• Grievance & Appeals Representative

    Humana (Santa Fe, NM)
    …and appeals experience + Prior experience interpreting Member Benefits and Medical Claims + Previous experience processing medical authorizations + Bilingual ... English and Spanish + Prior experience with Medicare + Experience with the Claims Administration System (CAS) + Knowledge of medical terminology + Ability to manage… more
    Humana (09/02/25)
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  • Medicaid Provider Hospital Reimbursement…

    Humana (Santa Fe, NM)
    …of experience researching MS-DRG, APR-DRG and/or EAPG grouper logic + Experience processing or reviewing facility claims + Prior professional experience ... closely with IT, the pricing software vendor, CIS BSS, Medicaid operations, claims operations, and other business teams involved in the administration of Medicaid… more
    Humana (08/14/25)
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  • Site Auto Appraiser (CAT Repair Solution)

    Sedgwick (Santa Fe, NM)
    …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Site Auto Appraiser (CAT Repair Solution) **PRIMARY PURPOSE** **:** To inspect, ... directly with auto repair facilities to determinate supplemental repair processing and provides a supplemental estimate. **ADDITIONAL FUNCTIONS and… more
    Sedgwick (07/30/25)
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  • VP of Sales

    Mass Markets (NM)
    …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP), Customer ... your future with retirement savings programs, where available. + Disability Insurance :Short-term disability coverage is available to help protect you during… more
    Mass Markets (08/28/25)
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  • Work at Home Customer Service Agent (Full-Time…

    Mass Markets (NM)
    …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP), Customer ... your future with retirement savings programs, where available. + Disability Insurance :Short-term disability coverage is available to help protect you during… more
    Mass Markets (08/28/25)
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  • Remote Mortgage Customer Service Representative

    Mass Markets (NM)
    …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP), Customer ... your future with retirement savings programs, where available. + Disability Insurance :Short-term disability coverage is available to help protect you during… more
    Mass Markets (08/28/25)
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  • VP BPO Sales

    Mass Markets (NM)
    …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP), Customer ... your future with retirement savings programs, where available. + Disability Insurance :Short-term disability coverage is available to help protect you during… more
    Mass Markets (08/28/25)
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  • Technical Customer Care Representative…

    Mass Markets (NM)
    …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP), Customer ... your future with retirement savings programs, where available. + Disability Insurance :Short-term disability coverage is available to help protect you during… more
    Mass Markets (08/27/25)
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  • SVP of Sales

    Mass Markets (NM)
    …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP), Customer ... your future with retirement savings programs, where available. + Disability Insurance :Short-term disability coverage is available to help protect you during… more
    Mass Markets (08/27/25)
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  • Bilingual Financial Services Representative

    Mass Markets (Las Cruces, NM)
    …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP), Customer ... your future with retirement savings programs, where available. + Disability Insurance :Short-term disability coverage is available to help protect you during… more
    Mass Markets (08/27/25)
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