With more than 650 offices and over 22,000 employees across North America, we are committed to helping individuals and businesses evaluate and manage their risks and insurance needs with personalized service, while our dedicated team delivers expert guidance and tailored solutions to ensure superior customer experience and lasting value for our clients. About HUB International
HUB International is a leading global insurance broker, offering a comprehensive range of property, casualty, risk management, life and health, employee benefits, investment, and wealth management solutions.
Participates and presents at introductory meetings with potential insureds; prepares materials, participates and presents at Banner Medical Group (BMG) meetings, committees and other organizational structures and at other physician program meetings as established and as appropriate; provides education relative to the program across BH. Responsible for obtaining, entering data into claim file and monitoring such data in order to comply with deadlines for meeting Medicare, Medicaid, Ship Extension Act (MMSEA) reporting requirements in relation to claimants and others releasing medicals.
li>Boston metro area, California outside of Los Angeles & San Francisco metro area, Connecticut, Chicago metro area, Denver metro area, New Jersey (outside of New York City metro area), New York State (outside of New York City metro area, including but limited to Albany county), Washington, D. C.
Essential Responsibilities:
Working under limited oversight under broad management direction, adjudicate construction defect claims at the highest authority limits on assignments reflecting the highest degree of technical complexity, potentially with major impact on departmental results.
The individual grants settlement authority on the most complex claims valued in excess of Market Claim Office (MCO) and Regional Claim Office (RCO) limits, approving requests to go to trial on cases where the gross exposure is in excess of MCO authority, and general oversight of all large losses for a specific CSA or CSAs. Bodily Injury Claims, Client Counseling, Commercial Insurance Claims, Complex Claims, Conflict Management, General Liability Insurance, Homeowners Claims, Insurance Claims, Insurance Coverage Analysis, Large Loss Claims, Liability Insurance, Multitasking, Personal Injury Claims, Prioritization, Strategic Thinking, Task Management, Time Management.
Albuquerque, NM18 days ago
The ideal candidate for this position should have a strong background in setting up and running bag or pouch machines, excellent attention to detail, proven supervisory skills, and the ability to work on AM and PM Shifts. Setup and Maintenance: Responsible for setting up and maintaining bag-making machines to ensure efficient production.
Our dynamic team of claim professionals provide superb customer service with the valuation, disposition and settlement of worker compensation claims while consistently adhering to our corporate claim settlement policies. Actual base pay could vary and may be above or below the listed range based on factors including but not limited to performance, proficiency and demonstration of competencies required for the role.
Albuquerque, NM30+ days ago
li>Maintain records, document plans of action concerning new or ongoing claims; document all relevant information to provide a clear history of events and a proper audit trail; accurately report information within the established time frames and guidelines; prepare statistical reports and submit documentation to requesting agencies as required. With resources such as onsite and mobile medical clinics, an employee assistance program that encourages work-life balance, and tuition assistance and professional development pathways, the City is committed to equipping our employees with tools to better their lives and grow their careers while serving their community.
Albuquerque, NM13 days ago
p>Investigate, negotiate, adjust and settle a variety of claims filed against the City including workers compensation claims and/or general liability claims; apply knowledge of applicable laws and policies to determine disposition of claims and perform a variety of technical tasks relative to assigned areas of responsibility. With resources such as onsite and mobile medical clinics, an employee assistance program that encourages work-life balance, and tuition assistance and professional development pathways, the City is committed to equipping our employees with tools to better their lives and grow their careers while serving their community.
Albuquerque, New Mexico30+ days ago
We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses and identifying potential inconsistencies or verification signals in application materials based on available information.
Equipment:
Totani
Hudson-Sharp
CMD
W&H
or similar bag-making machines
ul>Processes auto property damage and lower level injury claims; assesses damage, makes payments, and ensures claim files are properly documented and correctly coded based on the policy.
Processes auto property damage and lower level injury claims; assesses damage, makes payments, and ensures claim files are properly documented and correctly coded based on the policy. Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience.
Albuquerque, NM30+ days ago
With 30,000 employees working together, Tetra Tech provides clear solutions to complex problems by Leading with Science to address the entire water cycle, protect and restore the environment, design sustainable and resilient infrastructure, and support the clean energy transition. Candidate needs to support operations in a fast-paced work environment, be able to make independent decisions regarding grant guidance and insurance policy provisions; must be able to understand and interpret the federal grant eligibility and activities; and perform business related research to support client needs.
MVD Clerk MADISON INSURANCE GROUP, INC.
MVD ClerkAlbuquerque, NM30+ days ago
Key Responsibilities: Fingerprinting: Fingerprint the public for MVD; TSA Prescreen, registrations, driver license finger printing, and state required fingerprinting. The ideal candidate is a proactive communicator dedicated to providing exceptional service and building long-term client relationships.
li>Design end-to-end retrieval-augmented generation (RAG) systems leveraging enterprise knowledge bases, policy documents, SOPs, and historical claims data. Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience.
p>Key Responsibilities The Product Manager/Owner works directly with claims leadership, operational managers, and Business Transformation Leads to understand workflow bottlenecks, leakage drivers, customer friction points, regulatory risks, and client performance commitments. They translate these insights into clearly defined AI use cases with measurable operational objectives such as reduced claim cycle time, improved reserving accuracy, enhanced fraud detection rates, or improved document processing speed.
Albuquerque, NM30+ days ago
li>Develop/prepare estimate cost by costing parts, supplies, labor and calculating customers payment, including deductibles to repair or replace each damaged item. Prepare WO (work order) by describing repair and replacement services required, obtain approval signatures, enter WO (work order) into work management system.
Albuquerque, NM30+ days ago
Candidate needs to support operations in a fast-paced work environment, be able to make independent decisions regarding grant guidance and insurance policy provisions; must be able to understand and interpret the federal grant eligibility and activities; and perform business related research to support client needs. Our 25,000 employees work together to provide clear solutions to complex problems by Leading with Science to address the entire water cycle, protect and restore the environment, design sustainable and resilient infrastructure, and support the clean energy transition.
p>Newsweek Recognizes Sedgwick as America's Greatest Workplaces National Top Companies Certified as a Great Place to Work Fortune Best Workplaces in Financial Services & Insurance. • Drive enterprise architecture decisions for AI platforms, including model hosting, orchestration layers, vector databases, evaluation frameworks, and observability tooling.
Telecommuter, NM26 days ago
p>PRIMARY PURPOSE: To oversee client service delivery, operational analytics, and strategic initiative management for Workers' Compensation program while partnering with regional operational leadership to drive continuous improvement and high-quality claim outcomes. Mental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines.
Albuquerque, NM30+ days ago
We ASPIRE to incorporate the following values into all aspects of our culture and work: we always demonstrate an Attitude of Service with Positivity, Integrity and Respect as we strive for Excellence. Performs a variety of routine day-to-day operations related to the administration of billing accounts for a defined University medical service or billing agent.
Albuquerque, NM22 days ago
Previous Experience: Demonstrated proficiency in covert surveillance techniques, capturing high-quality video footage, and preparing thorough, well-organized investigative reports. This role involves performing both stationary and mobile surveillance, obtaining video and photographic evidence, and preparing thorough, detailed reports for clients.
Albuquerque, NM30+ days ago
All benefits-eligible Presbyterian employees receive a comprehensive benefits package that includes medical, dental, vision, short-term and long-term disability, group term life insurance and other optional voluntary benefits. Summary: Accurately submit all insurance claims, for all payer types, including Government payers within claims clearinghouse application and patient accounting system.
Albuquerque, NM30+ days ago
p>Summary: Performs a variety of routine day-to-day operations related to the administration of billing accounts for a defined University medical service or billing agent. We ASPIRE to incorporate the following values into all aspects of our culture and work: we always demonstrate an Attitude of Service with Positivity, Integrity and Respect as we strive for Excellence.
p>Promotes and maintains the Pharmacys professional reputation and provides patients and members with pharmacy products and services in accordance with local, state, and federal laws and corporate policies and procedures by assisting the pharmacist in the prescription fulfillment process, processing third-party insurance claims and/or rejections, assisting patients and members with prescription orders and purchases, and completing, maintaining, and securing paperwork, forms, and other required documentation. Provides member assistance during prescription pickup by verifying and entering patient information according to corporate policies and procedures into the TaSCO system, marking appropriate prescriptions for pickup, retrieving prescription bag from will-call bin, scanning security tags, gathering electronic signatures for the Health Insurance Portability and Accountability Act (HIPAA) acknowledgment and third-party payor if applicable, and using TaSCO to log the sale of restricted pharmaceutical items.
Albuquerque, NM10 days ago
li>Participate in billing Helpdesk customer support, by receiving, responding and documenting all incoming account inquiries including electronic, telephone and written correspondence related to billing issues. Follow up on claims denials, make appropriate corrections, obtain approvals and resubmit claims denials for payment; appeal denials through the payer required appeals process.
Las Cruces, NM30+ days ago
Our mission statement definitely speaks to what La Clinica de Familia stands for, which is to empower and enrich families, individuals, and communities by providing quality medical, dental, behavioral health and educational service for people of all cultures. Non-Exempt $17.75 Job Summary: Performs daily duties of billing electronic and/or paper insurance claims to maximize third party insurance revenues fully by Posting of EOB's.
While previous work experience as a billing specialist working with clients, coordinating payment plans, or resolving billing issues is helpful, we support our team members in honing their recordkeeping skills to take a customer service approach to billing. Prepare invoices, reconcile billing, compile reports and other documents using billing software, and field related questions from internal teams and customers.
p>Responsibilities: - Primarily responsible for working in the payment variance work queue to identify payer specific trends and reports significant and recurring issues to the Revenue Recovery Specialist II. Founded in New Mexico in 1908, we are the states largest private employer with nearly 14,000 employees - including more than 1600 providers and nearly 4,700 nurses.