Medical Claims Review Manager jobs in Des Moines, IA

Medical Claims Review Manager oversees the performance, productivity, and quality of the medical claims review staff. Responsible for hiring, training, and firing medical claims review staff. Being a Medical Claims Review Manager evaluates medical claims review processes and recommends process improvements. Serves as a technical resource for all medical review workers. Additionally, Medical Claims Review Manager typically requires an RN or BSN. Requires a bachelor's degree. Typically reports to a head of a unit/department. The Medical Claims Review 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. Extensive knowledge of department processes. To be a Medical Claims Review Manager typically requires 5 years experience in the related area as an individual contributor. 1 to 3 years supervisory experience may be required. (Copyright 2024 Salary.com)

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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 for Property and Casualty, Transportation and High Net Worth, with an emphasis on Specialized Programs.

    We are currently looking for licensed adjusters (or individuals who will obtain their license upon onboarding) to assist with daily claims handling for the Iowa area. In this role, you will manage, investigate and resolve homeowner and commercial property losses of moderate to severe complexity with minimal supervision to include completing field investigations, evaluating and analyzing coverage, completing property damage estimates, reporting findings to various clients, and handling files to the conclusion of the claim.

    In this role, you will:

    • Handle claims during local catastrophes
    • Complete field investigations including inspections, interviews, preparing diagrams, taking photographs, and various other tasks
    • Analyze insurance coverage issues on specific claims and make appropriate recommendations to our clients
    • Prepare detailed estimates in Xactimate based on our client’s specifications and parameters
    • Prepare clear, concise, and timely narrative reports for our clients
    • Create ITV reports
    • Evaluate co-insurance calculations and penalties if applicable
    • Maintain continuous and professional communication with our clients to ensure their needs are being met.
    • Analyze and evaluate damages including reserves, property estimates, business personal property inventories, business interruption, and business income losses
    • Investigate, analyze, adjust and negotiate settlements with insured’s in compliance with our client’s direction
    • Coordinate and oversee vendors such as emergency service contractors, origin and cause investigators, general contractors, engineers, etc.

    Qualifications:

    • 5 years of field Property adjusting experience
    • Ability to climb ladders/Access roofs
    • Thorough knowledge and understanding of roofing, HVAC, and various other mechanical specialties
    • Knowledge of Commercial Lines insurance policies
    • Proficient in Xactimate including Sketch
    • Previous experience with Xactanalysis preferred
    • Proficient in Microsoft Office (Word, Excel, and Outlook)
    • Effective negotiation skills
    • Ability to effectively and independently manage workload
    • Proven ability to provide exceptional customer service
    • Strong written and verbal communication skills
    • Exceptional organization and time management skills

    Job Type: Full-time

    Pay: $30.00 - $35.00 per hour

    Schedule:

    • 8 hour shift
    • Monday to Friday

    Work Location: On the road

  • 1 Month 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...
  • 11 Days Ago

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DesMoines, IA-Independent 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 with headquarters in Irvine, California. Copper Claims Services excels in providing custom cla...
  • 1 Day Ago

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Bill Review Analyst I
  • CorVel Brand
  • Des Moines, IA FULL_TIME
  • Responsible for review, auditing and data-entry of medical bills for multiple states and lines of business. This position is onsite. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Responsible for auditing me...
  • 12 Days Ago

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Compliance Analyst (Advertising Review)
  • EquiTrust
  • Des Moines, IA FULL_TIME
  • The Compliance Analyst (Advertising Review) plays a crucial role in upholding the integrity and regulatory compliance of all advertising and marketing materials. This Compliance Analyst is responsible...
  • 1 Month Ago

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Paid Product Tester
  • Product Review Jobs
  • Vincent, IA FULL_TIME
  • Compensation: Varies per assignment. Up to $500 per week.Location: Remote (USA)Company: ProductReviewJobsThank you for your interest in becoming a Paid Product Tester. This opportunity is for completi...
  • 1 Day Ago

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0 Medical Claims Review Manager jobs found in Des Moines, IA area

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Remote Licensed Psychiatrist
  • Headway
  • Des Moines, IA
  • Remote Licensed Psychiatrist Wage: Between $139-$239 an hour Are you a licensed Psychiatrist looking to launch a private...
  • 4/26/2024 12:00:00 AM

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Remote Licensed Psychiatric Nurse Practitioner
  • Headway
  • Des Moines, IA
  • Remote Licensed Psychiatric Nurse Practitioner Wage: Between $139-$203 an hour Are you a licensed Psychiatric Nurse look...
  • 4/26/2024 12:00:00 AM

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Psychiatric Mental Health Nurse Practitioner - Remote
  • Rula Health
  • Des Moines, IA
  • Who we are Rula is a comprehensive behavioral health solution, dedicated to making mental health care work for everyone....
  • 4/26/2024 12:00:00 AM

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Senior Business Intelligence Engineer
  • Centerwell
  • Des Moines, IA
  • Become a part of our caring community and help us put health firstAre you the type of person who is skilled at taking a ...
  • 4/24/2024 12:00:00 AM

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$2,000 hiring bonus - DM Direct Support Professionals (Caregivers) Needed - Des Moines
  • THE COMMUNITY SUPPORTS NETWORK, INC
  • Des Moines, IA
  • Description The Community Supports Network (CSN) is currently offering a $2,000 hiring bonus for candidates who apply an...
  • 4/23/2024 12:00:00 AM

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FT Courier
  • Guardian Pharmacy, LLC
  • Ankeny, IA
  • Ankeny, Iowa, United States of America Extraordinary Care. Extraordinary Careers. With one of the nation's largest, most...
  • 4/23/2024 12:00:00 AM

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Licensed Practical Nurse
  • Milan Laser Company
  • Des Moines, IA
  • About Milan Laser Hair Removal Milan Laser Hair Removal is one of the nation's premier laser hair removal providers. Tha...
  • 4/23/2024 12:00:00 AM

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Substance Use Disorder Counselor - CADC - Eyerly Ball
  • UnityPoint Health
  • Des Moines, IA
  • Overview: To work directly with clients of the Assertive Community Treatment Team (ACT) by using the evidence base pract...
  • 4/22/2024 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 Medical Claims Review Manager jobs
$94,645 to $120,673
Des Moines, Iowa area prices
were up 0.8% from a year ago

Medical Claims Review Manager in Paramus, NJ
Support management with leading Medical Review team to ensure all types of claims requiring medical reviews are completed in compliance with State, Federal, accreditation standards and other applicable regulations.
February 01, 2020
Medical Claims Review Manager in Nashua, NH
By truly combining claims and bill review, the two systems are kept in sync utilizing the scheduled jobs of the aforementioned standard model; however, for real-time data updates, claims examiners are granted access to the entire live bill review system.
January 13, 2020
Medical Claims Review Manager in Davenport, IA
Complex claim errors can only be caught by physician reviewers with the clinical experience to spot mistakes that automated systems can’t detect.
January 03, 2020