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Insurance Claims Processing Jobs in Colorado (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 ... Report new claims to insurance carriers, establish claim cases in Salesforce, and ensure all claims ...

Project Resources Group

Claims Specialist

Fort Collins, CO · On-site

$4.0K - $10K/mo

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 ...

Project Resources Group

Claims Specialist

Denver, CO · On-site

$4.0K - $10K/mo

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 ...

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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 the key skills and qualifications needed to thrive in insurance claims processing?

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 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.

How to get a job as an insurance claims processor?

To become an insurance claims processor, candidates typically need a high school diploma or equivalent, with some roles preferring postsecondary training or certifications in insurance or claims processing. Relevant skills include attention to detail, communication, and familiarity with claims management software. Gaining experience through internships or entry-level positions can improve job prospects, and some employers may require background checks or specific licensing depending on the state or company policies.

Is insurance claims processing a stressful job?

Insurance claims processing can be a stressful job due to tight deadlines, high workload, and the need for accuracy in evaluating claims. It often requires strong attention to detail, communication skills, and the ability to handle difficult customer interactions, which can contribute to job-related stress.

What does an insurance claims processing do?

An insurance claims processor reviews and evaluates insurance claims to determine coverage and payout amounts. They verify policy details, gather necessary documentation, and ensure claims are processed accurately and efficiently, often using claims management software. Attention to detail and knowledge of insurance policies are essential for this role.

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 August 2026, with employment types broken down into 1% As Needed, 75% Full Time, 19% Part Time, 1% Temporary, and 4% Contract. Highlights an 89% Physical, 1% Hybrid, and 10% Remote job distribution.

Claims Processing Clerk

Rifle, CO • On-site

Grand River Health Main Campus
501 - 1,000 employees
Learn more about Grand River Health Main Campusexternal

$18.90 - $25.52/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 3 days ago

New

Job description

Claims Processing Clerk
FT, DaysGrand River Health | Rifle, CO
At Grand River, we are more than a hospital - we are neighbors taking care of neighbors proudly serving residents of Western Colorado and beyond. Our supportive culture is built on respect, friendliness, and a shared commitment to exceptional patient care.
What You'll Do
  • Serve as a member of the Patient Financial Services team at Grand River Health Main Campus.
  • Work closely with clinic coders to input and transmit claims, print workers' compensation claims, and handle statements and rejections in the Allscripts system.
  • Follow up on rejections to correct account information and manage clinic statements and client billing.
  • Close out daily business activities across multiple systems and generate weekly and monthly reports, including claim rejection and late charge reports.
  • Enter charges, post payments, and monitor age trial balances for hospital and clinics; generate bills for various agencies.
  • Support programs such as Women's Wellness/Komen by posting payments, following up, and distributing reports.
  • Upload explanation of benefits for electronic funds transfers and act as site administrator for vendor communications.
  • Review and adjust balances for American Health Tech (AHT) items and self-pay patient records; handle Care Center payments and month-end close processes.
  • Balance deposits from all GRHD facilities and post clinic payments.
  • Perform clerical duties including responding to inquiries, processing mail, preparing reports, scanning documents, and maintaining equipment such as folding machines and postage meters.

Who We're Looking For
  • High School Diploma or equivalent preferred.
  • Two years or relevant work experience in a similar position preferred.

What We Offer
Our total rewards package includes
  • Pay Range: $18.90 - $25.52/ hour (based on experience)
  • Shift Differentials: $2-$4/hour for nights and weekends
  • Comprehensive Benefits: Medical, dental, vision, PTO from day one, extended illness time, retirement plan with match, and more
  • Perks: Payroll deductions for hot springs, gyms, ski passes, pet insurance, access to outdoor recreation, and more!

Compensation may vary outside this range depending on a number of factors, including a candidate's qualifications, skills, competencies and experience.
Position is open until filled unless posted otherwise.
Why Join Grand River Health?
As a special taxing district, we are accountable to our community, allowing us to prioritize exceptional patient-centered care over financial bottom lines. Our main hospital campus is located in picturesque Rifle, Colorado with twenty-five beds providing a wide range of services, along with a long-term care center and a satellite campus. While the secret is out that this is a great place to live, the atmosphere of a caring and friendly community has been preserved amidst a steady growth of population.
OUR MISSION:
To improve the health and well-being of the communities we serve.
OUR VISION:
To be our communities' first choice in quality healthcare.

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