• Claims Examiner - Workers Compensation…

    Sedgwick (Santa Fe, NM)
    …client service requirements. **ESSENTIAL RESPONSIBLITIES MAY INCLUDE** + Analyzing and processing claims through well-developed action plans to an appropriate ... growth opportunities. + A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one. \#claimsexaminer # claims _As required… more
    Sedgwick (08/23/25)
    - Related Jobs
  • Medical Claims Processor - Remote

    Cognizant (Santa Fe, NM)
    …School Diploma or equivalent is required + A minimum of 1 years of medical claims processing is required + Facets experience is highly preferred + Knowledge of ... payment and coverage guidelines and regulations + Experience in the analysis and processing of claims , utilization review/quality assurance procedures + Must be… more
    Cognizant (08/26/25)
    - Related Jobs
  • Claims Examiner | General Liability…

    Sedgwick (Santa Fe, NM)
    …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner | General Liability Property Damage | Remote As a Claims ... YOU AN IDEAL CANDIDATE?** If you have experience as a **General Liability Claims Examiner involving property damage in residential construction** and would like to… more
    Sedgwick (08/27/25)
    - Related Jobs
  • Claims Specialist Sr - Commercial Coverage…

    Sedgwick (Santa Fe, NM)
    …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Specialist Sr - Commercial Coverage Specialist **PRIMARY PURPOSE** **:** To analyze ... complex or technically difficult medical malpractice claims ; to provide resolution of highly complex nature and/or severe injury claims ; to coordinate case… more
    Sedgwick (07/10/25)
    - Related Jobs
  • Claims Examiner Workers Comp I Remote I SE,…

    Sedgwick (Santa Fe, NM)
    …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner Workers Comp I Remote I SE, Central, NE regions **PRIMARY PURPOSE** ... : To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims involving litigation and… more
    Sedgwick (06/29/25)
    - Related Jobs
  • Senior-Level Claims Reviewer

    APTIM (Santa Fe, NM)
    Claims Reviewer is responsible for independently reviewing, analyzing, and processing complex claims related to disaster losses in accordance with ... upon hire) + A minimum of ten (10) years of combined experience in claims or case processing roles, including customer service, data entry, reviewing, and… more
    APTIM (08/12/25)
    - Related Jobs
  • Mid-Level Claims Reviewer

    APTIM (Santa Fe, NM)
    …if applicable) + A minimum of five (5) years of combined experience in claims or case processing roles, including customer service, data entry, reviewing, and ... **Summary:** The Mid-Level Claims Reviewer supports the claims process...software, databases, and other technology tools that facilitate claim processing , documentation, and communication. **Basic Qualifications:** + High School… more
    APTIM (08/12/25)
    - Related Jobs
  • Medical Claims Adjudication - remote

    Cognizant (Santa Fe, NM)
    …duties as assigned by management. **Qualifications:** + A minimum of 2 years' claims processing experience is required. + Knowledge of physician practice and ... + 1 year of Facets experience. + Experience in the analysis and processing of claims for payments, utilization review/quality assurance procedures. + Excellent… more
    Cognizant (08/01/25)
    - Related Jobs
  • Commercial Auto Claims Representative

    Sedgwick (Santa Fe, NM)
    …total loss evaluations, and related expenses to effectively negotiate first and third party claims . + Knowledge of total loss processing , State salvage forms and ... Work(R) Fortune Best Workplaces in Financial Services & Insurance Commercial Auto Claims Representative **PRIMARY PURPOSE** : To analyze and process low to mid-level… more
    Sedgwick (07/16/25)
    - Related Jobs
  • Claims Processor (with Facets) - Healthcare…

    Cognizant (Santa Fe, NM)
    …* 1 year of Facets experience. * Experience in the analysis and processing of claims for payments, utilization review/quality assurance procedures. * Must ... Friday 8am - 4:30pm ET **Experience:** A minimum of 2 years of claim processing is required. **Travel:** None required **About the role:** As Claims Adjudication… more
    Cognizant (08/26/25)
    - Related Jobs