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Claim processor jobs in Colorado

- 27 jobs
  • Claim Examiner- WC

    Crawford 4.7company rating

    Claim processor job in Denver, CO

    Investigate, evaluate, negotiate, and settle moderate difficulty type claims; takes appropriate action to achieve results that have a positive impact on profitability. Settle claims for assigned lines of business promptly and equitably under general supervision. Responsibilities Receives claim assignment, confirms policy coverages and directs acknowledgement of claims. Qualifications Bachelor's degree or equivalent experience required. Comprehensive claims investigations/settling experience with 1-3 years experience in Claims or similar organization Ability to work independently while assimilating various technical subjects. Good verbal and written communication skills. Demonstrated ability to gather and analyze information, determine a course of action and implement the selected course of action. Strong ability to identify, analyze and solve problems. Effective interpersonal skills to be capable of dealing with external sources and all levels of employees. #LI-EM3
    $43k-56k yearly est. Auto-Apply 60d+ ago
  • Claims & Referral Processor

    Sa Technologies Inc. 4.6company rating

    Claim processor job in Aurora, CO

    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 ************
    $34k-50k yearly est. 7h ago
  • Senior Construction Claims Analyst

    MWH 4.6company rating

    Claim processor job in Broomfield, 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
    $74k-94k yearly est. 55d ago
  • Workers' Compensation Claim Specialist (CO)

    Cannon Cochran Management 4.0company rating

    Claim processor job in Greenwood Village, CO

    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.
    $60k-98k yearly Auto-Apply 4d ago
  • RCIS Crop Claims Specialist

    Zurich Na 4.8company rating

    Claim processor job in Denver, CO

    129090 Zurich is currently looking for a to join our Rural Community Insurance Services (RCIS) team. RCIS is one of the leading crop insurance providers in the U.S. RCIS offers insurance protection in all 50 states through a national network of about 3,600 licensed agents. RCIS offers a wide range of private product coverages, including a diverse selection of named-peril options, supplemental and stand-alone insurance products as well as federal crop insurance plans through the United States Department of Agriculture's Risk Management Agency. Together with RCIS agents, we protect America's farmers and ranchers. Zurich is looking for an RCIS Crop Claims Specialist to work out of Colorado state. This incumbent will work from a home-based office. This position is scheduled to work 40 hours per week. Approximately 50% travel is expected to cover the territory. **The ideal candidate will need to live and service within a 50-to-60-mile radius of the following cities in Colorado: Burlington, Cheyenne Wells, and/or Wray.** RCIS provides insurance and superior services through leading agents to protect America's farmers and ranchers. It's been an innovator in crop insurance since the crop insurance business was privatized by the federal government in 1980. Today it's one of the nation's largest crop insurance providers, offering risk management protection in all 50 states through a national network of about 4,000 professionally trained and licensed agents. This is a great opportunity to serve the agricultural community. As a Crop Claims Specialist, your primary accountabilities will include: + Work the most complex claims, involving multiple causes of loss, multiple quality issues, subrogation claims + Exercise judgement to determine liability by gathering and analyzing relevant facts, utilizing applicable procedures + Exercise judgement to determine policy verification and coverage determination by analyzing applicable coverage for claims and determining whether the loss falls within the coverage + Assists with training of lower-level adjusters for both Multi-Peril Crop Insurance (MPCI) and Crop Hail (CH) + Completes Quality Assurance type reviews such as conflict of interest, actual production history and high dollar reviews on MPCI policies with the ability to change unit structure pending review outcome + Completes claims on specialty crops as designated by the local manager or area + Completes Crop Hail re-inspections when requested for quality assurance purposes + Works claims of 508H (Risk Management Agency pilot) crops + Assist the national training team in adjuster trainings + Serve as subject matter expert for projects and committees as assigned by management + Assist with Team Member reviews and aid in identifying trends or issues that could affect the quality assurance of the Crop Claims team + Assists with claims that may require subrogation and/or claims that may lead to litigation + Protect Zurich's reputation by keeping claims information confidential + Maintain professional and technical knowledge by participating in education opportunities, staying current with industry trends, establishing personal networks, and participating in professional societies Basic Qualifications: + High School Diploma or Equivalent and 4 or years of experience in the agricultural or the crop insurance industry AND + Crop Adjuster Proficiency Program Certification (CAPP) must be obtained with 180 days of hire date + Personal transportation and travel within assigned territory and travel outside of assigned are to assist with workload(s), participate on CAT team and/or provide remote assistance for the CROP Claims Care Center calls and/or CCP Claims + RCIS Crop Adjuster Physical Requirements: walk in agricultural fields up to 3 miles, climb agricultural storage bins up to 25 feet, lift 25 lbs. to 50 lbs., work outdoors in varying temperatures/weather conditions Preferred Qualifications: + Strong verbal, written and interpersonal communication skills + Strong organization and prioritization skills + Intermediate Microsoft Office skills Your pay at Zurich is based on your role, location, skills, and experience. We follow local laws to ensure fair compensation. You may also be eligible for bonuses and merit increases. If your expectations are above the listed range, we still encourage you to apply-your unique background matters to us. The pay range shown is a national average and may vary by location. The proposed Salary range for this position is $48,600.00 - $79,500.00, with short-term incentive bonus eligibility set at 10%. We offer competitive pay and comprehensive benefits for employees and their families. [Learn more about Total Rewards here .] **Why Zurich?** At Zurich, we value your ideas and experience. We offer growth, inclusion, and a supportive environment-so you can help shape the future of insurance. Zurich North America is a leader in risk management, with over 150 years of expertise and coverage across 25+ industries, including 90% of the Fortune 500 . Join us for a brighter future-for yourself and our customers. Zurich in North America does not discriminate based on race, ethnicity, color, religion, national origin, sex, gender expression, gender identity, genetic information, age, disability, protected veteran status, marital status, sexual orientation, pregnancy or other characteristics protected by applicable law. Equal Opportunity Employer disability/vets. Zurich complies with 18 U.S. Code § 1033. **Please note:** Zurich does not accept unsolicited CVs from agencies. Preferred vendors should use our Recruiting Agency Portal. Location(s): AM - Colorado Virtual Office Remote Working: Yes Schedule: Full Time Employment Sponsorship Offered: No Linkedin Recruiter Tag: #LI-MM1 #LI-REMOTE EOE Disability / Veterans
    $48.6k-79.5k yearly 28d ago
  • Bodily Injury Claims Specialist

    Auto-Owners Insurance 4.3company rating

    Claim processor job in Broomfield, CO

    *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
    $62k-83.2k yearly Auto-Apply 12d ago
  • Senior Construction Claims Analyst

    Slayden

    Claim processor job in Broomfield, 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 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
    $40k-64k yearly est. 56d ago
  • Workers' Compensation Claims Specialist

    Arcadis 4.8company rating

    Claim processor job in Highlands Ranch, CO

    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
    $65k-85k yearly Auto-Apply 18d ago
  • Claims Examiner, Commercial General Liability

    Arch Capital Group Ltd. 4.7company rating

    Claim processor job in Denver, CO

    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 Arch Insurance Group Inc., AIGI, has an opening with the Claims Division on the Mid Corp Casualty Team as a Claims Examiner, Casualty. In this role, the responsibilities include actively managing commercial claims for medium severity, and general liability, as well as the associated excess and umbrella policies, in jurisdictions throughout the United States. Responsibilities * Identify and assess coverage issues, draft coverage position letters, and retain coverage counsel, when necessary, as well as review coverage counsel's opinion letters and analysis * Develop and implement strategy relative to coverage issues which correlate with the overall strategy of matters entrusted to the handler's care * Develop and implement timely and accurate resolution strategies to ensure mitigation of indemnity and expense exposures * Maintain contact with any/all associated claims carrier(s)' claims staff, business line leader, underwriter, defense counsel, program manager, and broker to communicate developments and outcomes as necessary * Investigate claims and review the insureds' materials, pleadings, and other relevant documents * Identify and review each jurisdiction's applicable statutes, rules, and case law * Review litigation materials including depositions and expert's reports * Analyze and direct risk transfer, additional insured issues, and contractual indemnity issues * Retain counsel when necessary and direct counsel in accordance with resolution strategy * Analyze coverage, liability and damages for purposes of assessing and recommending reserves * Prepare and present written/oral reports to senior management setting forth all issues influencing evaluations and recommending reserves * Travel to and from locations within the United States to attend mediations, trials, and other proceedings relevant to the resolution of the matter * Negotiate resolution of claims * Select and utilize structure brokers * Maintain a diary of all claims, post reserves in a timely fashion, and expeditiously respond to inquiries from the insured, counsel, underwriters, brokers, and senior management regarding claims Experience & Required Skills * Exceptional communication (written and verbal), evaluating, influencing, negotiating, listening, and interpersonal skills to effectively develop productive working relationships with internal/external peers and other professionals across organizational lines * Strong time management and organizational skills * Demonstrated ability to take part in active strategic discussions * Demonstrated ability to work well independently and in a team environment * Hands-on experience and strong aptitude with Microsoft Excel, PowerPoint and Word * Willing and able to travel 10% Education * Bachelor's degree or 6 years of commercial Claims experience in lieu of degree * Three to five (3-5) years of working experience with a primary and or excess carrier supporting commercial accounts for Casualty claims; with Casualty and Construction a plus * Proper & active adjuster licensing in all applicable states #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. $85,000 - $115,000 * 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: December 31, 2025 14400 Arch Insurance Group Inc.
    $85k-115k yearly Auto-Apply 60d+ ago
  • Auto Total Loss Claim Representative Trainee

    Travelers Insurance Company 4.4company rating

    Claim processor job in Centennial, CO

    **Who Are We?** Taking care of our customers, our communities and each other. That's the Travelers Promise. By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 170 years. Join us to discover a culture that is rooted in innovation and thrives on collaboration. Imagine loving what you do and where you do it. **Job Category** Claim **Compensation Overview** The annual base salary range provided for this position is a nationwide market range and represents a broad range of salaries for this role across the country. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment. As part of our comprehensive compensation and benefits program, employees are also eligible for performance-based cash incentive awards. **Salary Range** $45,400.00 - $74,900.00 **Target Openings** 7 **What Is the Opportunity?** This is an entry level position that requires satisfactory completion of required training to advance to Claim Rep Auto Total Loss position. This position is intended to develop skills for investigating, evaluating, negotiating and resolving claims on losses of lesser value and complexity. Provides quality claim handling throughout the claim life cycle (customer contacts, coverage, investigation, evaluation, reserving, negotiation and resolution) including maintaining full compliance with internal and external quality standards and state specific regulations. As part of the hiring process, this position requires the completion of an online pre-employment assessment. Further information regarding the assessment including an accommodation process, if needed, will be provided at such time as your candidacy is deemed appropriate for further consideration. As of the date of this posting, Travelers anticipates that this posting will remain open until 12/17/25. **What Will You Do?** + Completes required training program which includes the overall instruction, exposure, and preparation for employees to progress to the next level position. It is a mix of online, virtual, classroom, and on-the-job training. The training may require travel. + The on the job training includes practice and execution of the following core assignments: + Handle all types of automobiles, and a variety of heavy and mobile equipment (i.e. cranes, tractor trailers, construction, agricultural equipment) at every severity level excluding other property damage i.e.: guard rails, mail boxes and any property within the vehicle. + Contact all appropriate parties to gather supporting documents necessary to negotiate and settle the claim within their authority level (i.e.; obtaining the title, keys, and other required documentation). + Review controlling claim handlers' coverage determination, summarize the review and seek clarification as needed. Recognize additional coverage issues (i.e. covered equipment, endorsements). + Establish and/or update claim and expense reserves. + Control damages through the proper use of cost containment tools (i.e. mitigate storage, expenses, rental). + Properly manage Total Loss settlement process and rental expenses by working closely with appraisers, rental facilities, body shops, and salvage vendors. Manage deductibles and limits. + Review the valuation (appraisal estimate) based on the type of vehicle to effectively and efficiently resolve the claim. + Meet all quality standards and expectations per Best Practices. + Maintain an effective diary system, manage file inventory, and document claim file activities in accordance with established procedures. + Comply with state specific regulations. + Provide quality customer service to meet the needs of the insured, claimant, all internal and external customers. + May participate with property ERT during extreme weather events. + In order to perform the essential functions of this job, acquisition and maintenance of Insurance License(s) may be required to comply with state and Travelers requirements. Generally, license(s) must be obtained within three months of starting the job and obtain ongoing continuing education credits as mandated. + In order to progress to Claim Representative, a Trainee must demonstrate proficiency in the skills outlined above. Proficiency will be verified by appropriate management, according to established standards. + Perform other duties as assigned. **What Will Our Ideal Candidate Have?** + Bachelor's Degree preferred or a minimum of 2 years of work OR customer service related experience preferred. + Demonstrated ownership attitude and customer centric response to all assigned tasks - Basic + Verbal and written communication skills -Intermediate + Attention to detail ensuring accuracy - Basic + Ability to work in a high volume, fast paced environment managing multiple priorities - Basic + Analytical Thinking - Basic + Judgment/ Decision Making - Basic **What is a Must Have?** + High School Diploma or GED and one year of customer service experience OR Bachelor's Degree required. **What Is in It for You?** + **Health Insurance** : Employees and their eligible family members - including spouses, domestic partners, and children - are eligible for coverage from the first day of employment. + **Retirement:** Travelers matches your 401(k) contributions dollar-for-dollar up to your first 5% of eligible pay, subject to an annual maximum. If you have student loan debt, you can enroll in the Paying it Forward Savings Program. When you make a payment toward your student loan, Travelers will make an annual contribution into your 401(k) account. You are also eligible for a Pension Plan that is 100% funded by Travelers. + **Paid Time Off:** Start your career at Travelers with a minimum of 20 days Paid Time Off annually, plus nine paid company Holidays. + **Wellness Program:** The Travelers wellness program is comprised of tools, discounts and resources that empower you to achieve your wellness goals and caregiving needs. In addition, our mental health program provides access to free professional counseling services, health coaching and other resources to support your daily life needs. + **Volunteer Encouragement:** We have a deep commitment to the communities we serve and encourage our employees to get involved. Travelers has a Matching Gift and Volunteer Rewards program that enables you to give back to the charity of your choice. **Employment Practices** Travelers is an equal opportunity employer. We value the unique abilities and talents each individual brings to our organization and recognize that we benefit in numerous ways from our differences. In accordance with local law, candidates seeking employment in Colorado are not required to disclose dates of attendance at or graduation from educational institutions. If you are a candidate and have specific questions regarding the physical requirements of this role, please send us an email (*******************) so we may assist you. Travelers reserves the right to fill this position at a level above or below the level included in this posting. To learn more about our comprehensive benefit programs please visit ******************************************************** .
    $45.4k-74.9k yearly 60d+ ago
  • RCIS Crop Claims Specialist

    Livewell 3.8company rating

    Claim processor job in Colorado

    Zurich is currently looking for a to join our Rural Community Insurance Services (RCIS) team. RCIS is one of the leading crop insurance providers in the U.S. RCIS offers insurance protection in all 50 states through a national network of about 3,600 licensed agents. RCIS offers a wide range of private product coverages, including a diverse selection of named-peril options, supplemental and stand-alone insurance products as well as federal crop insurance plans through the United States Department of Agriculture's Risk Management Agency. Together with RCIS agents, we protect America's farmers and ranchers. Zurich is looking for an RCIS Crop Claims Specialist to work out of Colorado state. This incumbent will work from a home-based office. This position is scheduled to work 40 hours per week. Approximately 50% travel is expected to cover the territory. The ideal candidate will need to live and service within a 50-to-60-mile radius of the following cities in Colorado: Burlington, Cheyenne Wells, and/or Wray. RCIS provides insurance and superior services through leading agents to protect America's farmers and ranchers. It's been an innovator in crop insurance since the crop insurance business was privatized by the federal government in 1980. Today it's one of the nation's largest crop insurance providers, offering risk management protection in all 50 states through a national network of about 4,000 professionally trained and licensed agents. This is a great opportunity to serve the agricultural community. As a Crop Claims Specialist, your primary accountabilities will include: Work the most complex claims, involving multiple causes of loss, multiple quality issues, subrogation claims Exercise judgement to determine liability by gathering and analyzing relevant facts, utilizing applicable procedures Exercise judgement to determine policy verification and coverage determination by analyzing applicable coverage for claims and determining whether the loss falls within the coverage Assists with training of lower-level adjusters for both Multi-Peril Crop Insurance (MPCI) and Crop Hail (CH) Completes Quality Assurance type reviews such as conflict of interest, actual production history and high dollar reviews on MPCI policies with the ability to change unit structure pending review outcome Completes claims on specialty crops as designated by the local manager or area Completes Crop Hail re-inspections when requested for quality assurance purposes Works claims of 508H (Risk Management Agency pilot) crops Assist the national training team in adjuster trainings Serve as subject matter expert for projects and committees as assigned by management Assist with Team Member reviews and aid in identifying trends or issues that could affect the quality assurance of the Crop Claims team Assists with claims that may require subrogation and/or claims that may lead to litigation Protect Zurich's reputation by keeping claims information confidential Maintain professional and technical knowledge by participating in education opportunities, staying current with industry trends, establishing personal networks, and participating in professional societies Basic Qualifications: High School Diploma or Equivalent and 4 or years of experience in the agricultural or the crop insurance industry AND Crop Adjuster Proficiency Program Certification (CAPP) must be obtained with 180 days of hire date Personal transportation and travel within assigned territory and travel outside of assigned are to assist with workload(s), participate on CAT team and/or provide remote assistance for the CROP Claims Care Center calls and/or CCP Claims RCIS Crop Adjuster Physical Requirements: walk in agricultural fields up to 3 miles, climb agricultural storage bins up to 25 feet, lift 25 lbs. to 50 lbs., work outdoors in varying temperatures/weather conditions Preferred Qualifications: Strong verbal, written and interpersonal communication skills Strong organization and prioritization skills Intermediate Microsoft Office skills Your pay at Zurich is based on your role, location, skills, and experience. We follow local laws to ensure fair compensation. You may also be eligible for bonuses and merit increases. If your expectations are above the listed range, we still encourage you to apply-your unique background matters to us. The pay range shown is a national average and may vary by location. The proposed Salary range for this position is $48,600.00 - $79,500.00, with short-term incentive bonus eligibility set at 10%. We offer competitive pay and comprehensive benefits for employees and their families. [Learn more about Total Rewards here.] Why Zurich? At Zurich, we value your ideas and experience. We offer growth, inclusion, and a supportive environment-so you can help shape the future of insurance. Zurich North America is a leader in risk management, with over 150 years of expertise and coverage across 25+ industries, including 90% of the Fortune 500 . Join us for a brighter future-for yourself and our customers. Zurich in North America does not discriminate based on race, ethnicity, color, religion, national origin, sex, gender expression, gender identity, genetic information, age, disability, protected veteran status, marital status, sexual orientation, pregnancy or other characteristics protected by applicable law. Equal Opportunity Employer disability/vets. Zurich complies with 18 U.S. Code § 1033. Please note: Zurich does not accept unsolicited CVs from agencies. Preferred vendors should use our Recruiting Agency Portal. Location(s): AM - Colorado Virtual Office Remote Working: Yes Schedule: Full Time Employment Sponsorship Offered: No Linkedin Recruiter Tag: #LI-MM1 #LI-REMOTE
    $23k-38k yearly est. 28d ago
  • Claims Specialist

    Project Resources Group, Inc. 3.5company rating

    Claim processor job in Denver, CO

    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
    $20-24 hourly Auto-Apply 7d ago
  • Healthcare Claims Processing Representative

    Oliver Behavioral Consultants 4.4company rating

    Claim processor job in Denver, CO

    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:
    $33k-39k yearly est. 11d ago
  • Auto Total Loss Claim Representative Trainee - Centennial, CO

    Msccn

    Claim processor job in Centennial, CO

    ATTENTION MILITARY AFFILIATED JOB SEEKERS - Our organization works with partner companies to source qualified talent for their open roles. The following position is available to Veterans, Transitioning Military, National Guard and Reserve Members, Military Spouses, Wounded Warriors, and their Caregivers . If you have the required skill set, education requirements, and experience, please click the submit button and follow the next steps. Taking care of our customers, our communities and each other. That's the Travelers Promise. By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 170 years. Join us to discover a culture that is rooted in innovation and thrives on collaboration. Imagine loving what you do and where you do it. Compensation Overview The annual base salary range provided for this position is a nationwide market range and represents a broad range of salaries for this role across the country. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment. As part of our comprehensive compensation and benefits program, employees are also eligible for performance-based cash incentive awards. Salary Range $45,400.00 - $74,900.00 Target Openings 7 What Is the Opportunity? This is an entry level position that requires satisfactory completion of required training to advance to Claim Rep Auto Total Loss position. This position is intended to develop skills for investigating, evaluating, negotiating and resolving claims on losses of lesser value and complexity. Provides quality claim handling throughout the claim life cycle (customer contacts, coverage, investigation, evaluation, reserving, negotiation and resolution) including maintaining full compliance with internal and external quality standards and state specific regulations. As part of the hiring process, this position requires the completion of an online pre-employment assessment. Further information regarding the assessment including an accommodation process, if needed, will be provided at such time as your candidacy is deemed appropriate for further consideration. As of the date of this posting, Travelers anticipates that this posting will remain open until 12/17/25. What Will You Do? Completes required training program which includes the overall instruction, exposure, and preparation for employees to progress to the next level position. It is a mix of online, virtual, classroom, and on-the-job training. The training may require travel. The on the job training includes practice and execution of the following core assignments: Handle all types of automobiles, and a variety of heavy and mobile equipment (i.e. cranes, tractor trailers, construction, agricultural equipment) at every severity level excluding other property damage i.e.: guard rails, mail boxes and any property within the vehicle. Contact all appropriate parties to gather supporting documents necessary to negotiate and settle the claim within their authority level (i.e.; obtaining the title, keys, and other required documentation). Review controlling claim handlers' coverage determination, summarize the review and seek clarification as needed. Recognize additional coverage issues (i.e. covered equipment, endorsements). Establish and/or update claim and expense reserves. Control damages through the proper use of cost containment tools (i.e. mitigate storage, expenses, rental). Properly manage Total Loss settlement process and rental expenses by working closely with appraisers, rental facilities, body shops, and salvage vendors. Manage deductibles and limits. Review the valuation (appraisal estimate) based on the type of vehicle to effectively and efficiently resolve the claim. Meet all quality standards and expectations per Best Practices. Maintain an effective diary system, manage file inventory, and document claim file activities in accordance with established procedures. Comply with state specific regulations. Provide quality customer service to meet the needs of the insured, claimant, all internal and external customers. May participate with property ERT during extreme weather events. In order to perform the essential functions of this job, acquisition and maintenance of Insurance License(s) may be required to comply with state and Travelers requirements. Generally, license(s) must be obtained within three months of starting the job and obtain ongoing continuing education credits as mandated. In order to progress to Claim Representative, a Trainee must demonstrate proficiency in the skills outlined above. Proficiency will be verified by appropriate management, according to established standards. Perform other duties as assigned. Additional Qualifications/Responsibilities What Will Our Ideal Candidate Have? Bachelor's Degree preferred or a minimum of 2 years of work OR customer service related experience preferred. Demonstrated ownership attitude and customer centric response to all assigned tasks - Basic Verbal and written communication skills -Intermediate Attention to detail ensuring accuracy - Basic Ability to work in a high volume, fast paced environment managing multiple priorities - Basic Analytical Thinking - Basic Judgment/ Decision Making - Basic What is a Must Have? High School Diploma or GED and one year of customer service experience OR Bachelor's Degree required.
    $45.4k-74.9k yearly 27d ago
  • Billing and Claims Specialist

    Rightway 4.6company rating

    Claim processor job in Denver, CO

    . 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.
    $22-25 hourly Auto-Apply 50d ago
  • Auto Total Loss Claim Representative Trainee

    Travelers 4.8company rating

    Claim processor job in Denver, CO

    Who Are We? Taking care of our customers, our communities and each other. That's the Travelers Promise. By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 160 years. Join us to discover a culture that is rooted in innovation and thrives on collaboration. Imagine loving what you do and where you do it. Job CategoryClaimCompensation Overview The annual base salary range provided for this position is a nationwide market range and represents a broad range of salaries for this role across the country. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment. As part of our comprehensive compensation and benefits program, employees are also eligible for performance-based cash incentive awards. Salary Range$42,100.00 - $69,500.00Target Openings4What Is the Opportunity?This is an entry level position that requires satisfactory completion of required training to advance to Claim Rep Auto Total Loss position. This position is intended to develop skills for investigating, evaluating, negotiating and resolving claims on losses of lesser value and complexity. Provides quality claim handling throughout the claim life cycle (customer contacts, coverage, investigation, evaluation, reserving, negotiation and resolution) including maintaining full compliance with internal and external quality standards and state specific regulations. As part of the hiring process, this position requires the completion of an online pre-employment assessment. Further information regarding the assessment including an accommodation process, if needed, will be provided at such time as your candidacy is deemed appropriate for further consideration. As of the date of this posting, Travelers anticipates that this posting will remain open until 11/14/25.What Will You Do? Completes required training program which includes the overall instruction, exposure, and preparation for employees to progress to the next level position. It is a mix of online, virtual, classroom, and on-the-job training. The training may require travel. The on the job training includes practice and execution of the following core assignments: Handle all types of automobiles, and a variety of heavy and mobile equipment (i.e. cranes, tractor trailers, construction, agricultural equipment) at every severity level excluding other property damage i.e.: guard rails, mail boxes and any property within the vehicle. Contact all appropriate parties to gather supporting documents necessary to negotiate and settle the claim within their authority level (i.e.; obtaining the title, keys, and other required documentation). Review controlling claim handlers' coverage determination, summarize the review and seek clarification as needed. Recognize additional coverage issues (i.e. covered equipment, endorsements). Establish and/or update claim and expense reserves. Control damages through the proper use of cost containment tools (i.e. mitigate storage, expenses, rental). Properly manage Total Loss settlement process and rental expenses by working closely with appraisers, rental facilities, body shops, and salvage vendors. Manage deductibles and limits. Review the valuation (appraisal estimate) based on the type of vehicle to effectively and efficiently resolve the claim. Meet all quality standards and expectations per Best Practices. Maintain an effective diary system, manage file inventory, and document claim file activities in accordance with established procedures. Comply with state specific regulations. Provide quality customer service to meet the needs of the insured, claimant, all internal and external customers. May participate with property ERT during extreme weather events. In order to perform the essential functions of this job, acquisition and maintenance of Insurance License(s) may be required to comply with state and Travelers requirements. Generally, license(s) must be obtained within three months of starting the job and obtain ongoing continuing education credits as mandated. In order to progress to Claim Representative, a Trainee must demonstrate proficiency in the skills outlined above. Proficiency will be verified by appropriate management, according to established standards. Perform other duties as assigned. What Will Our Ideal Candidate Have? Bachelor's Degree preferred or a minimum of 2 years of work OR customer service related experience preferred. Demonstrated ownership attitude and customer centric response to all assigned tasks - Basic Verbal and written communication skills -Intermediate Attention to detail ensuring accuracy - Basic Ability to work in a high volume, fast paced environment managing multiple priorities - Basic Analytical Thinking - Basic Judgment/ Decision Making - Basic What is a Must Have? High School Diploma or GED and one year of customer service experience OR Bachelor's Degree required. What Is in It for You? Health Insurance: Employees and their eligible family members - including spouses, domestic partners, and children - are eligible for coverage from the first day of employment. Retirement: Travelers matches your 401(k) contributions dollar-for-dollar up to your first 5% of eligible pay, subject to an annual maximum. If you have student loan debt, you can enroll in the Paying it Forward Savings Program. When you make a payment toward your student loan, Travelers will make an annual contribution into your 401(k) account. You are also eligible for a Pension Plan that is 100% funded by Travelers. Paid Time Off: Start your career at Travelers with a minimum of 20 days Paid Time Off annually, plus nine paid company Holidays. Wellness Program: The Travelers wellness program is comprised of tools, discounts and resources that empower you to achieve your wellness goals and caregiving needs. In addition, our mental health program provides access to free professional counseling services, health coaching and other resources to support your daily life needs. Volunteer Encouragement: We have a deep commitment to the communities we serve and encourage our employees to get involved. Travelers has a Matching Gift and Volunteer Rewards program that enables you to give back to the charity of your choice. Employment Practices Travelers is an equal opportunity employer. We value the unique abilities and talents each individual brings to our organization and recognize that we benefit in numerous ways from our differences. In accordance with local law, candidates seeking employment in Colorado are not required to disclose dates of attendance at or graduation from educational institutions. If you are a candidate and have specific questions regarding the physical requirements of this role, please send us an email so we may assist you. Travelers reserves the right to fill this position at a level above or below the level included in this posting. To learn more about our comprehensive benefit programs please visit *********************************************************
    $42.1k-69.5k yearly Auto-Apply 60d ago
  • Colorado Resale Examiner

    Fidelity National Financial 4.4company rating

    Claim processor job in Denver, CO

    We are seeking a detail-oriented Colorado Resale Examiner to join our title team. The Resale Examiner is responsible for reviewing, analyzing, and verifying the accuracy of title information on residential resale transactions to ensure clear and marketable title for closing. This role requires strong attention to detail, accuracy under deadlines, and a solid understanding of title examination and recording processes. Duties Responsibilities include, but are not limited to the following: • Examine title searches and public records to identify ownership, liens, encumbrances, easements, and other matters affecting title. • Prepare title commitments and related documentation in accordance with company and underwriting requirements. • Resolve title issues by coordinating with internal staff, underwriters, and external parties. • Review prior policies, legal descriptions, and recorded documents to ensure accuracy and completeness. • Communicate effectively with escrow officers, underwriters, and clients to facilitate smooth closings. • Maintain compliance with company policies, regulatory standards, and confidentiality requirements. • Prioritize workload and manage multiple files to meet deadlines. Education Title Insurance Producers license, preferred must be obtained, within 90 days of date of hire. Experience • 2+ years of title examination or related title industry experience preferred. • Strong knowledge of real estate documents, legal descriptions, and county recording procedures. • Excellent analytical and problem-solving skills. • Good analytical and documentation skills • Good customer service skills along with excellent problem-solving ability • Ability to productively interact with peers, customers, and management • Proficient with internet navigation • Attention to detail, professionalism, organized and ability to prioritize • Basic knowledge of Microsoft Office Applications, specifically MS Word and Excel Additional Information This position has the potential to earn compensation in the range of $19.23 - $31.25 based on location and job-related factors such as skillset and experience. Actual rate may vary within the range provided, depending on a number of factors, including skillset, experience and location. The base compensation is one component of the total rewards package offered to our employees, including optional health and welfare insurance (medical/dental/vision/life/disability); paid holidays, vacation, and sick time off; and matching 401(k) plan and matching employee stock purchase plan.
    $19.2-31.3 hourly Auto-Apply 9d ago
  • General Liability & Commercial Auto Claims Representative

    CNA Financial Corp 4.6company rating

    Claim processor job in Littleton, CO

    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 direct supervision, and within defined authority limits, to manage commercial claims with low to moderate complexity and exposures 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 accounts(s). JOB DESCRIPTION: Essential Duties & Responsibilities: Performs a combination of duties in accordance with departmental guidelines: * Manages an inventory of low to moderate complexity and exposure commercial claims by following company protocols to verify policy coverage, gather necessary information, maintain appropriate file documentation and authorize disbursements within authority limit. * Contributes to customer satisfaction 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, estimating potential claim valuation, and following company's claim handling protocols. * Exercises judgement to determine liability and compensability by conducting investigations to gather pertinent information, taking recorded statements from insureds, witnesses and working with experts to verify the facts of the claim. * Works with appropriate internal and external partners, suppliers and experts by identifying and effectively collaborating with necessary resources to facilitate best claim outcomes. * Authorizes and ensures claim disbursements within authority limit by determining liability and compensability of the claim, negotiating settlements and escalating to manager as appropriate. * Developing ability to manage expenses 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 Claim, 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 perform additional duties as assigned. Reporting Relationship Typically Manager or above Skills, Knowledge & Abilities * Developing basic knowledge of the commercial insurance industry, products and claim practices. * Good verbal and written communication skills with the ability to demonstrate empathy while providing exceptional customer service. * Ability to develop collaborative business relationships with both internal and external work partners. * Able to exercise independent judgement, solve basic problems and make sound business decisions. * Analytical mindset with critical thinking skills. * Strong work ethic, with demonstrated time management and organizational skills. * Ability to manage multiple priorities in a fast-paced, collaborative environment at high levels of productivity. * Knowledge of Microsoft Office Suite and ability to learn business-related software. * Adaptable to a changing environment * Ability to value diverse opinions and ideas Education & Experience: * High school Diploma required. Associates or Bachelor's Degree preferred. * Must have or be able to obtain and maintain an Insurance Adjuster License within 90 days of hire, where applicable. * Prior claim handling, or business experience in the insurance industry and/or customer service is preferred. #LI-AR1 #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 $47,000 to $78,000 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 ***************************.
    $47k-78k yearly Auto-Apply 15d ago
  • Workers' Compensation Claims Specialist

    Arcadis Global 4.8company rating

    Claim processor job in Highlands Ranch, CO

    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
    $65k-85k yearly 18d ago
  • Billing and Claims Specialist

    Rightway Healthcare 4.6company rating

    Claim processor job in Denver, CO

    . 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.
    $22-25 hourly Auto-Apply 50d ago

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