Claims Processing Director jobs in New Mexico

Claims Processing Director plans and directs one or more departments responsible for administration of health insurance claims, payment processing, billing research, and responding to inquiries. Establishes and implements organizational policies and procedures; may offer guidance on the appropriate handling of complex or high-value claims. Being a Claims Processing Director develops and executes strategic business plans for the department. Coordinates operations with other areas of the organization. Additionally, Claims Processing Director requires a bachelor's degree. Typically reports to top management. The Claims Processing Director manages a departmental sub-function within a broader departmental function. Creates functional strategies and specific objectives for the sub-function and develops budgets/policies/procedures to support the functional infrastructure. To be a Claims Processing Director typically requires 5+ years of managerial experience. Deep knowledge of the managed sub-function and solid knowledge of the overall departmental function. (Copyright 2024 Salary.com)

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NM - Albuquerque - 1099 Property Claims Adjuster
  • Copper Claims Services, Inc.
  • Albuquerque, NM FULL_TIME
  • 1099 Property Claims Adjuster

    Copper Claims Services is a quickly growing independent loss adjusting firm based out of Irvine, CA.

    Copper Claims Services excels in providing custom claims solutions for Property and Casualty, Transportation and High Net Worth, with an emphasis on Specialized Programs.

    We are currently looking for licensed adjusters (or individuals who will obtain their license upon onboarding) to assist with daily claims handling for the New Mexico area. In this role, you will manage, investigate and resolve homeowner and commercial property losses of moderate to severe complexity with minimal supervision to include completing field investigations, evaluating and analyzing coverage, completing property damage estimates, reporting findings to various clients, and handling files to the conclusion of the claim.

    In this role, you will:

    • Handle claims during local catastrophes
    • Complete field investigations including inspections, interviews, preparing diagrams, taking photographs, and various other tasks
    • Analyze insurance coverage issues on specific claims and make appropriate recommendations to our clients
    • Prepare detailed estimates in Xactimate based on our client’s specifications and parameters
    • Prepare clear, concise, and timely narrative reports for our clients
    • Create ITV reports
    • Evaluate co-insurance calculations and penalties if applicable
    • Maintain continuous and professional communication with our clients to ensure their needs are being met.
    • Analyze and evaluate damages including reserves, property estimates, business personal property inventories, business interruption, and business income losses
    • Investigate, analyze, adjust and negotiate settlements with insured’s in compliance with our client’s direction
    • Coordinate and oversee vendors such as emergency service contractors, origin and cause investigators, general contractors, engineers, etc.

    Qualifications:

    • 5 years of field Property adjusting experience
    • Ability to climb ladders/Access roofs
    • Thorough knowledge and understanding of roofing, HVAC, and various other mechanical specialties
    • Knowledge of Commercial Lines insurance policies
    • Proficient in Xactimate including Sketch
    • Previous experience with Xactanalysis preferred
    • Proficient in Microsoft Office (Word, Excel, and Outlook)
    • Effective negotiation skills
    • Ability to effectively and independently manage workload
    • Proven ability to provide exceptional customer service
    • Strong written and verbal communication skills
    • Exceptional organization and time management skills

    Job Type: Full-time

    Schedule:

    • 8 hour shift
    • Monday to Friday

    Work Location: On the road

  • 29 Days Ago

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Assistant F&B Director
  • Assistant Director of Food & Beverage
  • Santa Fe, NM FULL_TIME
  • Job summary -Responsible for the management and successful operation of all aspects of the outlet functions, in accordance with hotel standards. Directs, implements and maintains a service and managem...
  • 9 Days Ago

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Auto Damage Photo Runner
  • Volta Claims Service
  • Portales, NM FULL_TIME
  • Get paid to snap photos of cars at your own schedule! No experience needed!Who we are:Volta is Texas-based firm that provides a wide array of claims support and inspection services for self-insured fi...
  • 11 Days Ago

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Desktop support technician
  • Valor Intelligent Processing
  • Mesilla, NM FULL_TIME
  • POSITION OVERVIEW IT DESKTOP SUPPORT Mass Markets is a rapidly growing, industry leading business process outsourcing and software development organization. As a high growth organization with an entre...
  • Just Posted

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Lab Associate
  • Senior Director of Retail Marketing/ Merchandising @ Schwazze | WeedWeek
  • Albuquerque, NM FULL_TIME
  • Who We Are: Schwazze (OTCQX:SHWZ | NEO:SHWZ) is building a premier, vertically integrated regional cannabis company with assets in Colorado and New Mexico. The parent company of a portfolio of leading...
  • Just Posted

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Advanced Practice Nurse (Nurse Practitioner)
  • U.S. Military Entrance Processing Command
  • Albuquerque, NM FULL_TIME
  • This is a Direct Hire Authority (DHA) solicitation utilizing the DHA for Medical Occupations to recruit and appoint qualified candidates to positions in the competitive service.
  • 9 Days Ago

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Director of Claims
  • Masis Professional Group
  • Charlotte, NC
  • SUMMARY: Assists with the management of the claims department. Manages complex claim files and manages personnel in the ...
  • 4/26/2024 12:00:00 AM

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Casualty Claims Director
  • Plymouth Rock Assurance
  • Boston, MA
  • Reporting directly to the Vice President of Claims of the Independent Agent Channel, the Director will oversee our MA an...
  • 4/26/2024 12:00:00 AM

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Complex Claims Director, Excess
  • AIG
  • Jersey City, NJ
  • Complex Director- Excess Major Claims | Primary Severity Unit Who we are American International Group, Inc. (AIG) is a l...
  • 4/26/2024 12:00:00 AM

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Complex Claim Director, General Liability
  • AIG
  • Parsippany, NJ
  • Who we are American International Group, Inc. (AIG) is a leading global insurance organization. Building on 100 years of...
  • 4/26/2024 12:00:00 AM

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Casualty Claims Director
  • Plymouth Rock Assurance
  • Boston, MA
  • Reporting directly to the Vice President of Claims of the Independent Agent Channel, the Director will oversee our MA an...
  • 4/25/2024 12:00:00 AM

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Director of Claims Quality
  • Tandym Group
  • Jersey City, NJ
  • A health services organization in New York City is currently seeking an experienced professional to join their staff as ...
  • 4/24/2024 12:00:00 AM

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Director of Claims Management
  • MoveUp Consulting
  • Wooster, OH
  • Job Description Job Description Job Title: Director of Claims Management Location: REMOTE - Wooster, OH Company: MoveUp ...
  • 4/23/2024 12:00:00 AM

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Claims Director, Personal Injury Protection
  • Plymouth Rock Assurance
  • Woodbridge, NJ
  • The Personal Injury Protection (PIP) Claims Director provides business leadership and strong technical skills for the Cl...
  • 4/23/2024 12:00:00 AM

New Mexico (Spanish: Nuevo México Spanish pronunciation: [ˈnweβo ˈmexiko] (listen), Navajo: Yootó Hahoodzo pronounced [jòːtxó xɑ̀xʷòːtsò]) is a state in the Southwestern region of the United States of America; its capital and cultural center is Santa Fe, which was founded in 1610 as capital of Nuevo México (itself established as a province of New Spain in 1598), while its largest city is Albuquerque with its accompanying metropolitan area. It is one of the Mountain States and shares the Four Corners region with Utah, Colorado, and Arizona; its other neighboring states are Oklahoma to the north...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Processing Director jobs
$146,239 to $196,517

Claims Processing Director in Cedar Rapids, IA
The Manager-Claims Process evaluates existing business processes, procedures, and results to identify variance, recommend best practices that ensure high quality/low cost outcomes, and gain alignment across the business.
January 22, 2020
Getting a clear picture of your claims processes is key to containing future costs.
December 23, 2019
Claims Processing Director in Salem, OR
To file a claim, you would need to call the claims department or stop by your local agent’s office.  Some insurance companies also accept claims filed over the Internet.  Regardless of how you submit the claim, the information required will be similar.
February 17, 2020
Claims Processing Director in Baltimore, MD
Officials said the advance work will allow the files to be assigned immediately to claims processors for a decision within 30 days.
February 21, 2020