Claims Processing Manager jobs in Farmington, NM

Claims Processing Manager manages the administration of health insurance claims, payment processing, billing research, and responding to inquiries. Ensures timely and proper disposition of claims in accordance with coverage amounts. Being a Claims Processing Manager trains staff on organizational policies and ensures procedures are followed at all times. Provides guidance on more complex or high-value claims. Additionally, Claims Processing Manager typically requires a bachelor's degree. Typically reports to a head of a unit/department. The Claims Processing Manager manages subordinate staff in the day-to-day performance of their jobs. True first level manager. Ensures that project/department milestones/goals are met and adhering to approved budgets. Has full authority for personnel actions. To be a Claims Processing Manager typically requires 5 years experience in the related area as an individual contributor. 1 - 3 years supervisory experience may be required. Extensive knowledge of the function and department processes. (Copyright 2024 Salary.com)

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Claims Manager
  • Flux Resources, LLC
  • Las Vegas, NM FULL_TIME
  • Job Responsibilities
    • Overall resource management, supervision, and policy implementation and enforcement for employees who are deployed to a disaster and are working within a FEMA organizational chart at the client site. This includes ability to lead and work effectively with others, deliver constructive and honest feedback, and effectively communicate to team and/or supervisors in open and timely manner.
    • Understanding and managing team to work within the contractual scope, schedule and budget, including financial management and reporting requirements.
    • Management of conflict of interest for the work being performed at disaster location.
    • Employee staffing, including backfills and assisting with new hire orientation training and logistics.
    • Assist in resolution of employee questions, problems and complaints in partnership with Human Resources and Client.
    • Management of employee resources and training needed to deliver quality work in a safe and healthy working environment.
    • Using data to track and manage workloads to meet client deadlines and to report progress in a timely manner.

    Requirements:
    • Bachelor's degree.
    • 10 years of related experience.
    • Domestic and/or international travel may be required. The frequency of travel is contingent on specific duties, responsibilities, and the essential functions of the position, which may vary depending on workload and project demands.
    • Previous experience with disaster recovery or insurance adjusting preferred
    • Claims Experience preferred
    • Equivalent additional directly related experience will be considered in lieu of a degree.
    #LI-AL1
    Flux is an Equal Opportunity Employer that values diversity in our workplace. We welcome all qualified applicants regardless of race, color, sex, age, religion, national origin, physical or mental disability, pregnancy, marital status, veteran or military status, genetic information or sexual orientation.

     

  • 1 Month Ago

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Merchandise Processing Associate
  • Savers / Value Village
  • Santa Fe, NM FULL_TIME
  • Job Title: Merchandise Processing Associate Who we are: As one of the largest for-profit thrift operators in the United States, Canada and Australia for value priced pre-owned clothing, accessories an...
  • 17 Days Ago

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Travel Sterile Processing Tech
  • Fusion Medical Staffing
  • Farmington, NM FULL_TIME,CONTRACTOR
  • Job DescriptionInterested in making a positive impact? You’ve come to the right place. At Fusion Medical Staffing, our goal is to improve the lives of everyone we touch, and we’re always looking for p...
  • 17 Days Ago

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Sterile Processing Technician
  • Advanced Staffing Associates
  • Santa Fe, NM CONTRACTOR,FULL_TIME
  • Supply Technician / Sterile processing tech - $30-35/hr - Santa Fe, New Mexico 87505 Services will be provided seven days per week, Monday through Friday, at least 40 hours per week, including an esti...
  • Just Posted

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Sterile Processing Technician
  • Trustaff
  • Espanola, NM FULL_TIME
  • As a Sterile Processing Technician, you are a critical part of ensuring a clean, pathogen-free patient environment. Sterile Processing Techs document, inspect, and decontaminate medical instruments an...
  • 6 Days Ago

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Certified Sterile Processing Technician
  • MedNinjas
  • Espanola, NM CONTRACTOR
  • SLP - Espanola, NM 13 Weeks Contract Day shift Traveler must live 75 miles away from facility 2 years’ experience current required in large OR. Orto, ENT and/or vascular experience a plus. Must be a t...
  • 7 Days Ago

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0 Claims Processing Manager jobs found in Farmington, NM area

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Lautrec Server (Full Time and Part Time) $500 Sign On Bonus!
  • Nemacolin Woodlands, Inc.
  • Farmington, NM
  • ** Lautrec Server (Full Time and Part Time) $1,000 Sign On Bonus!** **Job Category****:** FB Culinary **Requisition Numb...
  • 4/23/2024 12:00:00 AM

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Sr Project Manager, Remote (PMP)
  • Molina Healthcare
  • Farmington, NM
  • JOB DESCRIPTION Ideal Candidate will have PMP Certification and experience with Medicaid and Microsoft Project. Job Summ...
  • 4/22/2024 12:00:00 AM

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Full-Time Assistant Manager (23314 Farmington Road - Store 0649)
  • Tuesday Morning Corporation
  • Farmington, NM
  • ** Full-Time Assistant Manager (23314 Farmington Road - Store 0649)** **Job Category****:** Retail **Requisition Number*...
  • 4/22/2024 12:00:00 AM

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Full time Assistant Manager for Homecare Agency
  • Companions & Homemakers, Inc.
  • Farmington, NM
  • Full time Assistant Manager for Homecare Agency Description **Companions and Homemakers, a leader in the Home Care indus...
  • 4/22/2024 12:00:00 AM

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Sales Manager - Remote
  • InsuraTec Services Group
  • Farmington, NM
  • Sales Manager - Remote Location: Remote Experience Level: Entry-Level Join our team as a Remote Sales Manager and become...
  • 4/22/2024 12:00:00 AM

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Administrative Assistant
  • Giving Home Health Care
  • Kirtland, NM
  • Since 2012, Giving Home Health Care has helped individuals impacted by conditions contracted while working in nuclear en...
  • 4/21/2024 12:00:00 AM

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Assistant Golf Course Superintendent
  • City of Farmington
  • Farmington, NM
  • JOB OPENING CITY OF FARMINGTON JOB POSTING #55: ASSISTANT GOLF COURSE SUPERINTENDENT NUMBER OF VACANCIES: 1 DEPARTMENT: ...
  • 4/20/2024 12:00:00 AM

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Cashier (Full/Part Time)
  • BJs
  • Farmington, NM
  • Responsibilities Processes Member purchases in a courteous and friendly manner, including verifying, renewing, upgrading...
  • 4/19/2024 12:00:00 AM

Farmington (Navajo: Tóta) is a city in San Juan County in the U.S. state of New Mexico. As of the 2013 population estimate from the United States Census Bureau the city had a total population of 45,426 people. Farmington (and surrounding San Juan County) makes up one of the four Metropolitan Statistical Areas (MSA's) in New Mexico. The U.S. Census Bureau's population estimate in 2011 for Farmington was about 45,256. Farmington is located at the junction of the San Juan River, the Animas River, and the La Plata River, and is located on the Colorado Plateau. Farmington is the largest city of San...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Processing Manager jobs
$88,143 to $113,842
Farmington, New Mexico area prices
were up 2.5% from a year ago

Claims Processing Manager in Austin, TX
These claims management platforms are often not well integrated with peripheral systems, which also results in more human involvement and an increased cost per transaction.
January 26, 2020
Claims Processing Manager in Topeka, KS
The claims have to be handled timely to ensure quick settlement leading to customer satisfaction.
January 12, 2020
Managers can review workflow queues and see what is in each processor’s queue.
January 13, 2020
Claims Processing Manager in Youngstown, OH
A common duty in this position is reviewing insurance policies after clients have submitted claims, in order to determine coverage.
December 11, 2019