I'm surprised this wasn't mentioned already... A DC to DC charger on a camper that has solar is an excellent backup if the sun isn't shining. Think cloud / smoke coverage or camping in thick tree coverage. Your alternator is concerned about charging your starting battery. Hooking your camper battery straight to it leads to two different loads and the camper battery at best is maintained but charging properly can be difficult.
AGM and lead acid batteries on a DC to DC charger probably isn't as necessary but for LiFePo4 it is. They charge at a higher voltage than the standard alternators are going to provide. They are also expensive so a charger that is dedicated and has the proper charging profiles is a worthwhile insurance plan.
What the unit does is it regulates the voltage to the camper battery to be consistent with the charging profile appropriate for your battery type. It does that regardless of what the alternator is doing. By the way, the alternator voltage at least in my 99 7.3 Super Duty is anything but constant. It is constantly fluctuating and changing every few seconds. Not a great way to charge a battery.
The way these things regulate the voltage to be constant is they pull more current when necessary and through fancy electronic engineering that others could explain better raise keep the voltage constant on the output side. V=IR is the equation you are hunting for. If the voltage is dropping because of a load, you increase the current pull to maintain that voltage.
In short, you may not NEED one unless your use or battery type make it necessary.