- Sedgwick (Santa Fe, NM)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Commercial Auto Claims Representative **PRIMARY PURPOSE** : To analyze and ... FUNCTIONS and RESPONSIBILITIES** + Processes auto property damage and lower level injury claims ; assesses damage, makes payments, and ensures claim files are… more
- 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 ... stakeholders and other teams. **Primary Responsibilities** : + Review claim system data and verify against UB or HCFA...of Facets experience. + Experience in the analysis and processing of claims for payments, utilization review/quality… more
- Humana (Santa Fe, NM)
- …healthcare industry + 2+ years of demonstrated expertise in end-to-end healthcare claims operations, including claim ingestion, processing , system ... your opportunity to lead cross-functional initiatives, apply your expertise in healthcare claims , and shape the future of operational excellence in a dynamic,… more
- Reynolds & Reynolds (Albuquerque, NM)
- …will include, but are not limited to:-\tAnswering inbound calls-\tProvide information about claim processing and explain the different levels of contract ... coverage and terms -\tAccurately establish, review and authorize claims -\tEntering claim and contract information into the AGWS\u2019 systemA home office package… more
- Cardinal Health (Santa Fe, NM)
- …getting the right things done. **The Accounts Receivable Specialist II is responsible for processing insurance claims and billing. They will work within the ... from AR & Billing leadership teams.** **_Responsibilities_** + Processes claims : investigates insurance claims ; and.... + Acts as a subject matter expert in claims processing . + Manages billing queue as… more
- Crash Champions (Rio Rancho, NM)
- …or in-person + Educating customers about the collision repair process including insurance claims information, processing , and payment procedures. ... + Educating customers on the process of vehicle repairs, insurance procedures, customer rights, repair techniques, safety, and value....to applicable eligibility requirements and annual updates: + Medical Insurance + Dental Insurance + Vision … more
- Sedgwick (Santa Fe, NM)
- …manages a case load using technology for efficient claim processing . **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Evaluates insurance policies, ... an expected caseload efficiently. + Utilizes technology and automation tools for efficient claim handling. + Sends claims exceeding $15,000 gross loss amount to… more
- Walgreens (Las Cruces, NM)
- …enhancements to pharmacy systems to further promote productivity. + Ensures the accurate processing of insurance claims to resolve customer issues and ... prevent payment rejections. Follows-up with insurance companies as well as medical providers and participates in 3rd party audit. + Follows-up with medical… more
- Walgreens (Rio Rancho, NM)
- …to pharmacy errors and the Continuous Quality Improvement Program. + Ensures the accurate processing of insurance claims to resolve customer issues and ... prevent payment rejections. Follows-up with insurance companies as well as medical providers and conducts or participates in 3rd party audit. + Assists and supports… more
- GAP Solutions Inc (Santa Fe, NM)
- …into various personnel record systems. + Assisting with drafting SOP's. + Processing personal liability insurance reimbursement claims . + Initiating ... of HR topics including but not limited to staffing, classification, processing , benefits, recruitment, compensation, SES programs, work life programs, policy and… more