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Claims Risk Manager Jobs in Iowa (NOW HIRING)

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 ...

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 ...

Polk County

CIVIL CLAIMS COUNSEL

Des Moines, IA

$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 ...

Holmes Murphy

Claims Assistant

West Des Moines, IA

$18.50 - $23.25/hr

Creative Risk Solutions (CRS) provides customized claims management services. They specialize in handling claims for various types of insurance, including Workers' Compensation, General Liability ...

Holmes Murphy

Claims Assistant

West Des Moines, IA · On-site

$18.50 - $23.25/hr

Creative Risk Solutions (CRS) provides customized claims management services. They specialize in handling claims for various types of insurance, including Workers' Compensation, General Liability ...

Sedgwick

Senior Applied & Agentic AI Engineer

Dubuque, IA

$98K - $135K/yr

... claims, risk, and operational workflows. · Define technical strategy for retrieval-augmented ... manage long-running claims processes across multiple touchpoints. · Build multi-agent ...

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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
Director, Claims Solutions

Director, Claims Solutions

CBCS

Dubuque, IA

Full-time

Posted 22 days ago

Job description

The Claims Solution Leader is a senior-level role responsible for the strategy, performance, and growth of CBCS's ancillary claim solutions portfolio. This leader oversees vendor partnerships, solution design, financial performance, and go‑to‑market execution. The role ensures that CBCS delivers high‑value, best‑in‑class solutions that improve claim outcomes and support organizational growth.

This position partners closely with claims operations, sales, marketing, finance, and executive leadership to embed solutions into workflows, strengthen client value, and drive adoption across the organization.

Key Responsibilities:

Vendor & Solution Management

  • Select, negotiate, and manage relationships with solution providers.
  • Monitor vendor performance using KPIs and service standards.
  • Lead continuous improvement based on data insights and client feedback.
  • Maintain strong SLAs and overall service quality.

Strategy & Market Positioning

  • Develop go‑to‑market strategies and positioning for claim solutions.
  • Identify emerging trends and technologies to enhance offerings.
  • Partner with sales and marketing to create value propositions and materials.
  • Build integrated, high‑value solution packages for clients.

Financial Leadership

  • Oversee profitability and financial performance of all solution lines.
  • Develop pricing strategies, ROI analyses, and cost‑benefit models.
  • Manage budgets and report results to senior leadership.

Utilization & Adoption

  • Drive increased utilization, penetration, and standardization across clients.
  • Partner with claims leadership to embed solutions into workflows.
  • Identify cross‑sell and up‑sell opportunities.
  • Lead change management efforts to support internal adoption.

Training & Collaboration

  • Serve as subject matter expert for CBCS claim solutions.
  • Deliver training for claims, account management, and client service teams.
  • Develop best-practice resources and solution documentation.
  • Foster strong cross-functional collaboration.

Qualifications:

Required

  • 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 managed care, litigation support, investigation, and Medicare compliance solutions.
  • Proven vendor management and contract negotiation experience.
  • Experience driving solution utilization and financial performance.
  • Strong financial analysis and P&L experience.

Preferred

  • Master's degree or designations (ARM, CPCU, AIC, CCM, etc.).
  • Experience in a TPA environment.
  • Advanced knowledge of Medicare compliance.
  • Background in program implementation or change management.
  • Familiarity with claims technology platforms.

Travel:

Travel approximately 25–30% for vendor visits, conferences, client engagements, and internal training.

Cottingham & Butler Claims Services - CBCS

At CBCS, we sell a promise to help our clients through life's toughest moments. To deliver on that promise, we aim to hire, train, and grow the best professionals in the industry. We look for people with an insatiable desire to succeed, are committed to growing, and thrive on challenges. Our culture is guided by the theme of "better every day" constantly pushing ourselves to be better than yesterday – that's who we are and what we believe in.

As an organization, we are tremendously optimistic about the future and have incredibly high expectations for our people and our performance. Our ability to grow as a company, fuels investments in new resources to better serve our clients and provide the amazing career opportunities our employees want and deserve. This is why we are a growth company and why we are committed to being better every day.

Want to learn more? Follow us on www.CBCSclaims.com | LinkedIn