Claims Advocate - Workers' Comp, Impact & Growth

Pinnacol Assurance; Denver (CO); On-site; USD 60,000 - 64,000; Full time

Benefits offered by this job

20 days paid time off

On-site fitness facilities

Volunteer program

Job summary

Pinnacol Assurance is seeking a Claims Representative in Denver to manage claims, liaise with stakeholders, and ensure timely resolution. The role focuses on proactive claims management, accurate investigations, and coordination of medical and return-to-work resources.

The ideal candidate has 2+ years of customer service experience, comfort with multiple systems, and will complete required training within six months. Denver-based, with competitive benefits and growth opportunities.

Qualifications

• 2+ years of direct customer service experience.
• Comfortable using technology and multiple systems.
• Must complete training and claims assessments within six months.

Responsibilities

• Manage claims and related issues for expedient resolution with quality service.
• Investigate compensability and communicate decisions to stakeholders.
• Proactively manage open claims with medical and disability management.
• Coordinate resources for claim management and return-to-work processes.
• Read medical records to ensure treatment plans are authorized and appropriate.

Skills

Customer service

Communication skills

Tech proficiency

Job description

Pinnacol Assurance is seeking a Claims Representative in Denver to manage claims, liaise with stakeholders, and ensure timely resolution. The role focuses on proactive claims management, accurate investigations, and coordination of medical and return-to-work resources.

The ideal candidate has 2+ years of customer service experience, comfort with multiple systems, and will complete required training within six months. Denver-based, with competitive benefits and growth opportunities.