Claims Captive Consultant
Dubuque, IA · On-site
Prepare and present claims reviews, benchmarking reports, and safety performance updates to captive boards and member organizations. * Support the onboarding of new captive members by evaluating ...
Dubuque, IA · On-site
Prepare and present claims reviews, benchmarking reports, and safety performance updates to captive boards and member organizations. * Support the onboarding of new captive members by evaluating ...
Dubuque, IA · On-site
Prepare and present claims reviews, benchmarking reports, and safety performance updates to captive boards and member organizations. * Support the onboarding of new captive members by evaluating ...
Prepare and present claims reviews, benchmarking reports, and safety performance updates to captive boards and member organizations. * Support the onboarding of new captive members by evaluating ...
Prepare and present claims reviews, benchmarking reports, and safety performance updates to captive boards and member organizations. * Support the onboarding of new captive members by evaluating ...
Prepare and present claims reviews, benchmarking reports, and safety performance updates to captive boards and member organizations. * Support the onboarding of new captive members by evaluating ...
Prepare and present claims reviews, benchmarking reports, and safety performance updates to captive boards and member organizations. * Support the onboarding of new captive members by evaluating ...
Des Moines, IA · On-site
Lead client meetings, claims reviews, and stewardship sessions, presenting actionable insights on claim performance, trends, and outcomes * Monitor claims handling quality and TPA performance ...
Des Moines, IA · On-site
Lead client meetings, claims reviews, and stewardship sessions, presenting actionable insights on claim performance, trends, and outcomes * Monitor claims handling quality and TPA performance ...
Lead client meetings, claims reviews, and stewardship sessions, presenting actionable insights on claim performance, trends, and outcomes * Monitor claims handling quality and TPA performance ...
Lead client meetings, claims reviews, and stewardship sessions, presenting actionable insights on claim performance, trends, and outcomes * Monitor claims handling quality and TPA performance ...
Des Moines, IA · On-site +1
Lead client meetings, claims reviews, and stewardship sessions, presenting actionable insights on claim performance, trends, and outcomes * Monitor claims handling quality and TPA performance ...
Des Moines, IA · On-site +1
Lead client meetings, claims reviews, and stewardship sessions, presenting actionable insights on claim performance, trends, and outcomes * Monitor claims handling quality and TPA performance ...
Waterloo, IA · On-site +1
Commercial Lines Claims Advocate PDCM | Waterloo, IA | Hybrid | Full-Time Why This Role Matters As ... Review policy documentation and coverage information to support claim submissions and coverage ...
Waterloo, IA · On-site +1
Commercial Lines Claims Advocate PDCM | Waterloo, IA | Hybrid | Full-Time Why This Role Matters As ... Review policy documentation and coverage information to support claim submissions and coverage ...
Des Moines, IA · On-site
$16.50 - $21/hr
By reviewing claims accurately, applying plan guidelines consistently, and resolving questions with care and empathy, you'll help deliver a fair, timely, and dependable claims experience. Your ...
Des Moines, IA · On-site
$16.50 - $21/hr
By reviewing claims accurately, applying plan guidelines consistently, and resolving questions with care and empathy, you'll help deliver a fair, timely, and dependable claims experience. Your ...
Nevada, IA · Remote
$110K - $120K/yr
The candidate hired for this position will work from an office in their home with occasional travel to claims reviews and meetings in the Pacific Region. Candidate hired for this position will be ...
Nevada, IA · Remote
$110K - $120K/yr
The candidate hired for this position will work from an office in their home with occasional travel to claims reviews and meetings in the Pacific Region. Candidate hired for this position will be ...
Des Moines, IA · On-site
$16.50 - $21/hr
By reviewing claims accurately, applying plan guidelines consistently, and resolving questions with care and empathy, you'll help deliver a fair, timely, and dependable claims experience. Your ...
Des Moines, IA · On-site
$16.50 - $21/hr
By reviewing claims accurately, applying plan guidelines consistently, and resolving questions with care and empathy, you'll help deliver a fair, timely, and dependable claims experience. Your ...
Clive, IA · On-site
... consultants, review of medical records, investigating, evaluating, providing directives and ... Experience: 3-5 years claims-handling experience, with emphasis on professional liability claims ...
Clive, IA · On-site
... consultants, review of medical records, investigating, evaluating, providing directives and ... Experience: 3-5 years claims-handling experience, with emphasis on professional liability claims ...
Clive, IA · On-site
This role manages claims from initial notice of claim through final disposition, ensuring timely ... consultants, review of medical records, investigating, evaluating, providing directives and ...
Clive, IA · On-site
This role manages claims from initial notice of claim through final disposition, ensuring timely ... consultants, review of medical records, investigating, evaluating, providing directives and ...
Clive, IA · On-site
This role manages claims from initial notice of claim through final disposition, ensuring timely ... consultants, review of medical records, investigating, evaluating, providing directives and ...
Clive, IA · On-site
This role manages claims from initial notice of claim through final disposition, ensuring timely ... consultants, review of medical records, investigating, evaluating, providing directives and ...
West Des Moines, IA · On-site
Initiates processing of new claims, investigates and reviews pending claims, and handles outreach via calls and emails to beneficiaries regarding pending claims and outstanding requirements.
West Des Moines, IA · On-site
Initiates processing of new claims, investigates and reviews pending claims, and handles outreach via calls and emails to beneficiaries regarding pending claims and outstanding requirements.
West Des Moines, IA · On-site
Initiates processing of new claims, investigates and reviews pending claims, and handles outreach via calls and emails to beneficiaries regarding pending claims and outstanding requirements.
West Des Moines, IA · On-site
Initiates processing of new claims, investigates and reviews pending claims, and handles outreach via calls and emails to beneficiaries regarding pending claims and outstanding requirements.
Des Moines, IA · On-site
$16.50 - $21/hr
In this role, you will be responsible for adjudicating member out-of-pocket expenses, supporting eligibility checks, tracking the life cycle of claims, and reviewing member transactions incurred ...
Des Moines, IA · On-site
$16.50 - $21/hr
In this role, you will be responsible for adjudicating member out-of-pocket expenses, supporting eligibility checks, tracking the life cycle of claims, and reviewing member transactions incurred ...
West Des Moines, IA · On-site
Initiates processing of new claims, investigates and reviews pending claims, and handles outreach via calls and emails to beneficiaries regarding pending claims and outstanding requirements.
West Des Moines, IA · On-site
Initiates processing of new claims, investigates and reviews pending claims, and handles outreach via calls and emails to beneficiaries regarding pending claims and outstanding requirements.
West Des Moines, IA · On-site
Initiates processing of new claims, investigates and reviews pending claims, and handles outreach via calls and emails to beneficiaries regarding pending claims and outstanding requirements.
West Des Moines, IA · On-site
Initiates processing of new claims, investigates and reviews pending claims, and handles outreach via calls and emails to beneficiaries regarding pending claims and outstanding requirements.
Iowa City, IA · On-site
$16.50 - $20.75/hr
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 ...
Iowa City, IA · On-site
$16.50 - $20.75/hr
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 ...
Clive, IA · On-site
... review of medical records, investigating, evaluating, providing directives and communicating with defense counsel, and negotiating settlements within provided settlement authority. Drafting claim ...
Clive, IA · On-site
... review of medical records, investigating, evaluating, providing directives and communicating with defense counsel, and negotiating settlements within provided settlement authority. Drafting claim ...
$28.6K - $33.7K
1% of jobs
$33.7K - $38.8K
3% of jobs
$38.8K - $43.9K
5% of jobs
$48.4K is the 25th percentile. Wages below this are outliers.
$43.9K - $49K
17% of jobs
$49K - $54.1K
11% of jobs
The median wage is $58.5K / yr.
$54.1K - $59.1K
14% of jobs
$59.1K - $64.2K
13% of jobs
$69.2K is the 75th percentile. Wages above this are outliers.
$64.2K - $69.3K
11% of jobs
$69.3K - $74.4K
10% of jobs
$74.4K - $79.5K
9% of jobs
$79.5K - $84.5K
6% of jobs
$28.6K
$60.7K
$84.5K
A Claims Reviewer evaluates insurance claims to determine their validity and ensures they comply with company policies and regulations. They analyze documentation, verify details, and may consult with medical or industry experts. Their role helps prevent fraud, control costs, and ensure fair compensation for policyholders. Strong attention to detail and knowledge of insurance policies are essential for this role.
As a Claims Reviewer, your typical day involves evaluating insurance claims to determine their validity, reviewing supporting documents, and making recommendations for approval or denial based on policy guidelines. You will often collaborate with team members, adjusters, and occasionally interact with clients or healthcare providers to obtain additional information or clarification. The role frequently requires balancing multiple cases simultaneously while adhering to strict deadlines and maintaining high accuracy. Most Claims Reviewers work in an office setting, but some companies also offer remote or hybrid options, making the work environment flexible. This position offers the opportunity to develop expertise in insurance practices and can lead to advancement into supervisory or specialized claims roles.
To thrive as a Claims Reviewer, you need a solid understanding of insurance policies, claim evaluation procedures, and strong analytical skills, often supported by a degree in a related field or equivalent experience. Familiarity with claims management software, electronic documentation systems, and knowledge of relevant regulations or coding (such as ICD or CPT) is typically required. Attention to detail, critical thinking, and effective written and verbal communication are essential soft skills in this position. These skills are vital for accurately assessing claims, ensuring compliance, and maintaining efficiency in a detail-oriented, deadline-driven environment.
The most popular types of Claims Reviewer jobs in Iowa are:
For Claims Reviewer jobs in Iowa, the most frequently searched job titles are:
The top searched job categories for Claims Reviewer jobs in Iowa are:

Dubuque, IA • On-site
8.6
Based on 15 frontline employees who took The Breakroom Quiz
94th of 315 rated insurance
People enjoy working here
Good employer
Recommended by parents
Respectful managers
Learn new skills
Full-time
Re-posted 2 days ago
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