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Remote Claims Reviewer Jobs in Colorado (NOW HIRING)

Risk Claims Manager

Denver, CO ยท Remote

$85K - $95K/yr

The role ensures complete and sound claim settlements, legal reviews, and investigations in ... This position has the potential to be remote. ESSENTIAL JOB DUTIES * Personally investigate and ...

Job Seekers can review the Job Applicant Privacy Policy by clickinghere. : The Claims Analyst handles complex and high exposure bodily injury and property damage claims under Ryder's self ...

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Remote Claims Reviewer information

What is a remote claims reviewer?

A Remote Claims Reviewer is a professional who evaluates and processes insurance claims from a remote location, rather than working onsite at an insurance company or healthcare provider. Their primary responsibilities include reviewing submitted claims for accuracy, completeness, and compliance with policy and regulatory guidelines. They may work with various types of claims, such as health, auto, or property insurance, and often use specialized software to assess documentation and make determinations. Remote Claims Reviewers communicate with claimants, providers, and other stakeholders to gather information and resolve issues. This role requires strong attention to detail, analytical skills, and a good understanding of insurance policies and procedures.

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

To thrive as a Remote Claims Reviewer, you need a solid understanding of insurance policies, claims adjudication processes, and attention to detail, typically supported by experience in claims processing or a related field. Familiarity with claims management systems, electronic documentation, and industry certifications such as AIC (Associate in Claims) are commonly required. Excellent analytical skills, strong communication, and self-motivation are critical soft skills for effective remote work and accurate claim evaluations. These skills ensure claims are processed efficiently, accurately, and in compliance with regulations, maintaining trust and minimizing financial risk.

How do remote claims reviewers effectively collaborate with other team members while working from home?

Remote Claims Reviewers typically use a combination of secure communication platforms, such as email, video conferencing, and specialized claims management systems, to stay connected with their colleagues and supervisors. Regular virtual meetings, chat channels, and collaborative document tools help facilitate discussions about complex claims, share updates, and clarify procedures. While working remotely requires proactive communication, most companies provide structured workflows and support resources to ensure claims reviewers can easily reach out for guidance or escalate issues as needed.

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

AspectRemote Claims ReviewerRemote Claims Processor
Required CredentialsHigh school diploma or equivalent; insurance knowledge often preferredHigh school diploma or equivalent; basic insurance knowledge beneficial
Work EnvironmentHome-based, independent review settingHome-based, processing claims as assigned
Employer & Industry UsageInsurance companies, third-party administratorsInsurance companies, healthcare providers
Common Search & ComparisonYesYes

The main difference is that Remote Claims Reviewers evaluate and verify claims for accuracy and compliance, often requiring insurance knowledge, while Remote Claims Processors handle the submission and initial processing of claims. Both roles are remote, industry-specific, and involve insurance-related tasks, but their focus and responsibilities differ.

What are the most commonly searched types of Claims Reviewer jobs in Colorado?

The most popular types of Claims Reviewer jobs in Colorado are:

What cities in Colorado are hiring for Remote Claims Reviewer jobs?

Cities in Colorado with the most Remote Claims Reviewer job openings:

Infographic showing various Remote Claims Reviewer job openings in Colorado as of August 2026, with employment types broken down into 72% Full Time, 21% Part Time, and 7% Contract. Highlights an 7% In-person, and 93% Remote job distribution.

Risk Claims Manager

Ccfs

Denver, CO โ€ข Remote

$85K - $95K/yr

Full-time

Re-posted 4 days ago


Job description

Job Title:

Risk Claims Manager

Department:

Compliance

Job Status:

Exempt

Compensation:

Direct Reports:

Yes

COMPANY OVERVIEW

CrossCountry Freight Solutions (CCFS) is an exceptional company with a mission to achieve universal prosperity with our Customers, Company, Team Members, & Communities. We use the latest technology to provide quality service and on-time delivery to our customers. CCFS provides direct service throughout the Western and Central United States. We look forward to having you Hitch on and Prosper with us!

SALARY RANGE:$85K-95K
Salary is based on education and years of experience.

JOB SUMMARY
The Risk Claims Manager directly manages the company's auto liability and workers' compensation claims. This is an individual-contributor role with no direct reports - the Risk Claims Manager will manage claims for physical property damage, auto vehicle damage, and other verifiable damage, rather than overseeing a claims staff. The role ensures complete and sound claim settlements, legal reviews, and investigations in accordance with company policies and procedures, and directly manages workers' compensation claims, including return-to-work documentation and modified duty job offers. The Risk Claims Manager will recommend measures to reduce or eliminate losses due to accidents and injuries.This position has the potential to be remote.

ESSENTIAL JOB DUTIES

  • Personally investigate and manage the company's claims. Work with insurance companies to set claim reserves.
  • Identify claims that require escalation to the insurance company during intake and gather all relevant information needed for claim resolution.
  • Directly manage property damage, auto damage, and workers' compensation claims; handle serious losses, retain and direct defense counsel, and attend mediations and depositions as needed.
  • Provide excellent customer service when speaking with insureds/claimants by phone.
  • Prepare statistical reports of claims activity and submit reports/findings as requested; lead claim file reviews as requested.
  • Ensure the company takes appropriate measures to minimize claim losses and comply with government regulations.
  • Create a positive and productive work atmosphere by communicating and behaving professionally and collaboratively with all employees.
  • Other duties as assigned.

MINIMUM REQUIREMENTS

  • At least seven (7) years of extensive claims experience in a senior-level, individual-contributor claims role.
  • Extensive knowledge of liability claims administration, including litigation avoidance.
  • Thorough understanding of complex medical treatments, treatment outcomes, tort, venue, and jurisdictional matters, along with highly developed investigative and analytical skills.
  • Demonstrated success exercising independent decision-making, problem-solving, and effective negotiation skills.
  • Ability to collaborate effectively with cross-functional teams.
  • Excellent verbal and written communication, presentation, interpersonal, and analytical skills.
  • Proficiency with word processing and spreadsheet software; Microsoft Windows, Word, and Excel preferred.
  • Knowledge of statistical process control desirable.