- Magellan Health Services (Albuquerque, NM)
- …abandonment rate, talk time). Comfortable adapting to change. General Job Information Title Claims Resolution Specialist Grade 20 Work Experience - Required ... ensure all pertinent information is recorded both for ease of resolution by the Claims Department and service continuation for the customer. + Processes… more
- Sedgwick (Albuquerque, NM)
- …Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Environmental Claims Specialist **Job Description Summary** To analyze complex or ... technically difficult environmental claims ; to provide resolution of highly complex nature and/or severe injury claims ; to coordinate case management within… more
- Sedgwick (Santa Fe, NM)
- …Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Sr. Claims Specialist , Professional Liability (Cyber) **PRIMARY PURPOSE** **:** To ... analyze complex or technically difficult Cyber and other Professional Liability claims ; to provide resolution of medium to highly complex nature claims ; to… more
- Travelers Insurance Company (Santa Fe, NM)
- …proper indemnity and expense reserves. + Recognize and implement alternate means of resolution . + Manages litigated claims . + Develop litigation plan with staff ... serious and complex Life Science medical products, clinical trial and pharmaceutical bodily injury claims , as well as General Liability Coverage B claims and E&O… more
- Molina Healthcare (Albuquerque, NM)
- …for reviewing and resolving member and provider complaints and communicating resolution to members and provider (or authorized representatives) in accordance with ... Medicaid **KNOWLEDGE/SKILLS/ABILITIES** + Responsible for the comprehensive research and resolution of the appeals, dispute, grievances, and/or complaints from… more
- Sedgwick (Santa Fe, NM)
- …to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Service Center Specialist - Background in Auto Insurance Required **PRIMARY PURPOSE** : To assist ... customer service representatives in expediting the application by providing claims general information; to track trends; to investigate client feedback both… more
- Molina Healthcare (NM)
- …clear and concise to ensure accuracy in auditing of critical information on claims ensuring adherence to business and system requirements of customers as it pertains ... audits and communicates with Core Operations Functional Business Partners to ensure resolution within 30 days of error issuance. * Evaluates the adjudication of… more
- Zurich NA (Santa Fe, NM)
- National Livestock Specialist 119945 We are currently looking for a National Livestock Specialist to sell, service and train Livestock products nationwide for ... in all aspects of Zurich Crop livestock software (quoting, processing and claims ) to provide agent training and support. + Has excellent virtual communications… more
- Mass Markets (Las Cruces, NM)
- …in the industry. Our team is looking for an experienced human resource specialist to support internal HR functions with a special focus on recruitment activities. ... of personalities and learning styles. + 2+ years of experience as an HR Specialist or recruiting positions + Some Undergraduate level education in Human Resources +… more
- Travelers Insurance Company (Santa Fe, NM)
- …and providing expertise in adjusting large, complex Boiler and Machinery first party claims both in the United States and on occasion, internationally. In addition, ... prices with contractors for repairs and finally, evaluating and negotiating the final resolution of any claim. + Co-adjusts Boiler Machinery losses with junior staff… more
- Prime Therapeutics (Santa Fe, NM)
- …enrollment and claims point of sale for research and problem resolution . + Assists in data collection and reporting. + Completes bi-weekly checkwrite production ... drives every decision we make. **Job Posting Title** Senior Enrollment Specialist **Job Description** + Effectively supports Magellan's SBU program operations… more
- Mass Markets (Las Cruces, NM)
- …and a brief pre-employment test. POSITION RESPONSIBILITIES As a Talent Acquisition Specialist , you are responsible for the entire recruitment life-cycle. You will ... troubleshoot, and follow-up on customer issues + An aptitude for conflict resolution , problem solving and negotiation + Must be customer service oriented… more
- Office of the Secretary of the Interior (Farmington, NM)
- …dates. Assist in a variety of accounting lease review/analysis in problem resolution by receiving, handling, resolving inquiries, problems and other royalty related ... issues. Conduct extensive research regarding effective resolution of inquiries for reporting, paying, and compliance problems on royalties for oil and gas or other… more
- CVS Health (Santa Fe, NM)
- …and knowing the roadmap and overall product strategy, serving as product and market specialist + Prioritizing which new features in the backlog will be added to the ... + Working directly with vendors and business partners to perform issue resolution . + Facilitating project teams and presenting updates to leadership, influencing… more
- Prime Therapeutics (Santa Fe, NM)
- …The Sr Health Plan Account Manager serves as a line of business specialist for their assigned account/s and provides information, analyses, and consulting to the ... in the market. **Responsibilities** + Serve as a line of business specialist responsible for managing client relationships within assigned health plan/s; effectively… more