Claims Processing Manager jobs in Des Moines, IA

Claims Processing Manager manages the administration of health insurance claims, payment processing, billing research, and responding to inquiries. Ensures timely and proper disposition of claims in accordance with coverage amounts. Being a Claims Processing Manager trains staff on organizational policies and ensures procedures are followed at all times. Provides guidance on more complex or high-value claims. Additionally, Claims Processing Manager typically requires a bachelor's degree. Typically reports to a head of a unit/department. The Claims Processing Manager manages subordinate staff in the day-to-day performance of their jobs. True first level manager. Ensures that project/department milestones/goals are met and adhering to approved budgets. Has full authority for personnel actions. To be a Claims Processing Manager typically requires 5 years experience in the related area as an individual contributor. 1 - 3 years supervisory experience may be required. Extensive knowledge of the function and department processes. (Copyright 2024 Salary.com)

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Claims Processing Auditor
  • ProAg
  • Des Moines, IA FULL_TIME
  • Grow with Us

    ProAg has an exciting opportunity for a Claims Auditor to join our team. You will audit and process claims, checking for accuracy and completeness. Bring your passion for innovation and collaboration to ProAg to help serve our farmers, agents, and re-insurers.

    Reporting to the Claims Processing Supervisor, you will expedite the processing and payment of all claims. You must thrive in a collaborative environment where you will work closely with other departments including Underwriting, Claims, and Compliance, and be a resource for them.

    This position will be in on of ProAg’s office locations in Lenexa, KS, West Des Moines, IA, or Amarillo, TX

    In This Exciting Opportunity You Will:

    • Monitor claims through auditing and data entry activities and track claims for timeliness.
    • Ensure claims are adequately documented in processing system.
    • Work closely with the Underwriting team to ensure any changes required to claims are made in the system prior to payment.
    • Process loss claims for payment.
    • Provide clear, concise, accurate and timely communication with the policyholder from the beginning to end of the claims processes.
    • Provide support to other regions as needed through cross-training activities.

    What You’ll Bring:

    • Two years of relevant and progressive professional experience
    • High School diploma or equivalent is required.
    • Solid written and verbal communication skills with an emphasis on confidentiality, tact, and diplomacy to communicate effectively both orally and in writing with employees and customers.
    • Sound analytical skills with an attention to detail, as well as problem-solving aptitude.
    • Ability to effectively and efficiently multi-task, set and shift priorities, and adapt to change.
    • Ability to handle sensitive and/or confidential material strictly in accordance with company policy, Risk Management Agency (RMA) guidelines, etc.

    What We Represent:

    • Part of something bigger: We offers a career with purpose as you support the farmers and ranchers who create food, fuel and fiber for the world.
    • Personal connections: We are built on strong relationships and appreciation of your individuality.
    • A team who cares: We look out for each other personally and professionally because we care about each other.
    • Innovators by trade: We’re committed to a brighter tomorrow for our team members and for agriculture.
    • The best of both worlds: We combine personal connections with powerful resources, thanks to our culture and the backing of Tokio Marine HCC.

    Who We Are:

    While our nation weathers economic storms, ProAg, a member of the Tokio Marine HCC group of companies, is positioned as a financially strong and well-capitalized insurer. We’re known for our quick response and fast, accurate claims settlement. We understand how important this is because many of us are farmers and ranchers ourselves. With more than 90 years of service to our agents & insureds, we stand committed to continuing the principles that ProAg was founded on: Integrity, Loyalty and Customer Service.

    The Tokio Marine HCC Group of Companies offers a competitive salary and employee benefit package. We are a successful, dynamic organization experiencing rapid growth and are seeking energetic and confident individuals to join our team of professionals. The Tokio Marine HCC Group of Companies is an equal-opportunity employer. Please visit
    www.tokiomarinehcc.com
    for more information about our companies.

    #LI-MB
  • 30 Days Ago

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Processing Manager
  • Hope Ministries Thrift
  • Des Moines, IA FULL_TIME
  • Create a Christ-centered environment by leading the processing team by example and performing all duties required to accept, sort, and price donated items. Description Essential Functions of the Job L...
  • 1 Month Ago

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IA - 1099 Property Claims Adjuster
  • Copper Claims Services, Inc.
  • Des Moines, IA FULL_TIME
  • 1099 Property Claims Adjuster Copper Claims Services is a quickly growing independent loss adjusting firm based out of Irvine, CA. Copper Claims Services excels in providing custom claims solutions fo...
  • 29 Days Ago

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WC Claims Manager, CRS
  • Career Opportunities: Ready for a Change We Want You!
  • Waukee, IA FULL_TIME
  • How have we maintained our 90 years of independence? Because we’re bullish in the industry, we’re innovative, we offer cutting-edge services and benefits, and we care deeply about our employees, clien...
  • 5 Days Ago

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Casualty Claims Unit Manager
  • Berkley
  • Urbandale, IA OTHER
  • Company Details Rated Best Places to Work 2020 by Business Insurance, Continental Western Group is a regional property casualty insurance company offering commercial products and services through inde...
  • 1 Month Ago

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Testing Clerk
  • U.S. Military Entrance Processing Command
  • Des Moines, IA FULL_TIME
  • Duties Handles accountable test material. Will be required to conduct test sessions at remote sites, to include administration of high school tests at inner city, rural, and/or at risk schools with la...
  • 8 Days Ago

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0 Claims Processing Manager jobs found in Des Moines, IA area

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Director, Reinsurance
  • Kuvare Holdings
  • Des Moines, IA
  • In close collaboration with the client and internal stakeholders, the Director, Reinsurance is responsible for accountin...
  • 4/19/2024 12:00:00 AM

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Restaurant Business Consulting - Operations Associate (Sept 2024 Start)
  • McDonald's
  • Des Moines, IA
  • Locations Available for the September 2024 Cohort:  Des Moines, IA Michigan Cleveland, OH Lexington, KY New Orleans, LA ...
  • 4/19/2024 12:00:00 AM

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Senior Project Manager I - Des Moines, IA
  • Hiring Now!
  • Des Moines, IA
  • Job Description Senior Project Manager I - Des Moines, IAReporting to the Capex Regional Manager, this is a salaried, ex...
  • 4/19/2024 12:00:00 AM

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Team Leader - Clinical Quality Management & Accreditation (Open to IA or SD)
  • Wellmark, Inc.
  • Des Moines, IA
  • Company Description Why Wellmark: We are a mutual insurance company owned by our policy holders across Iowa and South Da...
  • 4/19/2024 12:00:00 AM

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Senior Project Manager
  • Baxter Construction
  • Des Moines, IA
  • Job Description Job Description Company Summary Founded in 1945, Baxter Construction Company, LLC is a fourth generation...
  • 4/19/2024 12:00:00 AM

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PM -Business Alignment Project Manager
  • Capleo Global
  • Des Moines, IA
  • Job Title: PM -Business Alignment Project Manager Job Location: Grand Ave IA (Hybrid) Duration: 12 months Job Descriptio...
  • 4/18/2024 12:00:00 AM

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Project Manager, Nodal Transmission Modeling
  • Black & Veatch
  • Des Moines, IA
  • **Project Manager, Nodal Transmission Modeling** Date: Apr 8, 2024 Location: US Company: Black & Veatch Family of Compan...
  • 4/17/2024 12:00:00 AM

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Assistant to the Controller
  • Des Moines Based Investment Company
  • Des Moines, IA
  • Job Description Job Description We are seeking an Assistant to the Controller to become an integral part of our team! Yo...
  • 4/16/2024 12:00:00 AM

Des Moines (/dɪˈmɔɪn/ (listen)) is the capital and the most populous city in the U.S. state of Iowa. It is also the county seat of Polk County. A small part of the city extends into Warren County. It was incorporated on September 22, 1851, as Fort Des Moines, which was shortened to "Des Moines" in 1857. It is on and named after the Des Moines River, which likely was adapted from the early French name, Rivière des Moines, meaning "River of the Monks". The city's population was 217,521 as of the 2017 population estimate. The five-county metropolitan area is ranked 89th in terms of population in ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Processing Manager jobs
$92,132 to $118,995
Des Moines, Iowa area prices
were up 0.8% from a year ago

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These claims management platforms are often not well integrated with peripheral systems, which also results in more human involvement and an increased cost per transaction.
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The claims have to be handled timely to ensure quick settlement leading to customer satisfaction.
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Managers can review workflow queues and see what is in each processor’s queue.
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A common duty in this position is reviewing insurance policies after clients have submitted claims, in order to determine coverage.
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