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Claims Operations Manager Jobs in Iowa (NOW HIRING)

Director, Claims Support

Nevada, IA · Remote

$144K - $238K/yr

Summary The Director, Claims Support is responsible for the strategic and operational leadership of ... Minimum 5 years of leadership experience managing managers and/or large operational teams.

Proven technical knowledge and leadership of Claims, the General Agency System, Unfair Claims Handling Regulations, management principles and techniques, leadership competencies and operational ...

This position partners closely with claims operations, sales, marketing, finance, and executive ... Vendor & Solution Management * Select, negotiate, and manage relationships with solution providers.

This position partners closely with claims operations, sales, marketing, finance, and executive ... Vendor & Solution Management * Select, negotiate, and manage relationships with solution providers.

This position partners closely with claims operations, sales, marketing, finance, and executive ... Vendor & Solution Management * Select, negotiate, and manage relationships with solution providers.

Overview Operations Managers develop methods and procedures for the most efficient and economical ... and claims. * Issue directives to subordinates to coordinate the movement of expedited, late or ...

Overview Operations Managers develop methods and procedures for the most efficient and economical ... and claims. * Issue directives to subordinates to coordinate the movement of expedited, late or ...

Operations Managers develop methods and procedures for the most efficient and economical routing ... and claims. * Issue directives to subordinates to coordinate the movement of expedited, late or ...

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Claims Operations Manager information

See Iowa salary details

$32.9K

$82.5K

$130.6K

How much do claims operations manager jobs pay per year?

As of Jul 7, 2026, the average yearly pay for claims operations manager 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.

How does a Claims Operations Manager typically interact with cross-functional teams within an insurance organization?

A Claims Operations Manager regularly collaborates with cross-functional teams such as underwriting, customer service, legal, and IT to ensure smooth processing of claims and adherence to company policies. This role often requires coordinating process improvements, addressing compliance requirements, and resolving escalated issues that span multiple departments. Effective communication and project management skills are essential, as the manager must balance operational efficiency with customer satisfaction while ensuring regulatory standards are met.

What are the key skills and qualifications needed to thrive as a Claims Operations Manager, and why are they important?

To thrive as a Claims Operations Manager, you need expertise in insurance claims processes, analytical skills, and a background in business or finance, often supported by a bachelor's degree and relevant industry experience. Familiarity with claims management systems, workflow automation tools, and regulatory compliance platforms is typically required. Strong leadership, problem-solving, and communication skills help manage teams and resolve complex claims efficiently. These abilities are vital for ensuring timely and accurate claims processing, regulatory adherence, and high levels of customer satisfaction.

What is the difference between Claims Operations Manager vs Claims Adjuster?

AspectClaims Operations ManagerClaims Adjuster
CredentialsTypically requires a bachelor’s degree, industry certifications (e.g., CPCU), and management experienceRequires a high school diploma or bachelor’s degree, licensing, and adjuster certifications
Work EnvironmentOversees teams, manages claims processes, and develops policies within an office or corporate settingInvestigates claims, assesses damages, and interacts directly with claimants, often in the field or office
Employer & Industry UsageCommon in insurance companies, large agencies, and corporate claims departmentsFound in insurance companies, independent adjusting firms, and public adjusting roles

The Claims Operations Manager focuses on managing teams and streamlining claims processes, while the Claims Adjuster handles the investigation and evaluation of individual claims. Both roles are essential in the claims lifecycle but differ in responsibilities, work environment, and required credentials.

What are Claims Operations Managers?

Claims Operations Managers are professionals responsible for overseeing and managing the daily operations of an insurance claims department. They ensure that claims are processed efficiently, accurately, and in compliance with company policies and regulations. Their duties often include supervising staff, implementing process improvements, handling escalated issues, and analyzing performance metrics. Claims Operations Managers play a key role in optimizing workflow, maintaining customer satisfaction, and minimizing risk for the organization.
What are popular job titles related to Claims Operations Manager jobs in Iowa? For Claims Operations Manager jobs in Iowa, the most frequently searched job titles are:
What job categories do people searching Claims Operations Manager jobs in Iowa look for? The top searched job categories for Claims Operations Manager jobs in Iowa are:
What cities in Iowa are hiring for Claims Operations Manager jobs? Cities in Iowa with the most Claims Operations Manager job openings:
Director, Claims Support

Director, Claims Support

CareMore Health

Nevada, IA • Remote

$144K - $238K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 25 days ago


Job description

Job Description Summary

The Director, Claims Support is responsible for the strategic and operational leadership of CareMore Health's claims administration function, ensuring the accurate, timely, and compliant adjudication and payment of medical, behavioral health, pharmacy, and ancillary claims. This role oversees claims operations across multiple markets and systems, drives operational excellence, and ensures compliance with Medicare, Medicaid, Commercial, CMS, and state regulatory requirements.
The Director develops and executes claims strategies that support organizational objectives, provider satisfaction, member experience, payment integrity, and financial stewardship. Serving as a key leader within Health Plan Operations, the Director partners closely with Provider Network Management, Finance, Compliance, Configuration, Delegation Oversight, Appeals & Grievances, Clinical Operations, and external provider organizations to ensure optimal claims performance and regulatory compliance.

How will you make an impact & Requirements

Hours & Location:

Full Time: Monday-Friday, Pacific Time

Remote work

Essential Responsibilities
  • Direct all aspects of claims intake, adjudication, payment, adjustment, and provider reimbursement activities.

  • Ensure claims are processed accurately, timely, and in compliance with contractual, regulatory, and organizational requirements.

  • Provide leadership and guidance on highly complex claims and provider disputes.
    Establish and monitor operational metrics, SLAs, productivity standards, and quality indicators.

  • Lead continuous improvement initiatives focused on automation, efficiency, payment accuracy, and provider experience.

  • Ensure compliance with CMS, Medicare Advantage, Medicaid, and state regulations.

  • Lead strategic planning, budgeting, workforce planning, and operational transformation initiatives.

  • Partner with providers, delegated entities, vendors, and internal stakeholders to resolve issues and improve performance.

  • Lead, coach, and develop managers and claims professionals across multiple locations.

Required Qualifications
  • Bachelor's degree in Business Administration, Healthcare Administration, Finance, Public Health, or related field, or equivalent experience.

  • Minimum 9 years of progressive healthcare claims operations experience.

  • Minimum 5 years of leadership experience managing managers and/or large operational teams.

  • Experience within Medicare Advantage, Medicaid, Managed Care, Health Plan, or Payer environments.

Preferred Qualifications
  • Master's degree (MBA, MHA, MPH, or related field).

  • Experience supporting delegated provider organizations, value-based care models, payment integrity programs, and provider dispute resolution.

Benefits:

  • 3 weeks PTO & 8 paid holidays

  • Medical, Dental, Vision

  • Employer Paid Basic Life & Short Term Disability coverage (goes into effect after 1 year of full-time employment)

  • 401(k) with match

  • Employee Wellness

  • Other Employee Discount programs like Tickets at Work and cell phone discounts

  • Other benefits: Dependent Care FSA, Voluntary Life, Long Term Disability, Critical Illness, Pet Insurance, and more

Compensation:

$144,368.00

to

$238,207.00