- Sedgwick (Santa Fe, NM)
- …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 involving litigation and… more
- Cognizant (Santa Fe, NM)
- …+ 1 year of Facets experience. + Experience in the analysis and processing of claims for payments, utilization review/quality assurance procedures. + Must ... ET **Experience:** A minimum of 2 years of claim processing is required. **Travel:** None required **About the role:**...is required. **Travel:** None required **About the role:** As Claims Processor (with Facets), you will be responsible for… 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
- Sedgwick (Santa Fe, NM)
- …total loss evaluations, and related expenses to effectively negotiate first and third party claims . + Knowledge of total loss processing , State salvage forms and ... a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Representative , Auto **PRIMARY PURPOSE** : To analyze and process low to… more
- Sedgwick (Santa Fe, NM)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner, Auto Bodily Injury (Litigation Required) **PRIMARY PURPOSE** : To analyze ... and process complex auto and commercial transportation claims by reviewing coverage, completing investigations, determining liability and evaluating the scope of… more
- Molina Healthcare (Roswell, NM)
- …to identify incorrect coding, abuse and fraudulent billing practices, waste, overpayments, and processing errors of claims . + Manages a caseload of claims ... **JOB DESCRIPTION** **Job Summary** Responsible for administering claims payments, maintaining claim records. Monitors and controls...claim records. Monitors and controls backlog and workflow of claims . Ensures that claims are settled in… more
- Reynolds & Reynolds (Albuquerque, NM)
- …Guardian Warranty Services, Inc. (AGWS), an affiliate of Reynolds and Reynolds, is seeking Claims Adjuster - Automotive for our growing team. In this role you will ... but are not limited to:-\tAnswering inbound calls-\tProvide information about claim processing and explain the different levels of contract coverage and terms… more
- Datavant (Santa Fe, NM)
- …fields would be beneficial: Data Entry, Medical Records, Health Care, Insurance Claims Processing and Proof Reading/Editing of Documents + Ability to stay ... exemptions may be available on the basis of disability, medical contraindications to the vaccine or any of its...vaccine or any of its components, pregnancy or pregnancy-related medical conditions, and/or religion. Pay ranges for this job… more
- Molina Healthcare (Las Cruces, NM)
- …has been submitted, to ensure medical necessity and appropriate/accurate billing and claims processing . + Identifies and reports quality of care issues. + ... **Job Duties** + Performs clinical/ medical reviews of retrospective medical claim reviews, medical claims and previously denied cases, in which an… more