Medical Claims Accumulations Specialist
Kaiser Permanente
Kaiser Permanente in Denver, CO seeks an experienced claims researcher to perform detailed analysis of member and family accumulation, review claims against processing systems, and ensure accurate eligibility and benefit configurations. You will handle complex data, seed accumulation information in Tapestry, and communicate results to members and providers. The role requires five years in medical claims within an integrated health plan, with proficiency in ICD-10/CPT coding, MS Word, and Excel, #J-18808-Ljbffr Kaiser Permanente
$132.8k - $219.1k
...and where you do it. Job Category Claim Compensation Overview The annual base... ...agencies, witnesses, agents, medical providers and technical experts to determine... ...Field Severity Support: Some Complex Claim Specialists may be responsible for all or some of the...MedicalLocal area- ...balance reviews to aged accounts receivable, motor vehicle accident claims, workers' compensation, Veterans Affairs, and out of state... ...confidentiality (HIPAA compliant), and professionalism while dealing with medical and financial information. Requirements: What you will...MedicalHourly payPermanent employmentRemote work2 days per week
$250k
...position is responsible for managing both lost time and med only claims across multiple jurisdictions up to $250,000 in exposure. This... ...of claims including coverage, disability benefit management, medical management, file management, litigation management, subrogation...MedicalFull timeWork experience placementWork at office$100k
...Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance Sr. Claims Specialist, Professional Liability | Medical Malpractice | Long Term Care PRIMARY PURPOSE OF THE ROLE: To analyze complex or technically difficult...MedicalFull timeLocal areaFlexible hours$70k - $120k
...Sr. Claims Specialist Old Republic Bitco is seeking a Sr. Claims Specialist with experience in California Liability claims handling to join... ...annually ~ Comprehensive health coverage, including medical, dental, and vision plans ~ Additional protection through accident...MedicalContract workTemporary workWork at officeRemote workRelocationFlexible hoursNight shift- Aspirion seeks a Claims Specialist, Motor Vehicle Accident to manage complex MVA healthcare claims for hospital and physician clients. In this role, you will investigate accidents, review medical and legal documents, and pursue payment from auto insurers and other liable...Medical
- ...Claim Quality Subject Matter Expert The role serves as a subject matter expert in claim quality, readiness validation, documentation... ...Documentation Review Validates authorizations, prescriptions, medical necessity support, and other required documentation for reimbursement...Medical
$69.92k - $133.62k
...OpportunityAs a dedicated Property Adjuster Specialist, you will work within established... ..., and settle complex property insurance claims presented by or against our members. You... ...wellness. These benefits include comprehensive medical, dental and vision plans, 401(k),...MedicalHourly payH1bLocal areaRemote workRelocationAfternoon shift$85k - $100k
...Insurance Staffing is seeking a Senior Workers' Compensation Claims Specialist for a Colorado-based team. You will handle moderate to complex... ...a 15% target bonus, and a full benefits package including medical, dental, vision and life insurance. #J-18808-Ljbffr King's Insurance...MedicalRemote job$55k - $65k
...services to us. Who we are lookingfor: The Senior Default Claims Specialist will be responsible for preparing, filing, and following up on... ...recognize and reward hard work, we offer a competitive salary, Medical, Dental, Vision, , Accidental Death, Long-Term Disability,...MedicalTemporary workShift work$24 per hour
...We are seeking a Pharmacy Adjudication Specialist at our Specialty pharmacy working in Mountain... ...a variety of benefits including: ~ Medical; Dental; Vision ~401k with a match... ...Specialist will adjudicate pharmacy claims, review claim responses for accuracy. ensure...MedicalFull timeTemporary workWork experience placementRemote workRelocation packageFlexible hoursShift work$57.5k - $98.9k
...meaningful impact. We are looking to add a Workers’ Compensation Claims Specialist to join our Creative Risk Solutions team. Creative Risk... ...final settlement information. Generates checks for indemnity and medical payments daily. Develops and monitors consistency in...MedicalRemote jobFull timeTemporary workWork experience placement$24.1 - $33.74 per hour
We are recruiting for a mission-driven Grievance & Appeals Claims Specialist - Denver Health Medical Plan (Must Live in Colorado. Weekly On Site Requirement.) to join our team!We're with you for life’s journey. At Denver Health, purpose isn’t just something we believe in...MedicalLive inWork at office2 days per week$64k - $80k
...Careers or What will you do? A day in the life of a Senior Claims Specialist, Insurance Risk Management at VF looks a little like this. This... ...strategies, including engagement with defense counsel, medical providers, and other vendors as needed. Monitor and identify...MedicalLocal area$85k - $100k
...Insurance Carrier, is looking to hire a Senior Workers' Compensation Claims Specialist to their Colorado claims team due to continued growth. This... ...effectively with injured workers, employers, attorneys, medical providers, and other involved parties throughout the life of...MedicalRemote work$57k - $98k
...Risk Solutions is seeking an experienced Workers’ Compensation Claims Specialist with jurisdictional expertise in Utah, Idaho, Colorado, and... ...settlement information. Generates checks for indemnity and medical payments daily. Develops and monitors consistency in procedural...MedicalFull time- Signature Performance is seeking a Revenue Cycle Specialist for a remote position focused on insurance claims follow-up. The role requires analyzing accounts and... ...reimbursements. Candidates should have a minimum of 4 years in medical billing and strong communication skills. Benefits...MedicalRemote job
- Gainwell Technologies in Englewood, CO seeks a Medical Claims Recovery Specialist (Subrogation) to manage large caseloads involving Medicaid beneficiaries. You will handle intake, review, settlement, and related activities within assigned caseload, ensuring HIPAA and security...MedicalRemote work
$50k - $88.8k
...CAT Claim RepresentativeA career at Auto-Owners is challenging and rewarding. Our group of caring associates create financial security... ...k), fully-funded pension plan (once vested), Auto-Owners offers medical, prescription, dental and vision insurance; associate, spouse and...MedicalLocal areaFlexible hours$30.5k - $43.5k
Select how often (in days) to receive an alert: Medical Claims Recovery Specialist (Subrogation) - Hybrid - Englewood, CO Date: Sep 2, 2026 Location: Englewood, CO, US, 80110 Great companies need great teams to propel their operations. Join the group that solves business...MedicalFull timeContract workWork at officeFlexible hours$22.84 - $27.4 per hour
...The Claims Processor II is responsible for ensuring the accurate and timely processing of all UB, HCFA and Dental claims submitted by... ...related field from an accredited college PREFERRED Experience with medical billing and/or coding as well as document imaging systems and...MedicalTemporary workWork at officeFlexible hours- ...DescriptionInvestigate and settle advanced, large loss, complex claims promptly and equitably under minimal supervision. Works within... ...educated healthcare consumer. The core benefits* offered include:Medical, Dental and Vision PlansPrescription DrugsHSA, HRA, and FSA...MedicalFull time
- ...Description Investigate and settle advanced, large loss, complex claims promptly and equitably under minimal supervision. Works within... ...consumer. The core benefits* offered include : - Medical, Dental and Vision Plans - Prescription Drugs - HSA, HRA,...MedicalFull time
$50k
...Claims Processors Location: Denver, CO 80210 Duration: 6-month contract (potential- contract to hire) Compensation- $50,000 +... ...field from an accredited college Preferred Experience with medical billing and/or coding as well as document imaging systems and...MedicalContract workWork at officeRemote workShift work$47k - $55k
...: We currently have an opportunity for a Claim Assistant to join our Claim Operations team in our Denver, CO office. The Claim Assistant... ...diploma with demonstrated experience. Transcription and medical background desirable. 0-3 Years of experience. Salary Range...MedicalFull timeWork at office- Reports to the Claims Supervisor; the incumbent is responsible for investigation, evaluation and resolution of assigned claim matters... ...questions; contact and meet with the insured; obtain pertinent medical records; contact plaintiff attorney, if appropriate; retain defense...MedicalFull timeWork at office
$58.62k - $96.3k
...Guardian offices as determined by the People Leader. The LTD Claims Consultant is responsible for day to day execution to drive delivery... ...systems, etc.) Superior working knowledge of the financial, medical, occupational, and investigative aspects of disability claims...MedicalFull timeH1bWork at officeRemote workVisa sponsorshipWork visaFlexible hours$70k - $95k
...Overview Workers' Compensation Claim Specialist Location: Greenwood Village, CO Schedule: 8:00am - 4:30pm (MST) - Some flexibility... ...authority levels. Review, approve or provide oversight of medical, legal, damage estimates and miscellaneous invoices to...Medical$85k - $120k
...Employer paid continuing education courses and designations via access to Kaufman Institute.Health and welfare benefits including medical, vision and dental401K with employer matchPaid vacation, sick time, and holidaysAccess to Kaufman Wellness Program About Our Company...MedicalWork at officeWorldwide- ...modified in the future.Arch is committed to helping employees succeed through our comprehensive benefits package that includes multiple medical plans plus dental, vision and prescription drug coverage; a competitive 401k with generous matching; PTO beginning at 20 days per...MedicalFull timeTemporary workRemote work
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