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Claims Associate Jobs in New Mexico (NOW HIRING)

Dal-Tile

Warehouse Associate II - FT

Albuquerque, NM · On-site

$15.50 - $18.50/hr

As the Warehouse Associate II , we need someone who will own a variety of material handling duties ... for freight claims. * Operates forklift equipment. * Maintains clean and organized facility by ...

Dal-Tile

Warehouse Associate II - FT

Albuquerque, NM · On-site

$15.50 - $18.50/hr

As the Warehouse Associate II , we need someone who will own a variety of material handling duties ... for freight claims. * Operates forklift equipment. * Maintains clean and organized facility by ...

Novartis

The Associate Director, Access & Reimbursement (ADAR) is a field-based role that proactively ... claims processing, reimbursement, and integration of manufacturer support programs into a range of ...

Novartis

The Associate Director, Access & Reimbursement (ADAR) is a field-based role that proactively ... claims processing, reimbursement, and integration of manufacturer support programs into a range of ...

Novartis

Summary #LI-Remote The Associate Director, Access & Reimbursement (ADAR) is a field-based role that ... claims processing, reimbursement, and integration of manufacturer support programs into a range of ...

Mohawk Industries Inc

WAREHOUSE ASSOC II - SSC

Albuquerque, NM · On-site

$15.50 - $18.50/hr

As the Warehouse Associate II , we need someone who will own a variety of material handling duties ... for freight claims. * Operates forklift equipment. * Maintains clean and organized facility by ...

Mohawk Industries

WAREHOUSE ASSOC II - SSC

Albuquerque, NM · On-site

$14.50 - $17.25/hr

As the Warehouse Associate II , we need someone who will own a variety of material handling duties ... for freight claims. * Operates forklift equipment. * Maintains clean and organized facility by ...

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Showing results 21-40

All JobsClaims Associate JobsClaims Associate Jobs in New Mexico

Claims Associate information

See New Mexico salary details

$13

$20

$29

How much do claims associate jobs pay per hour?

As of Sep 2, 2026, the average hourly pay for claims associate in New Mexico is $20.34, according to ZipRecruiter salary data. Most workers in this role earn between $16.54 and $22.36 per hour, depending on experience, location, and employer.

What does a claims associate do?

A claims associate handles claims for an insurance company. As a claims associate, your job duties may include reviewing a customer’s insurance coverage and interviewing those who have filed a claim. Your job is to ensure that a claim is processed correctly, so the customer receives the financial payout to which they are entitled. In this career, you usually work in an office, but you may need to travel to gather information about the claim. There are positions in every insurance industry so that you may work in anything from auto to life insurance. This position requires excellent research and interpersonal skills, and experience in customer service is a plus. Additional qualifications may include an associate degree.

What does a claims associate do?

A Claims Associate is responsible for reviewing, processing, and managing insurance claims submitted by policyholders. Their duties include verifying information, evaluating the validity of claims, and ensuring all necessary documentation is complete. They often communicate with customers, healthcare providers, or other parties to gather additional information and resolve any issues. Claims Associates play a crucial role in ensuring claims are processed accurately and efficiently according to company policies and regulatory guidelines.

What are the key skills and qualifications needed to thrive as a claims associate?

To thrive as a Claims Associate, you need a solid understanding of insurance policies, attention to detail, and basic analytical skills, usually supported by a high school diploma or equivalent. Familiarity with claims management systems, CRM software, and sometimes industry certifications like AIC (Associate in Claims) are commonly required. Strong communication, problem-solving, and customer service abilities set top performers apart. These skills are essential for accurately processing claims, ensuring compliance, and providing a positive experience for clients and policyholders.

What are some common challenges a claims associate may face, and how can they effectively handle them?

Claims Associates often encounter challenges such as managing a high volume of claims, navigating complex policy details, and communicating with clients who may be experiencing stress or frustration. Effectively handling these situations requires strong organizational skills, attention to detail, and clear, empathetic communication. Many Claims Associates find success by proactively prioritizing tasks, seeking guidance from senior team members when needed, and utilizing available technology to streamline documentation and follow-ups.

What is the difference between Claims Associate vs Claims Examiner?

AspectClaims AssociateClaims Examiner
Required CredentialsHigh school diploma or equivalent; some roles may prefer insurance-related certificationsHigh school diploma; insurance certifications like CPCU or similar beneficial
Work EnvironmentOffice setting, interacting with customers and internal teamsOffice setting, reviewing claims and documentation
Employer & Industry UsageInsurance companies, third-party administratorsInsurance companies, adjusting departments
Common Search & ComparisonClaims Associate vs Claims Examiner

The main difference between a Claims Associate and a Claims Examiner lies in their responsibilities. Claims Associates typically handle initial customer interactions and basic claim processing, while Claims Examiners review and assess claims in detail, often making determinations on claim validity. Both roles require similar credentials and work in comparable environments, but Claims Examiners usually have more specialized knowledge and decision-making authority.

Is being a claims associate hard?

Claims associates handle insurance claims processing, which requires attention to detail, strong communication skills, and knowledge of insurance policies. The job can be challenging due to the need for accuracy, meeting deadlines, and managing complex cases, but it is generally manageable with proper training and experience.

What is a claims associate in claims?

A claims associate is a professional who reviews, processes, and manages insurance claims to determine coverage and settlement amounts. They often work with claim documentation, use claims management software, and ensure compliance with company policies and industry regulations.
More about Claims Associate jobs

What are the most commonly searched types of Claims jobs in New Mexico?

The most popular types of Claims jobs in New Mexico are:

What are popular job titles related to Claims Associate jobs in New Mexico?

For Claims Associate jobs in New Mexico, the most frequently searched job titles are:

What job categories do people searching Claims Associate jobs in New Mexico look for?

The top searched job categories for Claims Associate jobs in New Mexico are:

What cities in New Mexico are hiring for Claims Associate jobs?

Cities in New Mexico with the most Claims Associate job openings:

Claims Associate jobs near you
Infographic showing various Claims Associate job openings in New Mexico as of August 2026, with employment types broken down into 1% As Needed, 73% Full Time, 24% Part Time, 1% Temporary, and 1% Contract. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution, with an average salary of $42,303 per year, or $20.3 per hour.

Medical Only Claim Representative I

CCMSI

Albuquerque, NM • Hybrid

$20/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 6 days ago

CCMSI rating

7.9

Company rating: 7.9 out of 10

Based on 16 frontline employees who took The Breakroom Quiz

Job description

Overview

Claim Representative - Medical Only

Location: Albuquerque, NM (InOffice)

Schedule: Monday-Friday, 8:00 AM - 4:30 PM (37.5 hours per week)

Salary Range: $20.00 per hour

Build Your Career With Purpose at CCMSI

At CCMSI, we partner with global clients to solve their most complex risk management challenges, delivering measurable results through advanced technology, collaborative problemsolving, and an unwavering commitment to their success.

We don't just process claims-we support people. As the largest privatelyowned Third Party Administrator (TPA), CCMSI delivers customized claim solutions that help our clients protect their employees, assets, and reputations. We are a certified Great Place to Work, and our employeeowners are empowered to grow, collaborate, and make meaningful contributions every day.

Job Summary

The Medical Only Claim Representative is responsible for managing medicalonly workers' compensation claims from start to finish for a multipleclient desk spanning various industries within the New Mexico jurisdiction. This role focuses on quality medical management, accurate documentation, and compliance with CCMSI standards and client handling instructions.

This is an inoffice position in Albuquerque, NM, with a potential opportunity for a hybrid schedule in the future based on performance and business needs. This role may also serve as a training and development position for advancement into higherlevel claim roles.

Responsibilities
  • Set up and manage medicalonly workers' compensation claim files in accordance with corporate standards and New Mexico regulations
  • Review incoming medical documentation and summarize correspondence and records in claim notes
  • Establish initial reserves and provide reserve recommendations under direct supervision
  • Review, approve, and process medical and miscellaneous invoices related to designated claims
  • Assist with bill negotiations or dispute resolution under guidance
  • Coordinate and monitor medical treatment to ensure timely and appropriate care
  • Maintain accurate, timely, and welldocumented electronic claim files
  • Close claim files when appropriate and retrieve closed files as needed
  • Support claim staff and client service teams with medicalonly claim activity
  • Maintain compliance with corporate claim handling standards and clientspecific instructions
QualificationsRequired:
  • Associate degree OR two (2) years of related business experience
  • Ability to manage medicalonly claims cradletograve
  • Active New Mexico Adjuster License OR ability to obtain within 60 days of hire
  • Strong attention to detail and organization skills
  • Ability to follow established procedures and meet deadlines
  • Proficiency with Microsoft Office (Word, Excel, Outlook)
  • Strong written and verbal communication skills
  • Reliable, predictable attendance during scheduled hours
  • Ability to work in a fastpaced, inoffice environment
Nice to Have:
  • Prior medicalonly or workers' compensation claims experience
  • Knowledge of medical terminology
  • Experience working with multiple clients or industries
  • Prior experience in a TPA environment

Bilingual (Spanish) proficiency - highly valued for communicating with claimants, employers, or vendors, but not required.

Why You'll Love Working Here

4 weeks (Paid time off that accrues throughout the year in accordance with company policy) + 10 paid holidays in your first year Comprehensive benefits: Medical, Dental, Vision, Life, and Disability Insurance Retirement plans: 401(k) and Employee Stock Ownership Plan (ESOP) Career growth: Internal training and advancement opportunities Culture: A supportive, teambased work environment

How We Measure Success

At CCMSI, medicalonly claim professionals succeed through accuracy and consistency. Success in this role is measured by:

Queue management - timely handling of assigned medicalonly claims Audit performance - compliance with corporate standards and NM regulations Accuracy & documentation - clear, complete, and timely claim notes File progression - appropriate reserve activity and timely claim closure Team support & reliability - responsiveness and dependable inoffice attendance Cultural alignment - recognizing that every claim represents a real person

This is where we shine, and we hire claim professionals who want to shine with us.

Compensation & Compliance

The posted salary reflects CCMSI's goodfaith estimate in accordance with applicable pay transparency laws. Actual compensation will be based on qualifications, experience, geographic location, and internal equity.

CCMSI offers comprehensive benefits including medical, dental, vision, life, and disability insurance. Paid time off accrues throughout the year in accordance with company policy, with paid holidays and eligibility for retirement programs in accordance with plan documents.

Visa Sponsorship: CCMSI does not provide visa sponsorship for this position.ADA Accommodations: CCMSI is committed to providing reasonable accommodations throughout the application and hiring process.Equal Opportunity Employer: CCMSI complies with all applicable employment laws, including pay transparency and fair chance hiring regulations.

Background checks, if required for the role, are conducted only after a conditional offer and in accordance with applicable fair chance hiring laws.

Our Core Values

At CCMSI, we believe in doing what's right-for our clients, our coworkers, and ourselves. We look for team members who:

Lead with transparency - We build trust by being open and listening intently in every interaction.Perform with integrity - We choose the right path, even when it is hard.Chase excellence - We set the bar high and measure our success. What gets measured gets done.Own the outcome - Every employee is an owner, treating every claim and decision as our own.Win together - Our greatest victories come when our clients succeed.

We don't just work together-we grow together. If that sounds like your kind of workplace, we'd love to meet you.

#CCMSICareers #EmployeeOwned #GreatPlaceToWorkCertified #ESOP #TPA#MedicalOnlyClaims #WCClaims #ClaimsRepresentative #InsuranceJobs #WorkersCompensation #EntryLevelClaims #ClaimsCareers #TPACareers #InOfficeJobs #AlbuquerqueJobs #NewMexicoJobs #HealthcareClaims #HiringNow #IND456 #LI-InOffice #OfficeLife

 Employment Type: OTHER

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