Claim processor jobs in Berkley, CO

MWH is a leading water and wastewater treatment-focused general contractor in the US with a rich history dating back to the 19th century. Fueled by the mission of Building a Better World, our teams are rapidly growing across the nation. As a company committed to our team's well-being and growth, we offer a supportive work environment, opportunities for advancement, and the chance to contribute to a mission that shapes the future. Your expertise and ambition are valued here. The work we do matters. The critical systems infrastructure we build changes lives, betters' communities, and improves ecosystems. If you're passionate about this, we want to hear from you! About the Role MWH is seeking a remote Senior Construction Claims Analyst. The Analyst will be responsible for evaluating, analyzing, and resolving construction-related claims and disputes. This role requires a strong understanding of construction contracts, project management, and claim resolution processes. This position will also require 50% travel. Essential Functions Review and analyze construction claims, including delay, disruption, acceleration, and other impact claims. Assess the validity and potential impact of claims on project schedules, budgets, and resources. Prepare detailed claims reports, including cause-effect analysis, quantum assessment, and recommendations for resolution. Collect, organize, and maintain all necessary documentation related to claims, including contracts, change orders, correspondence, schedules, and cost records. Ensure all claims documentation complies with contractual, legal, and regulatory requirements. Work with legal counsel, project managers, and senior leadership to develop and implement strategies for resolution of claims. Participate in negotiations, mediation, and arbitration processes to resolve claims. Provide expert testimony and support in legal proceedings, if necessary. Identify potential claims and disputes early in the project lifecycle and provide proactive advice to mitigate risks. Assist in developing and implementing best practices for claims management across the organization. Liaise with project teams, contractors, subcontractors, and external consultants to gather information and support claims analysis. Communicate findings and recommendations to stakeholders clearly and effectively. Provide training and guidance to junior staff on claims analysis and management. Basic Qualifications Bachelor's degree in Construction Management, Engineering, Law, or a related field. Master s degree or a professional certification (e.g. CCM, PMP, RICS) is preferred. Minimum of 8 years experience in construction claims analysis, with a focus on large-scale infrastructure projects. Extensive knowledge of construction contracts, claims management, and dispute resolution. Experience with various construction delivery methods, including Design-Bid-Build (DBB), Design-Build (DB), and CMAR. Strong analytical and problem-solving skills with the ability to interpret complex data and draw accurate conclusions. Excellent written and verbal communication skills, with the ability to present findings clearly and persuasively. Proficiency in construction management software (e.g. Primavera 6, MS Project) and claims analysis tools. Strong understanding of legal and regulatory aspects of construction claims. Compensation The anticipated compensation for this position is $175,000-$225,000/yr depending on previous experience. Benefits Group health & welfare benefits including options for medical, dental and vision 100% Company Paid Benefits: Employee Life Insurance & Accidental Death & Dismemberment (AD&D), Spouse and Dependent Life & AD&D, Short Term Disability (STD), Long Term Disability (LTD), Employee Assistance Program and Health Advocate Voluntary benefits at discounted group rates for accidents, critical illness, and hospital indemnity Flexible Time Off Program (includes vacation and personal time) Paid Sick and Safe Leave Paid Parental Leave Program 10 Paid Holidays 401(k) Plan (company matching contributions up to 4%). Employee Referral Program MWH Constructors is a global project delivery company in heavy civil construction with a focus on water and wastewater treatment infrastructure. With the ultimate goal of delivering maximum value to clients and their local communities, MWH Constructors provides single-source, integrated design and construction services through a full range of project delivery methods. Incorporating industry-leading preconstruction and construction services, the Company s multi-disciplined team of engineering and construction professionals delivers a wide range of projects, including new facilities, infrastructure improvement and expansion, and capital construction services. Equal Opportunity Employer, including disabled and veterans. Please note that all positions require pre-employment screening, including drug and background check, as a condition of employment. #LI-SW1 #LI-Onsite

SA Technologies Inc. (****************** is a market leader and one of the fastest growing IT consulting firms with operations in US, Canada, Mexico & India. SAT is an Oracle Gold Partner, SAP Services Partner & IBM Certified enterprise. We guarantee you the best rate for your skills and performance. Job Description Description: Title: Claims & Referral Processor II Location: Aurora, Colorado Duration: 6 Months c2h Adjudicates medical claims/bills for payment or denial within contract agreement or guidelines/protocol, using knowledge of medical claim/bill payment processing and medical regulations, verifies and updates relevant data into computerized systems and calculates manually any adjustments needed. Verifies member eligibility and/or Medicare status. Receives daily workflow via Doc-Flo, and incoming phone calls. Interacts with members regarding claims/bills and resolves issues in a courteous and timely manner. Member focus: Making members/patients and their needs a primary focus of one's actions; developing and sustaining productive member/patient relationships. Actively seeks information to understand member/patient circumstances, problems, expectations, and needs. Builds rapport and cooperative relationship with members/patients. Considers how actions or plans will affect members; responds quickly to meet member/patient needs and resolves problems. Essential Functions: Receives, and adjudicates medical claims/bills for processing; reviews scanned, EDI, or manual documents for pertinent data on claim/bill for complete and/or accurate information (eg.date of service, provider number s, charged amounts, medical procedure codes, fee codes, etc.). Researches claims/bills for appropriate support documents and/or documentation. Analyzes and adjusts data, determines appropriate codes, fees and ensures timely filing and contract rates are applied. Ensures claims/bills meet eligibility, benefit and Medicare requirements. Processes hot provider files within time line. Identifies multiple service, multiple rates and completes claims/bills, pends, voids, refunds, and/or approves for payments. Processes claims/bills as split claims when appropriate. Forwards complete claims/bills requiring additional authorization to appropriate personnel for approval or denial. Pends claims and receives pend claims for various types of research follow-up amongst other staff members. Receives calls from members and/or tracks on-line communications, providers, explains reason(s) claims/bills have been denied or pending, by utilizing benefit plan agreement, eligibility, possible coordination of benefits, worker s compensation and policies and procedures. Explains the appeal process if necessary. Provides one on one customer service in obtaining and providing information to the member and/or provider. Documents and tracks on-line communications. Responds to and researches vendor and member problems, questions and complaints using on-line systems. Provides training as assigned to new employees as well as cross training in all phases of claim and referral department processes. Performs additional assignments such as, special projects related to the claims & referral department. In addition to defined technical requirements, accountable for consistently demonstrating excellent service behaviors and principles defined by specific departmental/organizational initiatives. Also accountable for consistently demonstrating the knowledge, skills, abilities, and behaviors necessary to provide superior and culturally sensitive service to each other, to our members, and to purchasers, contracted providers and vendors. Basic Qualifications: Experience Four (4) years of claims payment experience required. Experience must be on an automated system, including preparation of payments for medical bills, using medical terminology, CPT, ICD-9 and UB92 coding for both Medicare and non-Medicare claims, and working knowledge of other insurance benefit plans including coordination of benefits, no-fault and workers compensation. May substitute two (2) years of education for two (2) years of experience. Education High School graduation or equivalent. License, Certification, Registration :N/A. Additional Requirements: Working knowledge of medical terminology required. Effective communication skills required, including telephone work. Personal computer terminal skills. Demonstrates customer service skills, customer focus abilities and the ability to understand customer needs Preferred Qualifications: Personal computer terminal skills; windows based preferred. There is very high potential for conversion to FTE on this position. Additional Information Zishan Khan ************

*Applications are accepted on an ongoing basis. An open position may not be available at this time. We offer a merit-based work-from-home program based on job responsibilities. After initial training in-person, you could have the flexibility of work-from-home time as defined by the leadership team. Auto-Owners Insurance, a top-rated insurance carrier, is seeking a motivated individual to join our Claims department as a Bodily Injury Claims Representative. The position requires the person to: Assemble facts, determine coverage, evaluate the amount of loss, analyze legal liability, make payments in accordance with coverage, damage and liability determination, and perform other functions or duties to properly adjust the loss. Study insurance policies, endorsements, and forms to develop an understanding of insurance coverage. Follow claims handling procedures and participate in claim negotiations and settlements. Deliver a high level of customer service to our agents, insureds, and others. Devise alternative approaches to provide appropriate service, dependent upon the circumstances. Meet with people involved with claims, sometimes outside of our office environment. Handle investigations by telephone, email, mail, and on-site investigations. Maintain appropriate adjuster's license(s), if required by statute in the jurisdiction employed, within the time frame prescribed by the Company or statute. Handle complex and unusual exposure claims effectively through on-site investigations and through participation in mediations, settlement conferences, and trials. Handle confidential information according to Company standards and in accordance with any applicable law, regulation, or rule. Assist in the evaluation and selection of outside counsel. Maintain punctual attendance according to an assigned work schedule at a Company approved work location. Desired Skills & Experience A minimum of three years of insurance claims related experience. The ability to organize and conduct an investigation involving complex issues and assimilate the information to reach a logical and timely decision. The ability to effectively understand, interpret and communicate policy language. The dissemination of appropriate claim handling techniques so that others involved in the claim process are understanding of issues. Benefits Auto-Owners offers a wide range of career opportunities, and we are seeking talent that will help us continue our long tradition of success. We offer a friendly work environment, structured training program, employee mentoring and an excellent benefits package. Along with a matched 401(k), fully-funded pension plan (once vested), Auto-Owners also offers medical, prescription, dental and vision insurance; associate, spouse and child life insurance; supplemental sick pay; long term disability; health care flexible spending accounts and dependent care flexible spending accounts. Additional benefits include: generous paid time off including holidays, vacation days, personal time, sick leave and parental leave; adoption assistance; discounts on personal insurance; education matching gift program; student loan assistance program, a gym membership and fitness class reimbursement program and a company car. If you're looking to do rewarding work alongside great people, Auto-Owners is the place for you! Compensation Auto-Owners offers a generous compensation package. For this position, the anticipated annualized starting base pay range is: $62,000.00 - $83,200.00. Other components of the compensation package include benefit dollars used to purchase certain benefits and several bonus opportunities. Equal Employment Opportunity Auto-Owners Insurance is an equal opportunity employer. The Company hires, transfers, and promotes on the basis of ability, without consideration of disability, age, sex, race, color, religion, height, weight, marital status, sexual orientation, gender identity or national origin, or any factor contrary to federal, state or local law. Please note that the ability to work in the U.S. without current or future sponsorship is a requirement. Applications will be accepted until this opening is filled. #LI-DNI #IN-DNI

You have a clear vision of where your career can go. And we have the leadership to help you get there. At CNA, we strive to create a culture in which people know they matter and are part of something important, ensuring the abilities of all employees are used to their fullest potential. This individual contributor position works under moderate direction, and within defined authority limits, to manage commercial claims with moderate to high complexity and exposure for a specific line of business. Responsibilities include investigating and resolving claims according to company protocols, quality and customer service standards. Position requires regular communication with customers and insureds and may be dedicated to specific account(s). This position enjoys a flexible, hybrid work schedule and is available in any location near a CNA office. JOB DESCRIPTION: Performs a combination of duties in accordance with departmental guidelines: * Manages an inventory of moderate to high complexity and exposure commercial claims by following company protocols to verify policy coverage, conduct investigations, develop and employ resolution strategies, and authorize disbursements within authority limits. * Provides exceptional customer service by interacting professionally and effectively with insureds, claimants and business partners, achieving quality and cycle time standards, providing regular, timely updates and responding promptly to inquiries and requests for information. * Verifies coverage and establishes timely and adequate reserves by reviewing and interpreting policy language and partnering with coverage counsel on more complex matters, estimating potential claim valuation, and following company's claim handling protocols. * Conducts focused investigation to determine compensability, liability and covered damages by gathering pertinent information, such as contracts or other documents, taking recorded statements from customers, claimants, injured workers, witnesses, and working with experts, or other parties, as necessary to verify the facts of the claim. * Establishes and maintains working relationships with appropriate internal and external work partners, suppliers and experts by identifying and collaborating with resources that are needed to effectively resolve claims. * Authorizes and ensures claim disbursements within authority limit by determining liability and compensability of the claim, negotiating settlements and escalating to manager as appropriate. * Contributes to expense management by timely and accurately resolving claims, selecting and actively overseeing appropriate resources, and delivering high quality service. * Identifies and addresses subrogation/salvage opportunities or potential fraud occurrences by evaluating the facts of the claim and making referrals to appropriate Recovery or SIU resources for further investigation. * Achieves quality standards on every file by following all company guidelines, achieving quality and cycle time targets, ensuring proper documentation and issuing appropriate claim disbursements. * Maintains compliance with state/local regulatory requirements by following company guidelines, and staying current on commercial insurance laws, regulations or trends for line of business. * May serve as a mentor/coach to less experienced claim professionals May perform additional duties as assigned. Reporting Relationship Typically, Manager or above Skills, Knowledge & Abilities * Solid working knowledge of the commercial insurance industry, products, policy language, coverage, and claim practices. * Solid verbal and written communication skills with the ability to develop positive working relationships, summarize and present information to customers, claimants and senior management as needed. * Demonstrated ability to develop collaborative business relationships with internal and external work partners. * Ability to exercise independent judgement, solve moderately complex problems and make sound business decisions. * Demonstrated investigative experience with an analytical mindset and critical thinking skills. * Strong work ethic, with demonstrated time management and organizational skills. * Demonstrated ability to manage multiple priorities in a fast-paced, collaborative environment at high levels of productivity. * Developing ability to negotiate low to moderately complex settlements. * Adaptable to a changing environment. * Knowledge of Microsoft Office Suite and ability to learn business-related software. * Demonstrated ability to value diverse opinions and ideas Education & Experience: * Bachelor's Degree or equivalent experience. * Typically, a minimum four years of relevant experience, preferably in claim handling. * Candidates who have successfully completed the CNA Claim Training Program may be considered after 2 years of claim handling experience. * Must have or be able to obtain and maintain an Insurance Adjuster License within 90 days of hire, where applicable. * Professional designations are a plus (e.g. CPCU) #LI-LG1 #LI-Hybrid In certain jurisdictions, CNA is legally required to include a reasonable estimate of the compensation for this role. In District of Columbia, California, Colorado, Connecticut, Illinois, Maryland, Massachusetts, New York and Washington, the national base pay range for this job level is $54,000 to $103,000 annually. Salary determinations are based on various factors, including but not limited to, relevant work experience, skills, certifications and location. CNA offers a comprehensive and competitive benefits package to help our employees - and their family members - achieve their physical, financial, emotional and social wellbeing goals. For a detailed look at CNA's benefits, please visit cnabenefits.com. CNA is committed to providing reasonable accommodations to qualified individuals with disabilities in the recruitment process. To request an accommodation, please contact ***************************.

Job Summary: The Accounts Receivable Specialist is responsible for managing the financial reimbursement process, including insurance claim follow-up, payment posting, and resolving outstanding patient and insurance balances. This role plays a key part in maintaining healthy cash flow and ensuring accuracy in revenue collection. Key Responsibilities: 🔹 Insurance & Claims Management Follow up on outstanding insurance claims and unpaid balances. Investigate and resolve claim denials or rejections. Resubmit corrected claims and coordinate with the billing team as needed. 🔹 Pre-Authorization/Referral Coordinator Verifies coverage and ensures services meet payer requirements for prior authorization. Often works closely with eligibility verification. Requests and obtain necessary authorization for services. 🔹 Patient Account Handling Review and manage aging reports for patient balances. Contact patients to resolve outstanding debts and offer payment options. Respond to patient billing inquiries courteously and accurately. 🔹 Payment Posting & Reconciliation Accurately post payments from insurance companies and patients. Reconcile explanation of benefits (EOBs) and electronic remittance advice (ERAs). Identify and escalate payment discrepancies. 🔹 Reporting & Compliance Maintain documentation in accordance with HIPAA and organizational standards. Monitor trends in claim denials and unpaid balances. Submit regular reports to supervisors or finance teams. 🔹 Collaboration & Communication Work closely with billers and front-office staff to resolve discrepancies. Provide feedback for process improvement within the AR function. Qualifications: High school diploma or equivalent (required) 2+ years of experience in medical billing, healthcare AR, or revenue cycle roles. Familiarity with EHR systems (e.g., Epic, Athena, Cerner) and clearinghouses. Strong understanding of insurance processes, EOBs, and HIPAA compliance. Excellent communication and organizational skills. Preferred Skills: Knowledge of Medicaid and commercial insurance guidelines. Experience in high-volume claim processing environments. Ability to analyze data and solve problems independently. Ability to communicate professionally with coworkers, patients and outside agencies.

Project Resources Group (PRG) is seeking a Claims Recovery Specialist for our Denver, CO office. Be part of our expanding team focused on recovering third-party property and utility damage claims, primarily in a B2B setting. We're looking for motivated, detail-oriented professionals with strong negotiation skills. Experience in collections or insurance adjusting is highly relevant and transferable. We offer a competitive base salary plus commission. Key Responsibilities Resolve and negotiate claims recovery of repair and replacement costs on third-party cable/fiber and utility damages across multiple state lines, via phone, email, and letters. Work directly with liable parties' insurance providers to defend and negotiate claims settlements. Collaborate with claims departments and management of liable parties, from small businesses to large corporations to municipalities. Learn, understand, and be able to utilize state dig laws and statutes, 811 excavator requirements, NESC standards, CGA guidelines, etc. Develop a professional working relationship with damaging parties, on-site field investigators, management, and other personnel. Conduct 40-50 inbound/outbound calls daily, approximately 2-2.5 hours of total talk time throughout the day. Enter notes and documentation throughout the recovery process into the company's proprietary Claims Database Tool. Use a calendar and diary system to coordinate handling claims to be worked twice weekly. Follow advanced claim handling procedures as detailed by the OPD Claims Manager. Use photographs, narratives, job costs, site sketches, locate tickets, and other components on-site field investigators provide to visualize and understand the damage scene to defend liability accurately. Participate in weekly department meetings to discuss individual and team recovery tactics, strategies, and goals. Maintain a working knowledge of the entire PRG claims recovery process. Preferred Qualifications Strong proficiency in Microsoft Word, Outlook, and Excel. Tech-savvy with the ability to quickly adapt to new software and systems. Excellent written and verbal communication skills, with an emphasis on professional phone and email correspondence. Familiarity with the construction, cable, or utility locate industries is advantageous. Understanding of B2B construction, claims management, recovery, or insurance claim negotiation and settlement processes is preferred. Ideally, 3-5 years of experience in claims, recovery, and/or the insurance industry. College education is preferred. Bilingual in Spanish is a plus. Compensation and BenefitsWe offer a competitive hourly pay ($20-$24/hour based on experience), plus the potential to earn substantial commissions up to $4,000-$10,000 monthly based on performance. Along with a comprehensive benefits package, including: Medical, dental, and vision coverage for employees and dependents 401(k) retirement plan, with company match after 1 year Short-term disability coverage after 1 year Paid time off and holidays Additional perks such as company-paid life insurance, and other supplemental insurances available About PRG Since 2001, PRG has been a leader in construction management and outside plant damage recovery for the telecommunications and utility industries. With 20+ offices and 800+ employees nationwide, we deliver industry-leading solutions with speed, accuracy, and expertise. Equal Opportunity EmployerPRG is proud to be an Equal Opportunity Employer. PRG does not discriminate on the basis of actual or perceived race, color, creed, religion, national origin, ancestry, citizenship status, age, sex or gender (including pregnancy, childbirth, pregnancy-related conditions, and lactation), gender identity or expression (including transgender status), sexual orientation, marital status, military service and veteran status, physical or mental disability, genetic information, or any other characteristic protected by applicable federal, state, or local law and ordinances.#INDCS

MWH is a leading water and wastewater treatment focused general contractor in the US with a rich history dating back to the 19th century Fueled by the mission of Building a Better World our teams are rapidly growing across the nation As a company committed to our teams well being and growth we offer a supportive work environment opportunities for advancement and the chance to contribute to a mission that shapes the future Your expertise and ambition are valued here The work we do matters The critical systems infrastructure we build changes lives betters communities and improves ecosystems If youre passionate about this we want to hear from you About the Role MWH is seeking a remote Senior Construction Claims Analyst The Analyst will be responsible for evaluating analyzing and resolving construction related claims and disputes This role requires a strong understanding of construction contracts project management and claim resolution processes This position will also require 50 travel Essential Functions Review and analyze construction claims including delay disruption acceleration and other impact claims Assess the validity and potential impact of claims on project schedules budgets and resources Prepare detailed claims reports including cause effect analysis quantum assessment and recommendations for resolution Collect organize and maintain all necessary documentation related to claims including contracts change orders correspondence schedules and cost records Ensure all claims documentation complies with contractual legal and regulatory requirements Work with legal counsel project managers and senior leadership to develop and implement strategies for resolution of claims Participate in negotiations mediation and arbitration processes to resolve claims Provide expert testimony and support in legal proceedings if necessary Identify potential claims and disputes early in the project lifecycle and provide proactive advice to mitigate risks Assist in developing and implementing best practices for claims management across the organization Liaise with project teams contractors subcontractors and external consultants to gather information and support claims analysis Communicate findings and recommendations to stakeholders clearly and effectively Provide training and guidance to junior staff on claims analysis and management Basic Qualifications Bachelors degree in Construction Management Engineering Law or a related field Masters degree or a professional certification eg CCM PMP RICS is preferred Minimum of 8 years experience in construction claims analysis with a focus on large scale infrastructure projects Extensive knowledge of construction contracts claims management and dispute resolution Experience with various construction delivery methods including Design Bid Build DBB Design Build DB and CMARStrong analytical and problem solving skills with the ability to interpret complex data and draw accurate conclusions Excellent written and verbal communication skills with the ability to present findings clearly and persuasively Proficiency in construction management software eg Primavera 6 MS Project and claims analysis tools Strong understanding of legal and regulatory aspects of construction claims Compensation The anticipated compensation for this position is 175000 225000yr depending on previous experience Benefits Group health & welfare benefits including options for medical dental and vision100 Company Paid Benefits Employee Life Insurance & Accidental Death & Dismemberment AD&D Spouse and Dependent Life & AD&D Short Term Disability STD Long Term Disability LTD Employee Assistance Program and Health AdvocateVoluntary benefits at discounted group rates for accidents critical illness and hospital indemnity Flexible Time Off Program includes vacation and personal time Paid Sick and Safe LeavePaid Parental Leave Program10 Paid Holidays 401k Plan company matching contributions up to 4Employee Referral ProgramMWH Constructors is a global project delivery company in heavy civil construction with a focus on water and wastewater treatment infrastructure With the ultimate goal of delivering maximum value to clients and their local communities MWH Constructors provides single source integrated design and construction services through a full range of project delivery methods Incorporating industry leading preconstruction and construction services the Companys multi disciplined team of engineering and construction professionals delivers a wide range of projects including new facilities infrastructure improvement and expansion and capital construction services Equal Opportunity Employer including disabled and veterans Please note that all positions require pre employment screening including drug and background check as a condition of employment LI SW1 LI Onsite

With a company culture rooted in collaboration, expertise and innovation, we aim to promote progress and inspire our clients, employees, investors and communities to achieve their greatest potential. Our work is the catalyst that helps others achieve their goals. In short, We Enable Possibility℠. Position Summary The Claims Division is seeking a team member to join the Shared Services Team as a Claims Examiner. Responsibilities include investigating, evaluating and resolving various types of commercial first and third party low complexity General Liability claims. This requires accurate and thorough documentation, as well as completion of resolution action plans based upon the applicable law, coverage and supporting evidence. Responsibilities: * Provide and maintain exceptional customer service and ongoing communication to the appropriate stakeholders through the life of the claim including prompt contact and follow up to complete timely and accurate investigation, damage evaluation and claim resolution in accordance with regulatory, company standards, and authority level * Conduct thorough investigation of coverage, liability and damages; must document facts and maintain evidence to support claim resolution * Review and analyze supporting damage documentation * Comply and stay abreast of all statutory and regulatory requirements in all applicable jurisdictions * Establish appropriate loss and expense reserves with documented rationale * Demonstrate technical efficiency through timely and consistent execution of best claim handling practices and guidelines Experience & Qualifications * Hands-on experience and strong aptitude with Outlook, Microsoft Excel, PowerPoint, and Word * Knowledge of ImageRight preferred * Exceptional communication (written and verbal), influencing, evaluation, listening, and interpersonal skills to effectively develop productive working relationships with internal/external peers and other professionals across organizational lines * Ability to take part in active strategic discussions and leverage technical knowledge to make cost-effective decisions * Strong time management and organizational skills; ability to adhere to both internal and external regulatory timelines * Ability to work well independently and in a team environment * Texas Claim Adjuster license preferred, but not required for posting. Upon employment candidate would be required to obtain Texas Claim Adjuster license within six months of hire date. Education * Bachelor's degree preferred * 3-5 years' experience handling the process of commercial insurance claims #LI-SW1 #LI-HYBRID For individuals assigned or hired to work in the location(s) indicated below, the base salary range is provided. Range is as of the time of posting. Position is incentive eligible. $71,900 - $97,110/year * Total individual compensation (base salary, short & long-term incentives) offered will take into account a number of factors including but not limited to geographic location, scope & responsibilities of the role, qualifications, talent availability & specialization as well as business needs. The above pay range may be modified in the future. * Arch is committed to helping employees succeed through our comprehensive benefits package that includes multiple medical plans plus dental, vision and prescription drug coverage; a competitive 401k with generous matching; PTO beginning at 20 days per year; up to 12 paid company holidays per year plus 2 paid days of Volunteer Time Offer; basic Life and AD&D Insurance as well as Short and Long-Term Disability; Paid Parental Leave of up to 10 weeks; Student Loan Assistance and Tuition Reimbursement, Backup Child and Elder Care; and more. Click here to learn more on available benefits. Do you like solving complex business problems, working with talented colleagues and have an innovative mindset? Arch may be a great fit for you. If this job isn't the right fit but you're interested in working for Arch, create a job alert! Simply create an account and opt in to receive emails when we have job openings that meet your criteria. Join our talent community to share your preferences directly with Arch's Talent Acquisition team. For Colorado Applicants - The deadline to submit your application is: May 17, 2026 14400 Arch Insurance Group Inc.

Arcadis is the world's leading company delivering sustainable design, engineering, and consultancy solutions for natural and built assets. We are more than 36,000 people, in over 70 countries, dedicated to improving quality of life. Everyone has an important role to play. With the power of many curious minds, together we can solve the world's most complex challenges and deliver more impact together. Role accountabilities: Case Coordination * Serve as the main point of contact between the company and the external workers' compensation carrier. * Track and manage all workers' compensation claims from initial report to resolution. * Gather, review, and submit all required documentation to the carrier in a timely manner. * Coordinate with supervisors and injured employees to ensure accurate reporting of workplace injuries. Communication * Facilitate clear, timely communication between employees, management, healthcare providers, and the carrier. * Provide updates to management and affected employees regarding claim status and next steps. * Educate employees and supervisors on the workers' compensation process and requirements. Compliance & Documentation * Ensure all workers' compensation processes adhere to federal, state, and local regulations. * Maintain confidential and accurate records of all claims, correspondence, and decisions. * Assist in preparing reports related to claims trends, costs, and outcomes for management review. Return-to-Work Coordination * Collaborate with People team, Health & Safety team, management, and healthcare providers to facilitate safe and timely return-to-work plans. * Monitor work restrictions and accommodations as recommended by medical professionals. Continuous Improvement * Identify opportunities to improve claim handling processes and reduce claim costs. * Participate in safety committees and contribute to workplace injury prevention initiatives. Qualifications & Experience: * Bachelor's degree in Legal Studies, Human Resources, Business Administration, or related field (preferred). * 3+ years of experience in workers' compensation claims management or related field. * Familiarity with workers' compensation laws and regulations (state and federal). * Proficiency with case management systems and Microsoft Office Suite. Why Arcadis? We can only achieve our goals when everyone is empowered to be their best. We believe everyone's contribution matters. It's why we are pioneering a skills-based approach, where you can harness your unique experience and expertise to carve your career path and maximize the impact we can make together. You'll do meaningful work, and no matter what role, you'll be helping to deliver sustainable solutions for a more prosperous planet. Make your mark, on your career, your colleagues, your clients, your life and the world around you. Together, we can create a lasting legacy. Join Arcadis. Create a Legacy. Our Commitment to Equality, Diversity, Inclusion & Belonging We want you to be able to bring your best self to work every day which is why we take equality and inclusion seriously and hold ourselves to account for our actions. Our ambition is to be an employer of choice and provide a great place to work for all our people. We are an equal opportunity and affirmative action employer. Women, minorities, people with disabilities and veterans are strongly encouraged to apply. We are dedicated to a policy of non-discrimination in employment on any basis including race, creed, color, religion, national origin, sex, age, disability, marital status, sexual orientation, gender identity, citizenship status, disability, veteran status, or any other basis prohibited by law. Arcadis offers benefits for full time and part time positions. These benefits include medical, dental, and vision, EAP, 401K, STD, LTD, AD&D, life insurance, paid parental leave, reward & recognition program and optional benefits including wellbeing benefits, adoption assistance and tuition reimbursement. We offer nine paid holidays and 15 days PTO that accrue per year. The salary range for this position is $65,000 - $85,000. Actual salaries will vary and are based on several factors, such as experience, education, budget, internal equity, project and location. #LI-CB3 #LI-Hybrid

Let's get right to it - work is better when it means something to you; when you know you're making a difference and contributing in tangible ways. And most importantly, when you're with a company that values your voice, your time and your talent. At Servpro of Denver North, we've got just such an opportunity. We're searching for someone to join our team as a Restoration Claims Specialist. If you're ready to dive into intriguing and rewarding work and discover multiple avenues for career development, keep reading and apply today. What's In It For You? At Servpro of Denver North, our people come first… and that's not just a company line. Here's a peek at our best-in-class benefits package and top- notch employee culture: Our Restoration Claims Specialist position pays $21 - $25 per hour, based on experience. We want our people to succeed, plain and simple. We're all about professional development, continuing education and helping your career grow in a collaborative, inclusive culture where the next big idea can come from anyone… including you! We show our appreciation for our talent with a competitive salary package and top-notch bonus & incentive plans. Boring work is the absolute worst. At Servpro of Denver North, you'll work with challenging and unique customer situations every single day - EVERYDAY you will make a difference in our customers' lives. We all have lives and responsibilities outside of work. We have an exceptional work/life balance at Servpro of Denver North, with accommodating work schedules. How does a great healthcare benefits package sound? Multiple options are available for individuals and families. Generous 401K retirement plan with up to 4% company match. On-call bonus opportunities. Employee discounts on restoration services, from carpet and duct cleaning to restoration remodels. We all love to build community and camaraderie where at work - we enjoy an all team monthly happy hour with food and drinks, pool and darts. We have a full kitchen at the office - and we love to cook! And what better way to start off your Friday at the office than a yummy breakfast burrito - Yep! Breakfast Burrito Fridays! With benefits as rich and diverse as our employees, you'll find a plethora of options, giving you the freedom to make the best choices for you and your family. What You'll Do? As a Restoration Claims Specialist, you will report to the Office Manager and you will work with our customers, insurance partners and field team throughout your day, ensuring a great customer experience. Your role is critical to our business' success. As the ultimate candidate for the Restoration Claims Specialist, you are a person who makes things happen and is extremely organized and detailed! You are proactive, experienced and truly enjoy providing superior service and taking ownership of your responsibilities. We are seeking someone who is professional, driven, great on the phone, has excellent analytical skills, is detail-oriented, and is a serious multi-tasker. We are the premier restoration company and are looking for like-minded individuals to represent our brand. Responsibilities Scheduling and Dispatching Monitor job file status Monitor job file audit status Maintain customer job files Monitor and ensure client requirements are followed Review and validate initial field documentation Create preliminary estimates Daily job file coordination Perform job file backup Maintain internal and external communications Prepare job file reports Complete and review job file documentation for final upload and the audit process Complete job file audit process Perform job close-out Bookkeeping Collections Organize office and maintain filing systems Assist other departments, as needed Requirements 1+ year(s) of administrative or office-related experience Experience with writing estimates, job file processes; quality assurance is a plus Experience in service industry environment is a plus Outstanding written and verbal communication skills, including proper pronunciation and grammar, and a consistently courteous and professional tone of voice Polite, confident, and excellent customer service skills, including listening and questioning skills Ability to remain calm and professional during tense or stressful situations Excellent organizational skills and strong attention to detail Very self-motivated and goal-oriented Ability to multi-task Capability to work in a fast-paced, team-oriented office environment Proficiency in Microsoft Office (i.e., Outlook, Word, Excel) Ability to learn new software, including Xactimate and proprietary software Minimum of HSD/GED preferred Ability to successfully complete a background check subject to applicable law Ability to work 40 hours/ week, flexible to work overtime when required All employees of a SERVPRO Franchise are hired by, employed by, and under the sole supervision and control of an independently owned and operated SERVPRO Franchise. SERVPRO Franchise employees are not employed by, jointly employed by, agents of, or under the supervision or control of Servpro Industries, Inc., the Franchisor, in any manner whatsoever. Compensation: $21.00 - $25.00 per hour Picture yourself here fulfilling your potential. At SERVPRO , you can make a positive difference in people's lives each and every day! We're seeking self-motivated, proactive, responsible, and service-oriented teammates to join us in our mission of helping customers in their greatest moments of need by repairing and restoring homes and businesses with an industry-leading level of service. With nearly 2,000 franchises all over the country, finding exciting and rewarding SERVPRO career opportunities near you is easy! We look forward to hearing from you. All employees of a SERVPRO Franchise are hired by, employed by, and under the sole supervision and control of an independently owned and operated SERVPRO Franchise. SERVPRO Franchise employees are not employed by, jointly employed by, agents of, or under the supervision or control of Servpro Franchisor, LLC, in any manner whatsoever.

. WHAT YOU'LL DO: Determines coverage for medical, dental, and vision procedures by studying provisions of the member's health policy Extracts additional information as required from outside sources, including claimant, physician, employer, hospital, insurance carriers, and other third partners Initiates investigation of questionable claims Resolves medical, dental, and vision claims and billing questions and issues by examining the summary of benefits contacting the carrier and/or the provider billing office to ensure the member is not being overcharged calculating out-of-pocket costs based on benefits initiating reimbursement requests with the carrier composing appeal letter Provides information on year-to-date deductible, copay, and coinsurance activity to team members Maintains quality customer service by following customer service practices and responding to customer inquiries in a timely manner Protects claimant information by following HIPAA guidelines Reports claim status updates in proprietary CRM and provides detailed information on each claim WHO YOU ARE: Our Navigation Operations is a fast-paced, dynamic, and growing environment. We are looking for individuals who are passionate about concierge service delivery and changing the healthcare experience for consumers. Strong communication skills, both written and verbal Professional experience with both benefit plan interpretation, provider billing practices, and claim adjudication Strong demonstration of critical thinking and problem-solving skills Bachelor's degree in health sciences or related field and minimum of 2 years of experience as a medical claims specialist preferred Expected hourly rate - $22-$25/HR ABOUT RIGHTWAY: Rightway is on a mission to harmonize healthcare for everyone, everywhere. Our products guide patients to the best care and medications by inserting clinicians and pharmacists into a patient's care journey through a modern, mobile app. Rightway is a front door to healthcare, giving patients the tools they need along with on-demand access to Rightway health guides, human experts that answer their questions and manage the frustrating parts of healthcare for them. Since its founding in 2017, Rightway has raised over $130mm from investors including Khosla Ventures, Thrive Capital, and Tiger Global at a valuation of $1 billion. We're headquartered in New York City, with a satellite office in Denver and Dallas. Our clients rely on us to transform the healthcare experience, improve outcomes for their teams, and decrease their healthcare costs. HOW WE LIVE OUR VALUES TO OUR TEAMMATES: We're seeking those with passion for healthcare and relentless devotion to our goal. We need team members that embody our following core values: 1) We are human, first Our humanity binds us together. We bring the same empathetic approach to every individual we engage with, whether it be our members, our clients, or each other. We are all worthy of respect and understanding and we engage in our interactions with care and intention. We honor our stories. We listen to-and hear-each other, we celebrate our differences and similarities, we are present for each other, and we strive for mutual understanding. 2) We redefine what is possible We always look beyond the obstacles in front of us to imagine new solutions. We approach our work with inspiration from other industries, other leaders, and other challenges. We use ingenuity and resourcefulness when faced with tough problems. 3) We debate then commit We believe that a spirit of open discourse is part of a healthy culture. We understand and appreciate different perspectives and we challenge our assumptions. When working toward a decision or a new solution, we actively listen to one another, approach it with a “yes, and” mentality, and assume positive intent. Once a decision is made, we align and champion it as one team. 4) We cultivate grit Changing healthcare doesn't happen overnight. We reflect and learn from challenges and approach the future with a determination to strive for better. In the face of daunting situations, we value persistence. We embrace failure as a stepping stone to future success. On this journey, we seek to act with guts, resilience, initiative, and tenacity. 5) We seek to delight Healthcare is complicated and personal. We work tirelessly to meet the goals of our clients while also delivering the best experience to our members. We recognize that no matter the role or team, we each play a crucial part in our members' care and take that responsibility seriously. When faced with an obstacle, we are kind, respectful, and solution-oriented in our approach. We hold ourselves accountable to our clients and our members' success. Rightway is PROUDLY an Equal Opportunity Employer that believes in strength in the diversity of thought processes, beliefs, background and education and fosters an inclusive culture where differences are celebrated to drive the best business decisions possible. We do not discriminate on any basis covered by appropriate law. All employment is decided on the consideration of merit, qualifications, need and performance.

Project Resources Group (PRG) is seeking a Claims Recovery Specialist for our Denver, CO office. Be part of our expanding team focused on recovering third-party property and utility damage claims, primarily in a B2B setting. We're looking for motivated, detail-oriented professionals with strong negotiation skills. Experience in collections or insurance adjusting is highly relevant and transferable. We offer a competitive base salary plus commission. Key Responsibilities * Resolve and negotiate claims recovery of repair and replacement costs on third-party cable/fiber and utility damages across multiple state lines, via phone, email, and letters. * Work directly with liable parties' insurance providers to defend and negotiate claims settlements. * Collaborate with claims departments and management of liable parties, from small businesses to large corporations to municipalities. * Learn, understand, and be able to utilize state dig laws and statutes, 811 excavator requirements, NESC standards, CGA guidelines, etc. * Develop a professional working relationship with damaging parties, on-site field investigators, management, and other personnel. * Conduct 40-50 inbound/outbound calls daily, approximately 2-2.5 hours of total talk time throughout the day. * Enter notes and documentation throughout the recovery process into the company's proprietary Claims Database Tool. * Use a calendar and diary system to coordinate handling claims to be worked twice weekly. * Follow advanced claim handling procedures as detailed by the OPD Claims Manager. * Use photographs, narratives, job costs, site sketches, locate tickets, and other components on-site field investigators provide to visualize and understand the damage scene to defend liability accurately. * Participate in weekly department meetings to discuss individual and team recovery tactics, strategies, and goals. * Maintain a working knowledge of the entire PRG claims recovery process. Preferred Qualifications * Strong proficiency in Microsoft Word, Outlook, and Excel. * Tech-savvy with the ability to quickly adapt to new software and systems. * Excellent written and verbal communication skills, with an emphasis on professional phone and email correspondence. * Familiarity with the construction, cable, or utility locate industries is advantageous. * Understanding of B2B construction, claims management, recovery, or insurance claim negotiation and settlement processes is preferred. * Ideally, 3-5 years of experience in claims, recovery, and/or the insurance industry. * College education is preferred. * Bilingual in Spanish is a plus. Compensation and Benefits We offer a competitive hourly pay ($20-$24/hour based on experience), plus the potential to earn substantial commissions up to $4,000-$10,000 monthly based on performance. Along with a comprehensive benefits package, including: * Medical, dental, and vision coverage for employees and dependents * 401(k) retirement plan, with company match after 1 year * Short-term disability coverage after 1 year * Paid time off and holidays * Additional perks such as company-paid life insurance, and other supplemental insurances available About PRG Since 2001, PRG has been a leader in construction management and outside plant damage recovery for the telecommunications and utility industries. With 20+ offices and 800+ employees nationwide, we deliver industry-leading solutions with speed, accuracy, and expertise. Equal Opportunity Employer PRG is proud to be an Equal Opportunity Employer. PRG does not discriminate on the basis of actual or perceived race, color, creed, religion, national origin, ancestry, citizenship status, age, sex or gender (including pregnancy, childbirth, pregnancy-related conditions, and lactation), gender identity or expression (including transgender status), sexual orientation, marital status, military service and veteran status, physical or mental disability, genetic information, or any other characteristic protected by applicable federal, state, or local law and ordinances. #INDCS

Purpose and Scope/General Summary: We are looking for a Claims / Deductions Coordinator for Pilgrim's who responds to notifications of discrepancies that may be reported by customers, truck lines, plant personnel, sales, field reps, customer service, etc. These notifications may be in regard to product integrity, quality, damage, and/or count discrepancies. In this role, you will act as a mediator between outside parties and internal personnel to resolve this issue. This position is based fully onsite at our Corporate office in Greeley, CO. Responsibilities: + Demonstrate strong customer service with ability to make decisions to mitigate losses quickly. + Communicate with a sense of urgency to customers, carriers, and plants via phone and email. + Use critical thinking skills to investigate root causes of claims/deductions (transportation, plant, sales, customer error etc.) + Acquire required documentation needed to determine liability quickly. + Review legal documentation and determine if the parties involved have provided the required information to process a claim and have fulfilled their contractual requirements. + Gather data and relay it to teams to problem solve for customer accounts. + Interact with teams across the business to resolve customer disputes and requests. + Communicate guidelines to appropriate parties. + Update invoice information in High Radius workflow. + Utilize SAP + Intermediate data analysis, find trends and develop conclusions on claims. + Work and learn new business areas in order to reduce cost. + Facilitate and support collection efforts against outside facilities and carriers/liners. + Other duties as assigned Qualifications: + 2-3 years of customer service experience with the ability to problem solve. + Prior experience handling customer accounts i.e.; accounts receivables, claims and deductions preferred. + Self-driven to learn and adapt quickly and be a team player. + Intermediate Excel proficiency. + Excellent communication, computer, organizational and multi-tasking skills. + Understands cash application processes in order to assist customer accounts. + Can perform the functions of the job with or without a reasonable accommodation The applicant who fills this position will be eligible for the following compensation and benefits: + Benefits: Vision, Medical, and Dental coverage begin after 60 days of employment; + Paid Time Off: sick leave, vacation, and 6 company observed holidays; + 401(k): company match begins after the first year of service and follows the company vesting schedule; + Base salary range of $19-$21/hr; and + Career Development:Our company is dedicated to supporting professional growth by offering continuous learning opportunities and a focus on career growth through various learning and development programs. For individuals assigned and/or hired to work in states where it is required by law to include a reasonable estimate of the compensation for any given position, compensation ranges are specific to those states and takes into account various factors that are considered in making compensation decisions, including but not limited to a candidate's relevant experience, qualifications, skills, competencies, and proficiencies for the role. This position does not have an application deadline. We will continue to recruit until the position has been filled. The Company is dedicated to ensuring a safe and secure environment for our team members and visitors. To assist in achieving that goal, we conduct drug, alcohol, and background checks for all new team members post-offer and prior to the start of employment. The Immigration Reform and Control Act requires that verification of employment eligibility be documented for all new employees by the end of the third day of work. About us: Pilgrim's is the second largest chicken producer in the world, with operations in the U.S., Puerto Rico, Mexico and the U.K. Pilgrim's processes, prepares, packages and delivers fresh, further-processed and value-added poultry products for sale to customers in more than 100 countries, employs more than 50,000 people and contracts with more than 5,200 family farmers. Pilgrim's is headquartered in beautiful Greeley, Colorado, at the JBS USA corporate office where our 1,200 employees enjoy more than 300 days of sunshine a year. Our mission: To be the best in all that we do, completely focused on our business, ensuring the best products and services to our customers, a relationship of trust with our suppliers, profitability for our shareholders and the opportunity of a better future for all of our team members. Our core values are: Availability, Determination, Discipline, Humility, Ownership, Simplicity, Sincerity EOE, including disability/vets Unsolicited Assistance: JBS and its companies do not accept unsolicited assistance from any recruitment vendors for any of our open jobs. All resumes or candidate profiles submitted by recruitment vendors or headhunters to any employee at JBS and its companies or via the applicant tracking system, in any form without a valid written request and search agreement previously approved by HR, will be solely owned by JBS and its companies. No fees will be paid should the candidate be hired by JBS and its companies because of an unsolicited referral.

Part-time Description This is a part-time, as needed position. Hours are determined based on business needs, with a maximum of 7 hours one week and a maximum of 14 hours the following week, alternating on a bi-weekly basis. In-person meetings and/or training sessions at the NBCE headquarters office in Greeley, Colorado may occasionally be required. Become an integral part of ensuring that chiropractors entering the profession are ready to serve patients safely and effectively by joining National Board of Chiropractic Examiners (NBCE) and our new Part IV Assessment Center team as a Chiropractic Examiner! Our new assessment center will increase testing opportunities, improve standardization, and incorporate cutting-edge technology, ensuring that future chiropractors are fully prepared to serve patients with skill, integrity, and excellence. ROLE SUMMARY: The Chiropractic Examiner is responsible for evaluating and scoring chiropractic examinees' performance on the Part IV examination administered by the National Board of Chiropractic Examiners (NBCE). They assess the examinee's competency in clinical knowledge and skills according to established standards, while upholding the integrity and fairness of the testing process. This role requires a high level of professionalism, reliability, and discretion in a high-stakes testing environment. ESSENTIAL JOB FUNCTIONS: View pre-recorded/live videos of examinees based on established criteria and objectively evaluate their performance on patient encounters. Assess their clinical reasoning, examination techniques, and adjustive set up skills and document the evaluation on an electronic form. Document performance using standardized scoring rubrics, based on case specific information. Submit evaluations within the timeline specified. Participate in onsite Examiner training and calibration exercises. Meet the requirements to maintain chiropractic license in good standing. Answer any phone or email inquiries and consult with internal staff as needed. Stay updated on current chiropractic knowledge and principles to accurately assess examinee competency. Requirements Education & Experience Doctor of Chiropractic degree, and a valid Colorado state license in good standing. A minimum of five-(5) years of recent experience as a practicing chiropractor in a clinical setting. Prior experience in clinical teaching is preferred. Knowledge, Skills, & Abilities Excellent observational and verbal and written communication skills. Ability to objectively evaluate examinee performance based on established criteria. Proficient computer skills and ability to navigate within an educational management system required. Adherence to ethical standards and confidentiality guidelines. Valid Colorado driver's license and satisfactory motor vehicle record. Legally authorized to work in the U.S. for any employer. Headquartered in Greeley, Colorado, NBCE is the international testing organization for the chiropractic profession, with the mission of ensuring professional competency and public safety through excellence in testing. Established in 1963, NBCE develops, administers, and scores standardized examinations for candidates seeking chiropractic licensure in all 50 states, the District of Columbia, and in several international countries. Any offer of employment is contingent upon the candidate's satisfactory completion of the NBCE's pre-employment, post-offer screening process, including a background check (criminal history), motor vehicle record check, and drug screen. The NBCE is an Equal Opportunity Employer (EOE). All qualified applicants will receive consideration for employment without regard to race, color, ancestry, religion, creed, national origin, age, sex including sexual orientation, gender identity or expression, and pregnancy, marital status, military status, disability, or genetic information, or other characteristics protected under applicable federal, state, or local law. COMPENSATION: Hiring Range: $50.63 - $63.28 per hour based on qualifications and experience. BENEFITS (waiting periods may apply) : Pro-rated Sick Time Off Colorado Paid Family Medical Leave 401(k) Plan APPLICATION WINDOW Application Deadline: 12/11/2025

Workers' Compensation Claim Specialist (CO jurisdiction, some UT possible) Hours: Monday - Friday, 8:00 AM to 4:30 PM Salary Range: $60,000-$98,000 (experience considered) Build Your Career With Purpose at CCMSI At CCMSI, we partner with global clients to solve their most complex risk management challenges, delivering measurable results through advanced technology, collaborative problem-solving, and an unwavering commitment to their success. We don't just process claims-we support people. As the largest privately owned Third Party Administrator (TPA), CCMSI delivers customized claim solutions that help our clients protect their employees, assets, and reputations. We are a certified Great Place to Work , and our employee-owners are empowered to grow, collaborate, and make meaningful contributions every day. The Workers' Compensation Claim Specialist is responsible for the investigation and adjustment of assigned claims. This position may be used as an advanced training position for promotion consideration for supervisory/management positions. The Claim Representative is accountable for the quality of claim services as perceived by CCMSI clients and within our corporate claim standards. Important - Please Read Before Applying This is a true insurance claims adjusting role, not an HR, benefits, safety, consulting, or administrative position. Candidates must have direct experience investigating, evaluating, reserving, negotiating, and resolving claims as an adjuster or adjuster supervisor within a carrier, TPA, or similar claims environment. Applicants without hands-on adjusting experience will not be considered. Responsibilities When we hire adjusters at CCMSI, we look for professionals who understand that every claim represents a real person's livelihood, take ownership of outcomes, and see challenges as opportunities to solve problems. Investigate, evaluate and adjust claims in accordance with established claim handling standards and laws. Establish reserves and/or provide reserve recommendations within established reserve authority levels. Review, approve or provide oversight of medical, legal, damage estimates and miscellaneous invoices to determine if reasonable and related to designated claims. Negotiate any disputed bills or invoices for resolution. Authorize and make payments of claims in accordance with claim procedures utilizing a claim payment program in accordance with industry standards and within established payment authority. Negotiate settlements in accordance within Corporate Claim Standards, client specific handling instructions and state laws, when appropriate. Assist in the selection, referral and supervision of designated claim files sent to outside vendors. (i.e. legal, surveillance, case management, etc.) Review and maintain personal diary on claim system. Assess and monitor subrogation claims for resolution. Compute disability rates in accordance with state laws. Effective and timely coordination of communication with clients, claimants and other appropriate parties throughout the claim adjustment process. Provide notices of qualifying claims to excess/reinsurance carriers. Compliance with Corporate Claim Handling Standards and special client handling instructions as established. Qualifications What You'll BringRequired Demonstrated knowledge of workers' compensation claim handling, including indemnity claims Experience managing multiple client accounts across varied industries Colorado workers' compensation claim experience Strong analytical, organizational, and problem-solving skills with consistent attention to detail Ability to manage competing priorities in a fast-paced claims environment Excellent written and verbal communication skills with internal and external stakeholders Strong customer service orientation with a commitment to accurate, compliant claim outcomes Reliable, predictable attendance during established client service hours Nice to Have Experience handling claims in Utah Professional designations such as AIC, ARM, or CPCU Bilingual (Spanish) proficiency - highly valued for communicating with claimants, employers, or vendors, but not required Why You'll Love Working Here 4 weeks PTO + 10 paid holidays in your first year Comprehensive benefits: Medical, Dental, Vision, Life, and Disability Insurance Retirement plans: 401(k) and Employee Stock Ownership Plan (ESOP) Career growth: Internal training and advancement opportunities Culture: A supportive, team-based work environment How We Measure Success At CCMSI, great adjusters stand out through ownership, accuracy, and impact. We measure success by: Quality claim handling - thorough investigations, strong documentation, well-supported decisions • Compliance & audit performance - adherence to jurisdictional and client standards • Timeliness & accuracy - purposeful file movement and dependable execution • Client partnership - proactive communication and strong follow-through • Professional judgment - owning outcomes and solving problems with integrity • Cultural alignment - believing every claim represents a real person and acting accordingly This is where we shine, and we hire adjusters who want to shine with us. Compensation & Compliance The posted salary reflects CCMSI's good-faith estimate in accordance with applicable pay transparency laws. Actual compensation will be based on qualifications, experience, geographic location, and internal equity. This role may also qualify for bonuses or additional forms of pay. Visa Sponsorship: CCMSI does not provide visa sponsorship for this position. ADA Accommodations: CCMSI is committed to providing reasonable accommodations throughout the application and hiring process. If you need assistance or accommodation, please contact our team. Equal Opportunity Employer: CCMSI is an Affirmative Action / Equal Employment Opportunity employer. We comply with all applicable employment laws, including pay transparency and fair chance hiring regulations. Background checks are conducted only after a conditional offer of employment. Our Core Values At CCMSI, we believe in doing what's right-for our clients, our coworkers, and ourselves. We look for team members who: Lead with transparency We build trust by being open and listening intently in every interaction. Perform with integrity We choose the right path, even when it is hard. Chase excellence We set the bar high and measure our success. What gets measured gets done. Own the outcome Every employee is an owner, treating every claim, every decision, and every result as our own. Win together Our greatest victories come when our clients succeed. We don't just work together-we grow together. If that sounds like your kind of workplace, we'd love to meet you. #CCMSICareers #EmployeeOwned #GreatPlaceToWorkCertified #ESOP #WorkersCompensation #HybridWork #ClaimsAdjuster #InsuranceCareers #WorkersCompSpecialist #AdjusterJobs #CareerAdvancement #FlexibleWork #ExperiencedAdjuster #WorkComp #IND123 #LI-Hybrid We can recommend jobs specifically for you! Click here to get started.

SA Technologies Inc. (****************** is a market leader and one of the fastest growing IT consulting firms with operations in US, Canada, Mexico & India. SAT is an Oracle Gold Partner, SAP Services Partner & IBM Certified enterprise. We guarantee you the best rate for your skills and performance. Job Description Description: Title: Claims & Referral Processor II Location: Aurora, Colorado Duration: 6 Months c2h Adjudicates medical claims/bills for payment or denial within contract agreement or guidelines/protocol, using knowledge of medical claim/bill payment processing and medical regulations, verifies and updates relevant data into computerized systems and calculates manually any adjustments needed. Verifies member eligibility and/or Medicare status. Receives daily workflow via Doc-Flo, and incoming phone calls. Interacts with members regarding claims/bills and resolves issues in a courteous and timely manner. Member focus: Making members/patients and their needs a primary focus of one's actions; developing and sustaining productive member/patient relationships. Actively seeks information to understand member/patient circumstances, problems, expectations, and needs. Builds rapport and cooperative relationship with members/patients. Considers how actions or plans will affect members; responds quickly to meet member/patient needs and resolves problems. Essential Functions: Receives, and adjudicates medical claims/bills for processing; reviews scanned, EDI, or manual documents for pertinent data on claim/bill for complete and/or accurate information (eg.date of service, provider number s, charged amounts, medical procedure codes, fee codes, etc.). Researches claims/bills for appropriate support documents and/or documentation. Analyzes and adjusts data, determines appropriate codes, fees and ensures timely filing and contract rates are applied. Ensures claims/bills meet eligibility, benefit and Medicare requirements. Processes hot provider files within time line. Identifies multiple service, multiple rates and completes claims/bills, pends, voids, refunds, and/or approves for payments. Processes claims/bills as split claims when appropriate. Forwards complete claims/bills requiring additional authorization to appropriate personnel for approval or denial. Pends claims and receives pend claims for various types of research follow-up amongst other staff members. Receives calls from members and/or tracks on-line communications, providers, explains reason(s) claims/bills have been denied or pending, by utilizing benefit plan agreement, eligibility, possible coordination of benefits, worker s compensation and policies and procedures. Explains the appeal process if necessary. Provides one on one customer service in obtaining and providing information to the member and/or provider. Documents and tracks on-line communications. Responds to and researches vendor and member problems, questions and complaints using on-line systems. Provides training as assigned to new employees as well as cross training in all phases of claim and referral department processes. Performs additional assignments such as, special projects related to the claims & referral department. In addition to defined technical requirements, accountable for consistently demonstrating excellent service behaviors and principles defined by specific departmental/organizational initiatives. Also accountable for consistently demonstrating the knowledge, skills, abilities, and behaviors necessary to provide superior and culturally sensitive service to each other, to our members, and to purchasers, contracted providers and vendors. Basic Qualifications: Experience Four (4) years of claims payment experience required. Experience must be on an automated system, including preparation of payments for medical bills, using medical terminology, CPT, ICD-9 and UB92 coding for both Medicare and non-Medicare claims, and working knowledge of other insurance benefit plans including coordination of benefits, no-fault and workers compensation. May substitute two (2) years of education for two (2) years of experience. Education High School graduation or equivalent. License, Certification, Registration :N/A. Additional Requirements: Working knowledge of medical terminology required. Effective communication skills required, including telephone work. Personal computer terminal skills. Demonstrates customer service skills, customer focus abilities and the ability to understand customer needs Preferred Qualifications: Personal computer terminal skills; windows based preferred. There is very high potential for conversion to FTE on this position. Additional Information Zishan Khan ************

Job DescriptionJob Summary:The Accounts Receivable Specialist is responsible for managing the financial reimbursement process, including insurance claim follow-up, payment posting, and resolving outstanding patient and insurance balances. This role plays a key part in maintaining healthy cash flow and ensuring accuracy in revenue collection. Key Responsibilities:

Arcadis is the world's leading company delivering sustainable design, engineering, and consultancy solutions for natural and built assets. We are more than 36,000 people, in over 70 countries, dedicated to improving quality of life. Everyone has an important role to play. With the power of many curious minds, together we can solve the world's most complex challenges and deliver more impact together. Role accountabilities: Case Coordination Serve as the main point of contact between the company and the external workers' compensation carrier. Track and manage all workers' compensation claims from initial report to resolution. Gather, review, and submit all required documentation to the carrier in a timely manner. Coordinate with supervisors and injured employees to ensure accurate reporting of workplace injuries. Communication Facilitate clear, timely communication between employees, management, healthcare providers, and the carrier. Provide updates to management and affected employees regarding claim status and next steps. Educate employees and supervisors on the workers' compensation process and requirements. Compliance & Documentation Ensure all workers' compensation processes adhere to federal, state, and local regulations. Maintain confidential and accurate records of all claims, correspondence, and decisions. Assist in preparing reports related to claims trends, costs, and outcomes for management review. Return-to-Work Coordination Collaborate with People team, Health & Safety team, management, and healthcare providers to facilitate safe and timely return-to-work plans. Monitor work restrictions and accommodations as recommended by medical professionals. Continuous Improvement Identify opportunities to improve claim handling processes and reduce claim costs. Participate in safety committees and contribute to workplace injury prevention initiatives. Qualifications & Experience: Bachelor's degree in Legal Studies, Human Resources, Business Administration, or related field (preferred). 3+ years of experience in workers' compensation claims management or related field. Familiarity with workers' compensation laws and regulations (state and federal). Proficiency with case management systems and Microsoft Office Suite. Why Arcadis? We can only achieve our goals when everyone is empowered to be their best. We believe everyone's contribution matters. It's why we are pioneering a skills-based approach, where you can harness your unique experience and expertise to carve your career path and maximize the impact we can make together. You'll do meaningful work, and no matter what role, you'll be helping to deliver sustainable solutions for a more prosperous planet. Make your mark, on your career, your colleagues, your clients, your life and the world around you. Together, we can create a lasting legacy. Join Arcadis. Create a Legacy. Our Commitment to Equality, Diversity, Inclusion & Belonging We want you to be able to bring your best self to work every day which is why we take equality and inclusion seriously and hold ourselves to account for our actions. Our ambition is to be an employer of choice and provide a great place to work for all our people. We are an equal opportunity and affirmative action employer. Women, minorities, people with disabilities and veterans are strongly encouraged to apply. We are dedicated to a policy of non-discrimination in employment on any basis including race, creed, color, religion, national origin, sex, age, disability, marital status, sexual orientation, gender identity, citizenship status, disability, veteran status, or any other basis prohibited by law. Arcadis offers benefits for full time and part time positions. These benefits include medical, dental, and vision, EAP, 401K, STD, LTD, AD&D, life insurance, paid parental leave, reward & recognition program and optional benefits including wellbeing benefits, adoption assistance and tuition reimbursement. We offer nine paid holidays and 15 days PTO that accrue per year. The salary range for this position is $65,000 - $85,000. Actual salaries will vary and are based on several factors, such as experience, education, budget, internal equity, project and location. #LI-CB3 #LI-Hybrid

. WHAT YOU'LL DO: * Determines coverage for medical, dental, and vision procedures by studying provisions of the member's health policy * Extracts additional information as required from outside sources, including claimant, physician, employer, hospital, insurance carriers, and other third partners * Initiates investigation of questionable claims * Resolves medical, dental, and vision claims and billing questions and issues by * examining the summary of benefits * contacting the carrier and/or the provider billing office to ensure the member is not being overcharged * calculating out-of-pocket costs based on benefits * initiating reimbursement requests with the carrier * composing appeal letter * Provides information on year-to-date deductible, copay, and coinsurance activity to team members * Maintains quality customer service by following customer service practices and responding to customer inquiries in a timely manner * Protects claimant information by following HIPAA guidelines * Reports claim status updates in proprietary CRM and provides detailed information on each claim WHO YOU ARE: Our Navigation Operations is a fast-paced, dynamic, and growing environment. We are looking for individuals who are passionate about concierge service delivery and changing the healthcare experience for consumers. * Strong communication skills, both written and verbal * Professional experience with both benefit plan interpretation, provider billing practices, and claim adjudication * Strong demonstration of critical thinking and problem-solving skills * Bachelor's degree in health sciences or related field and minimum of 2 years of experience as a medical claims specialist preferred Expected hourly rate - $22-$25/HR ABOUT RIGHTWAY: Rightway is on a mission to harmonize healthcare for everyone, everywhere. Our products guide patients to the best care and medications by inserting clinicians and pharmacists into a patient's care journey through a modern, mobile app. Rightway is a front door to healthcare, giving patients the tools they need along with on-demand access to Rightway health guides, human experts that answer their questions and manage the frustrating parts of healthcare for them. Since its founding in 2017, Rightway has raised over $130mm from investors including Khosla Ventures, Thrive Capital, and Tiger Global at a valuation of $1 billion. We're headquartered in New York City, with a satellite office in Denver and Dallas. Our clients rely on us to transform the healthcare experience, improve outcomes for their teams, and decrease their healthcare costs. HOW WE LIVE OUR VALUES TO OUR TEAMMATES: We're seeking those with passion for healthcare and relentless devotion to our goal. We need team members that embody our following core values: 1) We are human, first Our humanity binds us together. We bring the same empathetic approach to every individual we engage with, whether it be our members, our clients, or each other. We are all worthy of respect and understanding and we engage in our interactions with care and intention. We honor our stories. We listen to-and hear-each other, we celebrate our differences and similarities, we are present for each other, and we strive for mutual understanding. 2) We redefine what is possible We always look beyond the obstacles in front of us to imagine new solutions. We approach our work with inspiration from other industries, other leaders, and other challenges. We use ingenuity and resourcefulness when faced with tough problems. 3) We debate then commit We believe that a spirit of open discourse is part of a healthy culture. We understand and appreciate different perspectives and we challenge our assumptions. When working toward a decision or a new solution, we actively listen to one another, approach it with a "yes, and" mentality, and assume positive intent. Once a decision is made, we align and champion it as one team. 4) We cultivate grit Changing healthcare doesn't happen overnight. We reflect and learn from challenges and approach the future with a determination to strive for better. In the face of daunting situations, we value persistence. We embrace failure as a stepping stone to future success. On this journey, we seek to act with guts, resilience, initiative, and tenacity. 5) We seek to delight Healthcare is complicated and personal. We work tirelessly to meet the goals of our clients while also delivering the best experience to our members. We recognize that no matter the role or team, we each play a crucial part in our members' care and take that responsibility seriously. When faced with an obstacle, we are kind, respectful, and solution-oriented in our approach. We hold ourselves accountable to our clients and our members' success. Rightway is PROUDLY an Equal Opportunity Employer that believes in strength in the diversity of thought processes, beliefs, background and education and fosters an inclusive culture where differences are celebrated to drive the best business decisions possible. We do not discriminate on any basis covered by appropriate law. All employment is decided on the consideration of merit, qualifications, need and performance.