- Humana (Denver, CO)
- …part of our caring community and help us put health first** The Claims Research & Resolution Representative 2 manages claims operations that involve ... the resolution to a pending call.** The Claims Research & Resolution Representative 2 works with insurance companies, providers, members, and… more
- Intermountain Health (Broomfield, CO)
- …payments to patient accounts, using both electronic and manual posting systems + Research , validate and make adjustments to payment postings. Follow up in accordance ... procedures and policies with an overall goal of account resolution + Post correspondence, zero payments, denials and any...additional items received from insurance to patient accounts + Research and follow-up on missing information, such as EOB… more
- State of Colorado (Denver, CO)
- …from inception through hearings and appeals, including fully contested claims , challenges to specific disability and medical benefits, penalty allegations, ... Workers' Compensation Division, state agencies, and the State's third party- claims administrator, regarding workers' compensation law, liability exposure, and… more
- State of Colorado (CO)
- …CIs are expected (A) to maintain a neutral third party role in investigating claims , assuring all parties a fair opportunity to be heard, (B) to produce decisions ... review the job description section above), performing either: investigations; research and/or writing that is on a specific law...the official appeal form signed by you or your representative . This form must be completed and delivered to… more