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Claims Risk Manager Jobs in Iowa (NOW HIRING)

Polk County, IA

CIVIL CLAIMS COUNSEL

Des Moines, IA · On-site

$151K/yr

Identifies, analyzes, and evaluates merits of claims and actions to provide recommendations to the Risk Management Committee and Board of Supervisors for the Board to make determinations as to the ...

NCMIC

Claims Representative

Clive, IA

Answering phone calls in the claims phone queues, including risk management questions and claim reporting intake, and documenting all phone calls in detailed claim or policy notes. Handling ...

NCMIC

Claims Representative

Clive, IA · On-site

Answering phone calls in the claims phone queues, including risk management questions and claim reporting intake, and documenting all phone calls in detailed claim or policy notes. Handling ...

Corvel

Indemnity Claims Specialist

West Des Moines, IA · Remote

$51K - $83K/yr

The Indemnity Claims Specialist manages within company best practices lower-level, non-complex and ... CorVel Careers | Opportunities in Risk Management In general, our opportunities will be posted for ...

Liberty Mutual

P/L Territory Manager

Des Moines, IA · Remote

Collaborates, influences and supports internal business partners (underwriting/product management/claims/risk control) to identify and capitalize on opportunities, solve problems, share key ...

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Claims Risk Manager information

How does a Claims Risk Manager typically collaborate with other departments to minimize organizational risk?

A Claims Risk Manager works closely with departments such as underwriting, legal, compliance, and operations to identify potential risk exposures and implement effective mitigation strategies. They often participate in cross-functional meetings to review claims trends, share insights, and develop risk management policies. This collaborative approach ensures that the organization proactively addresses risks, maintains regulatory compliance, and continually improves claims processes for better outcomes.

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

AspectClaims Risk ManagerClaims Adjuster
CredentialsTypically requires a bachelor’s degree in risk management, insurance, or related field; certifications like CPCU or ARM are commonRequires a high school diploma or bachelor’s degree; insurance licenses may be needed depending on state
Work EnvironmentOffice-based, strategic planning, risk assessment, policy developmentField or office-based, investigating claims, assessing damages, negotiating settlements
Industry UsageUsed across insurance companies, risk management firms, and large corporationsPrimarily in insurance companies, adjusting claims for auto, property, or health insurance

The Claims Risk Manager focuses on identifying and mitigating risks related to claims, developing policies, and overseeing risk strategies. In contrast, a Claims Adjuster handles the day-to-day investigation and settlement of individual claims. Both roles are essential in the insurance industry but differ in scope and responsibilities.

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

To thrive as a Claims Risk Manager, you need expertise in insurance claims processes, risk assessment, and regulatory compliance, typically backed by a bachelor’s degree in a relevant field and experience in claims management. Familiarity with claims management systems, risk modeling software, and certifications such as CPCU (Chartered Property Casualty Underwriter) or ARM (Associate in Risk Management) are often required. Strong analytical thinking, attention to detail, and effective communication skills help you investigate claims and collaborate with stakeholders. These skills enable accurate risk evaluation, minimize losses, and ensure the organization’s compliance and financial stability.

What does a Claims Risk Manager do?

A Claims Risk Manager is responsible for identifying, assessing, and managing risks associated with insurance claims within an organization. They analyze claims data to detect patterns, prevent fraudulent activity, and develop strategies to minimize financial losses. Additionally, they work closely with claims adjusters, legal teams, and other departments to ensure compliance with regulations and to optimize claims processes. Their goal is to protect the company from unnecessary losses while ensuring legitimate claims are handled efficiently.
What are popular job titles related to Claims Risk Manager jobs in Iowa? For Claims Risk Manager jobs in Iowa, the most frequently searched job titles are:
What job categories do people searching Claims Risk Manager jobs in Iowa look for? The top searched job categories for Claims Risk Manager jobs in Iowa are:
What cities in Iowa are hiring for Claims Risk Manager jobs? Cities in Iowa with the most Claims Risk Manager job openings:
Claims Risk Manager jobs near you
Claims Manager - Litigation

Claims Manager - Litigation

UnityPoint Health

West Des Moines, IA • On-site

Full-time

Medical, Dental, Retirement, PTO

Posted 18 days ago

UnityPoint Health rating

7.3

Company rating: 7.3 out of 10

Based on 354 frontline employees who took The Breakroom Quiz

294th of 872 rated healthcare providers

Job description

Overview
UnityPoint Health is seeking a Claims Manager - Litigation to join our team! We are looking for candidates with experience handling medical malpractice, auto, or general liability claims who bring strong analytical, investigative, and communication skills to the role. The ideal candidate is detail-oriented, collaborative, and comfortable managing complex claims in a fast-paced healthcare environment.
This is a great opportunity to work with the Vice President of Risk and Litigation on a daily basis. In collaboration with legal and risk, the Claims Manager will coordinate and manage investigations of potential claims and evaluate liability exposure associated with professional, general and employment liability occurrences. This position coordinates discovery and evaluation activities with respect to litigated claims and is responsible for the development, update and maintenance of various claims management reports, submission and monitoring of claims to carriers. The Claims Manager mitigates the organization's exposure to risk by formulating, developing and coordinating claim related activities. Applicants can expect to work within UnityPoint's program for efficient handling of claims, gathering data for claims, loss forecasting and estimating the financial value of claims.
Hours: Monday-Friday, 8am-5pm
Location: Remote, hybrid, and onsite opportunities available. Applicants preferably reside in Des Moines, Iowa and work onsite or hybrid at our West Lakes location. Remote applicants must reside within the UPH footprint of Iowa, Illinois, or Wisconsin.
Why UnityPoint Health?
At UnityPoint Health, you matter. We're proud to be recognized as a Top 150 Place to Work in Healthcare by Becker's Healthcare several years in a row for our commitment to our team members.
Our competitive Total Rewards program offers benefits options that align with your needs and priorities, no matter what life stage you're in. Here are just a few:
  • Expect paid time off, parental leave, 401K matching and an employee recognition program.
  • Dental and health insurance, paid holidays, short and long-term disability and more. We even offer pet insurance for your four-legged family members.
  • Early access to earned wages with Daily Pay, tuition reimbursement to help further your career and adoption assistance to help you grow your family.

With a collective goal to champion a culture of belonging where everyone feels valued and respected, we honor the ways people are unique and embrace what brings us together.
And, we believe equipping you with support and development opportunities is a vital part of delivering an exceptional employment experience.
Find a fulfilling career and make a difference with UnityPoint Health.
Responsibilities
Claims, Insurance Reporting, & Loss Runs:
  • Receive, analyze and disseminate as appropriate loss runs and monthly reports
  • Communicate with excess carriers including quarterly loss runs
  • Work with UPH finance regarding loss runs and sharing pool allocation
  • Monitor NPDB reporting Maintain current knowledge of MMSEA Section 111 requirements and submit reportable claims accordingly

Litigation Support:
  • Work in close collaboration and support in-house counsel over professional liability, general liability, employment and cyber claims
  • Track information including defense counsel assignment, monthly trial list, preparation for monthly trials and defense assignments
  • Participate and support the Claims Committee with the Assistant General Counsel and Senior Vice Presidents
  • Review and monitor general liability claims and employment claims including, without limitation: monitor RL, communicate monthly financial information and communication with excess carriers

Claims Data Management:
  • Maintain complete and accurate records of all submitted reported incidents and claims
  • Monitor and support Sedgwick in understanding of claims data and processes, reporting and manage agent-claims partnership
  • Manage RL Claims data for general liability and employment
  • Monitor Meriter loss runs for accuracy and communication with excess carriers

Discovery Support:
  • Respond to discovery requests in litigated claims and assist outside counsel in coordinating interviews or depositions of UnityPoint Health employees, as necessary
  • Evaluate claims to ensure general conformity with policy or system self-insurance plan coverage(s) prior to submission to Insurers

Insurance Renewal Process:
  • Coordinate, gather information and draft annual HPL, D&O and Employed lawyers insurance renewal applications
  • Prepare claim summary reports for use by various UnityPoint Health committees including Boards and Market Presidents

Qualifications
Education:
  • Bachelor's Degree or an equivalent combination of education and job-related work experience

Experience:
  • Minimum of three years related experience in Insurance/Claims management
  • Experience in healthcare claim administration preferred

Knowledge, Skills, & Abilities:
  • Utilizes management tools, resources and business routines established to foster claims standardization and consistency
  • Knowledge of state and federal law with respect to professional, general and employment law claims
  • Possesses excellent written and verbal communications
  • Ability to work as a team member, creating and maintaining effective working relationships
  • Ability to understand and apply guidelines, policies and procedures

#System123

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About UnityPoint Health

Sourced by ZipRecruiter

At UnityPoint Health, we provide care in nine regions throughout Illinois, Iowa, and Wisconsin. As the nation's fourth largest nondenominational health system in America, UnityPoint Health keeps people at the center of all we do. We are looking for dynamic and talented individuals to join our team. You'll find opportunities for every sized dream.

Industry

Hospitals

Company size

10,000+ Employees

Headquarters location

West Des Moines, IA, US

Year founded

1995

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