• Claims Representative II

    Elevance Health (West Des Moines, IA)
    ** Claims Representative II** **Location:** Ideal candidates will live within 50 miles of one of our PulsePoint office locations. The ** Claims ... Representative II** is responsible for keying, processing health claims in accordance with claims policies and...keying, processing health claims in accordance with claims policies and procedures. Works without significant guidance w/… more
    Elevance Health (10/02/24)
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  • Liability Claims Representative

    Sedgwick (Des Moines, IA)
    …work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Liability Claims Representative | Remote Are you looking for an opportunity to ... Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. +...OF THE ROLE:** To analyze mid-level Commercial General Liability claims on behalf of our valued clients to determine… more
    Sedgwick (08/01/24)
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  • (Agile) Claims Representative - Auto…

    Sedgwick (West Des Moines, IA)
    …to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer (Agile) Claims Representative - Auto Liability / Property Damage | NE & IA ... Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. +...OF THE ROLE:** To analyze low-level Auto Property Damage claims on behalf of our valued clients to determine… more
    Sedgwick (09/20/24)
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  • Claims Representative III (Health…

    Elevance Health (West Des Moines, IA)
    ** Claims Representative III (Health & Dental)** **Must be located within 50 miles of Norfolk, VA, Tampa, FL, Des Moines, IA or Mason, OH.** The ** Claims ... Dental)** is responsible for keying, processing and/or adjusting health claims in accordance with claims policies and...and/or adjusting health claims in accordance with claims policies and procedures. **How you will make an… more
    Elevance Health (09/28/24)
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  • Commercial Auto Claims

    Sedgwick (Des Moines, IA)
    …Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Commercial Auto Claims Representative - Liability **PRIMARY PURPOSE** : To analyze and ... process low to mid-level auto physical damage claims . Commercial auto claims experience is preferred. Having a current New York adjuster's license is optimal but… more
    Sedgwick (08/07/24)
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  • Entry Level - Claims Representative

    Sedgwick (West Des Moines, IA)
    …Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Entry Level - Claims Representative **PRIMARY PURPOSE** : To analyze and process low to ... mid-level auto and transportation claims . **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Processes auto property...+ Processes auto property damage and lower level injury claims ; assesses damage, makes payments, and ensures claim files… more
    Sedgwick (09/19/24)
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  • Claims Representative I

    Elevance Health (West Des Moines, IA)
    ** Claims Representative I** **Location:** Ideal candidates will live within 50 miles of one of our PulsePoint office locations. The ** Claims ... Work is reviewed for technical accuracy and soundness. + Codes and processes claims forms for payment ensuring all information is supplied before eligible payments… more
    Elevance Health (10/02/24)
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  • Sr Manager, Product Management ( Claims )

    HealthEdge Software Inc (Des Moines, IA)
    …and experienced Senior Manager of Product Management to lead our Claims Value Stream.Your responsibilities include creating a high-level vision, defining product ... and QE. We have divided our product teams into Value Streams (ie, Claims , Billing & Financials, Enrollment, BlueCard, Integration, and Platform). Each Value Stream… more
    HealthEdge Software Inc (10/02/24)
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  • Default Claims and Loss Analysis Business…

    Carrington (Des Moines, IA)
    **Come join our amazing team and work remote from home!** The Default Claims and Loss Analysis Business Analysts function as an expert resource which consults with ... reports. + Using a strong background of Default MI Claims and/or Loss Analysis identify gaps, trends and build...+ Conceptualize and design dashboards and reports that are representative of the business unit's productivity. + Strong understanding… more
    Carrington (09/17/24)
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  • Grievances & Appeals Representative

    Humana (Des Moines, IA)
    …caring community and help us put health first** The Grievances & Appeals Representative 4 manages client denials and concerns by conducting a comprehensive analytic ... with clinical and other Humana parties. The Grievances & Appeals Representative 4 assumes ownership and leads advanced and highly specialized… more
    Humana (09/27/24)
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  • Contact Center Representative (Starting…

    Athene (West Des Moines, IA)
    …We're ready to help you achieve more. Purpose: As a Contact Center Representative , you will be our front line of outstanding service! Our representatives answer ... products such as product changes, tax consequences, state regulations, claims , etc. + Provides information regarding individual policies including beneficiary… more
    Athene (09/20/24)
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  • Network Engagement Representative

    Intermountain Health (Des Moines, IA)
    …to make business and strategic suggestions. - and - Health insurance claims payment system experience or other frontline health insurance experience. **Physical ... Requirements:** SH only Interact with others requiring the employee to communicate information. - and - Operate computers and other office equipment requiring the ability to move fingers and hands. - and - See and read computer monitors and documents. - and -… more
    Intermountain Health (10/01/24)
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  • Contact Center Sr. Representative (Starting…

    Athene (West Des Moines, IA)
    …products such as product changes, tax consequences, state regulations, claims , etc. + Provides information regarding individual policies including beneficiary ... information, explanation of values, terms and conditions. + Ensures and documents the appropriate response to each question, which can range from the simple to moderately complex. + Processes a variety of transactions include address changes, beneficiary… more
    Athene (09/20/24)
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  • Catastrophe Outside Property Claim Professional…

    Travelers Insurance Company (Des Moines, IA)
    …supervision, this position is responsible for handling first party property claims including: investigating, evaluating, estimating and negotiating to ensure optimal ... claim resolution for personal or business claims of moderate severity and complexity. This position is a dedicated Claim Professional who is a first responder to… more
    Travelers Insurance Company (10/01/24)
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  • Team Leader, Absence Claim Managment (STD)

    Guardian Life (Des Moines, IA)
    **Job Posting Title** **Team Leader, Absence Claims Management (STD)** **Job Description** The **Team Leader, Absence Claims Management (STD)** is responsible ... submit process improvement ideas to revise workflows and procedures. + Support claims initiatives by encouraging/providing relevant feedback and acting as a change… more
    Guardian Life (09/14/24)
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  • Customer Service

    Robert Half Office Team (West Des Moines, IA)
    …with a well-respected insurance company, to recruit a proficient Customer Service Representative . This position, based out of West Des Moines, IA, presents an ... contact for their customers. Handling inbound calls and processing claims on-site, you will have the compelling opportunity to...you are driven by helping others, this customer service representative role could be the right fit for you!… more
    Robert Half Office Team (09/27/24)
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  • Payment Integrity Clinician

    Highmark Health (Des Moines, IA)
    …the ability to identify issues related to professional and facility provider claims data including determining appropriateness of code submission, analysis of the ... effective Payment Integrity strategies on a pre-payment and retrospective claims review basis. Review process includes a review of...+ Ability to visualize, articulate and solve complex problems representative of a broad range of service and claim… more
    Highmark Health (09/27/24)
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  • Vocational Rehabilitation Consultant I

    Guardian Life (Des Moines, IA)
    …The Vocational Rehabilitation Consultant provides assessment of LTD, STD and Life claims , to determine claimants' level of functionality and provide evaluation of ... of RTW. Serve as educational resource on vocational rehab aspect of claims . Educate parties involved in claim management regarding the extent of functional… more
    Guardian Life (07/31/24)
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  • Customer Service Specialist

    Robert Half Office Team (West Des Moines, IA)
    Description Robert Half is on the hunt for a committed Customer Service Representative to join the team of a well-respected company in the finance industry. This ... keeping customer records accurate and up-to-date, and diligently processing claims . Comprehensive training will be provided, ensuring you're well-equipped to… more
    Robert Half Office Team (09/27/24)
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  • Senior Manager, Product Operations

    HealthEdge Software Inc (Des Moines, IA)
    …and QE. We have divided our product teams into Value Streams (ie, Claims , Billing & Financials, Enrollment, BlueCard, Integration, and Platform). Each Value Stream ... integrated solutions suite includes the industry's leading, digital, next-generation claims administration processing system, business intelligence, integration capabilities, a… more
    HealthEdge Software Inc (09/21/24)
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