• Worker's Compensation Claims

    Ryder System (San Juan, PR)
    …Privacy Policy by clicking HERE. (https://ryder.com/job-applicant-privacy-policy)\_ **Summary** The Claims Representative handles complex and mid-to-high ... exposure bodily injury and property damage claims under Ryder's self-administered liability program. This position investigates and adjusts claims , as well as… more
    Ryder System (03/05/24)
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  • Service Center Representative

    Sedgwick (San Juan, PR)
    …to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Service Center Representative **PRIMARY PURPOSE** **:** To provide excellent service to callers ... regarding claims for multiple lines of business; to expedite the claims application process and provide detailed claim notes on all calls; to resolve issues with… more
    Sedgwick (04/17/24)
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  • Consumer Service Operations Representative

    Humana (Mayaguez, PR)
    …community and help us put health first** The Consumer Service Operations Representative 3 is responsible for the daily activities across multiple service functions ... area. The Consumer Service Operations Representative 3 performs advanced administrative/operational/customer support duties that require independent initiative and… more
    Humana (04/17/24)
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  • Customer Care Representative - Bilingual…

    Elevance Health (San Juan, PR)
    …or ask you for payment as part of consideration for employment. **Customer Care Representative - Bilingual (English/Spanish) Hybrid** + Job Family: CUS > Care Reps + ... + PR, San Juan **Description** **Position Title:** Customer Care Representative - Bilingual (English/Spanish) (Hybrid) **Location: Hybrid (Candidates must live… more
    Elevance Health (04/04/24)
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  • Bilingual Customer Service Representative

    Conduent (Guaynabo, PR)
    …and valued every day. **Job Description:** **Bilingual Fraud Customer Service Representative ** **Onsite Guaynabo, PR** $12.10 HR Opportunity to earn an additional ... and Paid Training!** **Summary:** As a **Bilingual Fraud Customer Service Representative ,** you will be responsible for the resolution of multi-product fraud… more
    Conduent (03/28/24)
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  • TRICARE Beneficiary Services Representative

    Leidos (San Juan, PR)
    …Conduct briefings for In Processing, Out Processing, Maternity, and others + Provide basic claims support such as providing information on the status of claims + ... Experience with the CHCS or civilian healthcare computer system and in processing medical claims + Experience in a public environment **HOW TO STAND OUT FROM THE… more
    Leidos (01/26/24)
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  • Service Representative

    Banco Popular Puerto Rico (Ponce, PR)
    …is correct and complete. + Responds to guides and channels customer requests, claims , or complaints received by mail or in person. Education 24-60 Bachelor's degree ... People Succeed Together Own Every Moment Build the Future Job Segment: Customer Service Representative , Customer Service Apply now " Apply now + Apply Now + Start… more
    Banco Popular Puerto Rico (04/17/24)
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  • Customer Service Representative (Call…

    Oriental Bank (San Juan, PR)
    …to the appropriate sales team member. + Receives, records, and channels claims , and inquiries from customers or potential customers and provides applicable guidance. ... + Documents calls and service inquiries in existing bank systems and applications. + Escalates and refers customer matters to next-level management or appropriate operational areas. + Consistently provides the customer with a high level of quality service. +… more
    Oriental Bank (02/16/24)
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  • Tecnicos de Farmacia- Contratacion Temporera

    InnovaCare (San Juan, PR)
    …UNIT: MMM Holdings, LLC DEPARTMENT: Pharmacy Services POSITION: Pharmacy Clinical Representative POSITION DESCRIPTION Serves as primary liaison between MMM Health ... and providers in a timely and courteous manner. Assist pharmacies in the claims payment process. May educate the provider, beneficiary or the pharmacy and if… more
    InnovaCare (04/17/24)
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  • Software Engineer Intern

    HealthEdge Software Inc (San Juan, PR)
    …to interact withAudit(a database of processed healthcare claims )using natural language/chat experience + Convertexisting applications (BatchProcessingService, ... Employment:** Full-time, permanent **Work Environment:** The physical demands described here are representative of those that must be met by an employee to… more
    HealthEdge Software Inc (04/16/24)
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  • Administrative Assistant - Project Management…

    FirstBank PR (San Juan, PR)
    …service level. . Receives clienta€ (TM) s inquiries such as investigations, claims and services, resolving or routing their petitions, and supporting the process. ... English and Spanish Physical Demands : The physical demands described here are representative of those that must be met by an employee to successfully perform… more
    FirstBank PR (04/12/24)
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  • Public Assistance Disaster Recovery - Site…

    AECOM (San Juan, PR)
    …specialists when appropriate throughout the process. + Obtain the applicant representative 's agreement that all disaster-related damage was described and quantified ... projects and meets regularly on the status. + Evaluate applicant-provided cost claims for reasonableness to report to FEMA regarding claim eligibility. + Participate… more
    AECOM (04/04/24)
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  • Case Manager

    Cardinal Health (San Juan, PR)
    …needs of the patient and/or program * Resolve patient's questions and any representative for the patient's concerns regarding status of their request for assistance ... pharmacy insurance benefit practices, preferred * 1-2 years of Pharmacy and/or Medical Claims billing and Coding work experience * 1-2 years experience with Prior… more
    Cardinal Health (03/29/24)
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  • Sr. Coordinator, Individualized Care…

    Cardinal Health (San Juan, PR)
    …insurance benefit practices, preferred + 1-2 years of Pharmacy and/or Medical Claims billing and Coding work experience preferred + 1-2 years' experience with ... appropriate team member (when applicable) + Resolve patient's questions and any representative for the patient's concerns regarding status of their request for… more
    Cardinal Health (03/29/24)
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  • Field Operations Project Manager 2 - Utilities

    Jacobs (San Juan, PR)
    …on job progress, labor, equipment and material used. Acts as on-site Company representative and liaison with all state and local government officials as applicable. ... emergency incidents, including natural disasters. Coordinates with Customer Service Field, Claims , Public Affairs, Gas Engineering, and Outreach teams as needed. *… more
    Jacobs (03/27/24)
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  • Material Handler, Logistics

    Integra LifeSciences (Anasco, PR)
    …If package is damaged, requests carrier to rectify. When required processes claims directly with the transport company for incomplete or damaged merchandise. 3. ... QUALIFICATIONS - Education and Experience** The requirements listed below are representative of the knowledge, skill, and/or ability required for this position.… more
    Integra LifeSciences (03/27/24)
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  • Insurance Underwriter

    Banco Popular Puerto Rico (Guaynabo, PR)
    …the features and merits of policies and coverages quote. + Assist the claims unit during the claim process. Education Bachelor's Degree Experience Five (5) or ... or + Certified Insurance Counselor (CIC) or Certified Insurance Service Representative (CISR) designation Other Qualifications + Strong communication, analytical and… more
    Banco Popular Puerto Rico (03/22/24)
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  • SVP, Engineering

    HealthEdge Software Inc (San Juan, PR)
    …solutions suite includes the industry's leading, digital, next-generation claims administration processing system, business intelligence, integration capabilities, a ... (USA Only):** Exempt **Work Environment:** The physical demands described here are representative of those that must be met by an employee to successfully… more
    HealthEdge Software Inc (03/14/24)
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