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Claims Processor Jobs in Denver, CO (NOW HIRING)

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 processing of all UB, HCFA and Dental claims submitted by external providers for participant care per ...

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 processing of all UB, HCFA and Dental claims submitted by external providers for participant care per ...

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 processing of all UB, HCFA and Dental claims submitted by external providers for participant care per ...

TriOptus LLC

Claims Processors

Denver, CO · On-site

$17.50 - $22.25/hr

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 ...

TriOptus LLC

Claims Processors

Denver, CO · On-site

$17.50 - $22.25/hr

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 ...

Medium

Claims Manager

Denver, CO · On-site

$110 - $150/hr

The Claims Manager is responsible for leading the insurance claims process for residential and multi-family restoration projects, ensuring the Company secures proper coverage and settlement values ...

New

Robbins Recruiting

Claims Manager

Denver, CO

$110K - $150K/yr

The Claims Manager is responsible for leading the insurance claims process for residential and multi-family restoration projects, ensuring the Company secures proper coverage and settlement values ...

TriOptus LLC

Director of Claims

Denver, CO · On-site

Establish measures and processes by which to collect, monitor, evaluate, and report on key performance indicators * Oversee staff and direct workflow in order to ensure claims are adjudicated within ...

Network Adjusters, Inc.

Claims Supervisor

Denver, CO · On-site

$115K - $130K/yr

... 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 ...

Network Adjusters, Inc.

Claims Adjuster

Denver, CO · On-site

$85K/yr

This position provides quality claim handling and exceptional customer service throughout the entire claims process while engaging in indemnity, expense & diary management. CLAIMS ADJUSTER Handle ...

Cna

Blended Claims Consultant, Construction

Littleton, CO · Hybrid

$72K - $141K/yr

Makes recommendations on claims processes and resolution strategies to management. * Analyzes claims activities; prepares and presents reports to management and other internal business partners and ...

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 ...

No Stress Insurance Claims International

Be Seen First

Colorado Public Adjuster

Denver, CO · On-site

$2.4K - $3.5K/mo

Help clients through the claims process by connecting them with licensed adjusters * Meet weekly outreach and productivity goals * Attend regular training and team meetings * Provide excellent ...

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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 7, 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, 7% Part Time, and 14% Contract. Highlights an 64% In-person, 7% Hybrid, and 29% Remote job distribution, with an average salary of $41,031 per year, or $19.7 per hour.

Claims Processor II

InnovAge

Denver, CO • Remote

$22.84 - $31.97/hr

Full-time

Posted 22 days ago

InnovAge rating

6.6

Company rating: 6.6 out of 10

Based on 18 frontline employees who took The Breakroom Quiz

Job description

Responsibilities

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

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