- GAP Solutions Inc (Santa Fe, NM)
- …into various personnel record systems. + Assisting with drafting SOP's. + Processing personal liability insurance reimbursement claims . + Initiating tentative ... of HR topics including but not limited to staffing, classification, processing , benefits, recruitment, compensation, SES programs, work life programs, policy and… more
- Molina Healthcare (Albuquerque, NM)
- … environment, or equivalent combination of relevant education and experience. * Health claims processing experience, including coordination of benefits ... concisely, accurately and in accordance with regulatory requirements. * Researches claims processing guidelines, provider contracts, fee schedules and systems… more
- Molina Healthcare (Rio Rancho, NM)
- …managed care experience (call center, appeals or claims environment). + Health claims processing background, including coordination of benefits, ... concisely and accurately, in accordance with regulatory requirements. + Research claims processing guidelines, provider contracts, fee schedules and system… more
- Magellan Health Services (Albuquerque, NM)
- …involved in member enrollment, provider information management, benefits configuration and/or claims processing . + Identifies the interdependencies of the ... Resolution Analyst is responsible for coordinating the resolution of claims issues locally at the health plan...resolution of claims issues locally at the health plan by actively researching and analyzing systems and… more
- Sedgwick (Santa Fe, NM)
- …client service requirements. **ESSENTIAL RESPONSIBLITIES MAY INCLUDE** + Analyzing and processing claims through well-developed action plans to an appropriate ... to Work(R) Fortune Best Workplaces in Financial Services & Insurance (Remote) Claims Adjuster - Workers Compensation | Midwest & Southeast Jurisdictions Are you… more
- APTIM (Santa Fe, NM)
- …reviewers, estimators, and support personnel to ensure timely, accurate, and compliant claims processing in alignment with federal regulations and program ... minimum of ten (10) years of combined experience in claims /case processing roles including customer service, data...extensive range of benefits that protect and promote the health and financial well-being of our employees and their… more
- Sedgwick (Santa Fe, NM)
- …growth, and inclusion. **ESSENTIAL RESPONSIBILITIES MAY INCLUDE** + Analyzing and processing claims through well-developed action plans to an appropriate ... Work(R) Fortune Best Workplaces in Financial Services & Insurance Workers Compensation Claims Adjuster | OH Jurisdictional Knowledge Are you looking for an… more
- Sedgwick (Santa Fe, NM)
- …level of expertise. This role will be responsible for analyzing and processing **complex commercial trucking transportation claims ** by reviewing coverage, ... a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner | Commercial Trucking | Remote Are you looking for an opportunity… more
- Providence (NM)
- … issues. + 7 years of relevant general and professional liability claims processing or management experience **Preferred qualifications for this position ... **Description** **Senior Professional Liability Medical Claims Manager This position works R** **_emote._** **Many states eligible.** **Providence caregivers are not… more
- Sedgwick (Santa Fe, NM)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner | Multi-Line | Public Entity | Remote Are you looking for an ... the same assisting our public entity clients with their claims ! If you are an agile multi-line examiner with...professional and timely manner. + Communicates claim activity and processing with the claimant, insured, client and agent or… more
