• Audit and Quality Control

    Wittenberg Weiner Consulting LLC (Santa Fe, NM)
    Copperhead is seeking multiple Audit and Quality Control Claims Specialist for a potential contract to support disaster relief. This position involves ... to detail and adherence to FEMA guidelines. Audit and Quality Control Claims Specialist will objectively review, investigate, process, and evaluate… more
    Wittenberg Weiner Consulting LLC (06/17/25)
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  • Claims Team Lead I Workers Comp (Calif Exp)

    Sedgwick (Santa Fe, NM)
    …reports and takes appropriate action. + Performs quality review on claims in compliance with audit requirements, service contract requirements, and ... Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Team Lead I Workers Comp (Calif Exp) **PRIMARY...seven) technical operations colleagues for a wide span of control ; may delegate some duties to others within the… more
    Sedgwick (06/11/25)
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  • Manager, Claims Operations & Research

    Molina Healthcare (Santa Fe, NM)
    …unit + Internal Audit Certification a plus for manager overseeing Regulatory Quality Audit unit To all current Molina employees: If you are interested ... **JOB DESCRIPTION** **Job Summary** Responsible for administering claims payments, maintaining claim records, and providing counsel to claimants regarding coverage… more
    Molina Healthcare (06/07/25)
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  • Workforce Absence Team Lead

    Sedgwick (Santa Fe, NM)
    …reports and takes appropriate action. + Performs quality review on claims in compliance with audit requirements, service contract requirements, and ... operations of multiple teams of examiners and technical staff for disability claims for clients; to monitor colleagues' workload, provide training, and monitor… more
    Sedgwick (05/20/25)
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  • Case Manager

    Cardinal Health (Santa Fe, NM)
    …patients can access, afford and remain on the therapy they need for a better quality of life. Our diverse expertise in pharma, payer and hub services allows us to ... have a greater connection to the customer experience and better control of product success. Personalized service and creative solutions executed through… more
    Cardinal Health (06/20/25)
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