Claims Examiner, Sr. jobs in Albuquerque, NM

Claims Examiner, Sr. reviews, evaluates, and processes insurance claims and makes recommendations for resolution. Examines and authorizes insurance claims investigated by insurance adjusters. Being a Claims Examiner, Sr. studies reports prepared by adjusters and similar claims to determine the extent of insurance coverage and validity of the claim. Communicates with agents, claimants, and policy holders. Additionally, Claims Examiner, Sr. determines settlement according to organization practices and procedures. May require a bachelor's degree. Typically reports to a supervisor or manager. The Claims Examiner, Sr. occasionally directed in several aspects of the work. Gaining exposure to some of the complex tasks within the job function. To be a Claims Examiner, Sr. typically requires 2 -4 years of related experience. (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

  • 21 Days Ago

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Title Examiner
  • CENTRIC TITLE & ESCROW
  • Albuquerque, NM FULL_TIME
  • Who We Are We are Centric Title & Escrow, LLC, a Mother Lode Holding Company. We are a family! We like to throw a big party. We like to laugh out loud and have loads of fun. We encourage growth within...
  • 6 Days Ago

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Claims Technician
  • Health Care Service Corporation
  • Albuquerque, NM FULL_TIME
  • At HCSC, we consider our employees the cornerstone of our business and the foundation to our success. We enable employees to craft their career with curated development plans that set their learning p...
  • 18 Days Ago

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Claims Technician
  • HCSC
  • Albuquerque, NM FULL_TIME
  • At HCSC, we consider our employees the cornerstone of our business and the foundation to our success. We enable employees to craft their career with curated development plans that set their learning p...
  • 24 Days Ago

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Medical Billing Specialist (Claims)
  • X-Ray Associates of New Mexico
  • Albuquerque, NM FULL_TIME
  • Join an Exceptional Organization with more than 70 years in the New Mexico Medical Community. Our employees are the internal strength of our company and provide the knowledge, skills, experience and d...
  • 11 Days Ago

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Claims Customer Service Representative
  • SOUTHWEST SERVICE ADMINISTRATORS INC
  • Albuquerque, NM OTHER
  • Job Details Job Location: Albuquerque NM - Albuquerque, NM Salary Range: $17.00 - $22.00 Hourly DescriptionThe Benefit & Claims Customer Service Representative provides information on health and welfa...
  • 20 Days Ago

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0 Claims Examiner, Sr. jobs found in Albuquerque, NM area

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Medical Reviewer II - RN (TX, OK, NM, MT & IL)
  • HCSC
  • Albuquerque, NM
  • At HCSC, we consider our employees the cornerstone of our business and the foundation to our success. We enable employee...
  • 4/19/2024 12:00:00 AM

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Human Resources Assistant (Information Systems)
  • Department Of Energy
  • Albuquerque, NM
  • Summary The incumbent of this position will serve as a Human Resources Assistant responsible for completeness and legali...
  • 4/19/2024 12:00:00 AM

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QUALITY ASSURANCE SPECIALIST (AIRCRAFT)
  • Department of the Air Force - Agency Wide
  • Kirtland Afb, NM
  • Summary Click on "Learn more about this agency" button below to view Eligibilities being considered and other IMPORTANT ...
  • 4/18/2024 12:00:00 AM

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ACQUISITION PROGRAM MANAGEMENT SPECIALIST
  • Non-DOD And Other Support
  • Kirtland Afb, NM
  • Summary The primary purpose of this position is to serve as an Acquisition Management Specialist for the Department of t...
  • 4/18/2024 12:00:00 AM

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Sr Workers' Compensation Adjuster - MUST LIVE IN NEW MEXICO- Remote
  • NARS
  • Albuquerque, NM
  • Job Description Job Description The candidate must have knowledge and understanding of Workers Compensation and must hav...
  • 4/17/2024 12:00:00 AM

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Field Property Claims Adjuster
  • Liberty Mutual Group
  • Albuquerque, NM
  • You are here: / US,Albuquerque-NM,Field Property Claims Adjuster **Field Property Claims Adjuster** **Field Property Cla...
  • 4/17/2024 12:00:00 AM

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Tribal Liaison (Billing & Claims) Remote in New Mexico
  • Molina Healthcare
  • Albuquerque, NM
  • Molina Healthcare is hiring in New Mexico for several Billing & Claims, Tribal Liaisons. These roles are specifically re...
  • 4/16/2024 12:00:00 AM

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Criminal Investigator (Special Agent)
  • Department Of Homeland Security
  • Albuquerque, NM
  • Summary Joining the Secret Service as a Special Agent will allow you to perform critical protective and investigative as...
  • 4/15/2024 12:00:00 AM

According to the United States Census Bureau, Albuquerque has a total area of 189.5 square miles (490.9 km2), of which 187.7 square miles (486.2 km2) is land and 1.8 square miles (4.7 km2), or 0.96%, is water. Albuquerque lies within the northern, upper edges of the Chihuahuan Desert ecoregion, based on long-term patterns of climate, associations of plants and wildlife, and landforms, including drainage patterns. Located in central New Mexico, the city also has noticeable influences from the adjacent Colorado Plateau semi-desert, Arizona-New Mexico Mountains, and Southwest plateaus and plains ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Examiner, Sr. jobs
$58,556 to $75,495
Albuquerque, New Mexico area prices
were up 2.5% from a year ago

Claims Examiner, Sr. in Riverside, CA
Health Claims Examiners, or Health Information Technicians, enter data electronically to process transactions.
December 14, 2019
Claims Examiner, Sr. in Evansville, IN
If you’re in dire straits, we can advise you on steps to get the OWCP claims examiner to pay attention to your needs, such as contacting the Department of Labor’s district director, or the national director via mail.
February 12, 2020
Claims Examiner, Sr. in Springfield, IL
No, the examiner is only involved in performing the exam and providing the results to the claims processor.
January 13, 2020