Top 10 Claims consultant Jobs in New Mexico

Clinical Risk Consultant Lead
Alliant Insurance Services —New Mexico
- $150,000 - $160,000 a year
- Email
- Writing skills
- Research
- Bachelor's degree
Quick Apply
7d
Senior Data Science Consultant, Insurance - Remote
CSAA Insurance Services, Inc. —Corrales, NM
- $160,155 - $213,550 a year
- Full-time
- 7 years
- US work authorization
- Experience equivalent to degree accepted
- 401(k) matching
13d
Commercialization Expert
CLEAResult Consulting Inc. —Santa Fe, NM
- $120,000 - $140,000 a year
- Full-time
- Remote
- Analysis skills
- Travel
- US work authorization
- Health insurance
- Dental insurance
Quick Apply
Collision Consultant
OEConnection —Albuquerque, NM
- Hybrid work
- Marketing
- 3 years
- Driver's License
- Paid holidays
- Health insurance
8d
Interim Health Services Director(Consultant)
ALAMO NAVAJO SCHOOL BOARD INC —Alamo, NM
- Up to $500,000 a year
- Email
- Nursing
- Mentoring
- Organizational skills
Quick Apply
12d
Civil/Structural Property Consultant
Rimkus —Albuquerque, NM
- Overtime
- Construction site
- Bachelor of Science
- Office
- AD&D insurance
- Disability insurance
Quick Apply
Commercial Insurance Consultant, Claims Insights- Remote
CSAA Insurance Services, Inc. —Corrales, NM
- $122,850 - $164,000 a year
- Full-time
- Remote
- Computer Science
- Mid-level
- SQL
- 401(k) matching
17h
Experienced Managing Consultant Construction Claims and Dispute Resolution
Merge Associates —United States
- $120,000 - $300,000 a year
- Full-time
- Remote
- Background check
- Engineering
- 11+ years
- Health savings account
- Paid holidays
Quick Apply

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Senior Data Science Consultant, Insurance - Remote
CSAA Insurance Services, Inc. —Corrales, NM
This role is ideal for a seasoned data science professional with deep expertise in modeling, simulation, AI, data analysis, and programming, along with the…
$160,155 - $213,550 a year
13d
Senior Claim Benefit Specialist - Remote
CVS Health —New Mexico
Conducts outbound calls to obtain required information for claims or reconsideration requests. Trains and mentors as needed to enhance team performance and…
$18.50 - $42.35 an hour
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Valid driver’s license and reliable transportation. Ability to work independently and manage your own schedule. Take photographs and document property damage.
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Clinical Risk Consultant Lead

Alliant Insurance Services -
New Mexico

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Job Details

Full-time
$150,000 - $160,000 a year
7 days ago

Qualifications

Vendor selection
Research
Cost analysis
Vendor relationship management
Insurance for risk management

Full Job Description

At Alliant Insurance Services, we thrive on creating employee benefits solutions built on the idea that health makes growth possible. As top tier professionals dedicated to solving our clients' health and welfare insurance challenges, Alliant team members deliver an unrivaled depth of service, and our unique approach enables us to help clients stay resilient and turn change into opportunity. This position is a chance to join a dynamic, expanding company with prospects for individual and career growth.
As one of the 5 largest insurance brokerage firms in the U.S., Alliant provides property and casualty, workers' compensation, employee benefits, surety, and financial products and services to clients nationwide.

More information is available at www.alliant.com.

SUMMARY

Responsible for providing analytical and consultative stop loss and high cost claimant support to service teams and clients. Work closely with Stop Loss/MGA practice leadership. Support renewal conversations with clients and vendors. Provides oversight to team of Clinical Risk Consultants, including management and action plans for notable trends across carriers and clients.

ESSENTIAL DUTIES AND RESPONSIBILITIES

Conducts research, review clinical notes, and prepare claims data loss analysis to provide actionable recommendations for clients and prospects.

Leverages systems to develop reporting to monitor and proactively report on group risk, identify cost impact, and partner with service teams to develop solutions for upcoming client renewals.

Leads and/or supports discussions regarding stop loss renewal and cost containment.

Supports training, development and oversight to team of Clinical Risk Consultants, including management and action plans for notable trends across carriers and clients.

Identifies cost containment trends and evaluates industry vendors to support cost mitigation efforts outside of traditional medical and pharmacy carriers.

Collaborates with Alliant Analytics SMEs to support operational efficiencies for data reviews

QUALIFICATIONS
EDUCATION / EXPERIENCE

Bachelor's Degree or equivalent combination of education and experience

Thirteen (13) or more years within the insurance industry, including handling stop loss, high cost claims, and cost containment for self-funded group health plan clients

Clinical background

Providing consultation to plan sponsors of employee group benefit plans

Loss containment

Clinical claims review

SKILLS

Strong knowledge of stop loss insurance, self-funded group insurance, cost containment, and vendor selection

Strong knowledge of state and federal regulations impacting employer provided group health insurance

Strong knowledge of regulatory reporting and tax consequences for self-funded plans

Familiarity with vendor selection best practices

Skill in communicating effectively, verbally and in writing, as appropriate for the needs of the audience

Ability to analyze complex information and develop plans to address identified issues

Ability to work collaboratively and build strategic relationships with others

Ability to work and thrive in a fast-paced, dynamic environment with frequent interruptions, distractions, and a fluctuating workload

#LI-AQ1

We are proud to provide comprehensive, high quality employee programs to meet employees' needs now and in the future, including a very competitive financial package. We encourage you to explore what we have to offer.

For immediate consideration for this position, please click on the "Apply" button.

Alliant Insurance Services, Inc. is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment based on their qualifications and ability without regard to race, color, religion, sex (including pregnancy, childbirth, breastfeeding, sexual orientation, and gender identity), national origin, ancestry, physical or mental disability, medical condition, marital status, age, genetic information, or status as a protected veteran, in accordance with applicable federal, state, and local laws, including California law.

Applicants are protected under Federal law from discrimination. If you need an accommodation to complete the application process or would like to review these materials in an alternative format, please reach out to [email protected]

For more information on Alliant Insurance Service's benefits, please visit www.alliant.com/about/careers/benefits

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Refine Your Search

claims consultant jobs in new mexico

Clinical Risk Consultant Lead

Senior Data Science Consultant, Insurance - Remote

Commercialization Expert

Collision Consultant

Interim Health Services Director(Consultant)

Civil/Structural Property Consultant

Commercial Insurance Consultant, Claims Insights- Remote

Experienced Managing Consultant Construction Claims and Dispute Resolution

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