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Dental Claims Processing Jobs in Iowa (NOW HIRING)

Claims Intake and Processing * Review incoming claim submissions for completeness and accuracy ... Dental Insurance * Vision Insurance * Company Paid Disability Insurance * Supplemental Insurance ...

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Dental Claims Processing information

What is dental claims processing?

Dental claims processing is the procedure of reviewing, validating, and adjudicating claims submitted by dental providers to insurance companies for payment. This process involves checking the accuracy of the submitted information, verifying patient eligibility, ensuring the services are covered under the dental plan, and determining the appropriate payment or denial of the claim. Efficient claims processing helps ensure timely reimbursement for providers and accurate benefits for patients. It often requires knowledge of dental terminology, coding, insurance policies, and compliance regulations.

What are the key skills and qualifications needed to thrive in dental claims processing, and why are they important?

To excel in Dental Claims Processing, you need a solid understanding of dental terminology, insurance policies, and claims procedures, often supported by experience in dental office administration or billing. Familiarity with dental practice management software, claims management systems, and coding standards like CDT is typically required. Strong attention to detail, organizational skills, and effective communication help ensure accurate claims submission and resolution. These skills are crucial for minimizing claim denials, expediting reimbursements, and maintaining positive relationships between providers, patients, and insurers.

What are some common challenges faced in dental claims processing, and how can they be managed?

Dental claims processors often encounter challenges such as interpreting complex dental treatment codes, verifying patient eligibility, and ensuring accurate documentation for timely claim approval. Staying up-to-date with insurance policies and industry coding standards is crucial to reducing errors and claim denials. Effective communication with dental offices and insurers, attention to detail, and ongoing training can help manage these challenges and support efficient claim resolution.

What is the difference between Dental Claims Processing vs Dental Billing Specialist?

AspectDental Claims ProcessingDental Billing Specialist
CredentialsKnowledge of insurance policies, basic coding certificationsDental coding certifications, billing software proficiency
Work EnvironmentInsurance companies, dental offices, healthcare providersDental offices, billing companies, healthcare practices
Employer & Industry UsageInsurance companies, dental clinicsDental practices, billing service providers

Dental Claims Processing focuses on reviewing and submitting insurance claims for dental procedures, ensuring proper reimbursement. Dental Billing Specialists handle patient billing, coding, and payment collections. While both roles involve dental coding and insurance knowledge, Claims Processing emphasizes claim submission and follow-up, whereas Billing Specialists focus on patient invoicing and account management.

How to become a dental claims processing specialist?

To become a dental claims processing specialist, candidates typically need a high school diploma or equivalent, along with knowledge of dental insurance policies and claims procedures. Relevant skills include attention to detail, familiarity with claims processing software, and strong communication abilities. Certification programs in insurance billing or claims processing can enhance job prospects.

How to get a job as a dental claims processor?

To become a dental claims processor, candidates typically need a high school diploma or equivalent, along with knowledge of dental insurance policies and claims processing software. Relevant skills include attention to detail, communication, and familiarity with healthcare billing systems. Certification in medical billing or coding can enhance job prospects.

Is dental claims processing a stressful job?

Dental claims processing can be stressful due to the need for accuracy, attention to detail, and meeting deadlines. The role often involves handling complex insurance policies and documentation, which can contribute to work pressure, especially during high-volume periods or when resolving claim disputes.

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

The most popular types of Dental Claims Processing jobs in Iowa are:

What are popular job titles related to Dental Claims Processing jobs in Iowa?

For Dental Claims Processing jobs in Iowa, the most frequently searched job titles are:

What job categories do people searching Dental Claims Processing jobs in Iowa look for?

The top searched job categories for Dental Claims Processing jobs in Iowa are:

Infographic showing various Dental Claims Processing job openings in Iowa as of August 2026, with employment types broken down into 2% As Needed, 78% Full Time, 15% Part Time, and 5% Contract. Highlights an 90% Physical, 1% Hybrid, and 9% Remote job distribution.

Liability Claims Specialist (Remote)

Creative Risk Solutions

West Des Moines, IA • On-site, Remote

Full-time

Medical, Dental, Vision, Retirement

Re-posted 25 days ago


Job description

Job Description:

Step into a role where your client service expertise makes a meaningful impact. We are looking to add a Liability Claims Specialist to join our Creative Risk Solutions team. Creative Risk Solutions (CRS), a proud line of business under the Holmes Murphy umbrella, is a leading Third-Party Administrator (TPA) specializing in innovative claims management solutions. At CRS, we believe in doing things differently-empowering our team to deliver exceptional service, embrace creativity, and make a real impact for our clients.

Essential Responsibilities:

  • Review coverage for commercial auto and general liability claims.
  • Adjudicate claims, investigate bodily injury/liability claims, and negotiate settlements using "Best Practices for Claims."
  • Maintain accurate loss information and establish/maintain reserves within authority.
  • Research and respond to questions and complaints from insureds, claimants, agency partners, and carriers.
  • Monitor and control litigated claims, ensuring timely responses and protection of insureds' and carriers' interests.
  • Participate in claim reviews and Risk Control Workshops.
  • Identify and pursue subrogation and report fraud when applicable.
  • Train and mentor Liability Claims Specialists I and II.

Qualifications:

  • Education: High school diploma; college degree preferred. Technical designations encouraged, such as AIC and CPCU.
  • Licensing: Active state specific adjusters license required or the ability to acquire license within three months of hire.
  • Experience: 5+ years of adjusting property and casualty claims. Prior agency involvement preferred.
  • Skills & Technical Competencies: Knowledge of both general and auto liability coverages, claims processing procedures, perform complex mathematical calculations, ability to learn multiple state insurance regulations and pass state licensing exams. Understand and apply claims principles, practices, and insurance coverage interpretation for consulting, evaluating, and resolving claims. Contributes to workflows while utilizing resources to deliver a world-class client experience and ensure compliance. Fosters relationships by understanding relevant parties, prioritizing problem-solving, and collaborating to deliver impactful solutions.

Here's a little bit about us:

Creative Risk Solutions is a leading provider of innovative risk management solutions. We specialize in delivering customized claims management, loss control, and risk consulting services to our clients. Our team is dedicated to excellence, integrity, and creating value for our clients through proactive risk management strategies. In addition to being great at what you do, we place a high emphasis on building a best-in-class culture. We do this through empowering employees to build trust through honest and caring actions, ensuring clear and constructive communication, establishing meaningful client relationships that support their unique potential, and contributing to the organization's success by effectively influencing and uplifting team members.

Benefits:

In addition to core benefits like health, dental and vision, also enjoy benefits such as:

  • Paid Parental Leave and supportive New Parent Benefits - We know being a working parent is hard, and we want to support our employees in this journey!
  • Company paid continuing Education & Tuition Reimbursement - We support those who want to develop and grow.
  • 401k Profit Sharing - Each year, Holmes Murphy makes a lump sum contribution to every full-time employee's 401k. This means, even if you're not in a position to set money aside for the future at any point in time, Holmes Murphy will do it on your behalf! We are forward-thinking and want to be sure your future is cared for.
  • Generous time off practices in addition to paid holidays - Yes, we actually encourage employees to use their time off, and they do. After all, you can't be at your best for our clients if you're not at your best for yourself first.
  • Supportive of community efforts with paid Volunteer time off and employee matching gifts to charities that are important to you - Through our Holmes Murphy Foundation, we offer several vehicles where you can make an impact and care for those around you.
  • Inclusion & Belonging Programs - Holmes Murphy is committed to celebrating every employee's unique potential. Through inclusion and belonging initiatives, titled Uniquely United, not only do we offer employees a paid Diversity Day time-off option, but we also have a Uniquely United Committee, Employee Resource Groups, and development programs to advance our culture of belonging. We encourage employees to engage in ways that are meaningful to them to enhance their overall experience!
  • Consistent merit increase and promotion opportunities - Annually, employees are reviewed for merit increases and promotion opportunities because we believe growth is important - not only with your financial wellbeing, but also your career wellbeing.
  • Discretionary bonus opportunity - Yes, there is an annual opportunity to make more money. Who doesn't love that?!

At this time, we are not considering candidates who require any type of immigration sponsorship now or in the future. This includes candidates whose current work authorization is temporary or set to expire and who would require employer participation in any renewal, extension, or new authorization process to continue employment.

Holmes Murphy & Associates is an Equal Opportunity Employer.

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