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Claims Management Jobs in Iowa (NOW HIRING)

Claims Processing Executive

Iowa City, IA ยท On-site

$16.50 - $20.75/hr

Contract Duration: 3-6 Months Join our team as a Claims Processing Executive in the healthcare sector where you will utilize your expertise in MS Excel to efficiently manage and process commercial ...

Claims Assistant - Dubuque, IA

Asbury, IA ยท On-site

$17.75 - $22.50/hr

Sets up and enters new claims into claims management system. * Inputs and reviews notes/diaries in claims management system as instructed. * Processes payments. * Processes mail; handles filing ...

Claims Assistant - Dubuque, IA

Dubuque, IA ยท On-site

$17.75 - $22.50/hr

Sets up and enters new claims into claims management system. * Inputs and reviews notes/diaries in claims management system as instructed. * Processes payments. * Processes mail; handles filing ...

Claims Assistant - Dubuque, IA

Dubuque, IA ยท On-site

$17.75 - $22.50/hr

Sets up and enters new claims into claims management system. * Inputs and reviews notes/diaries in claims management system as instructed. * Processes payments. * Processes mail; handles filing ...

Claims Assistant - Dubuque, IA

Dubuque, IA ยท On-site

$17.75 - $22.50/hr

Sets up and enters new claims into claims management system. * Inputs and reviews notes/diaries in claims management system as instructed. * Processes payments. * Processes mail; handles filing ...

Claims Assistant

Asbury, IA ยท On-site

$16.25/hr

Claims Assistant By joining Sedgwick, you'll be part of something truly meaningful. It's what our ... A dedicated mentor and manager to guide you every step of your career journey * Career development ...

Claims Assistant

Dubuque, IA ยท On-site

$16.25/hr

... Assistant Claims Assistant Our teams thrive together! We collaborate in person and embrace a ... A dedicated mentor and manager to guide you every step of your career journey * Career development ...

Claims Assistant

Dubuque, IA ยท On-site

$16.25/hr

... Assistant Claims Assistant Our teams thrive together! We collaborate in person and embrace a ... A dedicated mentor and manager to guide you every step of your career journey * Career development ...

Claims Assistant

Dubuque, IA ยท On-site

$16.25/hr

... Assistant Claims Assistant Our teams thrive together! We collaborate in person and embrace a ... A dedicated mentor and manager to guide you every step of your career journey * Career development ...

Claims Assistant - Dubuque, IA

Dubuque, IA ยท On-site

$17.75 - $22.50/hr

Sets up and enters new claims into claims management system. * Inputs and reviews notes/diaries in claims management system as instructed. * Processes payments. * Processes mail; handles filing ...

New

Manages the litigation process; ensures timely and cost effective claims resolution. * Coordinates vendor referrals for additional investigation and/or litigation management. * Uses appropriate cost ...

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Showing results 1-20

Claims Management information

See Iowa salary details

$32.9K

$82.5K

$130.6K

How much do claims management jobs pay per year?

As of Aug 23, 2026, the average yearly pay for claims management in Iowa is $82,525.00, according to ZipRecruiter salary data. Most workers in this role earn between $63,900.00 and $98,600.00 per year, depending on experience, location, and employer.

What is claims management?

Claims management refers to the process of handling insurance claims from the initial report to the final settlement. This involves assessing the validity of claims, coordinating investigations, communicating with policyholders, and ensuring that claims are processed efficiently and fairly. Professionals in claims management work to minimize losses for insurers while providing support and guidance to claimants. The goal is to ensure timely, accurate, and compliant resolution of claims.

What are the key skills and qualifications needed to thrive in claims management, and why are they important?

To thrive in Claims Management, you need a solid understanding of insurance policies, claims processing procedures, and analytical skills, often supported by a degree in business, finance, or a related field. Familiarity with claims management software, such as Guidewire or Xactimate, and relevant certifications like AIC (Associate in Claims) are commonly required. Excellent communication, negotiation, and problem-solving skills help professionals resolve complex cases and provide outstanding customer service. These skills and qualifications are crucial for ensuring efficient, accurate claims processing and maintaining client trust in a competitive industry.

What are some common challenges faced by professionals in claims management, and how can they be addressed?

Professionals in Claims Management often encounter challenges such as managing high volumes of claims, ensuring accuracy in documentation, and navigating complex regulatory requirements. These challenges can be addressed by developing strong organizational skills, staying updated on industry regulations, and utilizing specialized software to streamline workflows. Effective communication and collaboration with internal teams, clients, and external vendors are also essential in resolving claims efficiently and maintaining customer satisfaction.

What is the difference between Claims Management vs Claims Adjuster?

AspectClaims ManagementClaims Adjuster
CredentialsTypically requires insurance or management certificationsRequires licensing and adjuster certifications
Work EnvironmentOffice-based, managerial settingsFieldwork and office work
Employer & Industry UsageInsurance companies, third-party administratorsInsurance companies, public adjusters
Primary FocusOverseeing claims processes, policy managementInvestigating and settling individual claims

Claims Management involves overseeing the entire claims process and policy administration, often in managerial roles. Claims Adjusters focus on investigating, evaluating, and settling specific insurance claims. While both roles require insurance knowledge and certifications, Claims Management emphasizes process oversight, whereas Claims Adjusters handle claim-specific assessments.

What do claims management professionals do?

Claims management professionals handle the processing and investigation of insurance claims, ensuring accurate documentation and adherence to policies. They evaluate claim validity, negotiate settlements, and coordinate with clients, adjusters, and legal teams, often using specialized software and requiring knowledge of insurance regulations.
Infographic showing various Claims Management job openings in Iowa as of August 2026, with employment types broken down into 2% As Needed, 82% Full Time, 14% Part Time, and 2% Contract. Highlights an 84% Physical, 3% Hybrid, and 13% Remote job distribution, with an average salary of $82,525 per year, or $39.7 per hour.

Claims Processing Executive

Apolis

Iowa City, IA โ€ข On-site

$16.50 - $20.75/hr

Other

Posted 19 days ago


Job description

Job Title: Healthcare Claims Processing Executive (QNXT Claims)
Location: Remote ( Iowa Residents Only)
Tax Term: W2
Job Type: Contract
Duration: 3-6 Months
Job Description:
Join our team as a Claims Processing Executive in the healthcare sector where you will utilize your expertise in MS Excel to efficiently manage and process commercial claims. This remote position offers the flexibility of working from home during day shifts, allowing you to balance work and personal commitments effectively. Your contributions will directly impact the accuracy and efficiency of our claims processing, enhancing customer satisfaction and operational excellence.
Roles & Responsibilities:
  • Review, validate, and process healthcare claims submitted by providers in accordance with US insurance policies.
  • Work on the QNXT claims platform (Required).
  • Verify patient eligibility, coverage, benefits, and pre-authorization requirements under Medicare, Medicaid, and private insurance plans.
  • Approve, deny, or adjust claims based on payer guidelines and policy terms.
  • Maintain compliance with HIPAA regulations, CMS guidelines, and other US healthcare compliance standards.
  • Record claim activity, maintain audit trails, and prepare reports for management.
  • Utilize MS Excel for claims tracking, reporting, and analysis.
  • Required Skills:
  • QNXT Claims Processing (Required)
  • Healthcare Claims Processing
  • Commercial Claims
  • Medicare
  • Medicaid
  • Commercial Insurance
  • Claims Adjudication
  • Eligibility Verification
  • HIPAA Compliance
  • CMS Guidelines
  • EDI Transactions
  • Claims Management Software
  • MS Excel
  • Insurance Policy Interpretation
  • Analytical & Problem-Solving Skills
  • Strong Communication Skills
  • Detail-Oriented
  • Qualifications:
  • High school diploma or equivalent (Required).
  • 2-4 years of experience in US healthcare claims processing.
  • Strong knowledge of US healthcare insurance systems, including Medicare, Medicaid, and commercial payers.
  • Familiarity with claims management software and EDI transactions.
  • Excellent analytical, organizational, and communication skills.
  • Ability to interpret insurance policies and payer guidelines.
  • Detail-oriented with strong problem-solving abilities.
  • Must be a resident of Iowa.
  • Must be comfortable with a 3-6 month contract.