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Claims Associate Jobs in Colorado (NOW HIRING)

TriOptus LLC

Claims Processors

Denver, CO · On-site

$17.50 - $22.25/hr

Claims Processors Location: Denver, CO 80210 Duration: 6-month contract (potential- contract to ... Associates degree or Certificate in healthcare sciences, health information technology or a related ...

InnovAge

Claims Processor II

Denver, CO · Remote

$22.84 - $31.97/hr

Responsibilities The Claims Processor II is responsible for ensuring the accurate and timely ... Associates degree or Certificate in healthcare sciences, health information technology or a related ...

InnovAge

Claims Processor II

Denver, CO · Remote

$17.50 - $22.25/hr

Responsibilities The Claims Processor II is responsible for ensuring the accurate and timely ... Associates degree or Certificate in healthcare sciences, health information technology or a related ...

InnovAge

Claims Processor II

Denver, CO · On-site +1

$22.84 - $27.40/hr

Responsibilities The Claims Processor II is responsible for ensuring the accurate and timely ... Associates degree or Certificate in healthcare sciences, health information technology or a related ...

Colorado Access

Claims & Adjustment Specialist

Denver, CO · On-site

$65K - $73K/yr

Associates degree in health, social services or additional college courses preferred. Equivalent ... Three years of claims or appeals processing experience preferred. Knowledge, Skills, and Abilities:

Cna

Commercial Auto Claims Representative

Littleton, CO · Hybrid

$47K - $78K/yr

Responsibilities include investigating and resolving claims according to company protocols, quality ... Associates or Bachelor's Degree preferred. * Must have or be able to obtain and maintain an ...

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Claims Associate information

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$14

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How much do claims associate jobs pay per hour?

As of Aug 3, 2026, the average hourly pay for claims associate in Colorado is $22.07, according to ZipRecruiter salary data. Most workers in this role earn between $17.93 and $24.28 per hour, depending on experience, location, and employer.

What Does a Claims Associate Do?

A claims associate handles claims for an insurance company. As a claims associate, your job duties may include reviewing a customer’s insurance coverage and interviewing those who have filed a claim. Your job is to ensure that a claim is processed correctly, so the customer receives the financial payout to which they are entitled. In this career, you usually work in an office, but you may need to travel to gather information about the claim. There are positions in every insurance industry so that you may work in anything from auto to life insurance. This position requires excellent research and interpersonal skills, and experience in customer service is a plus. Additional qualifications may include an associate degree.

What is the difference between Claims Associate vs Claims Examiner?

AspectClaims AssociateClaims Examiner
Required CredentialsHigh school diploma or equivalent; some roles may prefer insurance-related certificationsHigh school diploma; insurance certifications like CPCU or similar beneficial
Work EnvironmentOffice setting, interacting with customers and internal teamsOffice setting, reviewing claims and documentation
Employer & Industry UsageInsurance companies, third-party administratorsInsurance companies, adjusting departments
Common Search & ComparisonClaims Associate vs Claims Examiner

The main difference between a Claims Associate and a Claims Examiner lies in their responsibilities. Claims Associates typically handle initial customer interactions and basic claim processing, while Claims Examiners review and assess claims in detail, often making determinations on claim validity. Both roles require similar credentials and work in comparable environments, but Claims Examiners usually have more specialized knowledge and decision-making authority.

What are the key skills and qualifications needed to thrive as a Claims Associate, and why are they important?

To thrive as a Claims Associate, you need a solid understanding of insurance policies, attention to detail, and basic analytical skills, usually supported by a high school diploma or equivalent. Familiarity with claims management systems, CRM software, and sometimes industry certifications like AIC (Associate in Claims) are commonly required. Strong communication, problem-solving, and customer service abilities set top performers apart. These skills are essential for accurately processing claims, ensuring compliance, and providing a positive experience for clients and policyholders.

What does a Claims Associate do?

A Claims Associate is responsible for reviewing, processing, and managing insurance claims submitted by policyholders. Their duties include verifying information, evaluating the validity of claims, and ensuring all necessary documentation is complete. They often communicate with customers, healthcare providers, or other parties to gather additional information and resolve any issues. Claims Associates play a crucial role in ensuring claims are processed accurately and efficiently according to company policies and regulatory guidelines.

What are some common challenges a Claims Associate may face, and how can they effectively handle them?

Claims Associates often encounter challenges such as managing a high volume of claims, navigating complex policy details, and communicating with clients who may be experiencing stress or frustration. Effectively handling these situations requires strong organizational skills, attention to detail, and clear, empathetic communication. Many Claims Associates find success by proactively prioritizing tasks, seeking guidance from senior team members when needed, and utilizing available technology to streamline documentation and follow-ups.
More about Claims Associate jobs
What are the most commonly searched types of Claims jobs in Colorado? The most popular types of Claims jobs in Colorado are:
What are popular job titles related to Claims Associate jobs in Colorado? For Claims Associate jobs in Colorado, the most frequently searched job titles are:
What job categories do people searching Claims Associate jobs in Colorado look for? The top searched job categories for Claims Associate jobs in Colorado are:
What cities in Colorado are hiring for Claims Associate jobs? Cities in Colorado with the most Claims Associate job openings:
Claims Associate jobs near you
Infographic showing various Claims Associate job openings in Colorado as of July 2026, with employment types broken down into 100% Full Time. Highlights an 95% In-person, and 5% Hybrid job distribution, with an average salary of $45,902 per year, or $22.1 per hour.

Claims Processors

TriOptus LLC

Denver, CO • On-site

$17.50 - $22.25/hr

Contractor

Re-posted 4 days ago

Job description

Job Title: Claims Processors
Location: Denver, CO 80210
Duration: 6-month contract (potential- contract to hire)
Compensation- $50,000 + Benefits
Logistics
  • First 2-3 weeks will be in the office for training
  • 2 days in-office thereafter- but can be Remote if you perform well independently after training
  • Shift- Flexibility on the hours- can start early or around 9 if they want to

Description
The Claims Processor II is responsible for ensuring the accurate and timely processing of all UB, HCFA and Dental claims submitted by external providers for participant care per company and CMS guidelines. This position monitors and processes claim audits to maximize accuracy and minimize expense, using various software and customized applications. The position interacts with all external providers, vendors, and external agencies on issues related to claims submission, process and payment.
  • Train providers and address provider appeals per CMS and NCCI guidelines adjusting claims as appropriate.
  • Monitor and clear pended claims as necessary via research and system updates/corrections.
  • Downgrades DRG claims and reprocesses per the direction of InnovAge's external audit vendor.
  • Processes provider refunds, creating, coordinating and reconciling activity with AP.
  • Receives inbound customer service calls and e-mails, answering claims questions in regards to claim status, verification of eligibility/benefits, billing and payment per CMS, NCCI and InnovAge guidelines.
  • Monitor Smart Data claims activity and work rejected claims by making necessary adjustments to the claim so transmission to the Claims system is possible
  • Clear pended claims. Pull reports daily to research and resolve the issues stopping the claim from processing, up to and including loading provider data to the PCM claims system.
  • Conduct weekly batch reviews, monitoring a reviewing a host of internal reports to maximize accuracy of claim payments
  • Under the supervision of the team lead load new providers to InnovAge's PCM Network to allow claims to process and pay per expectations
  • Work with Center Leadership to approve claims from non-contracted providers, communicating the need for contracts as necessary
  • Research and resolve Provider reconciliations to address billing/payment issues - research claims and communicate resolution to provider.
  • Performs provider fee schedule maintenance for Housing providers
  • Train external providers on how to execute and CMS UB04, HCFA or Dental claim as necessary
  • Process Refunded payments back to the claims system, ensuring shared spreadsheets are up to date and accurately maintained for reconciliation purposes with accounting
  • Work claims audits generated by Virtual Examiner -500-1500 weekly
  • Work IP audits generate by Varis, adjusting claims and submitting invoices to AP
  • Reviews and responds to Provider appeals, including research, claims adjustment and drafting responses to providers
  • Resolves claims issues through contact with participants, physicians, facilities and others and makes changes to claims based on results of those conversations.
  • Hand key paper claims activity that is loaded in KL i.e. Smart Data rejects

Required
  • 3+ as a Claims Processor or similar position in either a doctor's office, healthcare clinic or other healthcare setting; or equivalent combination of education and experience.
  • Ability to type 10,000+ KSPH (alpha/numeric), in addition to being able to produce business correspondence to both participants and regulatory agencies
  • Must have intermediate customer service skills and be able to research and communicate information to callers in a timely manner.
  • Experience with basic office machines such as copiers, scanners and multi-line phone systems are essential.
  • Current experience in communicating claims issues with physicians and their staff, participants, and other regulatory agencies
  • Associates degree or Certificate in healthcare sciences, health information technology or a related field from an accredited college

Preferred
  • Experience with medical billing and/or coding as well as document imaging systems and Medical Terminology.
  • Prior experience working with Plexis, Virtual Examiner, ABCT, Encoder Plus
  • Prior Audit experience
  • Bi-lingual in Spanish

Apply