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Remote Claims Administrator Jobs in Colorado (NOW HIRING)

Data Entry Specialist

Denver, CO · On-site +1

$18.54 - $24.10/hr

UCHealth UCHlth Admin Lowry, US:CO:Denver Department: UCHlth Denials Mgt Payer Audit Work Schedule ... Problem-solves claims issues or software tracking issues and reports recurring or unusual issues to ...

Coord Quality Coding

Denver, CO · Remote

$33.82 - $50.73/hr

UCHealth UCHlth Admin Lowry, US:CO:Denver * Department: UCHlth Outpatient Coding 2 - OBSERVATION ... Reviews coded claims data in response to denials and customer service requests. Provides thorough ...

Staff Accountant

Broomfield, CO · On-site +1

$50K - $75K/yr

Administer distributor rebate programs and review customer deductions and claims for contract ... This position can be located onsite in Broomfield, CO or fully remote if located in MST or PST

Remote Claims Administrator information

What is a remote claims administrator?

A Remote Claims Administrator is a professional who processes and manages insurance claims from a remote location, typically from home. They review claim submissions, verify coverage, gather necessary documentation, and communicate with policyholders, adjusters, and other stakeholders via phone, email, or online portals. Their primary goal is to ensure claims are handled efficiently, accurately, and in compliance with company policies and regulations. Working remotely, they rely on secure digital systems for data access and communication. This role requires attention to detail, strong organizational skills, and proficiency with virtual tools.

What does a remote claims administrator do?

As a Remote Claims Administrator, your day typically involves reviewing incoming claims, verifying documentation, communicating with policyholders, and coordinating with internal teams such as adjusters or underwriters. Work is often prioritized based on claim urgency and deadlines, with digital tools and workflow management systems helping to track progress and assignments. Remote work requires strong organizational skills and proactive communication to ensure timely resolution of claims and collaboration with your team. Regular virtual meetings and updates help maintain alignment and support within the remote structure.

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

To thrive as a Remote Claims Administrator, you need strong analytical skills, attention to detail, and experience with insurance or claims processing, often supported by a relevant degree or certification. Familiarity with claims management software, document management systems, and proficiency in Microsoft Office are typically required. Excellent written communication, time management, and problem-solving abilities distinguish top performers in this role. These skills ensure accurate, timely claims handling and effective customer service while maintaining compliance in a remote work environment.

What is the difference between Remote Claims Administrator vs Remote Claims Processor?

AspectRemote Claims AdministratorRemote Claims Processor
CertificationsAdjuster licenses, insurance certificationsBasic insurance knowledge, sometimes certifications
Work EnvironmentOffice or remote, collaborative teamsPrimarily remote, individual tasks
Job ResponsibilitiesOversees claims, manages processes, communicates with clientsReviews and processes claims, data entry
Industry UsageInsurance companies, third-party administratorsInsurance companies, claims processing centers

Remote Claims Administrators typically oversee claims processes, requiring certifications and managing client communications, while Remote Claims Processors focus on reviewing and entering claim data. Both roles are common in insurance settings and often performed remotely, but the Administrator role involves more oversight and coordination.

Manager, Specialty Liability Claims (Primarily Home)

American Family Mutual Insurance Company Si

Denver, CO • On-site, Remote

$88K - $145K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 18 days ago


American Family Insurance rating

7.5

Company rating: 7.5 out of 10

Based on 136 frontline employees who took The Breakroom Quiz

225th of 315 rated insurance


Job description

You will provide leadership direction of a claim adjusting team. Claim adjusting teams investigate and maintain property/casualty claims. Determine liability, secure information, reviews coverages, arrange appraisals, and settle claims. May work in the field or central location. Direct conformity with the terms of each policy and in compliance with applicable laws, regulations, established standards, and procedures of the company. Will specialize in liability claims and will lead a team of desk adjusters. Internal candidates are encouraged to apply regardless of location and will be considered based upon the needs of the role.

Position Compensation Range:

$88,000.00 - $145,000.00

Pay Rate Type:

Salary

Compensation may vary based on the job level and your geographic work location. Relocation support is offered for eligible candidates.

Primary Accountabilities

Create a collaborative, performance-driven work environment by facilitating and fostering trust, transparency, and inclusion. Work with team members to set clear goals, provide feedback, perform performance assessments, and support ongoing development.

Lead with influence and expertise. Contribute to division or department leadership team. Communicate and support organization mission, vision, values, policies, and practices.

Supports and environment of teaming where adjusters make decisions and close files within and outside of their assigned inventory. Foresees issues that may require intervention. Develop and shares innovative and effective solutions for dealing with problems, situations and conflicts.

Complies with Unfair Claims Practices Acts and ensures handling of claims in good faith. Follow Local and Corporate Guidelines, Company Claim Bulletins, and the Company Code of Ethics. Respond to inquiries and handle complaints from individuals or their representatives, insurance departments, Consumer Affairs, and other agencies.

Establishes, communicates, and implements departmental plans, objectives, and strategies.

Participate as member of the management team.

Specialized Knowledge & Skills Requirements

Demonstrated experience providing customer-driven solutions, support or service.

Demonstrated effective leadership skills.

Demonstrated ability to work independently at a location removed from immediate supervision.

Solid knowledge of property casualty insurance/claim industry and regulatory environment.

Demonstrated ability to handle complex losses in situations that require tact, diplomacy, and persuasion under changing conditions.

Demonstrated comprehensive knowledge of office and field claim handling processes.

Demonstrated thorough understanding policy language, coverages and underwriting intent.

Demonstrated experience in a claim administrator, specialist, examiner, or role with equivalent exhibited knowledge, skills, and performance.

Additional Specialized Knowledge and Skills Requirements

  • Commercial liability claim experience is preferred.

Licenses

Valid driver's license required plus an acceptable driving record.

Obtain state specific property casualty claims licensing as required.

Travel Requirements

Up to 20%.

Catastrophe travel up to 75%.

Additional Information
  • To ensure a strong start, all employees participate in our New Employee Orientation during their first week. This experience is held in person at our Madison, WI Headquarters or one of our AmFam core locations to help you connect with our mission, meet key team members and build relationships that support your growth. At times, sessions may be delivered virtually based on scheduling and availability.
  • Offer to selected candidate will be made contingent on the results of applicable background checks
  • Offer to selected candidate is contingent on signing a non-disclosure agreement for proprietary information, trade secrets, and inventions
  • Sponsorship will not be considered for this position unless specified in the posting

Internal candidates are encouraged to apply regardless of location and will be considered based upon the needs of the role.

In this primarily home-based role, you will spend 80% of your time (4+ days per week) working from home, proximate to one of our office locations (within approximately 35-50 miles). On occasion you may be asked to travel to an office location for in person engagement activities such as team meetings, trainings, and culture events.

#LI-Remote

We provide benefits that support your physical, emotional, and financial wellbeing. You will have access to comprehensive medical, dental, vision and wellbeing benefits that enable you to take care of your health. We also offer a competitive 401(k) contribution, a pension plan, an annual incentive, 9 paid holidays and a paid time off program (23 days accrued annually for full-time employees). In addition, our student loan repayment program and paid-family leave are available to support our employees and their families. Interns and contingent workers are not eligible for American Family Insurance Group benefits.

We are an equal opportunity employer. It is our policy to comply with all applicable federal, state and local laws pertaining to non-discrimination, non-harassment and equal opportunity. We also consider qualified applicants with criminal histories, consistent with applicable federal, state and local law.

American Family Insurance is committed to the full inclusion of all qualified individuals. If a reasonable accommodation is needed to participate in the job application or interview process, to perform essential job functions, and/or to receive other benefits and privileges of employment, please email AskHR@AmFam.com to request a reasonable accommodation.

#LI-YM1

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