ZipRecruiter

Log In

1

Insurance Claims Processing Jobs in Colorado (NOW HIRING)

Acrisure

Insurance Claims Advocate

Boulder, CO · Hybrid

$23 - $28/hr

Claim Advocates need to handle the claim process from beginning to end, working closely with the ... Serves as contact for Adjuster and Insured for claims related issues. * Refers complex coverage ...

Acrisure

Insurance Claims Advocate

Boulder, CO · On-site

$23 - $28/hr

Claim Advocates need to handle the claim process from beginning to end, working closely with the ... Serves as contact for Adjuster and Insured for claims related issues. * Refers complex coverage ...

Robbins Recruiting

Claims Manager

Denver, CO · On-site

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 ...

Ccfs

Risk Claims Manager

Denver, CO · Remote

$85/hr

This role will oversee insurance claims for physical property damage, auto vehicle damage, and ... Knowledge of statistical process control desirable.

Project Resources Group

Claims Specialist

Denver, CO · On-site

$20 - $24/hr

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 ...

MTN WST

Claims Advocate

Craig, CO · On-site

$25 - $30/hr

As a Claims Advocate at Mountain West Insurance & Financial Services, you will be a key contributor by creating excellent customer experiences while processing client claims. This pivotal role ...

MTN WST

Claims Advocate

Craig, CO · On-site

$25 - $30/hr

As a Claims Advocate at Mountain West Insurance & Financial Services, you will be a key contributor by creating excellent customer experiences while processing client claims. This pivotal role ...

next page

Showing results 1-20

All JobsInsurance Claims Processing JobsInsurance Claims Processing Jobs in Colorado

Insurance Claims Processing information

What is insurance claims processing?

Insurance claims processing is the procedure by which insurance companies review, investigate, and settle claims made by policyholders. This process involves verifying the details of a claim, ensuring it meets the terms of the policy, and determining the appropriate payout or action. Claims processors handle documentation, communicate with claimants, and may work with other parties like adjusters or healthcare providers. The goal is to ensure claims are resolved efficiently, accurately, and fairly according to policy guidelines.

What are some common challenges faced in insurance claims processing, and how can new team members effectively manage them?

In insurance claims processing, new team members often encounter challenges such as handling high volumes of claims, interpreting complex policy language, and communicating effectively with policyholders and other stakeholders. To manage these challenges, it's important to develop strong organizational skills, stay detail-oriented, and proactively seek clarification when unsure about policy terms or procedures. Collaborating with experienced colleagues and taking advantage of ongoing training opportunities can also help new processors build confidence and efficiency in their daily tasks.

What is the difference between Insurance Claims Processing vs Insurance Adjuster?

AspectInsurance Claims ProcessingInsurance Adjuster
CredentialsTypically requires a high school diploma or equivalent; certifications like CPCU or AIC are commonRequires a high school diploma; certifications like AIC or state licensing often needed
Work EnvironmentOffice-based, processing claims via computer systemsField and office work, inspecting damages and interviewing claimants
Employer & Industry UsageInsurance companies, third-party administratorsInsurance companies, independent adjusting firms
Primary FocusReviewing and processing insurance claims efficientlyAssessing damages and determining claim validity and payout

While both roles are essential in the insurance industry, Insurance Claims Processing focuses on handling and managing claims paperwork, whereas Insurance Adjusters evaluate damages and determine claim settlements. Understanding these differences helps job seekers identify the right career path within the insurance sector.

What are the key skills and qualifications needed to thrive in Insurance Claims Processing, and why are they important?

To excel in Insurance Claims Processing, you need strong attention to detail, analytical abilities, and a foundational understanding of insurance policies or claims procedures, often supported by a high school diploma or associate degree. Familiarity with claims management software, databases, and sometimes industry certifications like AIC (Associate in Claims) is common. Effective communication, problem-solving skills, and the ability to manage stressful situations make someone stand out in this role. These competencies are critical for ensuring claims are processed accurately, efficiently, and in compliance with regulatory standards.
What are popular job titles related to Insurance Claims Processing jobs in Colorado? For Insurance Claims Processing jobs in Colorado, the most frequently searched job titles are:
What job categories do people searching Insurance Claims Processing jobs in Colorado look for? The top searched job categories for Insurance Claims Processing jobs in Colorado are:
Insurance Claims Processing jobs near you
Infographic showing various Insurance Claims Processing job openings in Colorado as of June 2026, with employment types broken down into 100% Full Time. Highlights an 82% In-person, 6% Hybrid, and 12% Remote job distribution.
Medical Claims Specialist

Medical Claims Specialist

ROCKY MOUNTAIN HEALTH CARE SERVICES

Colorado Springs, CO • On-site

$21.09 - $24.25/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 11 days ago

Job description

POSITION SUMMARY: Medical Claims Processors are responsible for processing, adjudicating, and paying all program participant medical insurance claims including performing the daily customer service activities surrounding the claims process.

MISSION: Improving lives, Optimizing wellness, Promoting independence

COMPETENCIES:

  • Technical Expertise
  • Problem Solving
  • Teamwork
  • Effective Communication
  • Results Oriented
  • Personal Credibility
  • Quality Focus
  • People Focus
  • Flexibility

RESPONSIBILITIES AND DUTIES:

ESSENTIAL JOB FUNCTIONS:

  • Processes provider claims including validation, coding, data entry, adjudication, and importing/exporting in claims management systems. The standard rate of processing claims is 20 1500s and 8 UBs per day and prior months claims are to be entered and adjudicated by the second business day of the month
  • Prepares and disburses payment checks with explanation of payments (EOPs) to providers
  • Performs in depth analysis of complex claims identifying missing and/or incomplete data to determine appropriate resolution
  • Acts as the primary contact for support and resolution with internal departments, program participants as well as external provider representatives for questions about claim status, appeals, etc.
  • Assists with research, development, implementation, and documentation of processes including identifying process gaps or issues along with appropriate solutions and inputs those processes into the departmental book of business as requested
  • Other duties as assigned
  • High school diploma or equivalent required
  • Minimum 3 years health insurance claims processing required. Working knowledge of Medicare/Medicaid 1500 and UB claims preferred
  • Accounts payable experience highly desirable
  • Strong written and verbal communication skills
We strive to provide our employees with a comprehensive and affordable benefits package including Medical and Prescription Drug, Dental, Vision Care, Wellness Program, Telemedicine Program, Flexible Spending Accounts, Health Savings Account, Company Paid Basic Life and Accidental Death & Dismemberment, Company Paid Long-Term Disability, Voluntary Life Insurance, Voluntary Short-Term Disability, Accidental Injury Insurance, Critical Illness, Hospital Indemnity, 403(b) Savings Plan, Legal Shield and IDShield, Employee Assistance Program (EAP), Paid Time-Off plan.  Such benefits are based on applicable state law and factors such as pay classification (full-time, part-time, or PRN/casual), job grade and length of service. 

Apply