, family-forming assistance, and a competitive compensation package. The starting base salary for this position will range from $56,000-$64,000 ($26.92/hr.- $30.77/hr.). Actual compensation may vary from posted base salary depending on your confirmed 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 1d ago
  • Claims Examiner - Auto

    Sedgwick 4.4company rating

    Claim Processor Job In Des Moines, IA

    Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It's an opportunity to do something meaningful, each and every day. It's having support for your mental, physical, financial and professional needs. It means sharpening your skills and growing your career. And it means working in an environment that celebrates diversity and is fair and inclusive. A career at Sedgwick is where passion meets purpose to make a positive impact on the world through the people and organizations we serve. If you are someone who is driven to make a difference, who enjoys a challenge and above all, if you're someone who cares, there's a place for you here. Join us and contribute to Sedgwick being a great place to work. Great Place to Work Most Loved Workplace Forbes Best-in-State Employer Claims Examiner - Auto **Candidates within a 25< mile radius from an office location will be required to go into the office in an agile/hybrid schedule of 2x a week in office.** **PRIMARY PURPOSE** : To analyze and process complex auto and commercial transportation claims by reviewing coverage, completing investigations, determining liability and evaluating the scope of damages. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Processes complex auto commercial and personal line claims, including bodily injury and ensures claim files are properly documented and coded correctly. + Responsible for litigation process on litigated claims. + Coordinates vendor management, including the use of independent adjusters to assist the investigation of claims. + Reports large claims to excess carrier(s). + Develops and maintains action plans to ensure state required contact deadlines are met and to move the file towards prompt and appropriate resolution. + Identifies and pursues subrogation and risk transfer opportunities; secures and disposes of salvage. + Communicates claim action/processing with insured, client, and agent or broker when appropriate. **ADDITIONAL FUNCTIONS and RESPONSIBILITIES** + Performs other duties as assigned. + Supports the organization's quality program(s). + Travels as required. **QUALIFICATIONS** **Education & Licensing** Bachelor's degree from an accredited college or university preferred. Professional certification as applicable to line of business preferred. Secure and maintain the State adjusting licenses as required for the position. **Experience** Five (5) years of claims management experience or equivalent combination of education and experience required to include in-depth knowledge of personal and commercial line auto policies, coverage's, principles, and laws. **Skills & Knowledge** + In-depth knowledge of personal and commercial line auto policies, coverage's, principles, and laws + Knowledge of medical terminology for claim evaluation and Medicare compliance + Knowledge of appropriate application for deductibles, sub-limits, SIR's, carrier and large deductible programs. + Strong oral and written communication, including presentation skills + PC literate, including Microsoft Office products + Strong organizational skills + Strong interpersonal skills + Good negotiation skills + Ability to work in a team environment + Ability to meet or exceed Service Expectations **WORK ENVIRONMENT** When applicable and appropriate, consideration will be given to reasonable accommodations. **Mental:** Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines **Physical:** Computer keyboarding, travel as required **Auditory/Visual:** Hearing, vision and talking _As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is_ **_$75,000- $82,000_** _._ _A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits._ The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time. at any time. Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace. **If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.** **Taking care of people is at the heart of everything we do. Caring counts** Sedgwick is a leading global provider of technology-enabled risk, benefits and integrated business solutions. Every day, in every time zone, the most well-known and respected organizations place their trust in us to help their employees regain health and productivity, guide their consumers through the claims process, protect their brand and minimize business interruptions. Our more than 30,000 colleagues across 80 countries embrace our shared purpose and values as they demonstrate what it means to work for an organization committed to doing the right thing - one where caring counts. Watch this video to learn more about us. (************************************** BGSfA)
    $24k-32k yearly est. 9d ago
  • Claims Specialist

    Assured Partners 3.9company rating

    Claim Processor Job 9 miles from Des Moines

    The Claims Specialist administers information from clients by phone, email and fax to process insurance claims. They work with clients, adjusters, and producers on claims status, problems, and questions. Additionally, this role is responsible for managing claims, collaborating with insureds, and assisting with problem solving in conjunction with Senior Claims Specialists, Director of Claims and Producers. The Ideal Candidate * You have a customer service mindset and enjoy solving people's problems with a smile * You are a dependable team player and are able to get the work done as assigned to you * You are good at written and verbal communication If this sounds like you, we invite you to keep reading and apply! What You'll Do * Reports claims for clients and works directly with both insureds and claimants to identify new claims. * Reviews claim forms and related documents for completeness and calls or writes insured or other involved persons for missing information and posts or attaches information to claim file. * Follows up on claims to secure Adjuster and claim number and updates claim reporting information for companies. * Serves as contact between Insurance Carrier Adjuster and Client for claims related issues. * Resolves coverage questions to provide best possible claim outcomes for clients. * Resolves customer claim issues in coordination with Senior Claims Specialist, Director of Claims and Producers in order to reduce E&O exposure. * Other duties as assigned. What's in it For You? To help you make the best decision for your personal growth, it's important to us to share a glimpse of what we offer our top asset, our people: * Competitive base salary * Generous 30+ Days Comprehensive Paid Time Off Package inclusive of Paid Time Off, 10 Company Holidays, 2 Floating Holidays, 5 Sick Days, and 2 Volunteer Days * Health benefit options with you in mind; 5 affordable medical plan options with rates based on your salary, company paid HSA contribution with eligible HSA plan selection, 2 dental plan options offering orthodontia coverage and 3 cleanings per year, and 2 vision plan options * Company match 401(k) plan - 50% up to 6%! * Support of your fitness wellness goals! We offer up to 75% off at over 11,000 gyms and fitness centers * Opportunity to prioritize your mental health with 24/7 access to licensed therapists * Pet benefits & discounts * Access to our Employee-led Resource Groups (ERGs) that lend a voice to the variety of demographics represented throughout AssuredPartners What You'll Need * Advanced degree from college or technical school; or 4-8 years of related experience and/or training; or equivalent combination of education and experience * Property & Casualty claims experience with carrier, third-party administrator (TPA) and/or agency/broker required * Experience with specialty lines claims a plus * Must meet any local or state license/designation requirements * Tech savvy; ability to learn multiple systems including Microsoft Office Suite and Agency Management software * Strong organization and communication skills Grow, with us AssuredPartners is passionate about fueling our clients' innovation and growth. That makes us the perfect place for creative, dynamic people who want to grow their career while helping businesses, families and people thrive. We're proud to be the fastest-growing independent insurance broker in America, but we're even prouder of the honest, caring relationships that our employees build with our clients every day. Working with us will give you the opportunity to do work that matters while you learn with us, advance with us, and most importantly, grow with us. AssuredPartners is committed to embracing diversity, equity and inclusion to create a workplace that welcomes and thrives on the unique experiences, perspectives and contributions of all team members. AssuredPartners is bringing the best people and most diverse talent forward to drive growth, innovate and think bigger!
    $29k-49k yearly est. 4d ago
  • Workers' Compensation Claims Specialist, CRS

    HMA Group Holdings 3.7company rating

    Claim Processor Job 14 miles from Des Moines

    We are looking to add a Workers' Compensation Claims Specialist to join our Creative Risk Solutions team. The ideal candidate will have jurisdictional experience in FL, NC, KY, TN, VA, MD. Offering a forward-thinking, innovative, and vibrant company culture, along with the opportunity to share your unique potential, there really is no place like Holmes! Essential Responsibilities: Receives, gathers and accurately transmits workers' compensation information to the company, from communications with the insured, claimants, and internal staff in a timely manner. Investigates, evaluates, and resolves lost time Workers' Compensation claims, including litigated claims. Mediates situations as they arise between the insured and the insurance company, with little to no support from leader, to include researching coverage issues. Enters and maintains accurate information on a computer system during the claim process, to include final settlement information. Generates checks for indemnity and medical payments daily. Develops and monitors consistency in procedural matters of claims handling process within CRS. Willingness to become licensed if required in jurisdiction where claims are handled. Qualifications: Education: High school diploma; college degree preferred. Technical designations encouraged, such as AIC and CPCU. Experience: 3-5 years claims experience with strong background in Workers' Compensation claims handling. Licensing: Active state specific Workers Compensation License required or the ability to acquire license within three months of hire. Jurisdictional expertise and required licensing in FL, NC, KY, TN, VA, MD. Skills: An ideal candidate will have proficient knowledge of Workers' Compensation insurance coverage and claims processing procedures. They will possess the ability to adjudicate lost time claims across multiple jurisdictions and demonstrate the capacity to quickly learn and adapt to various software programs. 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. #LI-EG1
    $29k-49k yearly est. 41d 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

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. Merchants Bonding
  3. Carrot Fertility
  4. Carrotfertility
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