- 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 (Santa Fe, NM)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance 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
- Travelers Insurance Company (Santa Fe, NM)
- …of claim and litigation strategy. + Recognize and implement alternate means of resolution . + Manages litigated claims . Develop litigation plan with staff or ... and/or complex Life Science medical products, clinical trial and pharmaceutical bodily injury claims , as well as General Liability Coverage B claims and E&O… 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
- Molina Healthcare (Rio Rancho, NM)
- …timely validation and maintenance of critical provider information on all claims and provider databases. This multifaceted role supports both operational efficiency ... areas of responsibility (eg, Provider Services/Provider Inquiry Research & Resolution , Provider Contracting/Provider Relationship Management). + Provides timely, accurate… 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
- Mass Markets (NM)
- …partner in the industry. We are seeking a detail-oriented and analytical Quality Assurance Specialist to join our team. This role is critical in ensuring the highest ... forms to score calls based on communication skills, adherence to scripts, and problem resolution . + Analyze call data to identify trends and areas for improvement. +… more
- Molina Healthcare (Santa Fe, NM)
- …business analyses of national contracts/benefits to support accurate configuration for claims payment); Provider/Member Inquiry Research and Resolution ; and ... Provides training and guidance as needed to the Contract Managers and Contract Specialist (s). * Helps develop and utilize standardized contract templates and Pay for… more
- Highmark Health (Santa Fe, NM)
- …of the change or problems and takes appropriate steps to effect resolution . (10%) + Reviews and interprets medical information, classifies that information into ... or Outpatient): Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS) + AAPC Credentials (Outpatient): Certified Professional Coder… more