Independent Insurance Claims Adjuster in Rio Rancho, New Mexico MileHigh Adjusters HoustonIndependent Insurance Claims Adjuster in Rio Rancho, New MexicoRio Rancho, New MexicoHow We Can Help You Succeed: At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting. You can also find us on YouTube at: ( https://www.youtube.com/channel/UC9nTRXrwnbC2TuYphDUVhWg ) and Facebook at: ( https://www.facebook.com/milehighadjustershouston ) for additional resources and updates.
Independent Insurance Claims Adjuster in Los Lunas, New Mexico MileHigh Adjusters HoustonIndependent Insurance Claims Adjuster in Los Lunas, New MexicoLos Lunas, New MexicoHow We Can Help You Succeed: At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting. You can also find us on YouTube at: ( https://www.youtube.com/channel/UC9nTRXrwnbC2TuYphDUVhWg ) and Facebook at: ( https://www.facebook.com/milehighadjustershouston ) for additional resources and updates.
Independent Insurance Claims Adjuster in Belen, New Mexico MileHigh Adjusters HoustonIndependent Insurance Claims Adjuster in Belen, New MexicoBelen, New MexicoHow We Can Help You Succeed: At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting. You can also find us on YouTube at: ( https://www.youtube.com/channel/UC9nTRXrwnbC2TuYphDUVhWg ) and Facebook at: ( https://www.facebook.com/milehighadjustershouston ) for additional resources and updates.
Independent Insurance Claims Adjuster in Albuquerque, New Mexico MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Albuquerque, New MexicoAlbuquerque, NMWHAT WE OFFER: • Adjuster licensing assistance• Xactimate training• Property inspection & scoping training• Claims-writing workflow training• Online and in-person training options• Resume guidance• Access to industry staffing firm contacts and resources WHY PEOPLE CHOOSE MILEHIGH ADJUSTERS HOUSTON: • Over 500 Five-Star Google Reviews• Over 1,750 students trained since 2020• Hands-on, real-world training approach• Flexible online and in-person programs IMPORTANT: Requirements for roster consideration vary based on experience, licensing status, certifications, and client needs. Independent adjusting is a certification-based career field that often requires:• State licensing• Xactimate estimating knowledge• Property claims training• Real-world claims workflow understandingIf additional licensing or training is needed, MileHigh Adjusters Houston offers career-entry training programs designed to help qualified individuals prepare for the industry.
Independent Insurance Claims Adjuster in Belen, New Mexico MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Belen, New MexicoBelen, NMWHAT WE OFFER: • Adjuster licensing assistance• Xactimate training• Property inspection & scoping training• Claims-writing workflow training• Online and in-person training options• Resume guidance• Access to industry staffing firm contacts and resources WHY PEOPLE CHOOSE MILEHIGH ADJUSTERS HOUSTON: • Over 500 Five-Star Google Reviews• Over 1,750 students trained since 2020• Hands-on, real-world training approach• Flexible online and in-person programs IMPORTANT: Requirements for roster consideration vary based on experience, licensing status, certifications, and client needs. Independent adjusting is a certification-based career field that often requires:• State licensing• Xactimate estimating knowledge• Property claims training• Real-world claims workflow understandingIf additional licensing or training is needed, MileHigh Adjusters Houston offers career-entry training programs designed to help qualified individuals prepare for the industry.
Independent Insurance Claims Adjuster in Los Lunas, New Mexico MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Los Lunas, New MexicoLos Lunas, NMWHAT WE OFFER: • Adjuster licensing assistance• Xactimate training• Property inspection & scoping training• Claims-writing workflow training• Online and in-person training options• Resume guidance• Access to industry staffing firm contacts and resources WHY PEOPLE CHOOSE MILEHIGH ADJUSTERS HOUSTON: • Over 500 Five-Star Google Reviews• Over 1,750 students trained since 2020• Hands-on, real-world training approach• Flexible online and in-person programs IMPORTANT: Requirements for roster consideration vary based on experience, licensing status, certifications, and client needs. Independent adjusting is a certification-based career field that often requires:• State licensing• Xactimate estimating knowledge• Property claims training• Real-world claims workflow understandingIf additional licensing or training is needed, MileHigh Adjusters Houston offers career-entry training programs designed to help qualified individuals prepare for the industry.
Independent Insurance Claims Adjuster in Rio Rancho, New Mexico MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Rio Rancho, New MexicoRio Rancho, NMWHAT WE OFFER: • Adjuster licensing assistance• Xactimate training• Property inspection & scoping training• Claims-writing workflow training• Online and in-person training options• Resume guidance• Access to industry staffing firm contacts and resources WHY PEOPLE CHOOSE MILEHIGH ADJUSTERS HOUSTON: • Over 500 Five-Star Google Reviews• Over 1,750 students trained since 2020• Hands-on, real-world training approach• Flexible online and in-person programs IMPORTANT: Requirements for roster consideration vary based on experience, licensing status, certifications, and client needs. Independent adjusting is a certification-based career field that often requires:• State licensing• Xactimate estimating knowledge• Property claims training• Real-world claims workflow understandingIf additional licensing or training is needed, MileHigh Adjusters Houston offers career-entry training programs designed to help qualified individuals prepare for the industry.
Sr. Workers Compensation Claims Adjuster (NM License) EliteSr. Workers Compensation Claims Adjuster (NM License)Albuquerque, New Mexico$88,000–$94,000 / yearWorkers Compensation Claims Adjuster (NM License) Salary: $88,000 to $94,000 (depending on experience) Type: Hybrid (2-days/wk in-office) DUTIES AND RESPONSIBILITIES: Effectively manages an average caseload of 130 workers’ compensation files, including very complex claims.*. SPECIAL EQUIPMENT OR CLOTHING: Appropriate office attire QUALIFICATIONS REQUIRED: Education/Experience : Bachelor’s degree in related field (preferred); five (5) or more years related experience; or equivalent combination of education and experience.
Senior Workers Compensation Claims Adjuster - NM GallagherSenior Workers Compensation Claims Adjuster - NMAlbuquerque, New MexicoRemoteFull timeHow you'll make an impact : Apply claims management experience to execute decision-making to analyze claims exposure, plan the proper course of action, and appropriately resolve claims. Whether you're managing claims, supporting clients, or improving processes, you’ll play a vital role in helping businesses and individuals move forward with confidence.
NewWorkers’ Compensation Claims Examiner III - Hybrid TEEMAWorkers’ Compensation Claims Examiner III - HybridAlbuquerque, NM$80,000–$90,000This role is ideal for an experienced examiner with strong New Mexico Workers’ Compensation knowledge who can independently manage files, make sound compensability decisions, and move claims efficiently from first report through resolution. You will manage an active caseload of approximately 150 claims, including medical-only, indemnity, lifetime medical, and permanent partial benefit files.
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.
Claims Specialist I - Journal Center, (1783) TriCore Reference LaboratoriesClaims Specialist I - Journal Center, (1783)Albuquerque, NMResponsibilities include routine follow-up on accounts, working the No activity and Unresolved accessions Report for contracted and non-contracted insurances, analyzing aged AR in assigned EP searches working in XIFIN. 1. Collects outstanding accounts receivables on patient accounts from patient, commercial, nongovernment, contracted insurances or government payors via phone call to the patient or insurance company or by means of written appeal or reconsideration.
NewClaims Specialist I - Journal Center, (1804) TriCore Reference LaboratoriesClaims Specialist I - Journal Center, (1804)Albuquerque, NMResponsibilities include routine follow-up on accounts, working the No activity and Unresolved accessions Report for contracted and non-contracted insurances, analyzing aged AR in assigned EP searches working in XIFIN. 1. Collects outstanding accounts receivables on patient accounts from patient, commercial, nongovernment, contracted insurances or government payors via phone call to the patient or insurance company or by means of written appeal or reconsideration.
Business Analyst - Medicaid and Claims -Remote with Travel The Dignify Solutions, LLCBusiness Analyst - Medicaid and Claims -Remote with TravelAlbuquerque, NMRemoteProven experience developing and implementing claims systems / MMIS / MES platforms, such as CMds, Health Enterprise, QNXT, Facets, or comparable commercial Medicaid/claims suites. 12+ years business analysis experience in Medicaid MMIS / MES, with deep hands-on work in at least two of: Claims, Member/Eligibility-Enrollment, Finance/Financial Accounting.
Claims Recovery Examiner HCSCClaims Recovery ExaminerAlbuquerque, New MexicoRemotePreference in filling vacancies is given to qualified Indian candidates in accordance with the Indian Preference Act of 1934 (title 25, USC Section 472) Native American Indian Preference shall apply to this position pursuant to the Indian Self-Determination and Education Assistance Act (24 U.S.C. 450, et seq.), 25 CFR 271.44 and other relevant laws (title 25, #LI-Remote. * 2 years of accounting experience or good understanding of accounting practices or 2 years of progressive responsibility in claims processing to include COB processing.
Claims Specialist- Journal Center, (784) TriCore Reference LaboratoriesClaims Specialist- Journal Center, (784)Albuquerque, NMResponsibilities include routine follow-up on accounts, working the Rejection Report for contracted insurances, analyzing aged trial balance report for assigned charge to's, working the Antrim, Rhodes reports and miscellaneous accounts receivable reports. ESSENTIAL FUNCTIONS: Collects outstanding accounts receivables on patient accounts from patient, commercial, non-government, contracted insurances or government payors via phone call to the patient or insurance company or by means of written appeal or reconsideration.
Workers Compensation Claims Supervisor - NM GallagherWorkers Compensation Claims Supervisor - NMAlbuquerque, New MexicoRemoteFull timeHow you'll make an impact : Supervise: Lead and encourage a Workers Compensation claims team handling a variety of caseload sizes and complexities to deliver high-quality and efficient service. Prioritize and Develop: Effectively manage multiple competing priorities, identify coaching opportunities, and position team members for successful development.
Medicaid Claims Supervisor Conduent IncMedicaid Claims SupervisorAlbuquerque, NM$51,205–$66,500 / yearThrough our dedicated associates, Conduent delivers mission-critical services and solutions on behalf of Fortune 100 companies and over 500 governments - creating exceptional outcomes for our clients and the millions of people who count on them. In this role, you can expect the following working conditions: Hybrid work: Work in a way that allows you to work from home and have time onsite when needed to connect with other team members and business leaders.
Senior Claims Manager EPL - Remote Providence St. Joseph HealthSenior Claims Manager EPL - RemoteAlbuquerque, NMRemoteTogether, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. Candidate must possess strong communication and litigation management skills to collaborate with business partners and defense counsel to direct litigation activities and claim outcomes while considering the overall impact to the company and individual stakeholders.
NewMulti-Line Claim Adjuster - (Municipal/Public Works) CCMSIMulti-Line Claim Adjuster - (Municipal/Public Works)Albuquerque, New Mexico$75,000–$85,000 / yearAt CCMSI, we partner with global clients to solve their most complex risk management challenges, delivering measurable results through advanced technology, collaborative problem-solving, and an unwavering commitment to their success. As the largest privately-owned Third Party Administrator (TPA), CCMSI delivers customized claim solutions that help our clients protect their employees, assets, and reputations.