- APTIM (Santa Fe, NM)
- **Summary:** The Subject Matter Expert (SME) provides specialized technical expertise in support of claims review, evaluation, and documentation for ... losses, damages, repairs, and replacement costs in line with subject matter areas of expertise. + Customer...FEMA staff, and other stakeholders. + Proficiency in using claims management software, databases, and other technology tools that… more
- Cardinal Health (Santa Fe, NM)
- …states on paper and online. + Mails all paper claims . + Acts as a subject matter expert in claims processing. + Manages billing queue as assigned in ... done. **The Accounts Receivable Specialist II is responsible for processing insurance claims and billing. They will work within the scope of responsibilities as… more
- Prime Therapeutics (Santa Fe, NM)
- … Claims Analyst is responsible for serving as a Claims Operations subject matter expert on system functionality which may include implementations, ... us. **Job Posting Title** Specialty & Home Delivery Program Claims Analyst - Remote **Job Description** The Specialty &...on production issues. **Responsibilities** + Represent Claim Operations as subject matter expert (SME) on… more
- Sedgwick (Santa Fe, NM)
- …directs the handling to achieve the best possible resolution. + Acts as the organizational subject matter expert for line of business and key jurisdictions ... Specific jurisdictional expertise preferred. **Skills & Knowledge** + Subject matter expertise in worker's compensation claims and/or liability claims… more
- Zurich NA (Santa Fe, NM)
- …and customers as appropriate. **Expertise, Mentorship & Continuous Learning:** + Maintain subject matter expertise and regulatory compliance by staying informed ... Senior Professional Liability Claims (Attorney), Claims Construction 128423 **Zurich North America is expanding its nationwide Construction Professional… more
- Sedgwick (Santa Fe, NM)
- …or equivalent combination of education and experience required. **Skills & Knowledge** + Subject matter expert of appropriate insurance principles and laws ... Fortune Best Workplaces in Financial Services & Insurance Auto Claims Adjuster **PRIMARY PURPOSE** **:** To analyze mid- and...PURPOSE** **:** To analyze mid- and higher-level general auto claims to determine scope of damages; to ensure ongoing… more
- Sedgwick (Santa Fe, NM)
- …or equivalent combination of education and experience required. **Skills & Knowledge** + Subject matter expert of appropriate insurance principles and laws ... Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner | Multi-Line | Public Entity | Remote...the same assisting our public entity clients with their claims ! If you are an agile multi-line examiner with… more
- Sedgwick (Santa Fe, NM)
- …or equivalent combination of education and experience required. **Skills & Knowledge** + Subject matter expert of appropriate insurance principles and laws ... Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner | General Liability BI | Captive |...General Liability BI | Captive | Remote As a Claims Examiner at Sedgwick, you'll have the opportunity to… more
- CVS Health (Santa Fe, NM)
- …to process improvement opportunities, both internal and external + Serve as an internal subject matter expert to provide broader training & awareness ... improvements across key provider journeys including self-service / digital transactions, claims management, dispute resolution, and more. They will directly support… more
- Sedgwick (Santa Fe, NM)
- …or equivalent combination of education and experience required. **Skills & Knowledge** + Subject matter expert of appropriate insurance principles and laws ... | Remote **PRIMARY PURPOSE** : To analyze complex or technically difficult general liability claims to determine benefits due; to work with high exposure claims … more
- CVS Health (Santa Fe, NM)
- …coverages, and the unique requirements of various groups. The analyst will become a subject matter expert , applying detailed review skills and maintaining ... **What you will do** + Conduct thorough audits of claims , ensuring compliance with plan documents and eligibility requirements...attention to detail + Ability to quickly become a subject matter expert in new… more
- Intermountain Health (Santa Fe, NM)
- …processing of credits, active participation in system integration testing. Serves as a subject matter expert for credit resolution, actively staying abreast ... **Essential Functions** + Oversees the day-to-day revenue cycle functions including claims processing, denials, payments, customer service, and follow up on… more
- Zurich NA (Santa Fe, NM)
- …Chemicals you will handle complex new and renewal domestic Energy accounts and serve as a Subject Matter Expert on the team. As a member of Zurich's ... and 10 or more years of experience in the Claims or Underwriting Support area OR + Zurich Certified...set at 20%. As an insurance company, Zurich is subject to 18 US Code | 1033. A future… more
- Molina Healthcare (Santa Fe, NM)
- …+ Leads and manages team in planning and executing business programs. + Serves as the subject matter expert in the functional area and leads programs to meet ... candidate will act as the Ohio Operation lead on Claims and Encounters as well as the liaison to...projects and programs involving department or cross-functional teams of subject matter experts, delivering products through the… more
- Meta (Santa Fe, NM)
- …strategic importance to Meta. The Schedule lead will act as a technical Schedule subject matter expert overseeing all schedule management and reporting for ... to site teams for Delay Tracking, EOT requests and claims . Responsible for making recommendations that are in line...or Equivalent Technical Field or related field experience 11. Subject Matter Expert in Primavera… more
- Highmark Health (Santa Fe, NM)
- …positive working relationships with internal and external customers. + Act as a resource and subject matter expert to colleagues with less experience on a ... the ability to identify issues related to professional and facility provider claims data including determining appropriateness of code submission, analysis of the… more
- Sedgwick (Santa Fe, NM)
- …& Insurance Implementation Project Manager **PRIMARY PURPOSE** **OF THE ROLE** To serve as the subject matter expert (SME) of a single line of business; ... combination of education and experience required to include two (2) years of claims management, managed care or other related experience. **Skills & Knowledge** + In… more
- Otsuka America Pharmaceutical Inc. (Santa Fe, NM)
- …Provide expert advice to internal and external stakeholders and interact with subject matter experts for early development and go/no go decisions. + Provide ... expert advice to internal and external discovery teams as...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Meta (Santa Fe, NM)
- …strategic importance to Meta. The Schedule Lead will act as a technical Schedule subject matter expert , overseeing all schedule management and reporting for ... to site teams for Delay Tracking, EOT requests and claims . Responsible for making recommendations that are in line...or Equivalent Technical Field or related field experience 11. Subject Matter Expertise in Primavera P6 and… more
- Molina Healthcare (Santa Fe, NM)
- …to ad-hoc data analyses, development, and presentation of financial reports + Serve as subject matter expert on developing financial models to evaluate the ... executive decision-making + Mine and manage information from large data sources. + Analyze claims and other data sources to identify early signs of trends or other… more