Claims Processing Manager jobs in New Mexico

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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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 fo...
  • 20 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...
  • 2 Days Ago

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Senior Claims Insurance Manager - Medical Professional Liability Claims *Remote
  • Providence Health
  • Mexico, NM FULL_TIME
  • Description Providence caregivers are not simply valued – they’re invaluable. Join our team and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutu...
  • 1 Month Ago

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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.
  • Just Posted

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Test Score Technician
  • U.S. Military Entrance Processing Command
  • Albuquerque, NM FULL_TIME
  • About the Position: This is a Test Score Technician position that operates within the Testing section of the MEPS. The duty location for this position is in Albuquerque, New Mexico.
  • 4 Days Ago

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Processing Manager
  • Hiring Now!
  • Lake Mills, WI
  • Summary Reporting to the General Manager, plan, organize, manage and execute liquid egg processing operations for assign...
  • 4/17/2024 12:00:00 AM

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Manager, Business Process Management - (REMOTE)
  • American Homes 4 Rent
  • Las Vegas, NV
  • AMH Since 2012, we've grown to become one of the leading single-family rental companies and homebuilders in the country,...
  • 4/16/2024 12:00:00 AM

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Processing Manager
  • Chobani
  • New Berlin, NY
  • Summary We are seeking a dynamic and experienced Manufacturing leader to oversee and manage our dairy processing facilit...
  • 4/16/2024 12:00:00 AM

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Processing Manager
  • LHH
  • LHH Recruitment Solutions is currently seeking a Processing Manager in Cumberland County, NJ. This position assumes resp...
  • 4/15/2024 12:00:00 AM

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Process Manager
  • Zobility
  • Christiansburg, VA
  • This is a Direct Placement Job Opportunity Position - Technical Process Manager Location - Christiansburg, VA. Salary - ...
  • 4/15/2024 12:00:00 AM

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Director, Accounting, Process Management
  • CF Industries Employee Services LLC
  • Northbrook, IL
  • At CF Industries, our mission is to provide clean energy to feed and fuel the world sustainably. Our employees are focus...
  • 3/18/2024 12:00:00 AM

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Management Trainee - Processing
  • Mountaire
  • Lumber Bridge, NC
  • Primary Purpose To gain experience and knowledge in all aspects of vertical integration with special emphasis on Operati...
  • 3/11/2024 12:00:00 AM

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Management Trainee - Processing
  • Mountaire
  • Millsboro, DE
  • Primary Purpose To gain experience and knowledge in all aspects of vertical integration with special emphasis on Operati...
  • 3/4/2024 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 Manager jobs
$87,573 to $113,106

Claims Processing Manager in Topeka, KS
Managers can review workflow queues and see what is in each processor’s queue.
January 13, 2020
The claims have to be handled timely to ensure quick settlement leading to customer satisfaction.
January 12, 2020
Claims Processing Manager in Pittsburgh, PA
Depending on the employer’s needs, insurance claims and processing clerks may also be responsible for interviewing clients to obtain the information required on new insurance policy applications.
January 27, 2020
Claims Processing Manager in Medford, OR
Claims Manager Plus ingests a hospital’s daily claims file and runs it through a sophisticated rules engine to modify claims based on the hospital’s defined configurations, as well as parse out claims not meeting criteria for payment.
December 11, 2019