NewClaims Examiner - Bodily Injury Sedgwick Claims Management Services, Inc.Claims Examiner - Bodily InjuryNM$80,000–$85,000 / yearTo analyze complex auto bodily injury claims on behalf of our valued clients by evaluating coverage, investigating liability, and managing damages, while ensuring timely resolution within service expectations, industry best practices, and specific client requirements. Education & Licensing: Five (5) years of claims management experience or equivalent combination of education and experience required to include in-depth knowledge of personal and commercial line auto policies, coverage's, principles, and laws.
Bodily Injury Claims Adjuster - Commercial Auto CRC Insurance Services, LLCBodily Injury Claims Adjuster - Commercial AutoNMPlease review the following job description: An experienced Commercial Auto Bodily Injury Claims Adjuster will investigate, evaluate, negotiate, and resolve bodily injury claims arising from commercial auto and transportation operations. This role is responsible for proactively managing claims from assignment through resolution, with a focus on timely investigations, accurate reserving, effective communication, and fair claim outcomes.
Multi-Line Claims Adjuster - New Mexico Provencher & Company, LLCMulti-Line Claims Adjuster - New MexicoSanta Fe, NMWe excel in providing professional, knowledgeable claims professionals to handle large losses, catastrophe claims, business interruption and daily property claims, as well as handle complete liability investigations, task assignments including scene investigations and property damage appraisals, construction defect claims as well as first party automobile claims for personal and commercial insurance policyholders. Experience in industry specific areas a plus, but not necessary: fire departments, agricultural, lumber mills, high value or historic buildings or Construction Defects, Automobile Liability, Subrogation Recovery investigations.
Pharmacy Claims Adjudication Specialist Onco360Pharmacy Claims Adjudication SpecialistAlbuquerque, New MexicoSkills/Knowledge Required: Pharmacy/NDC medication billing, Pharmacy claims resolution, PBM and Medical contracts, knowledge/understanding of Medicare, Medicaid, and commercial insurance, NCPDP claim rejection resolution, coordination of benefits, pharmacy or healthcare-related knowledge, knowledge of pharmacy terminology including sig codes, and Roman numerals, brand/generic names of medication, basic math and analytical skills, Intermediate typing/keyboarding skills. ensure prescription claims are adjudicated correctly according to the coordination of benefits, resolve any third-party rejections, obtain overrides if appropriate, and be responsible for patient outreach notification regarding any delay in medication delivery due to insurance claim rejections Pharmacy Adjudication Specialists at Onco360.
NewInvestigator Ethos Risk ServicesInvestigatorAlbuquerque, NMPart timeCONDITIONS:While we aim to keep assignments within a 2-hour drive of your residence, occasional further travel and overnight stays (covered by the company) may be requiredMost surveillance cases start at 6:00AM. REQUIREMENTS:Previous Experience: Demonstrated proficiency in covert surveillance techniques, capturing high-quality video footage, and preparing thorough, well-organized investigative reports.
Surveillance Investigator Allied UniversalSurveillance InvestigatorLas Cruces, New MexicoFull timeThe Surveillance Investigator will perform discreet mobile and stationary surveillance of a Claimant to confirm current activities and capabilities to assist with the administration of an insurance claim. Conduct independent investigations of insurance claims across a range of coverage types, including workers’ compensation, general liability, property and casualty, and disability .
Claim Benefit Specialist CVS Health CorpClaim Benefit SpecialistNM$17–$31.30 / hourThe candidate will serve as a medical/hospital claim processor for rework projects, compliance, and complex issues for a specific provider/network or large-scale rework projects generated as a result of plan sponsor issues, release fallout and/or legal/regulatory/compliance concerns. CVS Health is currently looking for a highly motivated candidate who can effectively and accurately review and rework sensitive, complex medical and hospital claims for our rework project department.
Medical Billing Specialist Dermatology Practice Dermatology Of New Mexico LlcMedical Billing Specialist Dermatology PracticeAlbuquerque, NM$20–$30 / hourPart timeThe ideal candidate will have a strong understanding of medical billing and collections, excellent attention to detail, and experience working with insurance companies and healthcare providers. To Apply: Please submit your resume and a brief description of your medical billing experience, including your experience with ModMed/Modernizing Medicine , if applicable.
INS FOLLOW UP REP- 1703 Artesia General HospitalINS FOLLOW UP REP- 1703Artesia, NMDiscuss and educate guarantors and patients on various services offered by AGH and Clinics as well as methods of payment for those services including but not limited to Medicare, Medicaid, Insurance, Financial Assistance and other state and county assistance programs. Will treat all customers, coworkers, medical staff and the communities we serve with integrity and service excellence at all times as measured by documented communications to the Department Director.
Customer Service Representative - State Farm Agent Team Member Carlos Salazar - State Farm AgentCustomer Service Representative - State Farm Agent Team MemberAlbuquerque, NMFull timeAs a Customer Service Representative - State Farm Agent Team Member with Carlos Salazar - State Farm Agent, you will generate the kind of exceptional customer experiences that reinforce the growth of a successful insurance agency. You will enhance your career while resolving customer inquiries, coordinating with other agency team members, and anticipating the needs of the community members you support.
Customer Service Representative - State Farm Agent Team Member Paul Gallegos - State Farm AgentCustomer Service Representative - State Farm Agent Team MemberAlbuquerque, NMPart timeAs a Customer Service Representative - State Farm Agent Team Member with Paul Gallegos - State Farm Agent, you will generate the kind of exceptional customer experiences that reinforce the growth of a successful insurance agency. Over the years, our team has supported local high school athletes, partnered with food banks, donated to shelters, and provided school supplies to those in need.
Medical Billing Specialist Dermatology Practice Dermatology Of New MexicoMedical Billing Specialist Dermatology PracticeAlbuquerque, New Mexico$20–$30 / hourOur mission at Dermatology of New Mexico is to strive for outstanding services and excellence in care with regards to all aspects of Dermatology, including medical, surgical, cosmetic and aesthetics. Albuquerque dermatologists, Dr. Suraj Reddy and Dr. Shilpa Reddy and their medical team at Dermatology of New Mexico believe everyone deserves a chance at healthy skin.
Sr. Adjuster-Workers Comp Claims CopperPoint Insurance CoSr. Adjuster-Workers Comp ClaimsNMRemote$68,000–$98,500 / yearThe Workers' Compensation Claims Adjuster Senior, Indemnity is responsible for analyzing time loss workers' compensation claims to determine compensability. We provide some benefits at no cost to the employee (Basic Life Insurance and AD&D at two times an employee's annual salary, Short- and Long-term Disability coverage, and Employee Assistant Plan).
Customer Service Representative - State Farm Agent Team Member Theresa Saiz-Wilmert - State Farm AgentCustomer Service Representative - State Farm Agent Team MemberAlbuquerque, NMFull timeAs a Customer Service Representative - State Farm Agent Team Member with Theresa Saiz-Wilmert - State Farm Agent, you will generate the kind of exceptional customer experiences that reinforce the growth of a successful insurance agency. You will enhance your career while resolving customer inquiries, coordinating with other agency team members, and anticipating the needs of the community members you support.
Customer Service Representative - State Farm Agent Team Member Garrett Seawright - State Farm AgentCustomer Service Representative - State Farm Agent Team MemberSanta Fe, NMFull timeAs a Customer Service Representative - State Farm Agent Team Member with Garrett Seawright - State Farm Agent, you will generate the kind of exceptional customer experiences that reinforce the growth of a successful insurance agency. You will enhance your career while resolving customer inquiries, coordinating with other agency team members, and anticipating the needs of the community members you support.
Account Associate - State Farm Agent Team Member Carlos Salazar - State Farm AgentAccount Associate - State Farm Agent Team MemberAlbuquerque, NMFull timeROLE DESCRIPTION: As Account Associate - State Farm Agent Team Member for Carlos Salazar - State Farm Agent, you are vital to our daily business operations and customers’ success. You grow our agency through meaningful customer relations and acting as a liaison between customer needs and agency departments.
NewCustomer Service Representative - State Farm Agent Team Member Rick Buckner - State Farm AgentCustomer Service Representative - State Farm Agent Team MemberAlbuquerque, NMFull timeWe also take pride in helping to educate our customers on all aspects of the policies the customer has chosen giving them a clear understanding of what their coverages means not just selling them a product. As a Customer Service Representative with Rick Buckner State Farm, you will generate the kind of exceptional customer experiences that reinforces the growth of a successful insurance agency.
Customer Service Representative - October 26 Start! GD Information TechnologyCustomer Service Representative - October 26 Start!Las Cruces, New MexicoRemoteTo ensure our employees are able to protect their income, other offerings such as short and long-term disability benefits, life, accidental death and dismemberment, personal accident, critical illness and business travel and accident insurance are provided or available. Frequent internal contacts with Customer Service Managers, Call Center Supervisors, Lead Training Specialist, Operations Representative, other Customer Service Reps, and other contractors and government personnel supporting the program.
Attorney Represented Commercial Casualty Adjuster Allstate Insurance CompanyAttorney Represented Commercial Casualty AdjusterNM$53,500–$77,800 / yearThe ideal candidate will have strong experience handling commercial casualty claims, attorney-represented files, and/or auto bodily injury claims, with the ability to manage complex exposures, collaborate with internal and external partners, and deliver exceptional customer service throughout the claims process. Auto Insurance Claims, Bodily Injury Claims, Case Management, Claims Administration, Claims Resolution, Claims Review, Commercial Insurance Claims, Commercial Liability Claims, Customer Service, Investigative Skills, Personal Injury Claims, Relationship Management.
Account Associate - State Farm Agent Team Member Theresa Saiz-Wilmert - State Farm AgentAccount Associate - State Farm Agent Team MemberAlbuquerque, NMFull timeROLE DESCRIPTION: As Account Associate - State Farm Agent Team Member for Theresa Saiz-Wilmert - State Farm Agent, you are vital to our daily business operations and customers’ success. You grow our agency through meaningful customer relations and acting as a liaison between customer needs and agency departments.