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Claim processor jobs in Colorado - 38 jobs

  • Injury Examiner

    USAA 4.7company rating

    Claim processor job in Colorado Springs, CO

    Why USAA? At USAA, our mission is to empower our members to achieve financial security through highly competitive products, exceptional service and trusted advice. We seek to be the #1 choice for the military community and their families. Embrace a fulfilling career at USAA, where our core values - honesty, integrity, loyalty and service - define how we treat each other and our members. Be part of what truly makes us special and impactful. The Opportunity As a dedicated Injury Examiner, you will be responsible to adjust complex bodily injury claims, UM/UIM, and small business claims to include confirming coverage, determining liability, investigating, evaluating, negotiating, and adjudicating claims in compliance with state laws and regulations. Responsible for delivering a concierge level of best-in-class member service through setting appropriate expectations, proactive communications, advice, and empathy. This role is remote eligible in the continental U.S. with occasional business travel. However, individuals residing within a 60-mile radius of a USAA office will be expected to work on-site three days per week. What you'll do: Adjusts complex auto bodily injury claims with significant injuries (e.g. traumatic brain injury, disfigurement, fatality) and UM/UIM, and small business claims, as well as some auto physical damage associated with those claims. Identifies, confirms, and makes coverage decisions on complex claims. Investigates loss details, determines legal liability, evaluates, negotiates, and adjudicates claims appropriately and timely; within appropriate authority guidelines with clear documentation to support accurate outcomes. Prioritizes and manages assigned claims workload to keep members and other involved parties informed and provides timely claims status updates. Collaborates and supports team members to resolve issues and identifies appropriate matters for escalation. Partners and/or directs vendors and internal business partners to facilitate timely claims resolution. Serves as a resource for team members on complex claims. Delivers a best-in-class member service experience by setting appropriate expectations and providing proactive communication. Works various types of claims, including ones of higher complexity, and may be assigned additional work outside normal duties as needed. Ensures risks associated with business activities are effectively identified, measured, monitored, and controlled in accordance with risk and compliance policies and procedures. What you have: High School Diploma or General Equivalency Diploma. 4 years auto claims and injury adjusting experience. Advanced knowledge and understanding of the auto claims contract, investigation, evaluation, negotiation, and accurate adjudication of claims as well as application of case law and state laws and regulations. Advanced negotiation, investigation, communication, and conflict resolution skills. Demonstrated strong time-management and decision-making skills. Proven investigatory, prioritizing, multi-tasking, and problem-solving skills. Advanced knowledge of human anatomy and medical terminology associated with bodily injury claims. Ability to exercise sound financial judgment and discretion in handling insurance claims. Advanced knowledge of coverage evaluation, loss assessment, and loss reserving. Acquisition and maintenance of insurance adjuster license within 90 days and 3 attempts. What sets you apart: 2 or more years of high-value catastrophic injury experience (e.g. traumatic brain injury, disfigurement, fatality) to include UM/UIM coverage College Degree (Bachelor's or higher). Insurance Designation. Compensation range: The salary range for this position is: $85,040 - $162,550. USAA does not provide visa sponsorship for this role. Please do not apply for this role if at any time (now or in the future) you will need immigration support (i.e., H-1B, TN, STEM OPT Training Plans, etc.). Compensation: USAA has an effective process for assessing market data and establishing ranges to ensure we remain competitive. You are paid within the salary range based on your experience and market data of the position. The actual salary for this role may vary by location. Employees may be eligible for pay incentives based on overall corporate and individual performance and at the discretion of the USAA Board of Directors. The above description reflects the details considered necessary to describe the principal functions of the job and should not be construed as a detailed description of all the work requirements that may be performed in the job. Benefits: At USAA our employees enjoy best-in-class benefits to support their physical, financial, and emotional wellness. These benefits include comprehensive medical, dental and vision plans, 401(k), pension, life insurance, parental benefits, adoption assistance, paid time off program with paid holidays plus 16 paid volunteer hours, and various wellness programs. Additionally, our career path planning and continuing education assists employees with their professional goals. For more details on our outstanding benefits, visit our benefits page on USAAjobs.com Applications for this position are accepted on an ongoing basis, this posting will remain open until the position is filled. Thus, interested candidates are encouraged to apply the same day they view this posting. USAA is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
    $43k-59k yearly est. Auto-Apply 2d ago
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  • General Liability Claims Supervisor

    Network Adjusters, Inc. 4.1company rating

    Claim processor job in Denver, CO

    Network Adjusters is seeking an experienced General Liability and/or Construction Defect Claims Supervisor to join our third-party administrative insurance handling team. This leadership role is ideal for professionals who thrive in fast-paced claims environments and are passionate about team development, technical excellence, and delivering strong customer service outcomes. This position offers the opportunity to work within a trusted organization committed to integrity, reliability, and professional development through ongoing training and growth opportunities. About the Role General Liability Claims Supervisors oversee the full lifecycle of claims handling while ensuring compliance, service standards, and industry best practices are consistently met. In this role, you will hire, onboard, train, and develop a team of adjusters specializing in general liability and construction defect claims, providing both strategic and technical guidance throughout the claims process. You will play a key role in maintaining departmental protocols, supporting complex claim resolution, and delivering strong customer service outcomes for carriers, clients, and internal stakeholders. This is a desk-based role. Responsibilities Supervise and manage a team of claims adjusters, providing guidance, training, and ongoing support to drive performance and professional development Hire, onboard, train, and develop staff as needed Review and analyze coverage, policies, claim forms, and supporting documentation to ensure accurate and compliant claim handling Oversee the full claims lifecycle, including damage evaluation, loss determination, settlement negotiations, and resolution Ensure compliance with all regulatory requirements, company guidelines, and industry Best Practices Implement and monitor quality control standards and QA/QC measures to ensure consistency, accuracy, and efficiency in claims handling Collaborate with carriers, attorneys, claimants, and internal stakeholders to resolve disputes and provide a positive claims experience Track and analyze team and departmental performance metrics, establish targets, and implement strategies to meet or exceed goals Prepare and present reports to senior management and clients, highlighting performance trends, risks, and improvement opportunities Stay current on industry regulations, case law, statutes, and evolving claims best practices Qualifications Minimum 5 years of claims handling experience in General Liability or Construction Defect claims Minimum 3 years of supervisory or managerial experience, preferably within insurance claims Strong leadership skills with the ability to mentor, motivate, and develop a team Superior knowledge of case law, statutes, and procedures impacting claim handling and valuation Excellent analytical, evaluation, strategic, and negotiation skills Ability to prioritize workload and manage multiple tasks effectively in a fast-paced environment Strong problem-solving skills with keen attention to detail Proficiency in MS Office Suite and other standard business software Polished written and verbal communication skills Bachelor's degree in a relevant field or equivalent work experience Compensation & Benefits Salary: $110,000-$140,000 annually (based on licensure, certifications, and experience) Training, development, and career growth opportunities 401(k) with company match and retirement planning Paid time off and company-paid holidays Comprehensive medical, dental, and vision insurance Flexible Spending Account (FSA) Company-paid life insurance and long-term disability Supplemental life insurance and optional short-term disability Strong work/family and employee assistance programs Employee referral program Location 📍 Denver, CO Remote opportunities may be available for experienced candidates who meet all required criteria. About Network Adjusters Founded in 1958, Network Adjusters has built a reputation as a leading provider of insurance claims administration and independent adjusting services. Serving the insurance industry for nearly seven decades, Network Adjusters, Inc. brings together the best elements of third-party claims administration and independent adjusting services. From our primary offices in New York, Denver, and Kentucky to our national network of experts, our superior experience and ongoing training are the keys to successfully managing our clients claims and handling specialized insurance needs. All our Claim Directors have extensive backgrounds working with major insurance carriers, giving us a thorough understanding of factors critical claims handling. It all adds up to measurable results-the proof is in our extensive track record of settled claims and unmatched recovery abilities.
    $110k-140k yearly 2d ago
  • Michigan Homeowners Claim Representative II

    The Auto Club Group 4.2company rating

    Claim processor job in Colorado Springs, CO

    Michigan Homeowners Claim Representative II - AAA The Auto Club Group Reports to: Claim Manager IWhat you will do: Work under normal supervision with an intermediate-level approval authority to handle moderately complex claims within Claim Handling Standards in the field or inside units, resolve coverage questions, take statements, and establish clear evaluation and resolution plans for claims. Review assigned claims, contact the insured and other affected parties, set expectations for the remainder of the claim, and initiate documentation in the claim handling system. Complete coverage analysis including a review of policy coverages and provisions, and the applicability to the reported loss. Ensure all possible policyholder benefits are identified, create additional sub-claims if needed or refer complex claims to management or the appropriate claim handler. Complete an investigation of the facts regarding the claim to further and in more detail determine if the claim should be paid, the applicable limits or exclusions and possible recovery potential. Conduct thorough reviews of damages and determine the applicability of state law and other factors related to the claim. Evaluate the financial value of the loss. Approve payments for the appropriate parties accordingly. Refer claims to other company units when necessary (e.g., Underwriting, Recovery Units or Claims Special Investigation Unit). Thoroughly document and/or code the claim file and complete all claim closure and related activities in the assigned claims management system. Utilize strong negotiating skills. Employees assigned to the Homeowner/CAT claim unit will handle claims generally valued between $5,000 and $25,000 (for the inside desk role) and up to $100,000 (for field role). Investigate claims requiring coverage analysis. When handling claims in the field, prepare damage estimates using claims software. Review estimates for accuracy. May monitor contractor repair status and update. Supervisory Responsibilities: None How you will benefit: A competitive annual salary between $64,000 - $72,000 ACG offers excellent and comprehensive benefits packages, including: Medical, dental and vision benefits 401k Match Paid parental leave and adoption assistance Paid Time Off (PTO), company paid holidays, CEO days, and floating holidays Paid volunteer day annually Tuition assistance program, professional certification reimbursement program and other professional development opportunities AAA Membership Discounts, perks, and rewards and much more We're looking for candidates who:Required Qualifications (these are the minimum requirements to qualify) Education: Complete ACG Claim Representative Training Program or demonstrate equivalent knowledge or experience in property adjusting In states where an Adjuster's license is required, the candidate must be eligible to acquire a State Adjuster's license within 90 days of hire and maintain as specified for appropriate states A valid driver's license is required if the primary responsibilities of the role involve conducting in-person inspections or frequent in-person meetings with members. Experience: One year of experience or equivalent training in the following: Negotiating claim settlements Securing and evaluating evidence Preparing manual and electronic estimates Subrogation claims Resolving coverage questions Taking statements Establishing clear evaluation and resolution plans for claims Knowledge and Skills: Advance knowledge of: Essential Insurance Act (Michigan) Fair Trade Practices Act as it relates to claims Subrogation procedures and processes Intercompany arbitration Knowledge of building construction and repair techniques Ability to: Handle claims to the line Claim Handling Standards Follow and apply ACG Claim policies, procedures and guidelines Work within assigned ACG Claim systems including basic PC software Perform basic claim file review and investigations Demonstrate effective communication skills (verbal and written) Demonstrate customer service skills by building and maintaining relationships with insureds/claimants while exhibiting understanding of their problems and responding to questions and concerns Analyze and solve problems while demonstrating sound decision making skills Prioritize claim related functions Process time sensitive data and information from multiple sources Manage time, organize and plan workload and responsibilities Research, analyze, and interpret subrogation laws in various states Strong negotiating skills Ability to work outside normal business hours as needed Preferred Qualifications: Associate degree in Business Administration, Insurance or a related field or the equivalent in related work experience Xactimate software experience/training or experience in an equivalent software Claims adjuster experience specifically in home/property claims preferred Experience working within a customer service setting Call center experience or experience handling high volume calls preferred, but not required Excellent communication skills both oral and written Experience working within an insurance or claims-based role for one year or more Full claims cycle experience preferred Work Environment This position is currently able to work remotely from a home office location for day-to-day operations unless occasional travel for meetings, collaborative activities, or team building activities is specified by leadership. This is subject to change based on amendments and/or modifications to the ACG Flex Work policy. Who We Are Become a part of something bigger. The Auto Club Group (ACG) provides membership, travel, insurance, and financial service offerings to approximately 14+ million members and customers across 14 states and 2 U.S. territories through AAA, Meemic, and Fremont brands. ACG belongs to the national AAA federation and is the second largest AAA club in North America. By continuing to invest in more advanced technology, pursuing innovative products, and hiring a highly skilled workforce, AAA continues to build upon its heritage of providing quality service and helping our members enjoy life's journey through insurance, travel, financial services, and roadside assistance. And when you join our team, one of the first things you'll notice is that same, whole-hearted, enthusiastic advocacy for each other. We have positions available for every walk of life! AAA prides itself on creating an inclusive and welcoming environment of diverse backgrounds, experiences, and viewpoints, realizing our differences make us stronger. To learn more about AAA The Auto Club Group visit *********** Important Note: ACG's Compensation philosophy is to provide a market-competitive structure of fair, equitable and performance-based pay to attract and retain excellent talent that will enable ACG to meet its short and long-term goals. ACG utilizes a geographic pay differential as part of the base salary compensation program. Pay ranges outlined in this posting are based on the various ranges within the geographic areas which ACG operates. Salary at time of offer is determined based on these and other factors as associated with the job and job level. The above statements describe the principal and essential functions, but not all functions that may be inherent in the job. This job requires the ability to perform duties contained in the job description for this position, including, but not limited to, the above requirements. Reasonable accommodations will be made for otherwise qualified applicants, as needed, to enable them to fulfill these requirements. The Auto Club Group, and all its affiliated companies, is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, gender identity, sexual orientation, national origin, disability or protected veteran status. Regular and reliable attendance is essential for the function of this job. AAA The Auto Club Group is committed to providing a safe workplace. Every applicant offered employment within The Auto Club Group will be required to consent to a background and drug screen based on the requirements of the position.
    $64k-72k yearly 23h ago
  • Claims Examiner

    Harris 4.4company rating

    Claim processor job in Colorado

    Responsibilities & Duties:Claims Processing and Assessment: Evaluate incoming claims to determine eligibility, coverage, and validity. Conduct thorough investigations, including reviewing medical records and other relevant documentation. Analyze policy provisions and contractual agreements to assess claim validity. Utilize claims management systems to document findings and process claims efficiently. Communication and Customer Service: Communicate effectively with policyholders, beneficiaries, and healthcare providers regarding claim status and requirements. Provide timely responses to inquiries and maintain professional and empathetic communication throughout the claims process. Address customer concerns and escalate complex issues to senior claims personnel or management as needed. Compliance and Documentation: Ensure compliance with company policies, procedures, and regulatory requirements. Maintain accurate records and documentation related to claims activities. Follow established guidelines for claims adjudication and payment authorization. Quality Assurance and Improvement: Identify opportunities for process improvement and efficiency within the claims department. Participate in quality assurance initiatives to uphold service standards and improve claim handling practices. Collaborate with team members and management to implement best practices and enhance overall departmental performance. Reporting and Analysis: Generate reports and provide data analysis on claims trends, processing times, and outcomes. Contribute to the development of management reports and presentations regarding claims operations.
    $41k-57k yearly est. Auto-Apply 33d 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. 1d ago
  • Senior Construction Claims Analyst

    MWH 4.6company rating

    Claim processor job in Broomfield, CO

    Job Description 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. 29d ago
  • Claims Examiner

    Harriscomputer

    Claim processor job in Colorado

    Responsibilities & Duties:Claims Processing and Assessment: Evaluate incoming claims to determine eligibility, coverage, and validity. Conduct thorough investigations, including reviewing medical records and other relevant documentation. Analyze policy provisions and contractual agreements to assess claim validity. Utilize claims management systems to document findings and process claims efficiently. Communication and Customer Service: Communicate effectively with policyholders, beneficiaries, and healthcare providers regarding claim status and requirements. Provide timely responses to inquiries and maintain professional and empathetic communication throughout the claims process. Address customer concerns and escalate complex issues to senior claims personnel or management as needed. Compliance and Documentation: Ensure compliance with company policies, procedures, and regulatory requirements. Maintain accurate records and documentation related to claims activities. Follow established guidelines for claims adjudication and payment authorization. Quality Assurance and Improvement: Identify opportunities for process improvement and efficiency within the claims department. Participate in quality assurance initiatives to uphold service standards and improve claim handling practices. Collaborate with team members and management to implement best practices and enhance overall departmental performance. Reporting and Analysis: Generate reports and provide data analysis on claims trends, processing times, and outcomes. Contribute to the development of management reports and presentations regarding claims operations.
    $31k-46k yearly est. Auto-Apply 33d 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 37d ago
  • Liability Claims Specialist (Construction Defect)

    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 moderate direction, and within defined authority limits, to manage third party liability construction defect commercial claims with moderate to high complexity and exposure. Responsibilities include investigating and resolving claims according to company protocols, quality and customer service standards. Position requires regular communication with customers and insureds and may be dedicated to specific account(s). JOB DESCRIPTION: Essential Duties & Responsibilities: Performs a combination of duties in accordance with departmental guidelines: * Manages an inventory of moderate to high complexity and exposure commercial claims by following company protocols to verify policy coverage, conduct investigations, develop and employ resolution strategies, and authorize disbursements within authority limits. * Provides exceptional customer service by interacting professionally and effectively with insureds, claimants and business partners, achieving quality and cycle time standards, providing regular, timely updates and responding promptly to inquiries and requests for information. * Verifies coverage and establishes timely and adequate reserves by reviewing and interpreting policy language and partnering with coverage counsel on more complex matters , estimating potential claim valuation, and following company's claim handling protocols. * Conducts focused investigation to determine compensability, liability and covered damages by gathering pertinent information, such as contracts or other documents, taking recorded statements from customers, claimants, injured workers, witnesses, and working with experts, or other parties, as necessary to verify the facts of the claim. * Establishes and maintains working relationships with appropriate internal and external work partners, suppliers and experts by identifying and collaborating with resources that are needed to effectively resolve claims. * Authorizes and ensures claim disbursements within authority limit by determining liability and compensability of the claim, negotiating settlements and escalating to manager as appropriate. * Contributes to expense management by timely and accurately resolving claims, selecting and actively overseeing appropriate resources, and delivering high quality service. * Identifies and addresses subrogation/salvage opportunities or potential fraud occurrences by evaluating the facts of the claim and making referrals to appropriate Recovery or SIU resources for further investigation. * Achieves quality standards on every file by following all company guidelines, achieving quality and cycle time targets, ensuring proper documentation and issuing appropriate claim disbursements. * Maintains compliance with state/local regulatory requirements by following company guidelines, and staying current on commercial insurance laws, regulations or trends for line of business. * May serve as a mentor/coach to less experienced claim professionals May perform additional duties as assigned. Reporting Relationship Typically Manager or above Skills, Knowledge & Abilities * Solid working knowledge of the commercial insurance industry, products, policy language, coverage, and claim practices. * Solid verbal and written communication skills with the ability to develop positive working relationships, summarize and present information to customers, claimants and senior management as needed. * Demonstrated ability to develop collaborative business relationships with internal and external work partners. * Ability to exercise independent judgement, solve moderately complex problems and make sound business decisions. * Demonstrated investigative experience with an analytical mindset and critical thinking skills. * Strong work ethic, with demonstrated time management and organizational skills. * Demonstrated ability to manage multiple priorities in a fast-paced, collaborative environment at high levels of productivity. * Developing ability to negotiate low to moderately complex settlements. * Adaptable to a changing environment. * Knowledge of Microsoft Office Suite and ability to learn business-related software. * Demonstrated ability to value diverse opinions and ideas Education & Experience: * Bachelor's Degree or equivalent experience. * Typically a minimum four years of relevant experience, preferably in claim handling. * Candidates who have successfully completed the CNA Claim Training Program may be considered after 2 years of claim handling experience. * Must have or be able to obtain and maintain an Insurance Adjuster License within 90 days of hire, where applicable. * Professional designations are a plus (e.g. CPCU) #LI-KP1 #LI-Hybrid In certain jurisdictions, CNA is legally required to include a reasonable estimate of the compensation for this role. In District of Columbia, California, Colorado, Connecticut, Illinois, Maryland, Massachusetts, New York and Washington, the national base pay range for this job level is $54,000 to $103,000 annually. Salary determinations are based on various factors, including but not limited to, relevant work experience, skills, certifications and location. CNA offers a comprehensive and competitive benefits package to help our employees - and their family members - achieve their physical, financial, emotional and social wellbeing goals. For a detailed look at CNA's benefits, please visit cnabenefits.com. CNA is committed to providing reasonable accommodations to qualified individuals with disabilities in the recruitment process. To request an accommodation, please contact ***************************.
    $54k-103k yearly Auto-Apply 22d 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 44d 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. 60d+ 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 16d ago
  • General Liability Claim Representative

    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** $67,000.00 - $110,600.00 **Target Openings** 1 **What Is the Opportunity?** Be the Hero in Someone's Story When life throws curveballs - storms, accidents, unexpected challenges - YOU become the beacon of hope that guides our customers back to stability. At Travelers, our Claims Organization isn't just a department; it's the beating heart of our promise to be there when our customers need us most. As a Claim Rep, you will be responsible for managing, evaluating, and processing claims in a timely and accurate manner. In this detail-oriented and customer focused role, you will work closely with insureds to ensure claims are resolved efficiently while maintaining a high level of professionalism, empathy, and service throughout the claims handling process. As of the date of this posting, Travelers anticipates that this posting will remain open until 4/1/2026. **What Will You Do?** Provide quality claim handling of General Liability claims including customer contacts, coverage, investigation, evaluation, reserving, negotiation, and resolution in accordance with company policies, compliance, and state specific regulations. Communicate with policyholders, claimants, providers, and other stakeholders to gather information and provide updates. Determine claim eligibility, coverage, liability, and settlement amounts. Ensure accurate and complete documentation of claim files and transactions. Identify and escalate potential fraud or complex claims for further investigation. Coordinate with internal teams such as investigators, legal, and customer service, as needed. **What Will Our Ideal Candidate Have?** + Bachelor's Degree. + Three years of experience in insurance claims, preferably General Liability claims. + Experience with claims management and software systems. + Strong understanding of insurance principles, terminology with the ability to understand and articulate policies. + Strong analytical and problem-solving skills. + Proven ability to handle complex claims and negotiate settlements. + Exceptional customer service skills and a commitment to providing a positive experience for insureds and claimants. **What is a Must Have?** + One-year bodily injury liability claim handling experience, or one year of liability claim experience, or successful completion of Travelers Claim Representative training program. **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 ******************************************************** .
    $67k-110.6k yearly 4d 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 21d ago
  • Corporate Insurance Claims Specialist

    Frontline Road Safety 4.4company rating

    Claim processor job in Denver, CO

    CORPORATE CLAIMS SPECIALIST Hourly Pay: $27-30/hr COME JOIN OUR TEAM Frontline Road Safety Group is the undisputed North American pavement marking leader. Our company proudly provides its customers with unparalleled customer service and the use of innovative technology to ensure timely and value-added results. During this exciting period of growth, we are seeking a skilled and detail-oriented Claims Support Specialist to join our team. This is an on-site position in our downtown Denver headquarters. We are not offering relocation assistance at this time and prefer candidates who already reside in the Denver metro area. Travel of approximately 10% is required to Frontline Road Safety Group field locations across the U.S., to provide hands-on support. POSITION DESCRIPTION Under the immediate direction of the Corporate Claims Manager, the Claims Support Specialist supports the insurance claims process across all Frontline Road Safety Group operating companies nationwide.. The ideal candidate brings multi-line claims experience (Auto, General Liability, Workers' Compensation), strong overall insurance knowledge, and advanced analytical and reporting skills to support loss trends, metrics, and executive-level reporting. ESSENTIAL DUTIES & RESPONSIBILITIES Oversee the intake, review, and processing of insurance claims across multiple lines of business, including Auto, General Liability, and Workers' Compensation. Ensure timely and accurate claims status updates, escalations, and resolutions. Identify potential fraud or inconsistencies and escalate appropriately. Support negotiations and settlement activities. Compile, analyze, and present claims data for multiple operating divisions. Develop and maintain loss run spreadsheets, safety scorecards, and metrics-based management reports. Utilize advanced Excel skills to build and present dashboards and reports. Support safety initiatives through claims analytics and reporting. Experience with ViaOne is a major plus Recommend and implement best practices to improve claims handling and reporting. Remain current on insurance regulations and industry best practices. JOB REQUIREMENTS Bachelor's degree in business administration or related discipline preferred. 3+ years of experience in insurance claims (adjuster, examiner, supervisor, or similar). Experience handling multiple lines of business including Auto, General Liability, and Workers' Compensation. Broker experience and/or broad insurance industry exposure strongly preferred. Experience supporting multiple internal divisions in a remote environment. Strong understanding of insurance regulations, legal procedures, and litigated claims. Advanced proficiency in Microsoft Excel; strong Microsoft Office skills required.\ Comfort with metrics-based reporting and executive-level presentations. Loss control or corporate safety experience a plus. Road, highway, or construction industry experience a major plus. Strong negotiation, communication, and relationship-building skills. Ability to work independently and manage multiple priorities in a fast-paced environment. In recognition of your commitment to us, we offer the following: SAFETY FIRST Work for an industry leader in pavement marking that puts the safety of their employees at the highest priority. WE ARE GROWING Frontline Road Safety is already North America's leader in pavement marking, but we are not slowing down. We are continuing to grow our footprint and expand our operation. It's an exciting time to be with us! COMPETITIVE PAY/BENEFITS PACKAGE Pay range will be commensurate with knowledge/skills/abilities Excellent medical, dental, vision, life insurance and 401(k) benefits including a company match Frontline Road Safety Group is an equal opportunity employer committed to creating an inclusive environment for all employees. CORPORATE CLAIMS SPECIALIST Hourly Pay: $27-30/hr COME JOIN OUR TEAM Frontline Road Safety Group is the undisputed North American pavement marking leader. Our company proudly provides its customers with unparalleled customer service and the use of innovative technology to ensure timely and value-added results. During this exciting period of growth, we are seeking a skilled and detail-oriented Claims Support Specialist to join our team. This is an on-site position in our downtown Denver headquarters. We are not offering relocation assistance at this time and prefer candidates who already reside in the Denver metro area. Travel of approximately 10% is required to Frontline Road Safety Group field locations across the U.S., to provide hands-on support. POSITION DESCRIPTION Under the immediate direction of the Corporate Claims Manager, the Claims Support Specialist supports the insurance claims process across all Frontline Road Safety Group operating companies nationwide.. The ideal candidate brings multi-line claims experience (Auto, General Liability, Workers' Compensation), strong overall insurance knowledge, and advanced analytical and reporting skills to support loss trends, metrics, and executive-level reporting. ESSENTIAL DUTIES & RESPONSIBILITIES Oversee the intake, review, and processing of insurance claims across multiple lines of business, including Auto, General Liability, and Workers' Compensation. Ensure timely and accurate claims status updates, escalations, and resolutions. Identify potential fraud or inconsistencies and escalate appropriately. Support negotiations and settlement activities. Compile, analyze, and present claims data for multiple operating divisions. Develop and maintain loss run spreadsheets, safety scorecards, and metrics-based management reports. Utilize advanced Excel skills to build and present dashboards and reports. Support safety initiatives through claims analytics and reporting. Experience with ViaOne is a major plus Recommend and implement best practices to improve claims handling and reporting. Remain current on insurance regulations and industry best practices. JOB REQUIREMENTS Bachelor's degree in business administration or related discipline preferred. 3+ years of experience in insurance claims (adjuster, examiner, supervisor, or similar). Experience handling multiple lines of business including Auto, General Liability, and Workers' Compensation. Broker experience and/or broad insurance industry exposure strongly preferred. Experience supporting multiple internal divisions in a remote environment. Strong understanding of insurance regulations, legal procedures, and litigated claims. Advanced proficiency in Microsoft Excel; strong Microsoft Office skills required.\ Comfort with metrics-based reporting and executive-level presentations. Loss control or corporate safety experience a plus. Road, highway, or construction industry experience a major plus. Strong negotiation, communication, and relationship-building skills. Ability to work independently and manage multiple priorities in a fast-paced environment. In recognition of your commitment to us, we offer the following: SAFETY FIRST Work for an industry leader in pavement marking that puts the safety of their employees at the highest priority. WE ARE GROWING Frontline Road Safety is already North America's leader in pavement marking, but we are not slowing down. We are continuing to grow our footprint and expand our operation. It's an exciting time to be with us! COMPETITIVE PAY/BENEFITS PACKAGE Pay range will be commensurate with knowledge/skills/abilities Excellent medical, dental, vision, life insurance and 401(k) benefits including a company match Frontline Road Safety Group is an equal opportunity employer committed to creating an inclusive environment for all employees.
    $27-30 hourly 13d ago
  • Claims Examiner, 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 The Claims Division is seeking a team member to join the Shared Services Team as a Claims Examiner. Responsibilities include investigating, evaluating and resolving various types of commercial first and third party low complexity General Liability claims. This requires accurate and thorough documentation, as well as completion of resolution action plans based upon the applicable law, coverage and supporting evidence. Responsibilities: * Provide and maintain exceptional customer service and ongoing communication to the appropriate stakeholders through the life of the claim including prompt contact and follow up to complete timely and accurate investigation, damage evaluation and claim resolution in accordance with regulatory, company standards, and authority level * Conduct thorough investigation of coverage, liability and damages; must document facts and maintain evidence to support claim resolution * Review and analyze supporting damage documentation * Comply and stay abreast of all statutory and regulatory requirements in all applicable jurisdictions * Establish appropriate loss and expense reserves with documented rationale * Demonstrate technical efficiency through timely and consistent execution of best claim handling practices and guidelines Experience & Qualifications * Hands-on experience and strong aptitude with Outlook, Microsoft Excel, PowerPoint, and Word * Knowledge of ImageRight preferred * Exceptional communication (written and verbal), influencing, evaluation, listening, and interpersonal skills to effectively develop productive working relationships with internal/external peers and other professionals across organizational lines * Ability to take part in active strategic discussions and leverage technical knowledge to make cost-effective decisions * Strong time management and organizational skills; ability to adhere to both internal and external regulatory timelines * Ability to work well independently and in a team environment * Texas Claim Adjuster license preferred, but not required for posting. Upon employment candidate would be required to obtain Texas Claim Adjuster license within six months of hire date. Education * Bachelor's degree preferred * 3-5 years' experience handling the process of commercial insurance claims #LI-SW1 #LI-HYBRID For individuals assigned or hired to work in the location(s) indicated below, the base salary range is provided. Range is as of the time of posting. Position is incentive eligible. $71,900 - $97,110/year * Total individual compensation (base salary, short & long-term incentives) offered will take into account a number of factors including but not limited to geographic location, scope & responsibilities of the role, qualifications, talent availability & specialization as well as business needs. The above pay range may be modified in the future. * Arch is committed to helping employees succeed through our comprehensive benefits package that includes multiple medical plans plus dental, vision and prescription drug coverage; a competitive 401k with generous matching; PTO beginning at 20 days per year; up to 12 paid company holidays per year plus 2 paid days of Volunteer Time Offer; basic Life and AD&D Insurance as well as Short and Long-Term Disability; Paid Parental Leave of up to 10 weeks; Student Loan Assistance and Tuition Reimbursement, Backup Child and Elder Care; and more. Click here to learn more on available benefits. Do you like solving complex business problems, working with talented colleagues and have an innovative mindset? Arch may be a great fit for you. If this job isn't the right fit but you're interested in working for Arch, create a job alert! Simply create an account and opt in to receive emails when we have job openings that meet your criteria. Join our talent community to share your preferences directly with Arch's Talent Acquisition team. For Colorado Applicants - The deadline to submit your application is: May 17, 2026 14400 Arch Insurance Group Inc.
    $71.9k-97.1k yearly Auto-Apply 3d ago
  • Claims Specialist

    PRG 4.4company rating

    Claim processor job in Fort Collins, CO

    Project Resources Group (PRG) is seeking a Claims Recovery Specialist for our Fort Collins, CO office. Be part of our expanding team focused on recovering third-party property and utility damage claims, primarily in a B2B setting. We're looking for motivated, detail-oriented professionals with strong negotiation skills. Experience in collections or insurance adjusting is highly relevant and transferable. We offer a competitive base salary plus commission. Key Responsibilities Resolve and negotiate claims recovery of repair and replacement costs on third-party cable/fiber and utility damages across multiple state lines, via phone, email, and letters. Work directly with liable parties' insurance providers to defend and negotiate claims settlements. Collaborate with claims departments and management of liable parties, from small businesses to large corporations to municipalities. Learn, understand, and be able to utilize state dig laws and statutes, 811 excavator requirements, NESC standards, CGA guidelines, etc. Develop a professional working relationship with damaging parties, on-site field investigators, management, and other personnel. Conduct 40-50 inbound/outbound calls daily, approximately 2-2.5 hours of total talk time throughout the day. Enter notes and documentation throughout the recovery process into the company's proprietary Claims Database Tool. Use a calendar and diary system to coordinate handling claims to be worked twice weekly. Follow advanced claim handling procedures as detailed by the OPD Claims Manager. Use photographs, narratives, job costs, site sketches, locate tickets, and other components on-site field investigators provide to visualize and understand the damage scene to defend liability accurately. Participate in weekly department meetings to discuss individual and team recovery tactics, strategies, and goals. Maintain a working knowledge of the entire PRG claims recovery process. Preferred Qualifications Strong proficiency in Microsoft Word, Outlook, and Excel. Tech-savvy with the ability to quickly adapt to new software and systems. Excellent written and verbal communication skills, with an emphasis on professional phone and email correspondence. Familiarity with the construction, cable, or utility locate industries is advantageous. Understanding of B2B construction, claims management, recovery, or insurance claim negotiation and settlement processes is preferred. Ideally, 3-5 years of experience in claims, recovery, and/or the insurance industry. College education is preferred. Bilingual in Spanish is a plus. Compensation and BenefitsWe offer a competitive hourly pay ($20-$24/hour based on experience), plus the potential to earn substantial commissions up to $4,000-$10,000 monthly based on performance. Along with a comprehensive benefits package, including: Medical, dental, and vision coverage for employees and dependents 401(k) retirement plan, with company match after 1 year Short-term disability coverage after 1 year Paid time off and holidays Additional perks such as company-paid life insurance, and other supplemental insurances available About PRG Since 2001, PRG has been a leader in construction management and outside plant damage recovery for the telecommunications and utility industries. With 20+ offices and 800+ employees nationwide, we deliver industry-leading solutions with speed, accuracy, and expertise. Equal Opportunity EmployerPRG is proud to be an Equal Opportunity Employer. PRG does not discriminate on the basis of actual or perceived race, color, creed, religion, national origin, ancestry, citizenship status, age, sex or gender (including pregnancy, childbirth, pregnancy-related conditions, and lactation), gender identity or expression (including transgender status), sexual orientation, marital status, military service and veteran status, physical or mental disability, genetic information, or any other characteristic protected by applicable federal, state, or local law and ordinances.#INDCS
    $20-24 hourly Auto-Apply 13d 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 60d+ ago
  • Claims Specialist

    Sonsio 4.2company rating

    Claim processor job in Arvada, CO

    Who We Are With a comprehensive lineup of Vehicle Protection plans, Sonsio offers industry-leading programs that cover Tire Road Hazard Protection, Appearance, Parts & Labor Warranties, Mechanical Advisory, and other critical consumer services. These benefits provide vehicle owners with affordable and valuable coverages to keep their vehicles on the road safely, and also maximize the resale value by keeping the appearance of their vehicles like-new. Sonsio Vehicle Protection is committed to innovation and excellent customer service. Since our inception in 1984, Sonsio has been a leader in the automotive industry-serving more than 74,000 dealerships, F&I service providers, manufacturers, insurance companies, parts suppliers, retail chains, and many independent retailers across all 50 states, Canada, and Puerto Rico. We understand the challenges and complexities that our partners face when it comes to offering vehicle protection plans. There is no one-size-fits-all. Every business we help is different and has their own set of challenges. That's why, when you partner with Sonsio, we work with you to provide a custom solution designed to improve customer acquisition and retention and increase profitability. And when it comes to managing claims, you don't have the time or resources to worry about the headaches. Sonsio provides end-to-end support and decades of expertise to give customers the highest quality services with a world-class customer experience. Base Pay Range: $18-$19/HR Position Summary The Claims Specialist (Level 1) is responsible for accurately and efficiently processing the intake of new claims requests, while providing outstanding customer service to contract holders, dealers, and repair facilities. This role requires strong attention to detail, adherence to company guidelines, and the ability to manage multiple priorities in a fast-paced call center environment. The Claims Specialist ensures claims are set up accurately, customers receive timely support, and all work aligns with company quality and compliance standards. As a Claims Specialist, your essential job functions will include the following: Key Responsibilities Process standard claims accurately and within SLA Maintain detailed claim documentation, photos, and communication logs Provide high-quality customer service to contract holders and repair facilities Accurately enter and update customer information, interactions, and case details in applicable CRM Collaborate effectively with other teams' members, other departments as well to coordinate customer support efforts and resolve issues Achieve call, QA, and attendance metrics Follow established workflows, and escalation processes Handle and resolve customer complaints in a professional and timely manner. Develop and maintain a thorough understanding of the company's products, services, policies, and procedures. Performance Standards Process and complete claims within 7-10 days, ensuring accuracy, efficiency, and compliance with company policies and regulatory requirements. QA Score: >85% on the quarterly Quality Assurance scorecard. Audit Errors: Attendance: Meets department standards Adherence% >80% Position Requirements Minimum 1-2 years of experience in customer service and/ or claims processing, preferably within a call center environment. High School Diploma required; Associate or bachelor's degree preferred. Proficiency in using Salesforce and Microsoft Office Suite; Outlook, Word, Excel. Ability to efficiently navigate multiple computer systems while assisting customers. Excellent verbal and written communication skills. Proven ability to convey complex information clearly, accurately, and concisely. Strong commitment to providing exceptional customer experiences. Demonstrated ability to handle inquiries, issues, and complaints with professionalism and care. Strong time management and multitasking capabilities in a fast-paced environment. Effective analytical and problem-solving skills to identify and resolve issues efficiently. High level of accuracy and attention to detail in processing claims and documentation. Flexible and adaptable to change; able to learn new systems and processes quickly. Ability to collaborate effectively with team members and cross-functional departments. Competencies Required Customer Focus & Empathy Communication & Collaboration Attention to Detail & Accuracy Critical Thinking & Decision-Making Adaptability & Learning Agility Results Orientation & Accountability Time Management & Prioritization Conflict Resolution & Influence Physical Job Requirements Sit for long periods of time. Continuous viewing from and inputting data to a computer screen. Drug Policy Sonsio LLC is a drug-free environment. All applicants being considered for employment must pass a pre-employment drug screening before beginning work. Please check the box that applies, sign and date upon acceptance of a position with Sonsio LLC. ( ) I can perform all of the essential functions of this position with or without accommodations. Signature/Date ______________________________________________________ Print Name ______________________________________________________ This position is targeted to be closed on: Why Sonsio: An amazing opportunity to join a growing organization, built on the efforts of hard working, innovative, and team-oriented people. The compensation offered for this position will depend on qualifications, experience, and geographic location. The total compensation package may also include commission, bonus or profit sharing. We offer a competitive & comprehensive benefit package including: paid time off, medical, dental, vision, and 401k match (50% on the dollar up to 7% of employee contribution). For more information on our benefit offerings, please visit our Dealer Tire Family of Companies Benefits Highlights Booklet. EOE Statement: Sonsio is an Equal Employment Opportunity (EEO) employer and does not discriminate on the basis of race, color, national origin, religion, gender, age, veteran status, political affiliation, sexual orientation, marital status or disability (in compliance with the Americans with Disabilities Act*), or any other legally protected status, with respect to employment opportunities. *ADA Disclosure: Any candidate who feels that they may need an accommodation to complete this application, or any portions of same, based on the impact of a disability should contact Sonsio's Human Resources Department to discuss your specific needs. Please feel free to contact us at ************** x6550.
    $18-19 hourly Auto-Apply 5d ago
  • Claims Supervisor

    Network Adjusters, Inc. 4.1company rating

    Claim processor job in Denver, CO

    Network Adjusters is seeking an experienced First-Party Property Damage Claims Supervisor to join our third-party administrative insurance handling team. This leadership role is ideal for professionals who thrive in fast-paced claims environments and are passionate about team development, technical excellence, and delivering strong customer service outcomes. This position offers the opportunity to work within a trusted organization committed to integrity, reliability, and professional development through ongoing training and growth opportunities. About the Role Property Claims Supervisors oversee the full lifecycle of claims handling while ensuring compliance, service standards, and industry best practices are consistently met. In this role, you will hire, onboard, train, and develop a team of adjusters specializing in commercial property losses, providing both strategic and technical guidance throughout the claims process. You will play a key role in maintaining departmental protocols, supporting complex claim resolution, and delivering strong customer service outcomes for carriers, clients, and internal stakeholders. This is a desk-based role. Responsibilities Supervise and manage a team of claims adjusters, providing guidance, training, and ongoing support to drive performance and professional development Hire, onboard, train, and develop staff as needed Review and analyze coverage, policies, claim forms, and supporting documentation to ensure accurate and compliant claim handling Oversee the full claims lifecycle, including damage evaluation, loss determination, settlement negotiations, and resolution Ensure compliance with all regulatory requirements, company guidelines, and industry Best Practices Implement and monitor quality control standards and QA/QC measures to ensure consistency, accuracy, and efficiency in claims handling Collaborate with carriers, attorneys, claimants, and internal stakeholders to resolve disputes and provide a positive claims experience Track and analyze team and departmental performance metrics, establish targets, and implement strategies to meet or exceed goals Prepare and present reports to senior management and clients, highlighting performance trends, risks, and improvement opportunities Stay current on industry regulations, case law, statutes, and evolving claims best practices Qualifications Minimum 5 years of claims handling experience, including first-party property claims Strong leadership skills with the ability to mentor, motivate, and develop a team Superior knowledge of case law, statutes, and procedures impacting claim handling and valuation Excellent analytical, evaluation, strategic, and negotiation skills Ability to prioritize workload and manage multiple tasks effectively in a fast-paced environment Strong problem-solving skills with keen attention to detail Proficiency in MS Office Suite and other standard business software Polished written and verbal communication skills Bachelor's degree in a relevant field or equivalent work experience Compensation & Benefits Salary: $85,000-$110,000 annually (based on licensure, certifications, and experience) Training, development, and career growth opportunities 401(k) with company match and retirement planning Paid time off and company-paid holidays Comprehensive medical, dental, and vision insurance Flexible Spending Account (FSA) Company-paid life insurance and long-term disability Supplemental life insurance and optional short-term disability Strong work/family and employee assistance programs Employee referral program Location 📍 Denver, CO This role is on-site only; remote or hybrid arrangements are not available. About Network Adjusters Founded in 1958, Network Adjusters has built a reputation as a leading provider of insurance claims administration and independent adjusting services. Serving the insurance industry for nearly seven decades, Network Adjusters, Inc. brings together the best elements of third-party claims administration and independent adjusting services. From our primary offices in New York, Denver, and Kentucky to our national network of experts, our superior experience and ongoing training are the keys to successfully managing our clients claims and handling specialized insurance needs. All our Claim Directors have extensive backgrounds working with major insurance carriers, giving us a thorough understanding of factors critical claims handling. It all adds up to measurable results-the proof is in our extensive track record of settled claims and unmatched recovery abilities.
    $85k-110k yearly 2d ago

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