Role Description To investigate and adjust property and casualty claims, both residential and commercial, with little to no supervision. - Inspects claims and contacts involved parties in a timely manner. - Investigates circumstances of claim(s) as required for coverage determination, cause, and compensable damages/reserves. - Examines insurance policies and other records to determine insurance coverage. - Prepares estimates for cost of repair and/or replacement. - Conducts interviews with claimant and witnesses regarding submitted claim(s). - Negotiates and settles both 1st and 3rd party claims. - Addresses salvage and subrogation as required by the client. - Maintains client relationships to assure repeated business referrals. - Performs other duties as assigned. - Supports the organization's quality program(s). - Travels as required. Qualifications - Bachelor's degree from an accredited college or university preferred. - IIA-AIC designation required. - Appropriate state adjuster license is required. - Two (2) years of related experience or equivalent combination of education and experience required. - Strong oral and written communication, including presentation skills. - PC literate, including Microsoft Office products. - Demonstrated commitment to timely reporting. - Strong customer service skills. - Strong interpersonal skills. - Attention to detail and accuracy. - Good time management and organizational skills. - Ability to work independently or in a team environment. - Ability to meet or exceed Performance Competencies. Requirements - Clear and conceptual thinking ability; excellent judgment and discretion. - Ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines. - Must be able to stand and/or walk for long periods of time. - Must be able to kneel, squat or bend. - Must be able to work outdoors in hot and/or cold weather conditions. - Have the ability to climb, crawl, stoop, kneel, reaching/working overhead. - Be able to lift/carry up to 50 pounds. - Be able to push/pull up to 100 pounds. - Be able to drive up to 4 hours per day. - Must have continual use of manual dexterity. - Hearing, vision and talking. Benefits - Work-life balance. - Caring culture.

Role Description The Claims Specialist is responsible for properly reviewing and processing claims for various Employer benefit plans according to IRS regulations and specific employer plan rules. A Claims Specialist should be prepared to work in a detail-oriented and fast-paced environment with a high level of accuracy. - Daily claim processing. - Accurately process all FSA claim types. - Determine eligibility by utilizing available resources. - Ensure priority of workload is followed and turnaround times are met. - Properly process claim appeals. - Troubleshoot software issues accordingly. - Assist with other operational functions. - Coordinate with other departments when appropriate. - Assist Claims Supervisors with projects as assigned. - Work with Claims Supervisors to develop new processes and procedures. - Continuous improvement approach to work. - Communicate changes needed for processes. - Develop and update procedures as needed. - Promote continuous learning and sharing of knowledge. Qualifications - Detail-oriented. - Ability to work in a fast-paced environment. - High level of accuracy. Requirements - Base pay range: $17.00 - $22.50. - Actual pay rates will vary based on qualifications, skills, competencies, and proficiency for the role. - Most sales positions are eligible for commission under the terms of an applicable plan. - Non-sales roles are typically eligible for a quarterly or annual bonus based on their role and applicable plan. Benefits - Health, dental, and vision insurances. - Retirement savings plan. - Paid time off. - Health savings account. - Flexible spending accounts. - Life insurance. - Disability insurance. - Tuition reimbursement. - Comprehensive and market competitive benefits designed to support personal and professional well-being.

Role Description The Department of Neurosurgery in the UNM School of Medicine plays a critical role in improving the health of all New Mexicans. Our department is the Southwestern hub for advanced neurological diagnosis and patient care. We seek a dynamic individual to join our team as a Medical Practice Specialist and be a part of our important mission and exciting growth. This position will play an important role in advising and assisting faculty providers with strategic billing and documentation issues including group level and individual coding to enhance the financial well-being of the department. This position will act as a strategic partner with the Chair of Neurosurgery and the Department Administrator to advance the strategic plans and goals of Neurosurgery. The Department of Neurosurgery values professional development and continuing education and in this spirit will support this position obtaining professional certification(s) such as the American College of Medical Practice Executive (ACMPE) or a Professional Coding Certification such as the American Academy of Professional Coders (AAPC). Duties for this position include but are not limited to: - Oversee and evaluate the department’s productivity and billing operations, while working with the department administration, the department leadership, UNMMG and UH to ensure compliance with appropriate procedures and applicable laws, regulations and policies. - Train and update providers on proper billing and coding practices. - Create and distribute ad hoc reports on practice and compliance issues on a weekly/monthly basis as required. - Act as department intermediary between UNMMG and department leadership and oversee the department contracting of our Professional Service Agreements. - Collect and analyze data and report findings. - Improve processes and training materials related to the clinical revenue and billing practices. Qualifications - High school diploma or GED; at least 7 years of experience directly related to the duties and responsibilities specified. - Completed degree(s) from an accredited institution that are above the minimum education requirement may be substituted for experience on a year for year basis. Requirements - Strong analytical skills with the ability to interpret and share data with internal and external customers at a level understood by intended audience. - Ability to use Microsoft Office tools to collect and analyze data. - Experience working effectively in a team environment to meet deadlines and improve processes. - Experience as a medical practice professional with experience working in medical systems and platforms (e.g., Cerner, Anodyne). - Ability to research and plan, organize and oversee short- and long-term projects. - Knowledge of coding Inpatient/Outpatient charges and specialty services using appropriate ICD and CPT classification systems for the purpose of reimbursement, research and compliance in accordance with federal regulation. - Possession of a current American Health Information Management Association (AHIMA) OR American Academy of Professional Coders (AAPC) certification. Benefits - This is a benefits eligible position. The University of New Mexico provides a comprehensive package of benefits including medical, dental, vision, and life insurance. - In addition, UNM offers educational benefits through the tuition remission and dependent education programs.

Role Description The Claims Specialist (Level 1) is responsible for accurately and efficiently processing the intake of new claims requests, while providing outstanding customer service to contract holders, dealers, and repair facilities. This role requires strong attention to detail, adherence to company guidelines, and the ability to manage multiple priorities in a fast-paced call center environment. The Claims Specialist ensures claims are set up accurately, customers receive timely support, and all work aligns with company quality and compliance standards. As a Claims Specialist, your essential job functions will include the following: - Process standard claims accurately and within SLA - Maintain detailed claim documentation, photos, and communication logs - Provide high-quality customer service to contract holders and repair facilities - Accurately enter and update customer information, interactions, and case details in applicable CRM - Collaborate effectively with other teams’ members, other departments as well to coordinate customer support efforts and resolve issues - Achieve call, QA, and attendance metrics - Follow established workflows, and escalation processes - Handle and resolve customer complaints in a professional and timely manner - Develop and maintain a thorough understanding of the company's products, services, policies, and procedures Qualifications - Minimum 1-2 years of experience in customer service and/or claims processing, preferably within a call center environment - High School Diploma required; Associate or bachelor’s degree preferred - Proficiency in using Salesforce and Microsoft Office Suite; Outlook, Word, Excel - Ability to efficiently navigate multiple computer systems while assisting customers - Excellent verbal and written communication skills - Proven ability to convey complex information clearly, accurately, and concisely - Strong commitment to providing exceptional customer experiences - Demonstrated ability to handle inquiries, issues, and complaints with professionalism and care - Strong time management and multitasking capabilities in a fast-paced environment - Effective analytical and problem-solving skills to identify and resolve issues efficiently - High level of accuracy and attention to detail in processing claims and documentation - Flexible and adaptable to change; able to learn new systems and processes quickly - Ability to collaborate effectively with team members and cross-functional departments Requirements - Process and complete claims within 7-10 days, ensuring accuracy, efficiency, and compliance with company policies and regulatory requirements - QA Score: >85% on the quarterly Quality Assurance scorecard - Audit Errors: <2% - Attendance: Meets department standards - Adherence% >80% Benefits - Competitive & comprehensive benefit package including paid time off, medical, dental, vision, and 401k match (50% on the dollar up to 7% of employee contribution) - Compensation offered will depend on qualifications, experience, and geographic location - Total compensation package may also include commission, bonus or profit sharing