- 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)
- … with lost time to conclusion and negotiate settlements where appropriate to resolve claims . Coordinate medical and indemnity position of the claim with a ... Medical Case Manager. Independently handles assigned claims of low to moderate complexity where Wage loss and the expectation is a return to work to modified or… more
- Sedgwick (Santa Fe, NM)
- …Fortune Best Workplaces in Financial Services & Insurance Remote Return to Work Representative Bilingual French, Hindi, Bengali or more **We are looking for Remote ... 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)
- …done. **The Accounts Receivable Specialist II is responsible for processing insurance claims and billing. They will work within the scope of responsibilities as ... and support from AR & Billing leadership teams.** **_Responsibilities_** + Processes claims : investigates insurance claims ; and properly resolves by follow-up &… more
- Mass Markets (Las Cruces, NM)
- …the industry. We are looking for a dedicated and enthusiastic Technical Support Representative to join our team. In this role, you will provide outstanding customer ... issues when needed + Accurately document and process customer claims in appropriate systems + Utilize knowledge base and...+ Health Benefits: Full-time employees are eligible for comprehensive medical , dental, and vision coverage after 90 days of… more
- Mass Markets (Las Cruces, NM)
- …a trusted partner in the industry. As a Part-Time Technical Support Representative , you will handle inbound phone interactions with residential and business ... to complete account management tasks + Accurately document and process customer claims in appropriate systems. + Follow all required scripts, policies, and… 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 ... a trusted partner in the industry. We are seeking a Licensed Health Insurance Representative who will play a vital role in educating and guiding customers to select… more
- Cardinal Health (Santa Fe, NM)
- …as required, necessary, or appropriate. + Acts as a subject matter expert in claims processing. + Processes claims : investigates insurance claims ; properly ... account receivables performance and client satisfaction. + Resolves complex insurance claims , including appeals and denials, to ensure timely and accurate… more
- Mass Markets (Las Cruces, NM)
- POSITION OVERVIEW CUSTOMER SERVICE REPRESENTATIVE SUPPORTING COMMERCIAL AND PUBLIC SECTOR CLIENTS We are looking for Customer Service Representatives to support ... and Operations Management. POSITION RESPONSIBILITIES WHAT IS A TECHNICAL SUPPORT REPRESENTATIVE ? Handling inbound customer service calls will be your primary… more