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Direct Claims Jobs in Iowa (NOW HIRING)

CBCS

Director, Claims Solutions

Dubuque, IA

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 ...

CBCS

Director, Claims Solutions

Dubuque, IA · On-site +1

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 ...

CBCS

Director, Claims Solutions

Dubuque, IA

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 ...

Berkley

Manager, Claims

Urbandale, IA · Hybrid

Train, mentor, and supervise claims unit staff to ensure customer service, file quality and staff ... Interviewing, hiring, and training employees; planning, assigning, and directing work; appraising ...

Berkley

Manager, Claims

Urbandale, IA · Hybrid

Train, mentor, and supervise claims unit staff to ensure customer service, file quality and staff ... Interviewing, hiring, and training employees; planning, assigning, and directing work; appraising ...

Berkley

Manager, Claims

Urbandale, IA · On-site

Train, mentor, and supervise claims unit staff to ensure customer service, file quality and staff ... Interviewing, hiring, and training employees; planning, assigning, and directing work; appraising ...

Curi Holdings, Inc.

Senior Claims Consultant

Des Moines, IA · On-site

$120K - $130K/yr

In this role, reporting to the Director of Claims, you will help us coordinate the defense of our insured physicians, hospitals and/or medical providers. You will be responsible for investigating and ...

Corvel

Indemnity Claims Specialist

West Des Moines, IA · Remote

$51K - $83K/yr

... direct supervision of a senior claims professional, supporting the goals of claims department and of CorVel. This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Receives claims ...

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Direct Claims information

What are direct claims?

Direct claims refer to insurance claims that are filed directly by the policyholder with their own insurance company, rather than going through a third party or the at-fault party's insurer. This process is common in situations like auto accidents, where the policyholder seeks compensation for damages or losses under their own policy. Direct claims help streamline the process, reduce delays, and ensure the policyholder receives prompt assistance and settlements. They are often associated with 'first-party' insurance coverage, such as collision, comprehensive, or health insurance claims.

What are some common challenges faced by professionals in Direct Claims roles, and how can they effectively manage these challenges?

Professionals in Direct Claims often face the challenge of balancing a high volume of claims with the need for thorough investigation and timely resolution. Managing customer expectations and handling sensitive situations, such as denied claims or complex cases, can also be demanding. Effective communication, strong organizational skills, and staying updated on policy guidelines are crucial for success. Building collaborative relationships with adjusters, underwriters, and other departments helps ensure accurate and efficient claims processing.

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

To thrive as a Direct Claims Specialist, you need a solid understanding of insurance policies, claims processes, and relevant legal regulations, often supported by a degree in business, finance, or a related field. Familiarity with claims management software, customer relationship management (CRM) systems, and sometimes industry certifications like AIC or CPCU is typical. Exceptional attention to detail, problem-solving abilities, and strong communication skills set top performers apart in this role. These skills and qualifications ensure claims are processed accurately and efficiently, leading to customer satisfaction and minimized risk for the insurer.

What is the difference between Direct Claims vs Claims Adjuster?

AspectDirect ClaimsClaims Adjuster
CredentialsInsurance license, knowledge of policiesInsurance license, sometimes certifications like AIC or CPCU
Work EnvironmentCustomer service, office or remoteFieldwork, office, or remote
Employer & IndustryInsurance companies, agenciesInsurance companies, third-party administrators
Search & Comparison IntentUnderstanding direct claims handlingEvaluating claims adjustment roles

Direct Claims professionals primarily handle claims directly from policyholders, focusing on processing and resolving claims within the insurance company. Claims Adjusters evaluate, investigate, and settle claims, often working in the field or remotely. Both roles require insurance licensing, but Claims Adjusters may have additional certifications. While their work overlaps in claims processing, Direct Claims roles are more customer-facing, whereas Claims Adjusters focus on assessment and negotiation.

What are popular job titles related to Direct Claims jobs in Iowa? For Direct Claims jobs in Iowa, the most frequently searched job titles are:
What job categories do people searching Direct Claims jobs in Iowa look for? The top searched job categories for Direct Claims jobs in Iowa are:
What cities in Iowa are hiring for Direct Claims jobs? Cities in Iowa with the most Direct Claims job openings:
Direct Claims jobs near you
Director, Claims Solutions

Director, Claims Solutions

Cottingham & Butler

Dubuque, IA

Other

Posted 5 days ago

Cottingham & Butler rating

8.6

Company rating: 8.6 out of 10

Based on 15 frontline employees who took The Breakroom Quiz

88th of 299 rated insurance

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 gotomarket execution. The role ensures that CBCS delivers highvalue, bestinclass 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 gotomarket 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, highvalue solution packages for clients.

Financial Leadership

  • Oversee profitability and financial performance of all solution lines.
  • Develop pricing strategies, ROI analyses, and costbenefit 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 crosssell and upsell 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

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