RN Case Manager Location : Onsite in Dubuque, IA. Also accepting remote applicants. We are seeking a compassionate and detail-oriented  RN Case Manager to join our team. This role is responsible for delivering comprehensive case management services across the continuum of care. The RN Case Manager will assess, plan, implement, coordinate, monitor, and evaluate care for assigned consumers, ensuring quality outcomes and cost-effective treatment. This role is based in our Dubuque office and is also available remotely. Key Responsibilities: Provide telephonic case management and utilization review for assigned consumers. Develop, implement, and monitor individualized care plans to ensure quality and cost-effective outcomes. Collaborate with healthcare providers, payors, and internal teams to coordinate care. Serve as a liaison between consumers and benefit administrators, ensuring clear communication and support. Track and report case outcomes, including cost...

RN Case Manager Location : Remote. We are seeking a compassionate and detail-oriented  RN Case Manager to join our team. This role is responsible for delivering comprehensive case management services across the continuum of care. The RN Case Manager will assess, plan, implement, coordinate, monitor, and evaluate care for assigned consumers, ensuring quality outcomes and cost-effective treatment.  Key Responsibilities: Provide telephonic case management and utilization review for assigned consumers. Develop, implement, and monitor individualized care plans to ensure quality and cost-effective outcomes. Collaborate with healthcare providers, payors, and internal teams to coordinate care. Serve as a liaison between consumers and benefit administrators, ensuring clear communication and support. Track and report case outcomes, including cost savings and quality improvements. Qualifications: Bilingual: the ability to speak Spanish is strongly...

Utilization Management Assistant Location : Onsite in Dubuque, IA. Also accepting remote applicants. Are you passionate about patient care and thrive in a fast-paced, professional environment? We are seeking a dedicated Utilization Management Assistant to join our healthcare team. We are looking for individuals with experience in a medical setting, including but not limited to a receptionist, scheduler, insurance verification, LPN, CNA, Medical Assistants, or individuals with a background in customer service who are looking to make a meaningful impact behind the scenes. If you are looking to get into a professional office setting with daytime office hours and weekends/holidays off , this is the role for you!  The Utilization Management Assistant answers first level calls in Utilization Review for our Health & Wellness participants. They will evaluate certification requests by reviewing the group specific requirements and will also triage the call to determine if a...

Utilization Management Assistant Location : Onsite in Dubuque, IA. Also accepting remote applicants. Are you passionate about patient care and thrive in a fast-paced, professional environment? We are seeking a dedicated Utilization Management Assistant to join our healthcare team. We are looking for individuals with experience in a medical setting, including but not limited to a receptionist, scheduler, insurance verification, LPN, CNA, Medical Assistants, or individuals with a background in customer service who are looking to make a meaningful impact behind the scenes. If you are looking to get into a professional office setting with daytime office hours and weekends/holidays off , this is the role for you!  The Utilization Management Assistant answers first level calls in Utilization Review for our Health & Wellness participants. They will evaluate certification requests by reviewing the group specific requirements and will also triage the call to determine if a...

Utilization Management Assistant Location : Onsite in Dubuque, IA. Also accepting remote applicants. Are you passionate about patient care and thrive in a fast-paced, professional environment? We are seeking a dedicated Utilization Management Assistant to join our healthcare team. We are looking for individuals with experience in a medical setting, including but not limited to a receptionist, scheduler, insurance verification, LPN, CNA, Medical Assistants, or individuals with a background in customer service who are looking to make a meaningful impact behind the scenes. If you are looking to get into a professional office setting with daytime office hours and weekends/holidays off , this is the role for you!  The Utilization Management Assistant answers first level calls in Utilization Review for our Health & Wellness participants. They will evaluate certification requests by reviewing the group specific requirements and will also triage the call to determine if a...

Utilization Management Assistant Location : Onsite in Dubuque, IA. Also accepting remote applicants. Are you passionate about patient care and thrive in a fast-paced, professional environment? We are seeking a dedicated Utilization Management Assistant to join our healthcare team. We are looking for individuals with experience in a medical setting, including but not limited to a receptionist, scheduler, insurance verification, LPN, CNA, Medical Assistants, or individuals with a background in customer service who are looking to make a meaningful impact behind the scenes. If you are looking to get into a professional office setting with daytime office hours and weekends/holidays off , this is the role for you!  The Utilization Management Assistant answers first level calls in Utilization Review for our Health & Wellness participants. They will evaluate certification requests by reviewing the group specific requirements and will also triage the call to determine if a...

Cottingham & Butler is seeking a Data Quality Analyst to join our growing Data Team. This role plays a critical part in ensuring enterprise data is accurate, consistent, and trusted across the organization. You’ll support data quality standards and governance practices while partnering closely with business and technical teams to advance data maturity and reliability. Sitting at the intersection of data, process, and communication, this position serves as a champion for data integrity and stewardship. You’ll collaborate with data engineers, analysts, and business leaders to ensure high-quality data is well-managed, understood, and ready to drive informed decision-making. Key Responsibilities Data Quality Management - Develop, implement, and maintain data quality rules, metrics, and processes to ensure accuracy, completeness, and consistency across enterprise systems and reporting. Data Governance Support - Contribute to enterprise data governance...

SISCO (Self Insured Services Company) is continuing to grow, and as a result of that growth, we are looking for an  Account Coordinator  to join our team. This individual will support the Account Management team by assisting with day-to-day servicing of existing client accounts. This role focuses on reporting, data management, coordination tasks, and administrative support to ensure accurate client information and efficient internal operations. Essential Functions Request and manage policy and account information from brokers Prepare and distribute reports for internal and account management use Coordinate claim reviews and manage related client communications Set up and maintain care networks and physician panels Maintain and update client data, contacts, and profiles in internal systems including Monday.com Manage team email inboxes and respond to or route inquiries as appropriate Support department projects and assist with new business and...

Join SISCO at an exciting time of growth! This role offers a unique opportunity to be part of our dynamic team and contribute to our continued success. Role Overview:  As an Enrollment & EDI Processor, you will: Process enrollments, terminations, and changes through the system with a thorough understanding of each clients enrollment requirements Proper and expeditious answering of all client questions regarding enrollment procedures and/or problems Review daily reports from EDI loads. Provide prompt and accurate feedback to vendors on items needing review; Work with internal IT team on internal errors Ensure daily reporting provides all information needed to follow all policy and procedures as defined by Underwriting Troubleshooting ongoing file issues What We're Looking For: Strong communication skills Great attention to detail Intermediate knowledge of Excel Strong knowledge of 834 EDI transactions, including loop structures, segments, and...

Financial Service Representative It's an exciting time at SISCO (Self Insured Services Company)! We are currently adding a Financial Service Representative to our team.  This role is primarily responsible for preparation and reconciliation of financial statements as well assisting in researching errors and issuing with accounts. We are looking for a numbers driven individual with great attention to detail to take on this task! Full-Time Benefits - Most benefits start day 1 Medical, Dental, Vision Insurance Flex Spending or HSA 401(k) with company match Profit-Sharing/Defined Contribution (1-year waiting period) PTO/Paid Holidays Company-paid ST and LT Disability Maternity Leave/Parental Leave Subsidized Parking Company-paid Term Life/Accidental Death Insurance About SISCO: SISCO was established in 1980 as a boutique third-party administrator dedicated to the administration of unique, complex plan designs. Today, SISCO is recognized as a...

SISCO (Self Insured Services Company) is a leading third-party benefit administration firm dedicated to maximizing the value of employee benefits for our clients. We pride ourselves on delivering an effective, yet human, experience by hiring the best employees and equipping them with the best technology. We are continuing to grow, and as a result of that growth, we are adding an Implementation Specialist to our team.  Essential Functions: Coordinate the implementation process for new clients, including confirming the scope of services. Develop and communicate implementation project plans and timelines. Conduct initial and follow-up implementation meetings as necessary. Monitor the progress of implementations and communicate revised plans and timelines. Build plans and groups based on design specifications within turnaround guidelines. Provide advanced problem-solving, troubleshooting, and consultation for clients. Ensure all client information is transmitted...

Cottingham & Butler is looking for an experienced Enterprise Systems Administrator to manage and enhance our enterprise applications, including Salesforce and internally built platforms. You’ll lead system administration, configuration, integrations, and platform strategy while partnering with Technology, Data, Security, and business teams to ensure reliable, scalable systems. What You’ll Do Administer and optimize CRM and enterprise applications. Manage roles, permissions, security settings, workflows, and automation. Configure and customize platforms using declarative tools and development where needed. Oversee releases, upgrades, and adoption of new features. Maintain data quality and governance standards. Partner with business units to improve processes and system usage. Support and develop API integrations and data flows. Build reports, dashboards, automation, and proof‑of‑concept solutions. Evaluate platform capabilities, including AI tools...

Medical Claims Representative SISCO, a Cottingham & Butler company, is continuing to grow and as a result will be adding Medical Claims Representatives to our team! This position is responsible for the delivery of excellent claims service to include accurate and timely claims processing and prompt and professional communication with clients and healthcare providers. No two claims are the same so you are constantly learning new things and meeting new people! The ideal candidate will have prior experience in an office or customer service setting, a competitive spirit, and thrive in a fast-paced professional business environment.  Why SISCO? SISCO is a third-party benefit administration firm that is dedicated to helping our clients maximize the value of their employee benefits. We set ourselves apart from the competition by selling the “experience” of SISCO. We deliver an effective, yet human, experience by hiring the best employees and giving them the best technology....

Human Resources Generalist We’re looking for a proactive, detail‑oriented HR Generalist who’s ready to jump in and make an impact. In this mid‑level role, you’ll support our Human Resources- Operations team by handling employee relations, managing HRIS systems, and driving the core HR processes that keep our organization running smoothly. Essential Functions Employee Relations Serve as the first point of contact for entry‑level employee concerns, conducting initial investigations and escalating when appropriate. Coach supervisors on performance and policy matters while supporting training on respectful workplace practices. Identify trends, recommend proactive solutions, and maintain accurate, confidential documentation. HRIS & Data Management Act as the HRIS expert for configuration, reporting, and data integrity. Lead audits, reconciliations, and compliance‑driven reporting. Troubleshoot issues and partner with IT and vendors on improvements....

Cottingham & Butler Claims Services (CBCS) was built upon driven, ambitious people like yourself. “Better Every Day” is not just a slogan, it is a promise we make to ourselves and our clients. We are looking to hire an experienced Midwest Work Comp Claims Supervisor to our team. We are looking for someone who is eager to motivate and develop adjusters of all levels. If you're ready to make a significant impact and drive excellence, we want to hear from you! Key Expectations for the Claims Supervisor Role: Accountability and Feedback: Ensure that the team receives regular, high-quality feedback to drive accountability. Team Metrics:  Maintain weekly metrics in the green. If a team member is not meeting expectations, develop and document plans with the Claims Manager to improve performance. Quality Service Review (QSR) Scores:  Achieve monthly QSR scores of 90%+ for the team and address any underperformance with actionable plans. Monthly Meetings: Arrange...

Insurance Placement Specialist  Are you driven by the thrill of closing a deal? Do you thrive on analyzing data and crafting proposals that outshine the competition? If so, Cottingham & Butler has an opportunity that could be your next big win. We’re seeking an experienced Insurance Placement Specialist. In this role, you’ll be the strategic force behind negotiating with insurance carriers to secure the most competitive pricing and coverage for our clients. Your ability to build and leverage strong relationships with underwriters will be key to delivering tailored, high-value solutions. Beyond negotiation, you’ll dive deep into prospective clients’ current insurance programs, uncovering coverage gaps and missed opportunities left by their existing brokers. This is your chance to showcase the strength and precision of the Cottingham & Butler team—not just by telling clients we’re the best, but by proving it through smarter coverage and real savings. Essential...

Cottingham & Butler is seeking driven, people‑focused Account Managers to join our growing team in Dallas, TX. Whether you’re new to Property & Casualty insurance or looking to launch a fresh career path, we’ll equip you with comprehensive training and the chance to learn from some of the strongest talent in the industry. If you’re ready for a role with real growth potential and client impact, this could be the opportunity for you!  What You’ll Do: Service Plans:  Create, implement, and manage client-specific service plans, including claim reviews and marketing plans. Mid-Year Reviews:  Prepare materials for client reviews, analyze losses, explore market options, and recommend services. Client Relationships:  Become a trusted advisor for our clients, providing high-quality service and prompt responses to their questions. Retention & Sales:  Take charge of retaining clients and expanding their accounts with additional products. Analyze Data:  Make...

We are seeking a friendly and highly organized Executive Assistant to support our leadership team while also playing an active role in front desk operations. The ideal candidate thrives in team collaboration, communicates with ease, and excels at prioritizing tasks in a fast‑paced environment. We are also looking for a candidate who has high attention to detail with strong organizational skills, initiative, and dependability. Key Responsibilities Support front desk operations by greeting visitors, managing incoming communication, and creating a welcoming office experience. Serve as a professional, friendly point of contact for both internal team members and external partners. Perform administrative and clerical tasks, including document preparation, correspondence, and task tracking. In addition…  Assist executives in prioritizing daily responsibilities and anticipating needs proactively. Manage executive calendars, appointments, meetings, and day‑to‑day...

Looking for Client Service Representatives for our Dallas, TX location! What our Client Service Representatives do and why it’s important: Cottingham and Butler is growing and we are adding Client Service Representatives to our team! As a Client Service Representative, you will work directly with our clients to help keep their accounts up to date. You will make a direct impact on a daily basis by carrying out the top-tier services that define Cottingham and Butler. In practice, the core activities of your job will be to: ·      Ensure that client accounts are up to date so they can continue to operate ·      Build relationships with clients through friendly interaction, timely execution of requests, and close attention to detail ·      Consolidating and communicating important information by putting together reports Video Overview: Click here to watch an interview with an actual Client Service Representative. Strengths and skills necessary for success in...

Cottingham & Butler is seeking a Technical Insurance Trainer to strengthen the expertise, confidence, and performance of our Property & Casualty teams. In this impactful role, you will design and deliver training programs that support onboarding, technical development, and long‑term growth across our commercial P&C organization. As the expert guiding our internal learning strategy, you’ll partner closely with leaders and subject matter experts to build a modern, scalable curriculum that stays aligned with industry trends, regulatory requirements, and evolving client needs. What You’ll Do Build and lead the technical training curriculum for our commercial P&C teams—from onboarding to continuing development. Partner with leaders and internal SMEs to define core technical competencies for each role. Deliver training through virtual, in‑person, and self‑paced formats. Work in collaboration with the Producer Academy to ensure training content is...