Claims Processing Manager jobs in Albuquerque, 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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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

  • 27 Days Ago

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LOAN PROCESSING MANAGER
  • Sandia Area Federal Credit Union
  • Albuquerque, NM FULL_TIME
  • OVERALL JOB PURPOSE Oversees both the Consumer and Real Estate Loan Processing departments and is responsible for managing the loan processing operations for both departments. This role requires stron...
  • 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.
  • 7 Days Ago

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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.
  • 11 Days Ago

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Packing and Processing
  • Department of the Air Force - Agency Wide
  • Albuquerque, NM OTHER
  • For additional information on direct hire opportunities with the Air Force please click here. Once on the Air Force Civilian Careers website, click "LEARN MORE ABOUT DIRECT HIRE JOBS" and click on the...
  • 1 Month Ago

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Processing Tech
  • Cinder Cannabis
  • Albuquerque, NM PART_TIME
  • We are adding to our manufacturing team. We are looking for driven people with a strong work ethic. Processing Techs are responsible for assisting Cinder Industries with processing cannabis products. ...
  • 1 Month Ago

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0 Claims Processing Manager jobs found in Albuquerque, NM area

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Deputy Director for Recovery
  • Hill International
  • Albuquerque, NM
  • Job Description Hill International is seeking a Deputy Director for Recovery in Houston, Texas Responsibilities Work wit...
  • 4/24/2024 12:00:00 AM

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Government Property Management Specialist
  • BlueHalo, LLC
  • Albuquerque, NM
  • Overview Being on the BlueHalo team means working alongside the brightest minds in technology on the toughest challenges...
  • 4/24/2024 12:00:00 AM

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Technical Writer/Business Process Manager L2
  • Galapagos Federal Systems Llc
  • Albuquerque, NM
  • Job Title: Technical Writer/Business Process Manager L2 Job Location: Kirtland AFB, NM, 87117 Job Summary Galapagos Fede...
  • 4/23/2024 12:00:00 AM

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Paralegal
  • New Mexico Mutual
  • Albuquerque, NM
  • Job Type Full-time Description Job Title: Paralegal Department: Corporate Governance Reports to: Vice President-General ...
  • 4/22/2024 12:00:00 AM

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Director II
  • Bernalillo County, NM
  • Albuquerque, NM
  • Salary: $137,800.00 Annually Location : Albuquerque, NM Job Type: Full Time Regular (FR) Job Number: 2400673 Department:...
  • 4/22/2024 12:00:00 AM

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Department Manager
  • H&M Group
  • Albuquerque, NM
  • Company Description H&M is a fashion brand that offers the latest styles and inspiration, from fashion pieces and unique...
  • 4/22/2024 12:00:00 AM

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Project Manager
  • Lovelace Health System
  • Albuquerque, NM
  • Overview: Lovelace Health System (LHS) has been committed to meeting the growing healthcare needs of the Albuquerque com...
  • 4/21/2024 12:00:00 AM

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Agency Director
  • Ambercare
  • Albuquerque, NM
  • >> We offer our team the best << Medical, Dental and Vision Benefits Continued Education PTO Plan Retirement Planning Li...
  • 12/5/2023 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 Processing Manager jobs
$89,283 to $115,314
Albuquerque, 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