- Sedgwick (Santa Fe, NM)
- … by investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and ... and provides report of investigation pertaining to new events, claims and legal actions. + Negotiates claim ...depositions, mediations, and trial monitoring as needed. + Communicates claim activity and processing with the client;… more
- Highmark Health (Santa Fe, NM)
- …and adjudicates claims up to pre-determined dollar threshold. Completes pended claim letters for incomplete, invalid, or missing claim information to TPAs, ... **EXPERIENCE** **Required** + 5 years of relevant, progressive experience in health insurance claims + 3 years of prior experience processing 1st dollar health… more
- Sedgwick (Santa Fe, NM)
- … by investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and ... and provides report of investigation pertaining to new events, claims and legal actions. + Negotiates claim ...depositions, mediations, and trial monitoring as needed. + Communicates claim activity and processing with the client;… more
- Sedgwick (Albuquerque, NM)
- …asbestos) by investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate ... + Calculates and assigns timely and appropriate reserves to claims ; monitors reserve adequacy throughout claim life....depositions, mediations, and trial monitoring as needed. + Communicates claim activity and processing with the client;… more
- Sedgwick (Santa Fe, NM)
- … by investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and ... including strategic vendor partnerships to reduce overall cost of claims for our clients. + Manages claim ...directions in a professional and timely manner. + Communicates claim activity and processing with the claimant… more
- Cognizant (Santa Fe, NM)
- ** Claims Processing - Hybrid** *HYBRID- Training in office- Des Moines, Iowa- REQUIRED* **Job Summary** Join our team as a Claims Processing Executive in ... will directly impact the accuracy and efficiency of our claims processing enhancing customer satisfaction and operational...report to our office in Des Moines, Iowa for part of our training regimen._ **Key Responsibilities-** + _Claims… more
- Sedgwick (Santa Fe, NM)
- …. + Negotiating settlement of claims within designated authority. + Communicating claim activity and processing with the claimant and the client. + Reporting ... growth, and inclusion. **ESSENTIAL RESPONSIBILITIES MAY INCLUDE** + Analyzing and processing claims through well-developed action plans to an appropriate… more
- Sedgwick (Santa Fe, NM)
- …. + Negotiating settlement of claims within designated authority. + Communicating claim activity and processing with the claimant and the client. + Reporting ... By joining Sedgwick, you'll be part of something truly meaningful. It's what our...specific client service requirements. **ESSENTIAL RESPONSIBILITIES** + Analyzing and processing claims through well-developed action plans to… more
- Walmart (Santa Fe, NM)
- …resolves problems in the prescription fulfillment process when necessary by processing information for third-party insurance claims rescanning illegible images ... by assisting the pharmacist in the prescription fulfillment process processing third party insurance claims and/or rejections...U is a company paid education benefit program for full- time and part - time associates in… more
- Mass Markets (Las Cruces, NM)
- …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP), Customer ... Min. Years Experience0 Company/BrandMCI Location : LocationUS-NM-Las Cruces Career LevelEntry-Level Employment TypeFull- Time & Part - Time Reports ToSupervisor more