- Humana (Santa Fe, NM)
- …community and help us put health first** Job Description Summary The Pharmacy Claims Representative assists local pharmacies with claims adjudication to ... up and maintaining hospice/facility/pharmacy relationships under the direction of the Pharmacy Claims Team Leaders & the Pharmacy Claims (Support Services)… more
- Mass Markets (Las Cruces, NM)
- POSITION OVERVIEW CALL CENTER CLAIMS REPRESENTATIVE SUPPORTING COMMERCIAL AND PUBLIC SECTOR CLIENTS We are looking for call center claims representatives to ... to complete account management tasks + Accurately document and process customer claims in appropriate systems + Follow all required scripts, policies, and procedures… more
- Travelers Insurance Company (Albuquerque, NM)
- …to relocate at their own expense to New Mexico. Manage Workers' Compensation claims with lost time to conclusion and negotiate settlements where appropriate to ... resolve claims . Coordinate medical and indemnity position of the claim...essential functions of this job, acquisition and maintenance of Insurance License(s) may be required to comply with state… more
- The Hartford (NM)
- Claims Representative - CH09CNSr Representative Claims - CH08BE We're determined to make a difference and are proud to be an insurance company that ... Claim Representative : $52,880 - $79,320 + Prior workers' compensation insurance claim handling is preferred + HS Diploma required, Bachelor's Degree is… more
- Mass Markets (NM)
- POSITION OVERVIEW Job Title: Licensed Health Insurance Representative Job Type: Full-Time MCI is a leading Business Process Outsourcing (BPO) company that ... in the industry. We are seeking a Licensed Health Insurance Representative who will play a vital...retention. + Respond to customer inquiries regarding coverage, benefits, claims , and other insurance -related questions. + Maintain… more
- Mass Markets (NM)
- …any time for any reason. ID2025-46128 Updated Date3/31/2025 DepartmentUnlicensed Insurance Representative Positions ScheduleMultiple Schedule Options BonusYes ... Secure your future with retirement savings programs, where available. + Disability Insurance : Short- and long-term disability coverage is available to help protect… more
- Cardinal Health (Santa Fe, NM)
- …appeals, providing documentation and support as needed. + Reviews and analyzes insurance claims for accuracy and completeness before submission. + Investigates ... problem-solving, research and problem/dispute resolution **Responsibilities:** + Conducts in-depth insurance verifications for complex cases, such as multiple … more
- Sedgwick (Santa Fe, NM)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Remote Return to Work Representative Bilingual French, Hindi, Bengali or ... Determines objective, quantifiable, medically supported work restrictions for assigned claims . + Facilitates return-to-work (RTW) and accommodation efforts through… more
- Cardinal Health (Santa Fe, NM)
- …the right things done. **The Accounts Receivable Specialist II is responsible for processing insurance claims and billing. They will work within the scope of ... guidance and support from AR & Billing leadership teams.** **_Responsibilities_** + Processes claims : investigates insurance claims ; and properly resolves by… more
- Concentrix (Santa Fe, NM)
- Job Title: Customer Service Representative -Remote (Healthcare) Job Description **JOB DESCRIPTION** The Customer Service Representative - Remote (Healthcare) ... for Career Growth** " awards every year? Then a remote Customer Service Representative (Healthcare) position at Concentrix is just the right place for you! As… more