Financial examiner • rio rancho nm
Manage an average caseload of approximately 130 workers' compensation files, including highly complex claims.Initiate and conduct timely investigations, and determine compensability based on state ... Show more
Note : This is an educational program, not a job.Successful completion of the program does not guarantee employment but will equip you with valuable skills for the healthcare job market.Looking to ... Show more
As a Financial Professional with Osaic, you will provide clients with tailored financial solutions, including investment, insurance, and advisory services.You'll build and maintain client relations... Show more
WORK FROM HOME WITH CAPISTRANO FINANCIAL GROUP – EARN BIG, LIVE FREE! 💰✨ Are you tired of being stuck in a job that limits your income and flexibility?.Imagine a career where Y... Show more
Investment Strategy & Advisory.Predictive Analytics & Visualization.AI data lab for training frontier models and evaluating AI agents.Experts contribute their diverse subject matter knowled... Show more
DataAnnotation is committed to creating high-quality AI.Enjoy the flexibility of remote work and the freedom to set your own schedule.This is an opportunity to work with us as an independent contra... Show more
Mercor is working with a leading AI research lab to improve the capabilities of next-generation AI systems.We are seeking experienced Revenue Cycle Executives — including VP of Revenue Cycle, Sr.Di... Show more
Call Center Banking Specialist (On-Site) Location: Rio Rancho, NM Type: Direct Hire (Full-Time) Pay: $27.Position Overview We’re hiring Call Center Banking Specialists to support customers by answe... Show more
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
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
Location: Rio Rancho, NM 87109.Required work schedule: (not a remote or hybrid position).Monday to Thursday: 8:30 AM to 5:30 PM.Rotating Saturday: 8:30 AM to 1:30 PM.Please note that this schedule ... Show more
Sales Compensation and Finance Manager.The HP Store is the ecommerce shopping experience for customers wanting to buy PCs, printers and other products directly from HP.The HP store team is a dynami... Show more
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
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
Investment Strategy & Advisory.Predictive Analytics & Visualization.AI data lab for training frontier models and evaluating AI agents.Experts contribute their diverse subject matter knowled... Show more
Financial Services Representative.World Finance, winner of the Top Workplaces USA award for five years in a row and a two-time winner of Newsweek's Most Trustworthy Companies award, helps customers... Show more
This position will provide personal financial services at assigned military installations.Primary responsibilities include the full breadth of personal financial counseling services to military ser... Show more
Indigitize is a fiscally-sponsored project of the Tides Center.Tides provides back-office financial administration.Tides maintains the accounting (NetSuite) and CRM database (Salesforce), and proce... Show more
WealthBridge Financial Group is seeking a results-oriented .In this position, you will engage with clients to understand their financial objectives and provide them with tailored advice and st... Show more
At Chase, we are passionate about creating memorable experiences for our clients and employees, making them feel welcomed, valued, and understood.We build lasting relationships by doing the right t... Show more
The average salary range is between $ 51,979 and $ 103,757 year , with the average salary hovering around $ 62,918 year .
What you will be doing:
Manage an average caseload of approximately 130 workers' compensation files, including highly complex claims
Initiate and conduct timely investigations, and determine compensability based on state law and established guidelines
Develop and execute well-structured action plans that drive each claim to an appropriate and timely resolution
Manage medical treatment and medical billing, authorizing care as appropriate
Calculate and issue benefit payments, and approve all claim payments within designated authority
Compute and set reserves within company guidelines
Refer files to outside defense counsel and direct litigation strategy
Pursue claim recoveries of all types, including deductible and subrogation
Maintain a disciplined diary system, document file activity, and conduct file reviews independently
Communicate proactively with clients on claim status, injury trends, and safety-related concerns
What you must have:
Five (5) or more years of workers' compensation claims experience, or an equivalent combination of education and experience
Bachelor's degree in a related field (preferred)
Technical command of statutory regulations and medical terminology
Proven ability to independently manage very complex indemnity claims
Excellent written and verbal communication skills, including the ability to translate technical detail for claimants, clients, and internal staff
Strong analytical skills and sound, defensible decision-making
Any certifications or licenses required by state regulation
Proficiency in Word and Excel (preferred)
Self-insured claims handling experience (preferred)
City, county, and/or district (public entity) claims experience (preferred)
Other Information:
Why This Role
Senior-level autonomy with real settlement and reserve authority
Established national platform with defined career progression
Direct reporting line to a Claims Supervisor — flat, accessible structure
Full benefits package
If you are a serious claims professional looking to level up in your career, submit your resume now to be considered !
Salary/Rate Range: $88,000 - $90,000
Thank you for your interest in this opportunity. If you are selected to move forward in the process, we will contact you directly. If you do not hear from us, we encourage you to continue visiting our website for other roles that may be a good fit.
