- 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
- Highmark Health (Santa Fe, NM)
- …**Required** + 1 year of related experience **Preferred** + 1 year of claims processing experience + Inquiry resolution system, OCWA, Oscar, Outlook experience ... within pre-defined methods and guidelines. + Knowledge of operating systems specific to claim processing . + Ability to review claims and analyze critical data. +… more
- Sedgwick (Santa Fe, NM)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner - Workers Compensation REMOTE | California Experience Are ... client service requirements. **ESSENTIAL RESPONSIBLITIES MAY INCLUDE** + Analyzing and processing claims through well-developed action plans to an appropriate… 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)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Specialist Sr - Commercial Coverage Specialist **PRIMARY PURPOSE** ... **:** To analyze complex or technically difficult medical malpractice claims ; to provide resolution of highly complex nature and/or severe injury claims ; to… 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 ... **PRIMARY PURPOSE** : To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims … more
- Cognizant (Santa Fe, NM)
- …School Diploma or equivalent is required + A minimum of 1 years of medical claims processing is required + Facets experience is highly preferred + Knowledge of ... payment and coverage guidelines and regulations + Experience in the analysis and processing of claims , utilization review/quality assurance procedures + Must be… more
- APTIM (Santa Fe, NM)
- … Claims Reviewer is responsible for independently reviewing, analyzing, and processing complex claims related to disaster losses in accordance with ... upon hire) + A minimum of ten (10) years of combined experience in claims or case processing roles, including customer service, data entry, reviewing, and… more
- 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
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