Top 65 claims representative Jobs in des moines ia

Medical-Only Claim Representative-Workers' Compensation
SFM Mutual Insurance Company —Johnston, IA
- $26.09 - $36.53 an hour
- Full-time
- Ability to walk for extended periods
- Medical office experience
- Research
- Paid parental leave
- Health savings account
Experienced Catastrophe Claims Representative
Auto-Owners Insurance Company —West Des Moines, IA
- Multiple hires
- Military
- Mid-level
- Driver's License
- Paid holidays
- Health insurance
Quick Apply
School-Based Medicaid Rep.
ClaimAid —Des Moines, IA
- $20.50 - $21.75 an hour
- Full-time
- Mid-level
- Driver's License
- Travel
- Health savings account
- Paid holidays
Quick Apply
Total Loss Representative (Claims Adjuster)
FBL Financial Group, Inc. —West Des Moines, IA
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Customer service
- Paid holidays
- Disability insurance
22h
Claims Analyst - REMOTE
Ryder System —Des Moines, IA
- $90,000 - $100,000 a year
- Full-time
- Remote
- Customer service
- Bachelor's degree
- Experience equivalent to degree accepted
- Disability insurance
- Health insurance
Patient Financial Representative (Remote) Lvl 1
Professional Credit Service —Des Moines, IA
- $17 - $19 an hour
- Email
- Remote
- Analysis skills
- Communication skills
- Entry level
- Paid holidays
- Health insurance
Quick Apply
10d
Customer Service Representative - State Farm Agent Team Member
Brad Van Meter - State Farm Agent —Des Moines, IA
- $40,000 - $50,000 a year
- Part-time
- Office
- Communication skills
- Entry level
- 401(k)
- Paid time off
Quick Apply
Property and Casualty Service Representative
Midwest Family Mutual Insurance Company —Urbandale, IA
- Monday to Friday
- Remote
- Mid-level
- High school diploma or GED
- Travel
- Work from home
Claims Representative
Farm Bureau Financial Services —West Des Moines, IA
- Microsoft Excel
- Microsoft Outlook
- Computer literacy
- Paid holidays
- Disability insurance
Claim Representative - Auto and General Liability
Berkley —Urbandale, IA
- Full-time
- Hybrid work
- Microsoft Excel
- Microsoft Outlook
- Mid-level
- Profit sharing
- Paid parental leave
Liability Claims Associate | Des Moines, IA | Hybrid Schedule
Sedgwick —West Des Moines, IA
- Full-time
- Hybrid work
- Computer literacy
- No experience needed
- Office
- Health insurance
- Dental insurance
Customer Success Specialist 2- Remote
Wellabe Services Co —Des Moines, IA
- Remote
- Microsoft Outlook
- Word processing
- Mid-level
- Paid holidays
- Health insurance
Quick Apply
Commercial Insurance Customer Service Representative II
PHARMACISTS INSURANCE COMPANY —Des Moines, IA
- $21 - $25 an hour
- Full-time
- Hybrid work
- English
- Mid-level
- Office
- Paid parental leave
- Paid holidays
Bilingual Claims Care Representative
Homesteaders Life Company —West Des Moines, IA
- $51,000 - $53,000 a year
- Hybrid work
- Spanish
- English
- High school diploma or GED
- Profit sharing
- Paid parental leave
Quick Apply
Billing Representative II
Primary Health Care Inc —Des Moines, IA
- $18.65 - $27.98 an hour
- Full-time
- Word processing
- Computer literacy
- Mid-level
- Continuing education credits
- Health savings account
Quick Apply
Claims Representative
NCMIC Insurance Company —Clive, IA
- Mid-level
- 3 years
- Travel
Express Claims Service Representative
Farm Bureau Financial Services —West Des Moines, IA
- Full-time
- Spanish
- Mid-level
- Office
- Paid holidays
- Disability insurance
10d
Customer Service Representative - State Farm Agent Team Member
Corey Chancellor - State Farm Agent —Pleasant Hill, IA
- $45,000 - $55,000 a year
- Full-time
- Office
- Communication skills
- Entry level
- Health insurance
- 401(k)
Quick Apply
Member Advocate (multiple openings)
ClaimDOC —West Des Moines, IA
- 8 hour shift
- Bilingual
- Computer literacy
- No experience needed
- Paid holidays
- Health insurance
Customer Relations Representative - State Farm Agent Team Member
Matt Cale - State Farm Agent —Windsor Heights, IA
- Full-time
- Communication skills
- Entry level
- Paid time off
- Opportunities for advancement
Quick Apply

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Medical-Only Claim Representative-Workers' Compensation

SFM Mutual Insurance Company -
Johnston, IA

Apply Now

Job Details

Full-time
$26.09 - $36.53 an hour

Benefits

Internet reimbursement
Paid parental leave
Health savings account
Paid holidays
Loan repayment program
Disability insurance
Health insurance
Dental insurance
Flexible spending account
Paid time off
Parental leave
Vision insurance
Life insurance
Pet insurance

Qualifications

Customer communication

Full Job Description

Location: Iowa (Remote) | Full-Time

Pay: $26.09 to $36.53 per hour

Ranked #8 Top Workplace – Midsize Employer, MN

About the Role:

At SFM, the Medical Only Claims Representative investigates workers' compensation claims to assess whether medical treatment for injured workers is compensable. You will play a critical role in evaluating workplace injuries and assist employees and employers throughout the claims process. This position involves reviewing the validity of claims, gathering relevant medical documents and collaborating with the employer and healthcare providers to ensure that the injured workers medical expenses are paid in accordance with the State's guidelines and SFM’s best practices. The goal is to provide a successful and efficient resolution of the claim. You will use your strong communication skills and critical thinking skills, while focusing on delivering excellent customer service to all parties involved in the claims process. Helping people, and making a difference in someone's life is a big part of the responsibilities for this job, as is working collaboratively within a multifunctional team. That team environment is what makes SFM unique. SFM is committed to providing you with the training you need to be successful and help you develop your skills to grow professionally. This position is a great way to jump start your career at SFM and learn the ins-and-outs of claims handling. Applicants must live in Iowa.

What You’ll Do:

Work on a multifunctional team, manage medical-only claims as assigned and determines and communicates findings to the injured worker/ employer, while partnering with medical providers and other key stakeholders.

Investigate claims which involves gathering all relative information for the purpose of determining the validity of the claim.

Approve or deny medical bills associated with the claim, which involves setting/verifying adequate reserves, reviewing for compensability and application of any applicable treatment parameters.

Escalate claims to lost time claims representatives when appropriate if a claim is expected to exceed reserve limits, or involves a claim for indemnity benefits or disputes unable to be resolved.

Apply business unit policies, practices and procedures and provide superior customer service to policyholders, agents, injured workers and team members and ensures compliance of state laws and requirements.

Regularly interacts with team members, policyholders, agents, legal counsel, medical providers and injured workers to achieve timely and fair resolution of claims while delivering excellent customer service.

Documents all actions taken during the claims process.

What We’ll Like About You:

Bachelor's degree preferred.
Associate’s degree or two years’ business experience, preferably in an insurance environment, medical office, or customer service environment is acceptable.
One or more years handling casualty claims, PIP claims or workers’ compensation claims, preferred.
Must be detailed oriented.
Excellent customer service skills, and the ability to work well within a team environment.
Excellent problem solving and decision-making skills.
Strong verbal and written communication skills.
Ability to conduct research, assimilate and interpret complex information from a variety of sources.
Ability to work in a fast-paced environment and manage multiple projects and deadlines with limited supervision.

Why You’ll Love Working Here

We want your work life to feel balanced, rewarding, and supported. Here are just a few of the benefits SFM offers:

Comprehensive medical, dental, and vision coverage (plus HSA/FSA options).

Significant Cash Benefit if You Opt Out of Our Health Plan

Flexible hybrid work environment.
401(k) with both Traditional and Roth options + company match.
Contributions toward student loan repayment.
Generous PTO, 9 paid holidays, and paid parental leave.
Monthly home internet allowance.
Free life insurance, short-term & long-term disability coverage.
Incentive bonus opportunities.
Adoption financial assistance.
Pet insurance.
Annual company-wide volunteer day.
Discounts on gyms, fitness apps, and wellness programs.

Who We Are

SFM is the leading workers’ compensation insurer in Minnesota, with a growing presence across the Midwest. We’re proud to be recognized as a Top Workplace (#8 midsize employer in MN) thanks to our supportive culture, commitment to our employees, and focus on doing what’s right. Learn more by clicking here (https://www.sfmic.com/careers/).

The base pay posted is just one component of SFM’s total compensation package. The salary range listed represents the full compensation range for this position. Job title and starting pay will be based on the selected candidate’s relevant knowledge, skills, abilities and/or experience, and education, if applicable as well as internal equity with other employees in the same job classification. #SFM

Work Environment and Physical Demands

Regular attendance is required. Work takes place in a semi paperless environment within an office setting, either on business premises or other remote location, using standard office equipment such as computers, phones, and copiers, which requires being stationary for extended periods of time. While performing the duties of this job, the employee is regularly required to talk or hear. The employee frequently is required to stand; walk; use hands and fingers, handle or feel; and reach with hands and arms and work with close vision. This position requires the ability to occasionally lift office products and supplies, up to 20 pounds. Work is performed indoors with little to no exposure to extreme outdoor weather conditions.

SFM Mutual Insurance Company and each of its parent companies, subsidiaries and/or affiliated companies are Equal Opportunity/Affirmative Action Employers. SFM provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, status with regard to public assistance, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

SFM Companies, EEO/AA Employers. SFM is a participant of E-Verify. Applicants have rights under Federal Employment Laws.

Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights (https://www.eeoc.gov/poster) notice from the Department of Labor.

Pay: $26.09 - $36.53 per hour

Apply Now

Refine Your Search

claims representative jobs in des moines ia

Medical-Only Claim Representative-Workers' Compensation

Experienced Catastrophe Claims Representative

School-Based Medicaid Rep.

Total Loss Representative (Claims Adjuster)

Claims Analyst - REMOTE

Patient Financial Representative (Remote) Lvl 1

Customer Service Representative - State Farm Agent Team Member

Property and Casualty Service Representative

Claims Representative

Claim Representative - Auto and General Liability

Liability Claims Associate | Des Moines, IA | Hybrid Schedule

Customer Success Specialist 2- Remote

Commercial Insurance Customer Service Representative II

Bilingual Claims Care Representative

Billing Representative II

Claims Representative

Express Claims Service Representative

Customer Service Representative - State Farm Agent Team Member

Member Advocate (multiple openings)

Customer Relations Representative - State Farm Agent Team Member

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