- GAP Solutions Inc (Des Moines, IA)
- …Assisting with drafting SOP's. + Processing personal liability insurance reimbursement claims . + Initiating tentative selection notifications, notice of results or ... each essential duty satisfactorily. The requirements listed above are representative of the knowledge, skill, and/or ability required. Reasonable accommodations… more
- Sedgwick (Des Moines, IA)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Auto Claims Representative | Property Damage | Remote **PRIMARY PURPOSE** : To ... analyze and process low to mid-level auto and transportation claims . **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Processes auto property damage and lower level… more
- Athene (West Des Moines, IA)
- …inclusive and dynamic work environment at our various locations. Purpose: We're hiring Claims Representatives! A Claims Representative at Athene is ... responsible for researching and processing claims requests while observing contractual and regulatory guidelines. The ideal candidate is dedicated to being highly… more
- Sedgwick (West Des Moines, IA)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Representative - West Des Moines, IA Are you looking for an ... THE ROLE** : To analyze and process low to mid-level liability claims . **ESSENTIAL RESPONSIBILITIES MAY INCLUDE:** + Processes auto property damage and lower-level… more
- Sedgwick (Des Moines, IA)
- …Work(R) Fortune Best Workplaces in Financial Services & Insurance Disability Representative Sr **PRIMARY PURPOSE** : Provides disability case management and complex ... and making timely payments/approvals and adjustments, medically managing disability claims including comorbidities, concurrent plans, and complex ADA accommodations;… more
- Delta Dental of Iowa (Johnston, IA)
- Customer Service Representative Johnston, IA (http://maps.google.com/maps?q=9000+Northpark+Drive+Johnston+IA+USA+50131) Apply Job Type Full-time Description Come ... members and providers via the telephone and internet/web services as well as process claims . You will answer inbound phone calls and make some outbound phone calls.… more
- Reynolds & Reynolds (Des Moines, IA)
- …an affiliate of Reynolds and Reynolds, is looking for a Bilingual Customer Service Representative - Automotive to join our growing team. As a Customer Service ... Representative you will be responsible for taking inbound calls...AGWS Customers to assist with questions related to maintenance claims . You will assist customers by walking them through… more
- Cardinal Health (Des Moines, IA)
- …done. **The Accounts Receivable Specialist II is responsible for processing insurance claims and billing. They will work within the scope of responsibilities as ... and support from AR & Billing leadership teams.** **_Responsibilities_** + Processes claims : investigates insurance claims ; and properly resolves by follow-up &… more
- Bayer (Des Moines, IA)
- …to make a real difference, there's only one choice.** **Field Sales Representative II-DEKALB/Asgrow** The DEKALB/Asgrow Field Sales Representative II will cover ... the Cerro Gordo area. As a Field Sales Representative II you will create demand for Bayer seed...Mentor FSR interns and junior FSRs; + Manage area claims per Bayer Crop Science policy and process; +… more
- CVS Health (Des Moines, IA)
- …will create connections with our customers by helping with their benefits and claims to improve their health and well-being. You will be responsible for educating ... customers about their benefits and claims while resolving issues and directing them to helpful resources. This position requires adaptability and empathy, as you… more
- Robert Half Office Team (Urbandale, IA)
- Description Robert Half is looking for a skilled customer service representative to help out a company in the insurance industry. In this vital role, you'll become ... of contact for their esteemed customers. Handling inbound calls and processing claims on-site, you will have the compelling opportunity to provide unparalleled… more
- Robert Half Office Team (Urbandale, IA)
- Description We are looking for an experienced Customer Service Representative to join an insurance company located in Urbandale, Iowa. This is a long-term contract ... are accurately submitted. * Redirect members to insurance carriers for claims -related inquiries. * Deliver exceptional customer service while managing multiple… more
- Highmark Health (Des Moines, IA)
- …August 2016. + Experience in Provider Data Management, Customer Services or Claims . + Microsoft office experience (ie Word, Excel, PowerPoint, etc.) **Preferred** + ... File systems. + Experience with the Customer Service inquiry system or claims processing concepts. **Knowledge, Skills and Abilities** + Good written and verbal… more
- TEKsystems (West Des Moines, IA)
- …of assistance the customer needs + Make outbound calls to members about their claims + Investigate requests and problems, with some assistance from others + Ask ... support, healthcare, Qualifications + Experience in health care benefits, insurance claims processing, or medical provider billing preferred but not required +… more
- Molina Healthcare (Des Moines, IA)
- …member eligibility and covered benefits, Provider Portal, and status of submitted claims . * Ability to effectively communicate in a professionally setting. **Job ... Qualifications** **REQUIRED EDUCATION** : HS Diploma or equivalent combination of education and experience **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES** : 1-3 years Sales and/or Customer Service experience in a fast paced, high volume environment… more
- Molina Healthcare (Des Moines, IA)
- …of pharmacy prior authorization requests and/or appeals. * Explains point-of-sale claims adjudication, state, NCQA and CMS policies/guidelines, and any other ... necessary information to providers, members and pharmacies. * Assists with clerical tasks and other day-to-day pharmacy call center operations as delegated. * Effectively communicates plan benefit information, including but not limited to: formulary… more
- Molina Healthcare (Des Moines, IA)
- …setting. **Required Experience** + 3 - 5 years customer service, provider service, or claims experience in a managed care setting. + 3-5 years' experience in managed ... healthcare administration and/or Provider Services. + 5 years' experience in provider contract negotiations in a managed healthcare setting ideally in negotiating different provider contract types, ie, physician, group and hospital contracting, etc. + Working… more
- Otsuka America Pharmaceutical Inc. (Des Moines, IA)
- …in wider clinical development plans. + Serve as early-stage CMC representative of the department in effectively communicating program related updates, strategies, ... you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to...legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,… more
- CDM Smith (Des Moines, IA)
- …and maintaining a project risk register. Claim management: Early support for claims and disputes on the project. Identify contractual requirements to maintain and ... prosecute claims , and assist project team in managing to those...above. This pay range is a good faith estimate representative of all experience levels for this position based… more
- Prime Therapeutics (Des Moines, IA)
- …with various levels of leadership within the organization, acting as a representative of the broader Reporting and Analytics team + Provide consulting services ... leveraging AI + PBM experience or experience working with medical claims , pharmacy claims , healthcare and/or benefits data + Experience in the implementation of… more
