- Sedgwick (Santa Fe, NM)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner, Auto Bodily Injury (Litigation Required) **PRIMARY PURPOSE** : To analyze ... and process complex auto and commercial transportation claims by reviewing coverage, completing investigations, determining liability and evaluating the scope of… more
- Reynolds & Reynolds (Albuquerque, NM)
- …Guardian Warranty Services, Inc. (AGWS), an affiliate of Reynolds and Reynolds, is seeking Claims Adjuster - Automotive for our growing team. In this role you will ... but are not limited to:-\tAnswering inbound calls-\tProvide information about claim processing and explain the different levels of contract coverage and terms… more
- Sedgwick (Santa Fe, NM)
- …Coordinator **PRIMARY PURPOSE** : To analyze low- and mid-level workers compensation claims to determine benefits due; and to ensure ongoing adjudication of ... claims within company standards and industry best practices. **ESSENTIAL...files necessary documentation with state agency. + Communicates claim action/ processing with appropriate parties including, but not limited to… more
- Humana (Santa Fe, NM)
- …2 opening available. The Payment Integrity Professional 2 utilizes vendor platforms, claims processing platforms, and data to collaborate with key internal ... and external business stakeholders, while supporting claims code editing pre and post-implementation and functionality. The opportunity contributes to the overall… more
- Cardinal Health (Santa Fe, NM)
- …+ Mails all paper claims . + Acts as a subject matter expert in claims processing . + Manages billing queue as assigned in the appropriate system. + Manages ... done. **The Accounts Receivable Specialist II is responsible for processing insurance claims and billing. They will...and programs to support health and well-being. + Medical, dental and vision coverage + Paid time off plan… more
- APTIM (Santa Fe, NM)
- …Xactimate) preferred. + A minimum of five (5) years of combined experience in claims or case processing roles, including customer service, data entry, reviewing, ... **Summary:** The Mid-Level Estimator supports the claims review process by generating accurate cost assessments for disaster-related property damage. This role… more
- Cardinal Health (Santa Fe, NM)
- …and transmitting claims using billing software including electronic and paper claim processing + Following up on unpaid claims within standard billing cycle ... for verifying patient insurance and benefits, preparing and submitting claims to payers, correcting rejected claims , following...and programs to support health and well-being. + Medical, dental and vision coverage + Paid time off plan… more
- Otsuka America Pharmaceutical Inc. (Santa Fe, NM)
- …as the primary technical subject matter expert (SME) for downstream processing (chromatography, TFF/UFDF, viral clearance/filtration, etc.). + Lead and manage the ... sections of regulatory submissions (IND, BLA, MAA, etc.) related to downstream processing . + Collaborate closely with Upstream MSAT, Validation MSAT, QA, Regulatory,… more
- Otsuka America Pharmaceutical Inc. (Santa Fe, NM)
- …+ Serve as the primary technical subject matter expert (SME) for upstream processing (cell culture/fermentation, harvest). + Lead and manage the technical aspects of ... sections of regulatory submissions (IND, BLA, MAA, etc.) related to upstream processing . + Collaborate closely with Downstream MSAT, Validation MSAT, QA, Regulatory,… more
- Cognizant (Santa Fe, NM)
- …root causes and implementing corrective actions. Responsibilities include processing accounts receivables to ensure timely payments, understanding procedures ... advanced work related to resolving physician claim denials. + **Accounts Receivables processing ** : getting the payment processed. + **Root Cause Analysis** :… more