• Complex Claims Advisor | Commercial GL…

    Sedgwick (Santa Fe, NM)
    …expertise preferred. **Skills & Knowledge** + Subject matter expertise in worker's compensation claims and/or liability claims processing + Ability to obtain ... a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Complex Claims Advisor | Commercial GL and Auto | Remote Are you looking for an… more
    Sedgwick (09/25/25)
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  • Claims Examiner | General Liability BI…

    Sedgwick (Santa Fe, NM)
    …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner | General Liability BI | Captive | Remote As a Claims ... CANDIDATE?** Do you have experience as a **Bodily Injury General Liability Claims Examiner** working within **commercial (** **captive) insurance program(s)** ? Are… more
    Sedgwick (09/06/25)
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  • 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 ... minimum of ten (10) years of combined experience in claims or case processing roles, including customer...extensive range of benefits that protect and promote the health and financial well-being of our employees and their… more
    APTIM (08/12/25)
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  • 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)
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  • Claims Examiner, Auto Bodily Injury…

    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
    Sedgwick (08/22/25)
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  • Specialty & Home Delivery Program Claims…

    Prime Therapeutics (Santa Fe, NM)
    …work experience; HS diploma or GED is required + 2 years of work experience in claims processing or project lifecycle, or related roles in the healthcare or PBM ... and validate errors, isolate impacted claims , reprocess claims , and determine financial impact to members, health... claims , and determine financial impact to members, health plans and/or pharmacies; translate data into usable internal… more
    Prime Therapeutics (10/16/25)
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  • CPC Processor

    Datavant (Santa Fe, NM)
    …+ Experience in the following fields would be beneficial: Data Entry, Medical Records, Health Care, Insurance Claims Processing and Proof Reading/Editing of ... a data platform company and the world's leader in health data exchange. Our vision is that every healthcare...Our platform is powered by the largest, most diverse health data network in the US, enabling data to… more
    Datavant (10/16/25)
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  • Remote - Claims Adjuster - Automotive

    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
    Reynolds & Reynolds (10/09/25)
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  • Subject Matter Expert- Claims

    APTIM (Santa Fe, NM)
    …Matter Expert (SME) provides specialized technical expertise in support of claims review, evaluation, and documentation for disaster-related compensation. This role ... to claimants, FEMA staff, and other stakeholders. + Proficiency in using claims management software, databases, and other technology tools that facilitate claim … more
    APTIM (10/02/25)
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  • Senior Analyst, Encounters

    Molina Healthcare (Roswell, NM)
    …communicating statuses and risks, and facilitating calls with cross-functional teams + Claims processing , provider contacting, health data analysis and ... encounter pend and rejection inventory, and works with other areas including IT, health plan, claims , provider, enrollment, regulators, and external vendors, as… more
    Molina Healthcare (09/24/25)
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