We hope you can picture yourself as part of the Pinnacol team. If so, be sure to express your interest in a future career with Pinnacol.
If any of the positions listed below are of interest to you, please complete an online application now. The system will allow you to attach, or copy and paste, your cover letter and resume, as well as provide additional information that will help us fully review your qualifications.
If you are applying for one of our openings for the first time, our system will ask you to create a profile account. After completing your profile, you will need to apply for the specific position you are interested in. For detailed tips and instructions on how to complete our new application, please see our blog post, How to Complete an Application.
As an equal opportunity employer, Pinnacol Assurance welcomes your interest in any of our open positions. Due to the volume of responses, we will contact only those candidates who are selected for an interview.
Be sure to visit this page often to see our latest job listings. You can also track job openings as they occur via Twitter by following @pinnacoljobs. Additional general information regarding careers with Pinnacol is also available on our Careers Blog. Thanks for your interest in Pinnacol Assurance!
Business Director, Insurance Operations
Pinnacol Assurance is seeking an experienced insurance professional to lead one of our business teams. For this particular role strong knowledge of the Construction industry and related accounts is desired. Accountable for leading a multidisciplinary insurance operations team of direct and in-direct reports, the business director establishes team priorities, team goals, and expectations to facilitate the delivery of team-based services creating a distinctive customer value proposition, and best-in-class customer experience. This position is responsible for leading the team's efforts to identify, understand, and deliver industry specific services our customers value while maintaining oversight and accountability for the team's book of business to achieve financial, business and customer objectives (underwriting profitability, growth, retention, claims management and customer experience) by routinely monitoring and directing improvement efforts to drive key performance metrics. The Business Director is responsible for creating a culture based on lean management principles, continuous learning, and improvement resulting in Pinnacol becoming Colorado's recognized customer insight leader and consistently achieving best-in-class operational performance. Candidates should bring extensive in-depth knowledge of insurance operations (claims, underwriting and risk management services), the proven ability to coach, mentor and manage employees and have the interpersonal skills to motivate staff. Our Business Directors must also be able to negotiate and build consensus, possess strong conflict resolution and negotiation skills, and have a proven ability to resolve issues/problems to beneficial solution for internal and external customers. Being a team player with a proven ability to develop and manage relationships across a team-based organization is also required as is the ability to assess, analyze and integrate information from agents, competitors, market and industry trend data to drive strategic and tactical decisions. This position requires a minimum of a Bachelor’s degree in business administration or related field with five or more years experience in a leadership position in insurance or related field desired.
Business Services Representative
Pinnacol Assurance is seeking customer-oriented candidates to provide administrative support to underwriters, claims adjusters, nurses, other team members and interact with customers via the phone. This position often leads to promotional opportunities within our company. Candidates with college degrees are encouraged to apply. The position requires strong PC/software skills, math aptitude, excellent communication and customer service skills and be able to type 35 wpm. Bilingual/Spanish a plus.
Claims Adjuster Training Program
Pinnacol Assurance is looking for candidates interested in beginning an insurance career in Claims Adjusting. Requires a 4 year college degree, strong computer skills, and excellent interpersonal and communication skills. Prior adjusting or insurance experience a plus but is not required. For those with little to no insurance experience this is a great opportunity to begin a career with our company.
Business AnalystPinnacol Assurance is looking for an experienced Business Analyst to be directly involved in the development of software in an agile environment as part of the delivery team. The Business Analyst's role is to plan, design, develop, and launch efficient business, financial and operations systems in support of core functions and business processes. This includes gathering and analyzing data in support of business cases, proposed projects, and gathering functional requirements in the form of user stories. Candidates should bring a working knowledge of SDLC. Experience with UX design and knowledge of relational databases and SQL skills a plus. Experience with or an understanding of agile and waterfall methodologies required as is a Bachelors Degree or equivalent experience on a year for year basis along with minimum 1-2 years of IT Business Analyst experience or related experience through working on IT projects or minimum 5 years of experience in in Workers' Compensation. Certified Business Analysis Professional (CBAP) or Certification Competency in Business Analysis is desired.
Customer Service Representative and Bilingual (Spanish/English) Customer Service RepresentativePinnacol Assurance is seeking customer oriented support staff to join our customer service team. Our Customer Service Representatives provide answers to customer questions via phone, internet, fax, and mail. While not a typical large call center environment (our representatives typically handle between 60-100 calls a day with average talk times of 2-3 minutes) we are looking for candidates who have some call center experience along with strong PC/software skills, and excellent communication and customer service skills. Bilingual (Spanish) is a plus.
Population Health Management SpecialistPinnacol Assurance is looking for a Population Health Management Specialist who will assist with the implementation of Pinnacol's population health management (PHM) initiatives. Collaborates closely Pinnacol's worksite wellness team, medical and claims management staff, business intelligence and predictive modeling staff, marketing and communications and safety consultants to ensure that the PHM objectives are achieved and sustained. Champions the PHM initiatives by facilitating the internal education and communication efforts. Documents outcomes of PHM initiatives. Interacts with external strategic partners and workers' compensation providers on areas of collaboration and integration. Champions the PHM initiatives by providing ongoing internal education and communication. Bachelors Degree in business, healthcare or related field and a minimum of 5 years of experience in a healthcare environment required. RN or clinical background preferred.
Docket AssistantPinnacol Assurance is looking for an experienced Docket Assistant to be responsible for all functions related to technical clerical support for the Legal Team. This includes the timely and accurate processing of all documents received in the Legal Docket fax queue, completing large volume of date entry including Notice of Hearing, Notice of Status Conference, Notice of Video Conference, Settlement Documents, Applications for Hearing, Entry of Appearance, Notice of Substitution of Counsel, Motions to Withdraw and ensuring appropriate documentation is entered into Pinnacol's Workers' Compensation Information System. The Docket Assistant also provides quality control of both represented and pro se settlement documents, processes settlement documents and Applications for Hearing and provides back-up coverage for other Docket Assistant. Candidates must possess a solid understanding of the workers' compensation and hearing process, be proficient in word processing software and be able to type 40 wpm and possess a general knowledge of legal and medical terminology. Requires a minimum of four years of training, job experience and or education beyond the high school graduate or GED level with a minimum of 6 months experience with workers' compensation processes.
Provider Medical Bill AuditorPinnacol Assurance is looking for and experienced Provider Medical Bill Auditor to be responsible for all of the functions of a bill auditor including but not limited to, identifying trends in billing errors, making recommendations on how to prevent future errors, and documentation of the findings along with steps taken to collect overpayments. Candidates should bring a comprehensive knowledge of all billing codes and guidelines, strong knowledge of professional and institutional bill processing procedures, knowledge of medical terminology, and a comprehensive knowledge of processing systems and DOWC rules and procedures. This position requires a Bachelors Degree or equivalent experience on a year for year basis along with a minimum 5 years in billing or bill processing experience. Certified Professional Coder (CDC) is a plus.
Wellness and Benefits AdministratorPinnacol Assurance is looking for an experienced Wellness and Benefits Administrator to help raise awareness and promote the benefits of maintaining a healthy lifestyle to our employees. This position will design and market Pinnacol’s comprehensive Everyday Wellness programs (including but not limited to: health screenings and health risk assessments, awareness events and motivational contests) to employees and evaluate participant success and satisfaction. The candidate will also be responsible for administering Pinnacol’s non-insured employee benefit programs. Position requires extensive knowledge of health and welfare benefit plans with ability to interpret plan documents to answer employee questions, the ability to understand and comply with complex regulations, and the ability to research and compile information in a web environment and be proficient with data entry in web applications. Intermediate level in using Microsoft software- Excel, Word, and PowerPoint, the ability to analyze, assemble and compile information for reports, an Associate’s Degree or equivalent work experience in Business or related field required. Two years of wellness experience is desired.
Business Director AssistantPinnacol Assurance is seeking a Business Director Assistant to provide support to three of our business team leaders and their multi-functional teams. Our Business Director Assistants perform a broad range of administrative duties such as: preparing reports and presentations using charts, graphs, and narratives , handling customer correspondence and customer relations, and work on special projects assigned by Business Directors. This position also maintains calendars for Business Directors, schedules meetings, makes travel arrangements and prepares team expense reports. Our Business Director Assistants also maintain calendars and time off schedules for the team and review staff timesheets for accuracy. They also plan and execute various events including group volunteering and team building activities. Successful candidates must be able to handle multiple projects simultaneously with minimal direction while exercising frequent independent judgment within agreed-upon limits. Business Director Assistants must be able to act independently and exercise initiative in the coordination of administrative policies, regulations, and guidelines, projects, and financial analysis and be able to maintain effective working relationships with people throughout the organization while communicating effectively with the public and other agencies and organizations. Excellent computer skills in Microsoft Word, Excel, and Powerpoint, excellent verbal and written communication skills, along with the ability to analyze, assemble, and compile information for reports and 3-5 years of experience in support of managers are required.
Complex Bill ProcessorPinnacol Assurance is looking for a Complex Bill Processor to focus on medical coding to ensure that hospitals and physicians are billing properly, with correct coding and supporting documentation so that reimbursement is made at the appropriate level. This position reviews all referred bills for reasons of surgical denials, appeals, by report codes, unlisted procedure codes, and back surgery bills with denials and provides support to the team regarding any coding questions that generally relate to surgical procedures. This role also provides support to providers regarding status of claims and phone calls regarding denials. Knowledge of both the medical and business sides of health care are essential in this detail-oriented field of health information management. Requires extensive knowledge of Anatomy and Physiology, Medical Terminology, Training of Rule 18 and Interpretive Bulletin. Candidates must pass the American Academy of Professional Coders exam (AAPC) and have a minimum of four years experience in medical coding/bill payment processing. Coding Certification (CPC) and/or Payer Certification (CPC-P) is required.
Safety Consultant - Northern Front Range with focus on Natural Resources and ConstructionPinnacol Assurance, Colorado’s leading workers’ compensation insurance company, is looking for an experienced Safety Consultant to focus on the Natural Resources (oil & gas, mining) and Construction industries along the northern front range. This position will conduct or assist in implementing one or more of the following services to policyholders: safety program development and on site safety inspections, Cost Containment Certification assistance, accident and injury trend analysis, OSHA compliance assistance, ergonomic resources, and will research & update other staff on changing regulations & emerging safety issues. Position requires considerable travel primarily in the northern front range area within an assigned territory. The successful candidate must be a self-starter, well organized and have good computer, communication, and presentation skills. Bachelor's Degree in safety or related field/safety work experience may be substituted on a year-for-year basis.
Med Pay Reviewer/ProcessorPinnacol Assurance is looking for a detail-oriented Med Pay Reviewer Processor with at least 1 year of computerized claims processing experience, a good working knowledge of medical terminology including CPT and ICD9 codes and the ability to work in a fast-paced environment. This position reviews bills for services related to Pinnacol’s liability as a workers’ compensation insurer and is responsible for reviewing or entering all fields on each bill to verify the data is correct and reviewing all system parameters to establish that billed charges are payable. Applies Colorado Workers Compensation fee schedules and PPO discounts to billings and communicates with other departments and/or providers when required. Position starts as office-based, but the option to work from home is available once a processor demonstrates mastery of the position and the ability to meet daily production quality and quantity standards. Must be familiar with CMS 1500 and UB94 billing forms as well as a variety of other types of billing. Experience on PPO claims is a plus and Coding certification is preferred.
Field AuditorPinnacol Assurance is seeking an experienced, preferably bilingual (Spanish/English), Field Auditor to perform field audits of policyholder records to ensure that all remuneration subject to workers' compensation premium is included and to verify that labor expenditures are correctly distributed among proper job exposures. Requires strong personal computing skills, proficiency in spreadsheets, word processing, and business related software packages. Bachelor's Degree in Business Administration, Accounting, or related field, along with one year of accounting/financial experience; auditing experience desirable. Must possess and maintain a valid Colorado driver's license and provide proof of insurance.
Provider Relations Specialist
Pinnacol Assurance seeks an experienced Provider Relations Specialist who will be responsible for contracting, administration, implementation and monitoring of direct provider contracts, facility contracts and ancillary service contracts in designated geographic regions. Establish working relationships statewide with providers and ancillary service providers. Extensive interface building with internal personnel in the SBG teams, Med Pay Department and Decision Support Services. Typically follows established policies and procedures; however, will also be required to exercise judgment in handling difficult situations that could benefit or put the company at risk. Requires minimum of three years of insurance or managed care experience, preferably in a Workers Compensation setting (Workers’ Compensation experience is desired). Some of this experience will be related to collaborating, negotiating, and working directly with physicians and medical facilities. Contracting experience is required. Colorado Driver’s license and Bachelor’s degree in business, healthcare, insurance, or directly related field also required.
Senior Medical Director of Care Integration
Pinnacol Assurance is looking for an experienced Senior Medical Director of Care Integration. Under the direction of our VP of Medical Operations and Healthcare Strategy, the Senior Medical Director of Care Integration works collaboratively across a highly matrixed organization and with other community and provider stakeholders to provide clinical leadership and medical management in support of network providers, safety, wellness and return to work programs. This position will be responsible for implementing and managing overall medical management goals and objectives and working collaboratively with program managers in the design, development, implementation and evaluation of clinical programs such as utilization management, provider network management, care management and program integrity. Candidates should bring the ability to build credibility and establish trust with all levels of the organization, providers, agencies and customers and have a proven track record providing clinical management in a complex workers compensation or occupational health setting or in a progressive managed care organization, academic medical center or integrated delivery system. Acumen in developing innovative clinical delivery initiatives across the spectrum of care and engaging physicians to achieve higher levels of quality and improved outcomes is also required. Candidates should also bring a strong executive presence and leadership background serving as a member of a Senior Management Team with the demonstrated ability to motivate, guide, influence and lead others. Experience in health informatics and a passion for applying technology in healthcare innovation with the ability to translate data analytics and complex clinical materials into compelling communications in formal and informal settings is critical to the success of this role. Master's degree in business, health information, public health/administration or other related field and experience in Healthcare Management is preferred. MD or DO degree required. Candidate must be a Board Certified Physician with ability to obtain Colorado licensure; Occupational Health or related specialty preferred. Minimum of 5 years experience in proven clinical practice along with 3 or more years of experience with demonstrated management responsibilities.
Return to Work Consultant Grand Junction-based
Pinnacol Assurance has an immediate opening for an experienced Return to Work Consultant to serve our customers on the western slope. Based out of our new Grand Junction offices you'll join our team of professionals who provide education & guidance to policyholders on returning injured workers to the work place. Successful candidates will have experience in working with employers, identifying modified duty tasks, presenting seminars and or public speaking, development and implementation of modified duty work programs. Must have a strong customer orientation and desire to work with an organization where exceeding expectations is the norm. Position requires a BA/BS degree, Masters degree in vocational rehabilitation or counseling, physical or occupational therapy with current certification preferred.
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