- Zurich NA (Santa Fe, NM)
- Marine Claims Senior Claims Specialist 126574 Zurich North America is hiring a Marine Claims Senior Claims Specialist Role (With Hull and ... Basic Qualifications: + Bachelor's Degree and 6 or more years of experience in the Claims and/ or Litigation Management area.OR + Juris Doctor and 2 or more years of… more
- CVS Health (NM)
- …And we do it all with heart, each and every day. **Position Summary** The ** Senior Claim Benefit Specialist ** reviews and adjudicates complex, sensitive, ... service inquiries and problems. **Additional Responsibilities:** + Reviews pre-specified claims , or claims that exceed specialist...assignment daily to junior staff. + Trains and mentors claim benefit specialists. + Makes outbound calls… more
- Molina Healthcare (Las Cruces, NM)
- …and timely validation and maintenance of critical provider information on all claims and provider databases (using SQL, Excel, and QNXT). Staff ensure adherence ... and FQHC/RHC reports. + Generates other provider-related reports, such as: claims report extractions; regularly scheduled reports related to Network Management (ER,… more
- CVS Health (NM)
- …- Distributes work assignment daily to junior staff. - Trains and mentors claim benefit specialists.- Makes outbound calls to obtain required information for ... handle customer service inquiries and problems. **Additional Responsibilities:** Reviews pre-specified claims or claims that exceed specialist adjudication… more
- CVS Health (NM)
- …challenging role provides exposure to virtually all aspects of healthcare claims administration, from reinsurance/stop loss, data analytics, provider and broker ... and external stakeholders and the stop loss administrators. Managing stop loss claim filings, you will reconcile and resolve discrepancies between the amount… more
- Mass Markets (NM)
- …passion for building strategic partnerships and driving revenue? We're seeking a Senior Business Development Executive to lead new client acquisition, manage key ... + Client Acquisition & Relationship Building Identify, qualify, and engage senior business leaders through outbound calls, emails, social media, and networking.… more
- Prime Therapeutics (Santa Fe, NM)
- …+ MISCELLANEOUS DUTIES: + Provide backup support to team members (SIU Coordinator and Senior SIU Specialist ) in the performance of job duties as assigned. + ... drives every decision we make. **Job Posting Title** SIU Specialist - Pharmacy Tech - Remote in the California...Experience Level 2+ years + Required Fraud Investigations and Claims experience Must be eligible to work in the… more
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