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Claims Risk Manager Jobs in Iowa (NOW HIRING)

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 ...

NCMIC Group, Inc.

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 ...

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 ...

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

$75K - $140K/yr

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

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 ...

CBCS

Director, Claims Solutions

Dubuque, IA · On-site +1

Bachelor's degree in Business, Risk Management, Insurance, Healthcare Administration, or related field. * 10+ years of progressive experience in Property & Casualty claims. * Deep knowledge of ...

CBCS

Director, Claims Solutions

Dubuque, IA

Bachelor's degree in Business, Risk Management, Insurance, Healthcare Administration, or related field. * 10+ years of progressive experience in Property & Casualty claims. * Deep knowledge of ...

CBCS

Director, Claims Solutions

Dubuque, IA

Bachelor's degree in Business, Risk Management, Insurance, Healthcare Administration, or related field. * 10+ years of progressive experience in Property & Casualty claims. * Deep knowledge of ...

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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 Representative

Claims Representative

NCMIC

Clive, IA • On-site

Full-time

Re-posted 27 days ago

Job description

Position Purpose: Responsible for the investigation, evaluation, negotiation, and resolution of professional liability claims involving insured health care providers and facilities. This role manages claims from initial notice of claim through final disposition, ensuring timely, fair, and cost-effective outcomes while complying with applicable laws, regulations, and company policies.

Essential Functions:

 

 

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 professional liability claims and administrative claims such as licensing board proceedings and insurance audits, including claim intake, coverage verification, claim opening, assigning counsel, retaining expert consultants, review of medical records, investigating, evaluating, providing directives and communicating with defense counsel, and negotiating settlements within provided settlement authority.

 

Drafting claim letters, including detailed reservation of rights letters, coverage denial letters citing specific policy language, basic claim opening and closing letters.

  

Completing financial transactions, including settlement payments with NPDB reporting, paying defense and expert bills both manually and via Datalytics, completing check voids.

 

Attending court-ordered appearances and mediations, either virtually or in-person as required.

  

Other duties as assigned.

Requirements:

Education: College degree with insurance certifications such as AIC, SCLA, and CPCU preferred. Valid applicable adjuster licensure or ability to become licensed within 90 days.

Experience: 3-5 years claims-handling experience, with emphasis on professional liability claims preferred.  

Skills: Excellent time management and ability to prioritize pending work based on urgency. Excellent negotiating skills, verbal and written communication skills, listening and reading comprehension, attention to detail. Ability to read and interpret insurance policy language, apply it to various claim scenarios, and effectively communicate coverage decisions. Knowledge of medical and legal terminologies and concepts.

Mental Demands: Ability to focus on tasks for extended periods of time. Flexible and able to work with a variety of tasks and colleagues. Ability to plan, organize, be detail and deadline oriented, and maintain high accuracy. Able to maintain professional communications when discussing sensitive topics, questions, or claims situations. Able to interpret data and problem solve to make effective and efficient decisions independently or collaboratively.

Physical Demands: Continuous sitting, some standing, walking, bending and reaching. Frequent use of fingers and hands to manipulate computer, telephone, and other office equipment. Ability to travel by car or plane if necessary.

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