- Sedgwick (Santa Fe, NM)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Specialist Sr - Commercial Coverage Specialist **PRIMARY PURPOSE** ... and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans...depositions, mediations, and trial monitoring as needed. + Communicates claim activity and processing with the client;… more
- Sedgwick (Santa Fe, NM)
- …Certified as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner | General Liability BI | Captive | Remote As a ... CANDIDATE?** Do you have experience as a **Bodily Injury General Liability Claims Examiner** working within **commercial (** **captive) insurance program(s)** ?… more
- Sedgwick (Santa Fe, NM)
- …Certified as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner Workers Comp I Remote I SE, Central, NE regions ... and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans...directions in a professional and timely manner. + Communicates claim activity and processing with the claimant… more
- Highmark Health (Santa Fe, NM)
- …methods and guidelines. + Knowledge of operating systems specific to claim processing . + Ability to review claims and analyze critical data. + Reading ... the corrective action steps using enrollment, benefit and historical claim processing information; may coordinate benefits and...year of related experience **Preferred** + 1 year of claims processing experience + Inquiry resolution system,… more
- Cognizant (Santa Fe, NM)
- …Monday to Friday 8am - 4:30pm ET **Experience:** A minimum of 2 years of claim processing is required. **Travel:** None required **About the role:** As Claims ... * Be Responsible for reviewing the data in the claim processing system and comparing with corresponding...of Facets experience. * Experience in the analysis and processing of claims for payments, utilization review/quality… more
- Cognizant (Santa Fe, NM)
- …Plan Document. **Role Responsibilities** + Responsible for reviewing the data in the claim processing system (Facets) and comparing it with the corresponding UB, ... and criteria has been met. + Responsible for reviewing claim and line item edits and warning messages for...required + A minimum of 1 years of medical claims processing is required + Facets experience… more
- Sedgwick (Santa Fe, NM)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner, Auto Bodily Injury (Litigation Required) **PRIMARY PURPOSE** ... FUNCTIONS and RESPONSIBILITIES** + Processes complex auto commercial and personal line claims , including bodily injury and ensures claim files are properly… more
- Sedgwick (Santa Fe, NM)
- …. + Negotiating settlement of claims within designated authority. + Communicating claim activity and processing with the claimant and the client. + Reporting ... as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner - Workers Compensation REMOTE | California Experience Are… more
- APTIM (Santa Fe, NM)
- … management software, databases, and other technology tools that facilitate claim processing , documentation, and communication. **Basic Qualifications:** + High ... Claims Reviewer is responsible for independently reviewing, analyzing, and processing complex claims related to disaster losses in accordance with… more
- APTIM (Santa Fe, NM)
- … management software, databases, and other technology tools that facilitate claim processing , documentation, and communication. **Basic Qualifications:** + High ... claims management systems, databases, and other technology tools that facilitate claim processing , documentation, and communication **ABOUT APTIM** APTIM is… more