2 jobs found in albuquerque

Expanding access to affordable, high quality health care starts here. This is where some of the most innovative ideas in health care are created every day. This is where bold people with big ideas are writing the next chapter in health care. This is the place to do your life's best work. (SM) The Provider Relations Advocate role is a professional, self-directed individual who will serve as the point of contact to take in and resolve complex Operations issues the assigned Provider Account is experiencing, proactively educate on new products and programs, bring actionable data and tools to assist their organization with achieving their business goals, as well as anticipate challenges their organization might face, while also assisting with finding solutions by working across UHC’s dynamic and matrixed organization for assigned UHC Strategic and Core Provider Accounts in conjunction with their Affiliates representing UHC’s top revenue generating contracts.  The Provider...

Gallagher Bassett is the premier provider of global claims services, dedicated to exceptional customer service and demonstrably superior outcomes. GB helps people, teams and businesses overcome adversity and loss through the guiding expertise of over 5,000 claims professionals, all committed to going beyond expectations in the continuous pursuit of a better way. Position Summary: Investigates, evaluates, disposes and settles the most complex claims and highest exposures with minimal supervision. Includes the investigation, determination and evaluation of coverage, liability and damages, and the setting of proper reserves. Incumbents at this level typically hold claims reserve and settlement authority of up to $10,000 liability and/or $25,000 workers compensation or greater. Essential Duties & Responsibilities: Exercises proper judgment and decision making to analyze the claims exposure, to determine the proper course of action and to appropriately settle the...