- Sedgwick (Des Moines, IA)
- …Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Sr. Claims Specialist Professional Liability, Public Entity **PRIMARY PURPOSE** **:** ... entity; to provide resolution of highly complex nature and/or severe injury claims ; to coordinate case management within Company standards, industry best practices… more
- Lincoln Financial Group (Des Moines, IA)
- …73468 **The Role at a Glance** We are excited to bring on highly motivated Voluntary Claims Specialist I to staff our ever-growing claims organization. As a ... administering, processing, and adjudicating Accident, Critical Illness, and Hospital Indemnity claims for our members. You'll complete a thorough training to develop… more
- Lincoln Financial Group (Des Moines, IA)
- …**The Role at a Glance** We are excited to bring on a highly motivated **Group Claims Specialist ** to support our ever-growing claims organization in a work ... support our west coast employer groups. _Background details_ As a Group Claims Specialist , you will support our Short Term Disability or Integrated Absence… more
- Hy-Vee Food Stores (West Des Moines, IA)
- … Department: Risk Management FLSA: Non-Exempt General Function: The Risk Management Claim Specialist assists the Director of Claims Management and the Director ... Management in managing the overall workers' compensation and other casualty coverage claims . This hands-on position will require adjusting claims and overseeing… more
- Trustmark (Des Moines, IA)
- …colleagues, clients and communities. Responsible for reviewing and processing claims including, identifying irregularities and reviewing for accuracy, and ... Critical Care. **Key Accounabilities:** + Demonstrates strong understanding and performs claims handling processes and procedures related to Wellness, Hospital and… more
- Sedgwick (Des Moines, IA)
- …Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Disability Clinical Specialist **PRIMARY PURPOSE** : To perform clinical evaluations, consult providers ... work. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Performs clinical review of referred claims ; documents decision rationale; and completes medical review of all … more
- Zurich NA (Des Moines, IA)
- Senior Design/Construction Management Consulting Specialist 113183 Zurich is looking for a highly skilled **Senior Design/Construction Management Consulting ... Specialist ** within Risk Engineering and our Zurich Resilience Solutions...prospect/existing customer base. + Providing periodic support to the Claims Department with technical assessment of complex claims… more
- Walgreens (Des Moines, IA)
- …and maintaining front end and pharmacy asset protection techniques, and filing claims for warehouse and vendor overages (merchandise received, but not billed), ... for non-returnable ABC overstock. Verifies posting of all pharmacy/ prescription claims . + Completes execution of all pricing activities including price changes,… more
- Broadlawns Medical Center (Des Moines, IA)
- …a top-rated benefits package, supportive work culture, and more! Clinical Data Quality Specialist The Clinical Data Quality Specialist will oversee all aspects ... persons, organizations and Broadlawns Medical Center from all liability for any claims or damage which may result. I further understand that nothing contained… more
- International Rescue Committee (Des Moines, IA)
- Requisition ID: req54560 Job Title: Health, Benefits, and Wellness Specialist Sector: Health Employment Category: Regular Employment Type: Full-Time Compensation: ... USA Work Arrangement:In-person Job Description Scope: The Health, Benefits, & Wellness Specialist (HBWS) plays a critical role in coordinating health care provision… more
- Travelers Insurance Company (Des Moines, IA)
- …of the scene and to provide technical advice and consultation to attorneys and claims staff associated with the loss. + Conduct research and testing, prepare reports ... (verbal and written), and to aid the claims and legal staff with the scientific aspects of...needed to support the overall functions of Risk Control, Claims Services, and Underwriting. Such materials may include newsletters,… more
- Sutherland Global Services (Des Moines, IA)
- …sent to Legal. This will include: + Conducting collection activity on appealed claims by contacting government agencies, third party payers via phone, email, or ... PPO, IPA and Capitation and how these payers process claims + Knowledge of Managed Care contracts, Contract Language...billing form requirements (UB04) and HCFA 1500 + Medical claims and/or hospital collections experience + Minimum high school… more
- Sedgwick (Des Moines, IA)
- …Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer ADA Accommodation Specialist **PRIMARY PURPOSE OF THE ROLE:** To enhance the ADA process for ... their employees regain health and productivity, guide their consumers through the claims process, protect their brand and minimize business interruptions. Our more… more
- Air National Guard Units (Des Moines, IA)
- …Wing, Des Moines, Iowa Responsibilities As a SUPERVISORY FACILITY OPERATIONS SPECIALIST , GS-1640-11 your duties are below; 1. Personnel Management. Incumbent ... Education, you must provide college transcripts to support your educational claims . Additional Information ENLISTMENT CASH BONUSES: Acceptance of a technician… more
- Broadlawns Medical Center (Des Moines, IA)
- …a top-rated benefits package, supportive work culture, and more! Community Care Specialist Under the supervision of the Clinic Manager , this position works ... persons, organizations and Broadlawns Medical Center from all liability for any claims or damage which may result. I further understand that nothing contained… more
- Trinity Health (Des Moines, IA)
- **Employment Type:** Full time **Shift:** **Description:** Day 1 Benefits! Document Specialist Position Purpose: This position is responsible and accountable for the ... information is accurate and paperwork is received timely for the submission of claims . Responds to all system issues by preparing documentation for the resolution… more
- Travelers Insurance Company (Des Moines, IA)
- …invoice issuance, policy issuance, etc.). - Coordinates with Claim when foreign claims are at issue and assistance is needed. - Assists Reinsurance Accounting ... with billing and payment reconciliation and collection when needed. -Develops and maintains a set of formal, written Standard Operating Procedures for the international placement process. - Leads the development and implementation of an efficient data… more
- Option Care Health (Des Moines, IA)
- …on invoices submitted to ensure prompt and timely payment. Calls to verify that claims submitted were received and are in processing. Sends letters to the patient or ... responsible party when their insurance carrier fails to make payment reasonable time frame. Generates and mails statements and collections letters. Follows-up on all denials within 48 hours of receipt. + Ensures compliance with policies and guidelines outlined… more
- CROSSMARK (Windsor Heights, IA)
- …to perform the essential duties. _Responsibilities With Regard to Workers' Compensation Claims :_ You are responsible for reporting all employment related injury you ... incur to your direct supervisor as soon as possible following an incident resulting in an injury. **Qualifications** _Education/Experience:_ High school diploma or general education degree (GED); or one to three months' related experience and/or training; or… more
- Elevance Health (West Des Moines, IA)
- …and DRGs billed and reimbursed. Specializes in review of Diagnosis Related Group (DRG) paid claims . **How you will make an impact:** + Analyzes and audits claims ... HS diploma or equivalent and a minimum of 10 years of experience in claims auditing, quality assurance, or clinical documentation improvement, and a minimum of 5… more