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Claims Processor Jobs in Denver, CO (NOW HIRING)

Lockton, Inc.

Project Manager (Claims)

Denver, CO · On-site

This role is responsible for coordinating the claims process from initial reporting through ongoing administration, while ensuring timely communication, accurate reporting, and exceptional service to ...

AppleOne

Insurance Claims Associate

Broomfield, CO

$22/hr

  • Medical

  • Dental

  • Vision

  • Retirement

This opportunity offers the chance to build experience in claims processing, client care, and business operations while working with supportive leaders and collaborative colleagues. The team values ...

New

Cna

General Liability Claims Consultant

Littleton, CO · Hybrid

$72K - $141K/yr

The position is responsible for coordinating all aspects of the claim resolution process in ... Manages highly complex investigations of claims, including coverage issues, liability ...

North American Risk Services, Inc. (NARS)

Be Seen First

Claims Advocate

Denver, CO · Remote

$78K - $95K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Analyze claims for accuracy, completeness and eligibility, prepare and maintain reports and process payments. The Claims Advocate will have responsibilities in these areas subject to standards of ...

Empyreal Logistics

Claims Analyst

Englewood, CO · On-site

$75K/yr

The Claims Analyst is responsible for investigating, processing, and resolving loss-related claims involving cash shortages, overages, disputes, balancing discrepancies, and customer inquiries. This ...

Empyreal Logistics

Claims Analyst

Englewood, CO · Remote

$75K/yr

The Claims Analyst is responsible for investigating, processing, and resolving loss-related claims involving cash shortages, overages, disputes, balancing discrepancies, and customer inquiries. This ...

Pinnacol Assurance

Claims Representative

Denver, CO · On-site

  • Medical

  • Dental

  • Vision

  • PTO

Process records as required by Company documented best practices ADDITIONAL DUTIES * Serve as resource to other claims representatives as requested by the business team as well as the claims ...

Pinnacol

Claims Representative

Denver, CO · On-site

  • Medical

  • Dental

  • Vision

  • PTO

Process records as required by Company documented best practices ADDITIONAL DUTIES * Serve as resource to other claims representatives as requested by the business team as well as the claims ...

Project Resources Group

Claims Specialist

Denver, CO · On-site

$4.0K - $10K/mo

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Back Office Processing * Technical Support * Network Infrastructure * Engineering & Design ... Job Summary Project Resources Group (PRG) is seeking a Claims Recovery Specialist for our Denver ...

Ccfs

Risk Claims Manager

Denver, CO · Remote

$85K - $95K/yr

Risk Claims Manager Department: Compliance Job Status: Exempt Compensation: Direct Reports: Yes ... Knowledge of statistical process control desirable.

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All JobsClaims Processor JobsClaims Processor Jobs in Denver, CO

Claims Processor information

See Denver, CO salary details

$12

$19

$27

How much do claims processor jobs pay per hour?

As of Aug 16, 2026, the average hourly pay for claims processor in Denver, CO is $19.73, according to ZipRecruiter salary data. Most workers in this role earn between $16.83 and $21.30 per hour, depending on experience, location, and employer.

What is a claims processor?

A claims processor reviews insurance claims. Their responsibilities include verifying insurance policy coverage and making sure client information is accurate. After they determine there is a covered loss, a processor documents the information and makes sure all the required paperwork is complete. Other duties include modifying new or existing policies.

What are some common challenges faced by claims processors, and how can they be managed effectively?

Claims Processors often encounter challenges such as managing high volumes of claims, handling complex or incomplete documentation, and meeting strict accuracy and timeliness standards. To navigate these, strong organizational skills, effective communication with colleagues and claimants, and attention to detail are crucial. Utilizing workflow management tools and maintaining open channels with supervisors and other departments can help address issues quickly and ensure claims are processed efficiently. Regular training and staying updated on policy changes also support success in this role.

Is claims processing a stressful job?

Claims processing is often considered a routine administrative role that involves reviewing and verifying insurance claims. While it can involve tight deadlines and attention to detail, the level of stress varies depending on workload, workplace environment, and individual coping skills.

What is the difference between Claims Processor vs Claims Examiner?

AspectClaims ProcessorClaims Examiner
Required CredentialsHigh school diploma or equivalent; some roles may require certificationHigh school diploma; certification often preferred
Work EnvironmentOffice setting, processing claims efficientlyOffice setting, reviewing and approving claims
Employer & Industry UsageInsurance companies, healthcare providersInsurance companies, government agencies
Common Search & ComparisonClaims Processor vs Claims Examiner

Claims Processors primarily handle the data entry and initial processing of insurance claims, focusing on accuracy and efficiency. Claims Examiners review claims for validity, compliance, and coverage before approval. While both roles work within the insurance industry and require similar credentials, Claims Examiners typically perform more detailed reviews and decision-making tasks. Understanding these differences helps job seekers identify the right role based on their skills and career goals.

What are the key skills and qualifications needed to thrive as a claims processor?

To thrive as a Claims Processor, you need strong analytical abilities, attention to detail, and knowledge of insurance policies, typically supported by a high school diploma or associate degree. Familiarity with claims management software, data entry systems, and sometimes industry certifications like AIC (Associate in Claims) is valuable. Excellent organization, communication, and customer service skills help you efficiently resolve claims and interact with clients. These competencies ensure accuracy, minimize errors, and maintain trust in the claims process.

Do you need a degree to be a claims processor?

A claims processor typically does not need a college degree, but employers often prefer candidates with a high school diploma or equivalent. Relevant skills include attention to detail, communication, and familiarity with claims processing software, and some positions may offer on-the-job training or certification programs.

What does a claims processor do?

A Claims Processor is responsible for reviewing, evaluating, and processing insurance claims submitted by policyholders. They verify the accuracy of the information provided, ensure all required documentation is present, and determine if the claim meets the policy's terms and conditions. Claims Processors work with both customers and insurance adjusters to resolve any discrepancies and help facilitate timely payments. Their role is essential in ensuring that claims are handled efficiently and fairly.
More about Claims Processor jobs

What are popular job titles related to Claims Processor jobs in Denver, CO?

For Claims Processor jobs in Denver, CO, the most frequently searched job titles are:

What job categories do people searching Claims Processor jobs in Denver, CO look for?

The top searched job categories for Claims Processor jobs in Denver, CO are:

What cities near Denver, CO are hiring for Claims Processor jobs?

Cities near Denver, CO with the most Claims Processor job openings:

Claims Processor jobs near you
Infographic showing various Claims Processor job openings in Denver, CO as of August 2026, with employment types broken down into 79% Full Time, 4% Part Time, and 17% Contract. Highlights an 75% In-person, 4% Hybrid, and 21% Remote job distribution, with an average salary of $41,031 per year, or $19.7 per hour.

Claims & Referral Processor

SA Technologies Inc.

Aurora, CO

$17.25 - $21.75/hr

Full-time

Re-posted 6 days ago

Job description

Company Description

SA Technologies Inc. (www.satincorp.com) 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

408 598 3037

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