Claims Consultant -Life Sciences Or Cyber/Technology E&O (Hybrid) Intact InsuranceClaims Consultant -Life Sciences Or Cyber/Technology E&O (Hybrid)Englewood, CO$143,000–$167,000 / yearSpecial consideration will be given to candidates who have personally litigated life sciences matters as attorneys and possess firsthand experience developing litigation strategy, managing scientific and expert evidence, conducting depositions, participating in trial preparation, and evaluating product liability and professional liability exposures from both the litigation and insurance claims perspectives. The ideal candidate will possess substantial Technology Errors & Omissions claims experience and a deep understanding of E&O coverage, including the ability to analyze complex professional liability exposures, contractual liability issues, performance disputes, and technology-related loss scenarios.
NewWorkers' Compensation Claims Examiner III - Hybrid TEEMAWorkers' Compensation Claims Examiner III - HybridLakewood, CO$80,000–$90,000 / yearThis role is ideal for an experienced examiner with strong Colorado Workers’ Compensation knowledge who can independently manage files, make sound compensability decisions, and move claims efficiently from first report through resolution. You will manage an active caseload of approximately 150 claims, including medical-only, indemnity, lifetime medical, and permanent partial benefit files.
Data Exchange Manager - Claims Operations Capital Rx, Inc.Data Exchange Manager - Claims OperationsDenver, CO$150,800–$188,500 / yearThe role oversees analysts and specialists responsible for healthcare data integrations, client onboarding, EDI transactions, eligibility feeds, claims exchanges, configuration setup, data quality monitoring, and operational issue resolution. By delivering true price transparency, eliminating unnecessary middleman fees, and leveraging advanced AI-powered care delivery, Judi Health helps clients achieve unprecedented operational efficiency and service levels.
Administrative Assistant II - Claims (Hybrid) Intact Specialty SolutionsAdministrative Assistant II - Claims (Hybrid)Englewood, ColoradoIn return, we promise you support, opportunities and performance-led financial rewards in a flexible work environment where you can: Shape the future: Help us lead an insurance transformation to better protect people, businesses and society. Files documents, office product, and other materials, performs data entry of applicable office/division/group information, and maintains product library, references, and other indexes, as applicable.
General Liability Claims Consultant CNA Financial Corp.General Liability Claims ConsultantLittleton, CO$72,000–$141,000 / yearThis individual contributor role operates under broad authority to manage commercial claims of high complexity and exposure within the Commercial Auto/General Liability/ Construction Auto and General Liability line(s) of business. Performs a combination of duties in accordance with departmental guidelines: Manages highly complex investigations of claims, including coverage issues, liability, compensability and damages.
Administrative Assistant II - Claims (Hybrid) Intact InsuranceAdministrative Assistant II - Claims (Hybrid)Englewood, CO$54,000–$63,000 / yearIn return, we promise you support, opportunities and performance-led financial rewards in a flexible work environment where you can: Shape the future: Help us lead an insurance transformation to better protect people, businesses and society. Files documents, office product, and other materials, performs data entry of applicable office/division/group information, and maintains product library, references, and other indexes, as applicable.
NewCasualty Claims Representative Auto-Owners Insurance CompanyCasualty Claims RepresentativeBroomfield, ColoradoThis job requires mastery of claims-handling skills and requires the person to: Investigate assigned casualty claims by collecting statements, physical evidence, and legal documentation. Our group of caring associates create financial security by helping individuals and businesses make a new start when a loss occurs.
NewNational Litigation & Claims Management Attorney Wilson Elser - AttorneysNational Litigation & Claims Management AttorneyDenver, CO$170,000–$200,000 / yearThe ideal candidate is not only experienced, but agile, someone who can quickly pivot between priorities, manage competing deadlines, and proactively identify risks and opportunities across a complex, multi-jurisdictional docket. We are seeking a highly skilled attorney with deep experience in litigation, claims management, and, critical discovery strategy and execution to support our representation of a large, national logistics services provider.
Claims Recovery Director CNA Financial Corp.Claims Recovery DirectorLittleton, CO$97,000–$189,000 / yearPerforms a combination of duties in accordance with departmental guidelines: Leads the work activities of Recovery Services professionals and/or managers and has full management responsibility for setting and communicating expectations, providing direction and coaching, facilitating ongoing training and development, managing employee performance and contributing to employee engagement. Responsibilities include managing direct staff, as well as outsourced vendor programs, while delivering superior business results through effective leadership of Recovery Services teams, driving continuous performance and operational improvements.
Oracle PL/SQL Developer Healthcare Claims Pyramid Consulting, IncOracle PL/SQL Developer Healthcare ClaimsDenver, CO$55–$65 / hourBy applying to our jobs you agree to receive calls, AI-generated calls, text messages, or emails from Pyramid Consulting, Inc. and its affiliates, and contracted partners. Key Responsibilities: Analyze and interpret US healthcare claims data to identify trends, risks, operational gaps, and strategic opportunities.
Bilingual Claims Representative Pinnacol AssuranceBilingual Claims RepresentativeDenver, CO$60,000–$64,200 / yearProactively manage open claims as required by Company best practices, including expedient and cost effective medical case management, disability management and litigation management as well as identification, investigation, management and resolution of potential adverse claim development, including prior injuries, comorbid and pre-existing medical conditions, migrating body parts, worsening medical conditions and delayed recovery, change of physician requests, multiple claims, multiple jobs, subrogation, penalties and offsets, etc. Contact stakeholders as required by Company best practices on incoming claims to promptly investigate circumstances of accident and injury, investigate and determine compensability, and identify and address red flag issues, including late reporting, pre-existing medical issues, designated medical provider process and referral issues, medical treatment issues, legal issues, and potential subrogation and penalty issues.
Bilingual Claims Representative PinnacolBilingual Claims RepresentativeDenver, CO$60,000–$64,200 / yearProactively manage open claims as required by Company best practices, including expedient and cost effective medical case management, disability management and litigation management as well as identification, investigation, management and resolution of potential adverse claim development, including prior injuries, comorbid and pre-existing medical conditions, migrating body parts, worsening medical conditions and delayed recovery, change of physician requests, multiple claims, multiple jobs, subrogation, penalties and offsets, etc. What you can expect: Contact stakeholders as required by Company best practices on incoming claims to promptly investigate circumstances of accident and injury, investigate and determine compensability, and identify and address red flag issues, including late reporting, pre-existing medical issues, designated medical provider process and referral issues, medical treatment issues, legal issues, and potential subrogation and penalty issues.
Claims Processor II InnovAgeClaims Processor IIDenver, Colorado$22.84–$27.40 / hourFull timeInnovAge offers an alternative to nursing homes through its Program of All-inclusive Care for the Elderly (PACE), which provides enrolled seniors with customized healthcare and social support at PACE Adult Day Health Centers. Regardless of past practices, all candidates/resumes submitted by search firms to InnovAge by any means without a valid written search agreement in place for that position will be deemed the property of InnovAge and no fee will be paid in the event such candidate is hired by InnovAge.
NewGrievance & Appeals Claims Specialist - Denver Health Medical Plan (Must Live in Colorado. Weekly On Site Requirement.) Denver Health and Hospital AuthorityGrievance & Appeals Claims Specialist - Denver Health Medical Plan (Must Live in Colorado. Weekly On Site Requirement.)Denver, Colorado$24.10–$33.74 / hourOur benefits are built to support your life, your family, and your future — with generous paid time off, fully paid parental leave, exceptional retirement contributions, comprehensive health coverage, and nationally recognized well-being programs. Job Summary The Grievance & Appeals Claims Specialist is a key position responsible for handling and resolving client grievances and appeals regarding services and claims.
Experienced Catastrophe Claims Representative Auto-Owners Insurance CompanyExperienced Catastrophe Claims RepresentativeBroomfield, ColoradoAdditional benefits include: generous paid time off including holidays, vacation days, personal time, sick leave and parental leave; adoption assistance; discounts on personal insurance; education matching gift program, a student loan assistance program and a gym membership and fitness class reimbursement program. Our group of caring associates create financial security by helping individuals and businesses make a new start when a loss occurs.
Claims Audit Analyst - Denver Health Medical Plan (Must Live in Colorado. Weekly On-Site Requirement) Denver Health and Hospital AuthorityClaims Audit Analyst - Denver Health Medical Plan (Must Live in Colorado. Weekly On-Site Requirement)Denver, Colorado$60,500–$87,700 / yearInteract and collaborate with other corporate groups such as Provider Relations, Member Services, Information Systems, Compliance, Third Party Recovery, Finance, Patient Accounts, Enrollment, Utilization Management and Product Line Managers. Daily data analysis and research of claims processing to ensure benefit structures and operation processes are adhering to the rules, regulations and contractual requirements by CMS, DOI, contracted and non- contracted providers.
Director, Product Delivery (Claims) VizientDirector, Product Delivery (Claims)Centennial, CO$117,600–$206,000 / yearYou will engage with healthcare leaders to understand client needs, reinforce product value, and elevate the overall analytics delivery experience while driving operational excellence and scalability. Summary: In this role, you will lead the delivery strategy and execution for Sg2 claims analytics products, including Share of Care, Provider Connections, and Patient Flow, within the strategy discipline.
Director, Construction Claims The Vertex Companies, LLCDirector, Construction ClaimsDenver, CO$161,000–$386,000 / yearFull timeThe salary ranges for this role are as follows: $161,000 - $386,000 USD annually (Geographical Tier A - Sample Locations: Irvine CA, Middlesex NJ, Tacoma WA, Boston, Alexandria) $147,000 - $354,000 USD annually (Geographical Tier B - Sample Locations - Baltimore, Chicago, Anchorage, Portland) Time away matters—so we provide a generous paid time off program, including vacation, sick time, and paid holidays (with prorated options for eligible part-time employees). The Director, Commercial Damages & Investigations will assist their assigned Managing Director (MD) with leading and managing assigned resources in support of achieving the defined overall practice area strategy, and in meeting or exceeding defined financial performance and revenue generation targets.
NewMedical Claims Review Medical Director - Surgeon - Remote UnitedHealth Group Inc.Medical Claims Review Medical Director - Surgeon - RemoteDenver, CORemote$248,500–$373,000 / yearThe Medical Director's activities primarily focus on the application of clinical knowledge in various utilization management activities with a focus on post-service benefit and coverage determination or medical necessity (according to the benefit package), and on communication regarding this process with both network and non-network physicians, as well as other Enterprise Clinical Services. The Medical Director collaborates with Enterprise Clinical Services leadership and staff to establish, implement, support and maintain clinical and operational processes related to benefit coverage determinations, quality improvement and cost effectiveness of service for members.
NewSr. Default Claims Specialist Cornerstone Capital BankSr. Default Claims SpecialistEnglewood, ColoradoCornerstone Servicing, a division of Cornerstone Capital Bank, is a best-in-class mortgage servicer with a reputation for amazing service, customer satisfaction, employee retention and happiness! We honor God by using our talents to make a positive difference in the lives of our Team Members, Clients, Shareholders, Communities, and the People who provide services to us.