• Medical Claims Processor - Remote

    Cognizant (Santa Fe, NM)
    …a High School Diploma or equivalent is required + A minimum of 1 years of medical claims processing is required + Facets experience is highly preferred + ... Claims Processors to join our growing team. The ** Medical ** ** Claims Processor** is responsible for the...guidelines and regulations + Experience in the analysis and processing of claims , utilization review/quality assurance procedures… more
    Cognizant (08/26/25)
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  • Medical Claims Adjudication - remote

    Cognizant (Santa Fe, NM)
    …duties as assigned by management. **Qualifications:** + A minimum of 2 years' claims processing experience is required. + Knowledge of physician practice and ... + 1 year of Facets experience. + Experience in the analysis and processing of claims for payments, utilization review/quality assurance procedures. + Excellent… more
    Cognizant (08/01/25)
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  • Claims Examiner - Workers Compensation…

    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 (08/23/25)
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  • Claims Specialist Sr - Commercial Coverage…

    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...required. **Skills & Knowledge** + In-depth knowledge of appropriate medical malpractice insurance principles and laws for… more
    Sedgwick (07/10/25)
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  • Claims Examiner | General Liability BI…

    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 (08/27/25)
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  • Claims Examiner Workers Comp I Remote I SE,…

    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
    Sedgwick (06/29/25)
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  • Senior-Level Claims Reviewer

    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 (08/12/25)
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  • Mid-Level Claims Reviewer

    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...families through the APTIM Benefits Marketplace https://aptim.makeityoursource.com/ . + Medical , vision, and dental insurance : Through the… more
    APTIM (08/12/25)
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  • Commercial Auto Claims Representative

    Sedgwick (Santa Fe, NM)
    …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Commercial Auto Claims Representative **PRIMARY PURPOSE** : To analyze and ... related expenses to effectively negotiate first and third party claims . + Knowledge of total loss processing ,...benefits package is offered including but not limited to, medical , dental, vision, 401k and matching, PTO, disability and… more
    Sedgwick (07/16/25)
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  • Claims Processor (with Facets) - Healthcare…

    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 ... following benefits for this position, subject to applicable eligibility requirements: . Medical /Dental/Vision/Life Insurance . Paid holidays plus Paid Time Off .… more
    Cognizant (08/26/25)
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