Claims Representative Job at Cottingham & Butler (Dubuque)

Medical Claims Representative

This position examines, enters and accurately adjudicates medical, dental, visio...

Location

United States , Fort Wayne

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

High School Diploma or GED required
Medical terminology and medical claims experience with involvement in reviewing and analyzing claims is beneficial
Must be able to work well independently and in a team atmosphere
Ability to maintain a departmental accuracy standard of 99%
Detail oriented
Ability to manage multiple priorities that change from day-to-day and week-to-week in a fast-paced environment
Ability to understand system calculations in order to determine if claims are adjudicating accurately
Ability to manually process claims in the claims adjudication system if necessary
Must understand complicated benefit designs
Ability to self-manage, prioritize and meet specific production deadlines

Job Responsibility

Examines, enters and accurately adjudicates medical, dental, vision, HRA, FLEX, or STD claims based upon coverage, policy and procedural guidelines
Enters paper claims into a proprietary claim adjudication system
Adjudicates both paper and electronic claims with 99% accuracy for payment dollars and claim coding following an extensive on-the-job training class
Maintains strict first-in/first-out for claims adjudication
Follows office procedures for follow-up on claims needing additional information by reviewing the Holding for Information Report for each assigned client on a monthly basis
Adjudicates prescription claims not automatically adjudicated by the claim adjudication system
Interprets COB and Medicare worksheets as needed on assigned clients
Batches adjudicated claims according to client preference or schedule
Reports to clients on a weekly basis the total of all claims processed for that client, requesting the funding or requesting that funding be transferred to Pro-Claim
Communicates with brokers, agents and clients regarding high dollar cost claims and SPEC claimants

What we offer

Medical, vision, dental, and life and disability insurance
Eligible to enroll in company 401(k) plan

Fulltime

Field Property Claims Representative II

Indiana Farmers Insurance is currently looking for an experienced Field Property...

Location

United States , Indianapolis

Salary:

Not provided

Indiana Farmers Insurance

Expiration Date

Until further notice

Requirements

Experience and understanding of farm policies, farm structures and equipment, required
Experience and expertise in writing structural property estimates
Must be able to climb, access roofs, basements, crawlspaces, etc.
Minimum of three years field property claims experience, with an insurance carrier, required
College degree, preferred
Professional designation (CPCU, CSLA, AIC, etc.), strongly preferred
Identifying, investigating, and referring potentially fraudulent claims
Ability to read and interpret policies and endorsements
Working knowledge of Xactimate an added benefit
Strong analytical and problem-solving skills

Job Responsibility

Investigate, assess damages, write structural property estimates, make coverage decisions, and ultimately resolve personal, commercial and farm property claims
Service counties in the state of Indiana
Driving prompt and fair claims resolutions

What we offer

Free Health insurance
Free Dental insurance
Free Vision insurance
Free Life insurance
Free Short-Term & Long-Term Disability insurance
2% 401k Company Match
11% 401k Company Contribution
Excellent Paid Time Off
Day of Service
Charity Match Program

Fulltime

Associate Claims Representative Liability-West

Take charge as a Claims Adjuster at The General, handling NSA claim investigatio...

Location

United States , Nashville, TN; Davenport, IA; Madison, WI; Stevens Point, WI; El Paso, TX

Salary:

Not provided

Sentry

Expiration Date

Until further notice

Requirements

Bachelor's degree or equivalent work experience
Ability to obtain and maintain state specific property and casualty claims licensing as required
Previous experience working with Auto Liability Claims strongly preferred
Solid knowledge and understanding of each phase of the claim handling process, or other equivalent knowledge
Solid knowledge and understanding of policies and endorsements related to casualty coverages, or other equivalent knowledge
Demonstrated experience handling moderately complex claims, or other equivalent experience
Demonstrated experience handling 1st and 3rd party, multi-line claims across our operating territories, or other equivalent experience
Demonstrated experience providing customer-driven solutions, support, or service

Job Responsibility

Support customers with empathy and understanding, assisting them through difficult situations and effectively communicating the claims process, the ongoing claim status, and decisions, including the reasoning behind them
Verify coverage and reasonable payments by thoroughly reviewing the policy, reviewing accident details, and other pertinent information related to the claim
Investigative claims by taking and reviewing recorded statements from involved parties and witnesses, reviewing policy reports and other pertinent evidence
Apply knowledge to evaluate claims exposure appropriately, establishing timely reserves
Comply with industry regulations, legal requirements, and internal company policies through thorough documentation of all decisions, correspondence, and discussions that occur throughout the life cycle of the claim

What we offer

401(K) plan with a dollar-for-dollar match on your first eight percent, plus immediate vesting
Continue your education and career development through Sentry University (SentryU) and utilize our Tuition Reimbursement program
Generous Paid-Time Off plan
Volunteer-Time off
Group Medical, Dental, Vision, Life insurance, Parental leave, and our Health and Wellness benefits
Well-being and Employee Assistance programs
Sentry Foundation gift matching program

Fulltime

Auto Desk Appraiser - Claims Representative II

Indiana Farmers Insurance is currently looking for an Auto Desk Appraiser - Clai...

Location

United States , Indianapolis

Salary:

Not provided

Indiana Farmers Insurance

Expiration Date

Until further notice

Requirements

3 years of prior automobile property damage estimating experience
Proficiency in auto estimating software (CCC One, Audatex, Mitchell, etc.)
Familiarity with insurance claim processes and state regulations
Demonstrating a professional, yet friendly demeanor when communicating with policyholders, claimants, and agents by phone, in writing, and in person
Strong analytical and problem-solving skills
Valid driver’s license with acceptable motor vehicle record

Job Responsibility

Reviewing, evaluating, and/or preparing estimates for vehicle damages
Reaching agreed upon repair pricing with body shops and other repair vendors
Handling appraisal of vehicles through digital photographs, repair shop documentation and other digital resources
Regularly communicating with claims adjusters, agents and customers as to inspection status and conclusions, the required repairs, negotiations and any other follow-up and problem resolution needed
Driving prompt, fair, claims resolutions

What we offer

Free Health insurance
Free Dental insurance
Free Vision insurance
Free Life insurance
Free Short-Term & Long-Term Disability insurance
2% 401k Company Match
11% 401k Company Contribution
Excellent Paid Time Off
Generous paid time for Parental Leave
Day of Service

Fulltime

Risk Management Specialist

As a family company, we serve people and communities. When you work at Meijer, y...

Location

United States , Grand Rapids

Salary:

Not provided

Meijer

Expiration Date

Until further notice

Requirements

Bachelor's degree or equivalent experience
5 years of claims adjusting experience
Strong communication, analytical and negotiation skills
Self-motivation

Job Responsibility

Adjudicates general liability claims
Handle and evaluate assigned represented claims
Conduct claim investigations for Represented claims, including store visits and recorded statements when appropriate
Assist in the evaluation of claims for potential indemnification from outside sources
Assist with the administration of complicated claims being handled by examiners
Audit examiner claim files
Train and mentor claims staff
Handle and evaluate assigned False Arrest claims
Handle and evaluate assigned Pharmacy claims
Participate in Claim review meetings

What we offer

Weekly pay
Scheduling flexibility
Paid parental leave
Paid education assistance
Team member discount
Development programs for advancement and career growth

Claim Resolution Representative III

As a community, the University of Rochester is defined by a deep commitment to M...

Location

United States of America , Rochester

Salary:

19.62 - 26.49 USD / Hour

University of Rochester

Expiration Date

Until further notice

Requirements

Associate's degree and 2 years of relevant experience required
Or equivalent combination of education and experience

Job Responsibility

Performs follow-up activities designed to bring all open account receivables to successful closure
Responsible for an effective claims follow-up to obtain maximum revenue collection
Researches, corrects, resubmits claims, submits appeals and takes timely and routine action to resolve unpaid claims
Resolves complex claims
Acts as a resource for lower level staff
Completes follow up activities on denied, unpaid, or underpaid accounts
Contacts payer representatives to research and resubmit rejected claims to obtain and verify insurance coverage
Follows up on unpaid accounts working claims
Reviews reasons for claim denial
Reviews payer website or contacts payer representatives to determine why claims are not paid

Fulltime

Claim Resolution Representative III

Performs follow-up activities designed to bring all open account receivables to ...

Location

United States of America , Albany

Salary:

19.62 - 26.49 USD / Hour

University of Rochester

Expiration Date

Until further notice

Requirements

Associate's degree and 2 years of relevant experience required
Or equivalent combination of education and experience

Job Responsibility

Performs follow-up activities designed to bring all open account receivables to successful closure
Responsible for an effective claims follow-up to obtain maximum revenue collection
Researches, corrects, resubmits claims, submits appeals and takes timely and routine action to resolve unpaid claims
Resolves complex claims
Acts as a resource for lower level staff
Completes follow up activities on denied, unpaid, or underpaid accounts, as well as contacts payer representatives to research and resubmit rejected claims to obtain and verify insurance coverage
Follows up on unpaid accounts working claims
Reviews reasons for claim denial
Reviews payer website or contacts payer representatives to determine why claims are not paid
Determines steps necessary to secure payment and completes and documents follow up by resubmitting claim or deferring tasks

Fulltime

Claim resolution representative iii

As a community, the University of Rochester is defined by a deep commitment to M...

Location

United States of America , Rochester

Salary:

19.62 - 26.49 USD / Hour

University of Rochester

Expiration Date

Until further notice

Requirements

Associate's degree and 2 years of relevant experience required
Or equivalent combination of education and experience

Job Responsibility

Performs follow-up activities designed to bring all open account receivables to successful closure
Responsible for an effective claims follow-up to obtain maximum revenue collection
Researches, corrects, resubmits claims, submits appeals and takes timely and routine action to resolve unpaid claims
Resolves complex claims
Acts as a resource for lower level staff
Completes follow up activities on denied, unpaid, or underpaid accounts, as well as contacts payer representatives to research and resubmit rejected claims to obtain and verify insurance coverage
Follows up on unpaid accounts working claims
Reviews reasons for claim denial
Reviews payer website or contacts payer representatives to determine why claims are not paid
Determines steps necessary to secure payment and completes and documents follow up by resubmitting claim or deferring tasks

Fulltime

Claims Representative

Cottingham & Butler

Location:
United States , Dubuque

Category:
Insurance

Contract Type:
Not provided

Salary:

Job Description:

Job Responsibility:

Requirements:

Additional Information:

Job Posted:
February 17, 2026

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Claims Representative

Cottingham & Butler

Location:United States , Dubuque

Category:Insurance

Contract Type:Not provided

Salary:

Job Description:

Job Responsibility:

Requirements:

Additional Information:

Job Posted:February 17, 2026

Looking for more opportunities? Search for other job offers that match your skills and interests.

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Claim resolution representative iii

Location:
United States , Dubuque

Category:
Insurance

Contract Type:
Not provided

Job Posted:
February 17, 2026