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Claims examiner Jobs in Albuquerque, NM

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Claims examiner • albuquerque nm

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Senior Workers Compensation Claims Adjuster

Arthur J Gallagher & CoAlbuquerque, NM, United States
Full-time

At Gallagher Bassett, we're there when it matters most because helping people through challenging moments is more than just our job, it's our purpose.Every day, we help clients navigate complexity,... Show more

Program Manager (Claims - MST hours)

Molina HealthcareAlbuquerque, NM, United States
Full-time

Provides support to Molina functional areas (Claims, and claims configuration) through program management, including policy, workflow and process documentation, management of program controls, vend... Show more

Senior Investigator 2372695 | Albuquerque, New Mexico | Remote

UnitedHealth GroupAlbuquerque, NM, United States
Full-time

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care.The work you do here impacts the lives of millions of people ... Show more

Senior Investigator 2372695 | Albuquerque, New Mexico | Remote

divvyDOSEAlbuquerque, NM, United States
Full-time

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care.The work you do here impacts the lives of millions of people ... Show more

Remote Healthcare Administrative Specialist - AI Trainer ($40-$50 per hour)

MercorAlbuquerque, New Mexico, US
$40.00 hourly
Remote
Full-time

About the Role** We're looking for professionals with deep, hands-on experience in the administrative and operational work that keeps healthcare organizations running — the "back office" of a medic... Show more

Assistant Claims Risk Manager

Catholic Mutual GroupAlbuquerque, NM
Full-time

Catholic Mutual Group (CMG) is the leading provider of property, liability, and employee benefit coverage and related services for the Catholic Church across the United States and Canada.We are cur... Show more

Pathways Recent Graduate Claims and Program Representative

US Government JobsAlbuquerque, NM, United States
Full-time

This position is located in the Railroad Retirement Board's Field Service.The incumbent will be responsible for providing a full-range of client services regarding benefits available under the vari... Show more

Remote Insurance Experts - AI Trainer ($50-$60 per hour)

MercorAlbuquerque, New Mexico, US
Remote
Full-time

Role Overview** - Mercor is seeking senior insurance professionals to build evaluation tasks for AI systems operating in Fortune 500 enterprise insurance and risk contexts.The workflows are calibra... Show more

Entry Level Medical Billing Assistant

Revel StaffingAlbuquerque, New Mexico, United States
Full-time
Quick Apply

The Medical Billing Assistant will help prepare and review insurance claims, assist with basic billing and coding tasks, update patient and insurance information, and support the administrative wor... Show more

Workers Compensation Specialist

OPCO Skilled ManagementAlbuquerque, NM
Full-time

Help Injured Employees Recover, Return to Work, and Stay Safe.At OPCO Skilled Management, we believe that taking care of our employees is just as important as taking care of our residents.We are se... Show more

Senior Investigator

UnitedHealthcare At HomeAlbuquerque, NM, United States
Full-time

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care.The work you do here impacts the lives of millions of people ... Show more

Disability Case Manager

LifeWorks by TelusAlbuquerque, NM, United States
Full-time

TELUS Health is empowering every person to live their healthiest life.Guided by our vision, we are leveraging the power of our leading edge technology and focusing on the uniqueness of each individ... Show more

Account Manager II - Commercial Lines

5H4 Hub Southwest, a Division of Hub International Insurance Services Inc.Albuquerque, NM
Full-time

TheAccount Manager IIwill provide professional, courteous service to our clients, producers, and company personnel.With a positive attitude, theAMwill provide a high level of support in obtaining, ... Show more

Worker Compensation Claims Examiner III (Hybrid)

TRISTAR Insurance GroupAlbuquerque, NM, United States
$88,000.00 yearly
Full-time

Worker Compensation Claims Examiner III (Hybrid).Hybrid Albuquerque Office - Albuquerque, NM 87110.Under minimal supervision, manages all aspects of indemnity claims handling from inception to con... Show more

Commercial Claims Adjuster - Carrier or TPA - REMOTE

Work At Home Vintage ExpertsAlbuquerque, NM, US
Remote
Full-time +2
Quick Apply

Put your Insurance Experience to work – FROM HOME!.Our unique platform provides you with.WHAT YOU’LL LOVE ABOUT WAHVE.We created a welcoming place to work with friendly and professional... Show more

Senior Investigator 2372695 | Albuquerque, New Mexico | Remote

Reliant Medical GroupAlbuquerque, NM, United States
Full-time

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care.The work you do here impacts the lives of millions of people ... Show more

Workers Compensation Claims Supervisor - NM

GallagherAlbuquerque, New Mexico
Full-time

Role specifics: Claims Background: Workers Compensation Prior leadership experience: 1-2+ years of supervisory experience Jurisdictional experience: NM Licenses: NM Location: This role is eligible ... Show more

Pathways Recent Graduate Claims and Program Representative

US Government Jobs - Other AgenciesAlbuquerque, NM, United States
$52,059.00 yearly
Permanent

Pathways Recent Graduate Claims And Program Representative.The RRB Recent Graduates Program affords developmental experiences in the Federal Government intended to promote possible careers in the c... Show more

Rep, Mobile Examiner - (P/T) - ExamOne/Albuquerque, NM area

Quest DiagnosticsAlbuquerque, NM, United States
Full-time

Under the direction of the Branch Manager or Field Leader, the Mobile Examiner's primary responsibility is to provide coverage in the field ensuring that mobile exams are completed accurately and o... Show more

Senior Investigator 2372695 | Albuquerque, New Mexico | Remote

UMRAlbuquerque, NM, United States
Full-time

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care.The work you do here impacts the lives of millions of people ... Show more

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Senior Workers Compensation Claims Adjuster

Senior Workers Compensation Claims Adjuster

Arthur J Gallagher & CoAlbuquerque, NM, United States
30+ days ago
Job type
  • Full-time
Job description

Claims Adjuster

At Gallagher Bassett, we're there when it matters most because helping people through challenging moments is more than just our job, it's our purpose. Every day, we help clients navigate complexity, support recovery, and deliver outcomes that make a real difference in people's lives. It takes empathy, precision, and a strong sense of partnershipand that's exactly what you'll find here. We're a team of fast-paced fixers, empathetic experts, and outcomes drivers people who care deeply about doing the right thing and doing it well. Whether you're managing claims, supporting clients, or improving processes, you'll play a vital role in helping businesses and individuals move forward with confidence. Here, you'll be supported by a culture that values teamwork, encourages curiosity, and celebrates the impact of your work. Because when you're here, you're part of something bigger. You're part of a team that shows up, stands together, and leads with purpose.

This role is eligible for fully remote work.

How you'll make an impact:

  • Apply claims management experience to execute decision-making to analyze claims exposure, plan the proper course of action, and appropriately resolve claims.
  • Interact extensively with various parties involved in the claim process to ensure effective communication and resolution.
  • Provide exceptional customer service to our claimants on behalf of our clients exhibiting empathy through each step of the claims process.
  • Handle claims consistent with clients' and corporate policies, procedures, and standard methodologies in accordance with statutory, regulatory, and ethics requirements.
  • Document and communicate claim activity timely and efficiently, supporting the outcome of the claim file.

About you: Ideal candidates for this position will have:

  • Claims Background: A minimum of 3-5 years experience handling lost time/indemnity claims and have extensive experience with litigated files.
  • Jurisdictional Experience: NM.
  • Active Adjusters' licenses: NM.

As a key member of our experienced Claims Adjuster team, you will:

  • Investigate, evaluate, and resolve complex workers compensation claims applying your analytical skills to make informed decisions and bring claims to resolution.
  • Work in partnership with our clients to deliver innovative solutions and enhance the claims management process.
  • Think critically, solve problems, plan, and prioritize tasks to optimally serve clients and claimants.

Required qualifications:

  • High School Diploma.
  • Minimum of 5 years related claims experience.
  • Appropriately licensed and/or certified in all states in which claims are being handled.
  • Knowledge of accepted industry standards and practices.
  • Computer experience with related claims and business software.

Desired:

  • Bachelor's Degree.

Competitive compensation

Comprehensive benefits programs designed to support your well-being

Career development opportunities and ongoing learning

A collaborative, people-first culture with accessible leadership

The opportunity to do meaningful work with global reach and local impact

At Gallagher, we are dedicated to building an inclusive and authentic workplace. If your past experience doesn't align perfectly, we encourage you to join our Talent Community to stay connected to additional career opportunities. At times, we will consider transferable skills from previous roles. Gallagher is an affirmative action/equal opportunity employer (Minorities/Females/Veterans/Disabled).