2 claims jobs found in Iowa City, IA

Member Services Advocate Member Services Advocates play a critical role in delivering advanced advocacy services, serving as a trusted resource for members navigating complex healthcare and employer benefit situations. This role is intended for experienced professionals with a strong background in health insurance, claims resolution, or benefits administration who can independently assess issues, interpret plan details, and drive outcomes across multiple stakeholders. In this role, you will guide individuals through complex coverage scenarios, resolve escalated claims and billing issues, and partner directly with providers, carriers, and third-party administrators to ensure accurate and timely resolution. This position requires a high degree of ownership, critical thinking, and the ability to manage sensitive or multi-layered issues with minimal oversight. We are seeking candidates who bring proven, hands-on experience navigating health plans and claims processes, including...

Licensed in both Iowa and Nebraska SUMMARY:      Workers Compensation Defense Attorney needed for in-house litigation position, working under the direction of the General Counsel .  This position will work defending litigated Workers’ Compensation claims before hearing locations across various venues in both Iowa and Nebraska, as geographically reaqsonable . This attorney will conduct research where necessary, examine records, conducts investigations, attends depositions, consult with witnesses, insured(s), legal assistants, and/or personnel.  Participate in negotiations on behalf of the Company including settlements.  In addition, this position will provide leadership and expertise on major company projects as necessary. Claims Focus:  This position will provide  state specific legal representation before courts, arbitration panels and/or administrative bodies.  Serve in an advisory capacity to company and employees.  Prepare legal pleadings, motions, memorandums,...