ZipRecruiter

Log In

2

Remote Claims Processing Jobs in Colorado (NOW HIRING)

InnovAge

Claims Processor II

Denver, CO · Remote

$22.84 - $31.97/hr

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 ...

InnovAge

Claims Processor II

Denver, CO · Remote

$17.50 - $22.25/hr

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 ...

InnovAge

Claims Processor II

Denver, CO · On-site +1

$22.84 - $27.40/hr

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 ...

Ccfs

Risk Claims Manager

Denver, CO · Remote

$85K - $95K/yr

This position has the potential to be remote. ESSENTIAL JOB DUTIES * Personally investigate and ... Knowledge of statistical process control desirable.

Ryder

Claims Analyst - REMOTE

Englewood, CO · Remote

$100K/yr

This position investigates and adjusts claims, as well as directs defense counsel, independent adjusters, experts, and other vendors in the claims-handling processes. Requirements * Bachelor's degree ...

Ryder

Claims Analyst - REMOTE

Englewood, CO · Remote

$100K/yr

This position investigates and adjusts claims, as well as directs defense counsel, independent adjusters, experts, and other vendors in the claims-handling processes. Requirements * Bachelor's degree ...

next page

Showing results 1-20

All JobsClaims Processing JobsRemote Claims Processing JobsRemote Claims Processing Jobs in Colorado

Remote Claims Processing information

See Colorado salary details

$12

$20

$27

How much do remote claims processing jobs pay per hour?

As of Aug 7, 2026, the average hourly pay for remote claims processing in Colorado is $20.15, according to ZipRecruiter salary data. Most workers in this role earn between $17.21 and $21.73 per hour, depending on experience, location, and employer.

What are some common challenges faced in remote claims processing roles, and how can they be effectively managed?

Remote claims processing professionals often encounter challenges such as managing high volumes of claims, maintaining clear communication with team members, and ensuring data security while working from home. Effective time management and strong organizational skills are key to handling large workloads efficiently. Regular check-ins with supervisors and using secure, company-approved communication tools can help maintain collaboration and protect sensitive information. Many organizations also provide training and support to help remote processors stay up-to-date with changing regulations and best practices.

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

To thrive as a Remote Claims Processor, you need a strong understanding of insurance policies, attention to detail, and relevant experience or education in insurance or finance. Familiarity with claims management software, electronic document systems, and sometimes industry certifications like AIC (Associate in Claims) are typically required. Excellent communication, time management, and problem-solving abilities help you stand out, especially when working independently. These skills ensure accurate, timely claims resolutions and effective collaboration with clients and colleagues in a remote environment.

What is remote claims processing?

Remote claims processing is the evaluation and handling of insurance claims by professionals who work from locations outside of a traditional office, often from home. These processors review claim submissions, verify information, assess coverage, and authorize payments or request additional information. Remote claims processors use secure online systems and communication tools to collaborate with colleagues and clients. This role requires strong attention to detail, confidentiality, and proficiency with digital platforms. Many insurance companies now offer remote claims processing positions to increase flexibility and efficiency.

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

AspectRemote Claims ProcessingRemote Claims Adjuster
CredentialsTypically requires insurance or claims processing certificationsRequires insurance licenses and adjuster certifications
Work EnvironmentHome-based, administrative settingHome-based or field, investigative and evaluative tasks
Industry UsageInsurance companies, third-party administratorsInsurance companies, public adjusting firms
Job FocusProcessing claims, data entry, customer serviceInvestigating claims, assessing damages, settlement negotiations

Remote Claims Processing and Remote Claims Adjuster roles share similarities in industry and work environment but differ in job focus and required credentials. Claims processors handle administrative tasks and data entry, while claims adjusters evaluate damages and negotiate settlements. Both roles are essential in the insurance industry and often require specialized certifications.

What are popular job titles related to Remote Claims Processing jobs in Colorado? For Remote Claims Processing jobs in Colorado, the most frequently searched job titles are:
What job categories do people searching Remote Claims Processing jobs in Colorado look for? The top searched job categories for Remote Claims Processing jobs in Colorado are:
What cities in Colorado are hiring for Remote Claims Processing jobs? Cities in Colorado with the most Remote Claims Processing job openings:
Remote Claims Processing jobs near you
Infographic showing various Remote Claims Processing job openings in Colorado as of August 2026, with employment types broken down into 80% Full Time, 15% Part Time, 1% Temporary, 3% Contract, and 1% Nights. Highlights an 92% Physical, 3% Hybrid, and 5% Remote job distribution, with an average salary of $41,917 per year, or $20.2 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

What InnovAge employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom