Claims and Policy Processor Jobs in Arvada, Colorado

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225 Arvada, CO Claims and Policy Processor jobs found on Monster.

Jobs 1 to 20 of 225
Kaiser Permanente Denver, CO
Description Responsible for the operations of one or more claims processing units, including timely and proper adjudication of claims in accordance with contractual benefits. Responsible for providing leadership and direction to employees. Directs the processing of insurance claims to meet operation, financial, and service requirements. Develops and executes strategic and operational business pla...
Kaiser Permanente Denver, CO
Description Responsible for the operations of one or more claims processing units, including timely and proper adjudication of claims in accordance with contractual benefits. Responsible for providing leadership and direction to employees. Directs the processing of insurance claims to meet operation, financial, and service requirements. Develops and executes strategic and operational business pla...
Kaiser Permanente Denver, CO
Description Responsible for the operations of one or more claims processing units, including timely and proper adjudication of claims in accordance with contractual benefits. Responsible for providing leadership and direction to employees. Directs the processing of insurance claims to meet operation, financial, and service requirements. Develops and executes strategic and operational business pla...
Kaiser Permanente Denver, CO
Description Internal Bidding Period: November 14, 2014 - November 18, 2014 **Represents 13 positions** Adjudicates medical claims/bills for payment or denial within contract agreement or guidelines/protocol, using knowledge of medical claim/bill payment processing and medical regulations, verifies and updates relevant data into computerized systems and calculates manually any adjustments needed...
Kaiser Permanente Denver, CO
Description **Represents 13 positions** Adjudicates medical claims/bills for payment or denial within contract agreement or guidelines/protocol, using knowledge of medical claim/bill payment processing and medical regulations, verifies and updates relevant data into computerized systems and calculates manually any adjustments needed. Verifies member eligibility and/or Medicare status. Receives d...
*Represents 13 positions* Adjudicates medical claims/bills for payment or denial within contract agreement or guidelines/protocol, using knowledge of medical claim/bill payment processing and medical regulations, verifies and updates relevant data into computerized systems and calculates manually any adjustments needed. Verifies member eligibility and/or Medicare status. Receives daily workflow v...
Kaiser Permanente Denver, CO, 80208
Responsible for the operations of one or more claims processing units, including timely and proper adjudication of claims in accordance with contractual benefits. Responsible for providing leadership and direction to employees. Directs the processing of insurance claims to meet operation, financial, and service requirements. Develops and executes strategic and operational business plans for the de...
Kaiser Permanente Denver, CO, 80208
Responsible for the operations of one or more claims processing units, including timely and proper adjudication of claims in accordance with contractual benefits. Responsible for providing leadership and direction to employees. Directs the processing of insurance claims to meet operation, financial, and service requirements. Develops and executes strategic and operational business plans for the de...
Kaiser Permanente Denver, CO
Description Internal Bidding Period: November 18, 2014 - November 20, 2014 **Represents 2 positions** Manages the Claims & Referral Department located in Denver, including referral processing, claims adjudication, claims research & resolution , & medical review of member & provider claims for outside referred & emergency medical services for Colorado Springs Commercial HMO, POS & PPO members. P...
Kaiser Permanente Denver, CO
Description Internal Bidding Period: October 28, 2014 - October 30, 2014 **Represents 2 positions** Manages the Claims Provider appeals process from initial denial through the Board review decision. Actively participates in the Monthly Appeal Board meetings. Makes decisions on accuracy of processing and votes accordingly at the Board meeting. Maintains the DOI log and subsequent letters in 100%...
Kaiser Permanente Denver, CO
Description **Represents 2 Positions** Manages the Claims & Referral Department located in Denver, including referral processing, claims adjudication, claims research & resolution , & medical review of member & provider claims for outside referred & emergency medical services for Colorado Springs Commercial HMO, POS & PPO members. Partners w/ Insurance Systems to resolve Provider Issues. Account...
Kaiser Permanente Denver, CO
Description Internal Bidding Period: December 12, 2014 - December 16, 2014 Manages the Claims & Referral Department located in Denver, including referral processing, claims adjudication, claims research & resolution , & medical review of member & provider claims for outside referred & emergency medical services for Colorado Springs Commercial HMO, POS & PPO members. Partners w/ Insurance Systems...
Kaiser Permanente Denver, CO
Description Manages the Claims Provider appeals process from initial denial through the Board review decision. Actively participates in the Monthly Appeal Board meetings. Makes decisions on accuracy of processing and votes accordingly at the Board meeting. Maintains the DOI log and subsequent letters in 100% compliance of the Colorado State Appeals Law effective August of 2002. Communicates in an...
Kaiser Permanente Denver, CO
Description This position provides operational & advisory support for the Colorado Region & KPIC Claims Operations. Oversees claims administrations functions through subordinate managers. Essential Functions: Support Operations • Coordinate & facilitate department day to day operations, including claims adjudication, claims research & resolution, training & medical bill review. • Coordinate w...
This MD Claims Specialist I opening will be an inside MD Desk Reviewer and will be staffed out of our Denver, CO office, supporting the Western Claim Zone (WCZ). JOB SUMMARY: Investigates and resolves personal lines material/physical damage claims via telephone or face-to-face claims handling. Promotes and provides ""On Your Side"" customer service. Responsible for the handling of claims in accor...
Responsible for the operations of one or more systems configuration units that are responsible for Analysis, Design, Build and Unit Testing of Provider Contracts and Benefits within the KPCC Platform, to ensure accurate and timely claims payment consistent with the Regional and National artifacts (e.g. contractual arrangement(s) made with the Providers, Employer Groups, etc.). Responsible for prov...
Denver Health Denver, CO, 80208
Job Summary Under general supervision assist with the daily management of claims inventory. Assist with the pre-check run edits for a multitude of different lines of business to ensure that claims are adhering to the rules, regulations and contractual requirements by CMS, DOI, contracted and non-contracted providers. Assist with the monitoring of out of pocket maximums. Work in conjunction with t...
This Property Large Loss opening will support the Western Claim Zone (WCZ). This role is a work from home role and will come with a company vehicle. JOB SUMMARY: Functions as a personal lines property claims specialist to evaluate, negotiate and bring to final resolution serious exposure large loss claims requiring investigation, liability evaluation and negotiation. Promotes and provides "On You...
Internal Bidding Period: December 12, 2014 - December 16, 2014 Manages the Claims & Referral Department located in Denver, including referral processing, claims adjudication, claims research & resolution , & medical review of member & provider claims for outside referred & emergency medical services for Colorado Springs Commercial HMO, POS & PPO members. Partners w/ Insurance Systems to resolve P...
This position is an entry level position into the Casualty Claims dept. - hours of operation during the training period will be 8:00am - 4:30pm, Monday - Friday - hours of operation after the training period will be 10:00am - 6:30pm, Monday - Friday - there is a high probability that the final schedule may include a weekend shift (more information surrounding that would be provided during the in...

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Business Career Tools

Claims/Policy Processing Clerk

Salaries

$20,000.00 - $38,000.00
Typical Salary for Claims/Policy Processing Clerk in Arvada
(47 Respondents)
Source: Monster.com Careerbenchmarking Tool

Education / Training

Some College Coursework Completed
41.3%
Associates
21.7%
Bachelor's
21.7%
High School
10.9%
Master's
4.3%
(46 Respondents)
Source: Monster.com Careerbenchmarking Tool

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