Senior-Level Claims Reviewer Job at New Mexico Staffing, Santa Fe, NM

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  • New Mexico Staffing
  • Santa Fe, NM

Job Description

Senior-Level Claims Reviewer

The Senior-Level Claims Reviewer is responsible for independently reviewing, analyzing, and processing complex claims related to disaster losses in accordance with federal policies and program guidelines. This position serves as a technical authority on claims interpretation, policy compliance, and documentation quality. The Senior Reviewer also supports mentoring of mid-level staff, provides guidance on escalated issues, and ensures high standards of accuracy and timeliness in the claim's lifecycle.

Key Responsibilities/Accountabilities:

  • Ability to understand and interpret complex federal policy language, including relevant statutes, regulations, policies, guidance, and directions.
  • Disaster-related knowledge and background to accurately assess losses, damages, repairs, and replacement costs.
  • Customer service, excellent written and verbal communication skills and knowledge and ability to explain policy and regulations to claimants, FEMA staff, and other stakeholders.
  • Proficiency in using claims management software, databases, and other technology tools that facilitate claim processing, documentation, and communication.

Basic Qualifications:

  • High School Diploma required
  • NFIP Certification required (or must be obtained upon hire)
  • A minimum of ten (10) years of combined experience in claims or case processing roles, including customer service, data entry, reviewing, and evaluating various types of disaster-related losses
  • Ability to understand and interpret complex federal policy language, including relevant statutes, regulations, policies, guidance, and directions
  • Disaster-related knowledge and background to accurately assess losses, damages, repairs, and replacement costs
  • Excellent customer service and written/verbal communication skills, with the ability to explain complex policies and procedures to claimants, FEMA staff, and stakeholders
  • Proficiency in claims management systems, databases, and technology tools that facilitate documentation, tracking, and resolution of claims

About APTIM:

APTIM is committed to accelerating the transition toward a clean and efficient energy economy, building a sustainable future for our communities and natural world, and creating a more inclusive and equitable environment that celebrates the diversity of our communities. We specialize in environmental, resilience, and sustainability and energy solutions, as well as technical and data solutions, program management, and critical infrastructure.

What you can expect from APTIM:

  • Work that is worthy of your time and talent
  • Respect and flexibility to live a full life at work and at home
  • Dogged determination to deliver for our clients and communities
  • A voice in making our company better
  • Investment into your personal and professional development

As of the date of this posting, a good faith estimate of the current pay range for this position is $28.50 to $35.00. Compensation depends on several factors including experience, education, key skills, geographic location of the position, client requirements, external market competitiveness, and internal equity among other employees within APTIM.

Employee Benefits:

Aptim Environmental & Infrastructure, LLC is committed to providing an extensive range of benefits that protect and promote the health and financial well-being of our employees and their families through the APTIM Benefits Marketplace.

  • Medical, vision, and dental insurance: Through the marketplace, our employees can choose benefits from five metallic levels and 10+ carriers to find the right benefits that work for them in their location.
  • Life insurance
  • Short-term and long-term disability insurance
  • 401(k) APTIM offers three 401k plans through the Aon Pooled Employer Plan (PEP). The specific plan you are eligible for depends on the business unit you are in. The details of the largest plan are found here: APTIM 2025 401(k) Plan Features.
  • Paid holidays, vacation, and sick leave (eligibility based on company policy and applicable law)

Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled Applicants with a physical or mental disability who require a reasonable accommodation for any part of the application or hiring process may make their request known by e-mailing HRQuestions@cbifederalservices.com or calling 855.343.5600 for assistance. EOE/Vets/Disability

Job Tags

Temporary work, Work from home,

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