- Humana (Denver, CO)
- **Become a part of our caring community and help us put health first** The Claims Processing Representative 1 reviews and adjudicates complex or ... specialty claims , submitted via paper. The Claims Processing Representative 1 performs basic administrative/clerical/operational/customer… more
- Humana (Denver, CO)
- …based on business needs. **Preferred Qualifications** + Bachelor's Degree + Prior claims processing experience + Overpayment experience + Financial recovery ... community and help us put health first** The Bilingual Claims Research & Resolution Representative 2 manages...(Spanish / English) (see Language Proficiency Testing below)** + ** 1 or more years of Call Center or Telephonic… more
- Humana (Denver, CO)
- …Previous inbound call center or related customer service experience o Previous experience processing medical claims o Bilingual (English and Spanish); with the ... help us put health first** The Grievances & Appeals Representative 3 manages client denials and concerns by conducting...and speak English and Spanish o Experience with the Claims Administration System (CAS) o Experience working with MHK… more
- Ryder System (Denver, CO)
- …action plans if deficiencies are noted. Monitors staff's workflow to ensure accurate processing of claims , timely establishment of reserves, reviews and logs ... : **SUMMARY** This position supervises adjusters and directly handles claims within Ryder's self-insured, self-administered liability program. Oversees claim-handling… more
- State of Colorado (Denver, CO)
- …personnel rules and statute interpretation, employee counseling, leave administration, processing workers' compensation, short-term disability claims and ... prioritizing the work in accordance with preset deadlines for processing of payroll and benefits set by the State's...discussions or meetings related to the project as a representative of the department. Time and Leave System: +… more
- CVS Health (Denver, CO)
- …key payers to discuss reimbursement issues and payer publication notices affecting claims processing changes + Ensure daily reconciliation of electronic claim ... representatives that are responsible for contacting payers to collect on unpaid claims in a timely and accurate manner, researching and resolving payment variances,… more
- Travelers Insurance Company (Centennial, CO)
- …Will You Do?** + CUSTOMER ENGAGEMENT: Serves as a customer service representative for the claim department by promptly and professionally addressing customer ... professionals in multiple departments to assist with the timely resolution of claims , which may include: Properly documents claim files, including notes and diaries,… more