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Claims Processor Associate Jobs in Iowa (NOW HIRING)

Member Services Representative

Dubuque, IA · On-site +1

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Medical Associates Health Plans is looking for a full-time Member Services Representative to join ... Claims status and claims processing * Claim denials and appeal processes * Prior authorizations and ...

Human Resources Coordinator

Newton, IA · On-site

$50K - $56K/yr

  • Medical

  • Dental

  • Life

  • Retirement

  • PTO

Processes status changes and reviews claims. * Processes open enrollment benefit plan transfers ... Associate's degree (A. A.) or equivalent from two-year college or technical school; or six months ...

Human Resources Coordinator

Newton, IA · On-site

$19.25 - $25.25/hr

  • Medical

  • Dental

  • Life

  • Retirement

  • PTO

Processes status changes and reviews claims. * Processes open enrollment benefit plan transfers ... Associate's degree (A. A.) or equivalent from two-year college or technical school; or six months ...

Associate General Counsel

Des Moines, IA · On-site

  • Life

  • Retirement

  • PTO

In addition, the Associate Counsel will oversee group claims and litigation to assure legal ... reports, and processes/procedures * Perform due diligence for mergers and acquisitions ...

Patient Accounts Specialist

Spencer, IA · On-site

$19.50 - $25.50/hr

  • Retirement

  • PTO

Reviews, analyzes, and appeals denials received relative to claims processing issues with insurance ... Associate's or technical degree. * 1-3 years of related experience. Expectations and Standards

Patient Accounts Specialist

Spencer, IA · On-site

$19.50 - $25.50/hr

  • Retirement

  • PTO

Reviews, analyzes, and appeals denials received relative to claims processing issues with insurance ... Associate's or technical degree. * 1-3 years of related experience. Expectations and Standards

Medical Management Coordinator

Cedar Rapids, IA · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Claims processing * Claims research * Data-entry Education/Qualifications: * High school diploma and 2-4 years related experience; or Associates or Bachelor's degree with some related experience

Medical Management Coordinator

Cedar Rapids, IA · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Claims processing * Claims research * Data-entry Education/Qualifications: * High school diploma and 2-4 years related experience; or Associates or Bachelor's degree with some related experience

Medical Management Coordinator

Cedar Rapids, IA · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Claims processing * Claims research * Data-entry Education/Qualifications: * High school diploma and 2-4 years related experience; or Associates or Bachelor's degree with some related experience

Member Services Representative

Dubuque, IA · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Medical Associates Health Plans is looking for a full-time Member Services Representative to join ... Claims status and claims processing * Claim denials and appeal processes * Prior authorizations and ...

Member Services Representative

Asbury, IA · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Medical Associates Health Plans is looking for a full-time Member Services Representative to join ... Claims status and claims processing * Claim denials and appeal processes * Prior authorizations and ...

Member Services Representative

Dubuque, IA · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Medical Associates Health Plans is looking for a full-time Member Services Representative to join ... Claims status and claims processing * Claim denials and appeal processes * Prior authorizations and ...

This role is critical in safeguarding the integrity of our claims process, mitigating financial ... Associate in Claims (AIC). Education Requirement • Bachelor's degree in Criminal Justice ...

This role is critical in safeguarding the integrity of our claims process, mitigating financial ... CPCU), Associate in Claims (AIC). Education Requirement Bachelor's degree in Criminal Justice ...

This role is critical in safeguarding the integrity of our claims process, mitigating financial ... Associate in Claims (AIC). Education Requirement • Bachelor's degree in Criminal Justice ...

Showing results 41-60

Claims Processor Associate information

What does a claims processor associate do?

A Claims Processor Associate is responsible for reviewing, processing, and verifying insurance claims to ensure they are accurate and comply with policy guidelines. They investigate claim details, communicate with policyholders or medical providers for additional information, and enter claim data into company systems. Their role is crucial in ensuring timely and accurate payments or denials, helping both insurance companies and clients. Attention to detail, strong organizational skills, and excellent communication abilities are important for success in this position.

What are the key skills and qualifications needed to thrive as a claims processor associate, and why are they important?

To thrive as a Claims Processor Associate, you need strong attention to detail, analytical skills, and a high school diploma or equivalent, with some employers preferring experience in insurance or healthcare. Familiarity with claims management software, data entry systems, and basic office applications is typically required. Excellent organizational skills, clear communication, and the ability to work efficiently under deadlines are essential soft skills for this role. These abilities ensure accurate claims processing, minimize errors, and support timely service for clients and providers.

What are some common challenges faced by claims processor associates, and how can they be effectively managed?

Claims Processor Associates often encounter challenges such as handling a high volume of claims, navigating complex policy details, and meeting strict deadlines. Successfully managing these challenges requires strong organizational skills, attention to detail, and the ability to prioritize tasks effectively. Collaborating closely with team members and regularly communicating with supervisors can also help resolve discrepancies and ensure accuracy. Most organizations provide training and support to help associates stay updated on procedures and regulatory requirements, fostering a supportive work environment.

Is claims processing a stressful job?

Claims processing can be a stressful job due to tight deadlines, high volume of claims, and the need for accuracy. It often requires attention to detail, strong organizational skills, and the ability to handle complex or difficult cases. However, workload and stress levels vary depending on the employer and work environment.

What are the most commonly searched types of Claims Processor jobs in Iowa?

The most popular types of Claims Processor jobs in Iowa are:

What are popular job titles related to Claims Processor Associate jobs in Iowa?

For Claims Processor Associate jobs in Iowa, the most frequently searched job titles are:

What cities in Iowa are hiring for Claims Processor Associate jobs?

Cities in Iowa with the most Claims Processor Associate job openings:

Infographic showing various Claims Processor Associate job openings in Iowa as of August 2026, with employment types broken down into 1% As Needed, 70% Full Time, 27% Part Time, 1% Temporary, and 1% Contract. Highlights an 97% Physical, 1% Hybrid, and 2% Remote job distribution.

Member Services Representative

Medical Associates

Dubuque, IA • On-site, Remote

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 27 days ago


Job description

If you are looking for a customer service-based position that has a variety of clerical duties, offers a flexible schedule, and the opportunity to work from home if desired, your search is over!
Medical Associates Health Plans is looking for a full-time Member Services Representative to join our team!
Who You Are:

  • Dedicated to providing superior customer service
  • Able to adapt to various customers and their needs
  • Have excellent verbal communication
  • Comfortable learning and navigating various computer programs and phone queues
  • Excited to work closely with team members in a fast-paced environment

Work Schedule: Monday through Friday, 8:00am to 5:00pm. Training period will be in the office. After training, schedule is 8:00am to 5:00pm with opportunity to work from home if desired.

Benefits Package includes:
  • Single or Family Health Insurance with discounted premium rates for wellness program participation.
  • 401k with immediate matching (50% on the dollar up to 7% of pay + additional annual Profit Sharing
  • Flexible Paid Time Off Program (24 days off/year)
  • Medical and Dependent Care Flex Spending Accounts
  • Life insurance, Long Term Disability Coverage, Short Term Disability Coverage, Dental Insurance, etc.

What You'll Be Doing:

  • Answer inbound and outbound telephone calls in a professional, courteous, and timely manner.

    Respond to member and provider inquiries regarding:

      • Medical, dental, vision, and pharmacy benefits
      • Claims status and claims processing
      • Claim denials and appeal processes
      • Prior authorizations and referral requirements
      • Eligibility and enrollment status
      • Premium payments and billing questions
      • Provider network participation
      • Explanation of Benefits (EOBs) and Explanation of Provider (EOP's)
      • Coordination of benefits
      • Coverage limitations and exclusions

    Interpret, review, and enter member and authorization data and supporting documentation into core business processing systems to support Member Services operations. Maintain working knowledge of claims administration processes, including the ability to review, analyze, process, calculate, and adjudicate claims in accordance with internal policies, procedures, and processing guidelines.

  • Complete all additional assigned projects and duties.

Knowledge, Skills and Abilities:
Experience:One to three years of similar or related experience.
Education:High school diploma or GED required.
Other Skills: Excellent telephone presence. Familiar with Microsoft Office applications, particularly Word and Excel.

Employment Type: Full-Time