Pharmacy Claims Adjudication Specialist Onco360Pharmacy Claims Adjudication SpecialistDenver, ColoradoSkills/Knowledge Required: Pharmacy/NDC medication billing, Pharmacy claims resolution, PBM and Medical contracts, knowledge/understanding of Medicare, Medicaid, and commercial insurance, NCPDP claim rejection resolution, coordination of benefits, pharmacy or healthcare-related knowledge, knowledge of pharmacy terminology including sig codes, and Roman numerals, brand/generic names of medication, basic math and analytical skills, Intermediate typing/keyboarding skills. ensure prescription claims are adjudicated correctly according to the coordination of benefits, resolve any third-party rejections, obtain overrides if appropriate, and be responsible for patient outreach notification regarding any delay in medication delivery due to insurance claim rejections Pharmacy Adjudication Specialists at Onco360.
Claims Examiner Workers Compensation I CO experience needed Sedgwick Claims Management Services, Inc.Claims Examiner Workers Compensation I CO experience neededCO$63,404–$88,000 / yearTo analyze workers compensation claims on behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements. PRIMARY PURPOSE OF THE ROLE: We are looking for driven individuals that embody our caring counts model and core values that include empathy, accountability, collaboration, growth, and inclusion.
Plaintiff Property Litigation Attorney | Fully Remote Insurance Claim HQPlaintiff Property Litigation Attorney | Fully RemoteDenver, CORemote$125,000–$175,000 / yearIf you're looking for a litigation role where you can take ownership of your cases, work directly with clients, and help policyholders recover after significant property losses, we would love to hear from you. Every team member plays a critical role in our mission, and we invest heavily in the people and technology that allow our attorneys to succeed.
Claims Specialist Project Resources Group IncClaims SpecialistDenver, CO$20–$24 / hourAs a leading provider of construction management, outside plant damage assessment & recovery, business outsourcing and consulting services, PRG offers services within the cable, telephony, construction and utility industries, including: Back Office Processing. Resolve and negotiate claims recovery of repair and replacement costs on third-party cable/fiber and utility damages across multiple state lines, via phone, email, and letters.
Sr. Claims Specialist - Commercial Auto BI Philadelphia Insurance CompaniesSr. Claims Specialist - Commercial Auto BILone Tree, CO$102,150–$120,177 / yearEvaluates each claim in light of facts; Affirm or deny coverage; investigate to establish proper reserves; and settles or denies claims in a fair and expeditious manner. Marketing Statement: Philadelphia Insurance Companies, a member of the Tokio Marine Group, designs, markets and underwrites commercial property/casualty and professional liability insurance products for select industries.
Claims Specialist - Property Philadelphia Insurance CompaniesClaims Specialist - PropertyLone Tree, CO$84,422–$99,320 / yearEvaluates each claim in light of facts; Affirm or deny coverage; investigate to establish proper reserves; and settles or denies claims in a fair and expeditious manner. Marketing Statement: Philadelphia Insurance Companies, a member of the Tokio Marine Group, designs, markets and underwrites commercial property/casualty and professional liability insurance products for select industries.
Experienced Catastrophe Claims Representative Auto-Owners Insurance CompanyExperienced Catastrophe Claims RepresentativeBroomfield, Colorado$50,000–$88,800 / yearAdditional 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.
Surveillance Investigator Allied UniversalSurveillance InvestigatorDenver, Colorado$20–$24 / hourThe Surveillance Investigator will perform discreet mobile and stationary surveillance of a Claimant to confirm current activities and capabilities to assist with the administration of an insurance claim. Conduct independent investigations of insurance claims across a range of coverage types, including workers’ compensation, general liability, property and casualty, and disability .
Customer Service Representative - State Farm Agent Team Member Nick Ainsworth - State Farm AgentCustomer Service Representative - State Farm Agent Team MemberCastle Pines, COFull timeWe’re looking for a leader who loves winning, stays positive, and consistently does what it takes to deliver great customer service while helping grow the business. Cross Selling while helping customers is key to your additional success and great commissions .
Patient Account Representative OMH HealthEdge Holdings IncPatient Account RepresentativeDenver, COFounded in 2003, Omega Healthcare Management Services (Omega Healthcare) empowers healthcare to thrive via intelligent solutions that optimize revenue cycle operations, administrative workflows, care coordination, and clinical research on a global scale. While performing the duties of this job, the employee is occasionally required to stand; walk; sit; use hands to finger, handle, or feel objects, tools, or controls; reach with hands and arms; climb stairs; balance; stoop, kneel, crouch or crawl; and talk or hear.
Residential Sales Specialist Premier Roofing CompanyResidential Sales SpecialistDenver, Colorado$135,000–$175,000 / yearWith most of your pipeline coming from door-to-door prospecting, referrals, networking, and territory development, supplemented by company-generated, warm leads through our in-house R3 marketing system, this opportunity offers some security and lucrative earnings for above-average, motivated sales professionals. If you've built your career in home improvement, roofing, construction, or insurance-claims sales — and know how to create opportunities, build relationships, and close deals — we want to talk to you.
Investigator Ethos Risk ServicesInvestigatorDenver, COPart timeCONDITIONS:While we aim to keep assignments within a 2-hour drive of your residence, occasional further travel and overnight stays (covered by the company) may be requiredMost surveillance cases start at 6:00AM. REQUIREMENTS:Previous Experience: Demonstrated proficiency in covert surveillance techniques, capturing high-quality video footage, and preparing thorough, well-organized investigative reports.
Senior Associate, Claims & Risk Management HelloFreshSenior Associate, Claims & Risk ManagementBoulder, CO$79,538–$95,000 / yearYou'll gain broader exposure across multiple areas of risk management while helping identify trends, improve claims outcomes, support risk mitigation, and contribute to the overall risk strategy of a growing organization. Build, maintain, and validate claims dashboards and reports; analyze loss data to identify trends, emerging risks, and recurring root causes, and partner with internal stakeholders on action plans.
Medical Billing Payment Poster Integrated Resources, IncMedical Billing Payment PosterBroomfield, CORemotePost all payments, zero payments, denials, and correspondence received from insurance payers and patients to patient accounts ensuring all transactions are recorded correctly and payments are balanced to deposits. Candidates must have experience with Epic payment posting workflows, such as Product/EFT processing, 835 transactions, CARC/RARC codes, PLBs, payer mapping, and other key Healthcare patient payment functions.
Customer Service Representative - State Farm Agent Team Member Josh Chase - State Farm AgentCustomer Service Representative - State Farm Agent Team MemberLafayette, CORemotePart timeAs a Customer Service Representative - State Farm Agent Team Member with Josh Chase - State Farm Agent, you will generate the kind of exceptional customer experiences that reinforce the growth of a successful insurance agency. You will enhance your career while resolving customer inquiries, coordinating with other agency team members, and anticipating the needs of the community members you support.
Sr. Adjuster-Workers Comp Claims CopperPoint Insurance CoSr. Adjuster-Workers Comp ClaimsCORemote$68,000–$98,500 / yearThe Workers' Compensation Claims Adjuster Senior, Indemnity is responsible for analyzing time loss workers' compensation claims to determine compensability. We provide some benefits at no cost to the employee (Basic Life Insurance and AD&D at two times an employee's annual salary, Short- and Long-term Disability coverage, and Employee Assistant Plan).
Customer Service Representative - State Farm Agent Team Member Weston Leake - State Farm AgentCustomer Service Representative - State Farm Agent Team MemberArvada, COFull timeAs a Customer Service Representative - State Farm Agent Team Member with Weston Leake - State Farm Agent, you will generate the kind of exceptional client experiences that reinforce the growth of a successful insurance agency. You will enhance your career while resolving customer inquiries, coordinating with other agency team members, and anticipating the needs of the community members you support.
Corporate Counsel Galloway & CompanyCorporate CounselGreenwood Village, COThis role focuses on reviewing, drafting, negotiating, and managing professional services agreements, subconsultant agreements, teaming agreements, design-build subcontracts, confidentiality agreements, purchase orders, contract amendments, lien-related documents, pre-claim/loss prevention, legal notices, payment documentation, and risk-sensitive project correspondence. Galloway and Company, LLC seeks a Corporate Counsel, Contracts and Risk Management, to provide practical, business-driven legal advice and support for architectural and engineering design services across multiple U.S. jurisdictions.
Customer Service Representative - State Farm Agent Team Member Laura Leier - State Farm AgentCustomer Service Representative - State Farm Agent Team MemberHighlands Ranch, COFull timeAs a Customer Service Representative - State Farm Agent Team Member with Laura Leier - State Farm Agent, you will generate the kind of exceptional customer experiences that reinforce the growth of a successful insurance agency. You will enhance your career while resolving customer inquiries, coordinating with other agency team members, and anticipating the needs of the community members you support.
Customer Service Representative - State Farm Agent Team Member Craig Baldwin - State Farm AgentCustomer Service Representative - State Farm Agent Team MemberLakewood, COFull timeAs a Customer Service Representative - State Farm Agent Team Member with Craig Baldwin - State Farm Agent, you will generate the kind of exceptional customer experiences that reinforce the growth of a successful insurance agency. Before becoming an agent, I worked for a State Farm agent and pursued this path even when it felt out of reach - an experience that shaped my belief in growth, persistence, and pushing beyond comfort zones.