• 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 (04/23/24)
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  • Claims Representative - Auto

    Sedgwick (San Juan, PR)
    …to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Representative - Auto **PRIMARY PURPOSE** : To analyze and process ... low to mid-level auto and transportation claims . **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Processes auto property...+ Processes auto property damage and lower level injury claims ; assesses damage, makes payments, and ensures claim files… more
    Sedgwick (04/28/24)
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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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  • Social Media & Customer Relations…

    Liberty Latin America (Luquillo, PR)
    **What's the role?** As a Social Media & Customer Relations Representative you will be responsible of reading incoming and social media messages (email, fax, and ... of customers' concerns and to resolve disposition and routing of claims received. Responsible for providing outstanding customer/member service and maintaining… more
    Liberty Latin America (04/30/24)
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  • Financial Underwriter Representative

    Humana (San Juan, PR)
    …our caring community and help us put health first** The Financial Underwriting Representative 3 computes rates for both renewing and prospective moderate to complex ... Dental, Vision, Life and Disability products. The Financial Underwriting Representative 3 performs advanced administrative/operational/customer support duties that require… more
    Humana (04/30/24)
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  • Employee Services Representative II…

    Ryder System (San Juan, PR)
    …Job Applicant Privacy Policy by clicking_ HERE. **Summary** The Employee Services Representative II is responsible for second level triage of transferred calls from ... to areas such as: I-9 compliance, Pre-employment services, Unemployment Insurance claims , Immigration Services, Leave Administration, Drug and Alcohol program, HR… more
    Ryder System (04/30/24)
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  • Customer Service & Sales Representative

    FirstBank PR (San Juan, PR)
    CUSTOMER SERVICE & SALES REPRESENTATIVE FIRSTLINE CALL CENTER FIRSTBANK PR Our Company AtFirstBank PR, we strive to be a trusted advisor to our clients and our ... one place for you. A Brief Overview The Customer Service & Sales Representative answers telephone calls to respond to customer inquiries or perform sales activities.… more
    FirstBank PR (04/19/24)
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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 (04/25/24)
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  • Service Representative - Condominiums

    HUB International (Hato Rey, PR)
    …and career satisfaction. **The Opportunity** Join us today as a Condominium Service Representative in HUB PR. The CSR works closely with the Account Executive to ... network of experts who will help you reach your goals through risk services, claims management, and compliance support. And this gives you the peace of mind that… more
    HUB International (03/26/24)
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  • Representative , Customer Service I (Fully…

    Evolent Health (San Juan, PR)
    …+ Answer and manage inbound inquiries regarding health plan benefits and claims , eligibility, medical and other healthcare procedures, billing and payments and other ... related topics from customers in a prompt, courteous manner. Conduct out-bound and/or return calls to customers as necessary. + Ask appropriate questions and listen actively to identify specific questions or issues to provide appropriate response and type of… more
    Evolent Health (04/23/24)
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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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  • Outpatient Medical Coding Auditor (PPI Coding…

    Humana (San Juan, PR)
    …provider contract payments in our payer systems, and by ensuring correct claims payment and appropriate CPT/ HCPCS code assignments. Analyzes, enters and manipulates ... Minimum of 1 years' work experience reading and interpreting claims + Minimum of 3 years' experience in performing...normal operations as soon as possible. Your Talent Acquisition representative will advise on the latest recommendations to protect… more
    Humana (04/25/24)
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  • Manager, Fraud and Waste * Special Investigations…

    Humana (San Juan, PR)
    …Bachelor's Degree in health or business related field + Prior health insurance claims experience + Demonstrated formal or informal people management + Excellent PC ... of returning to normal operations as soon as possible. Your Talent Acquisition representative will advise on the latest recommendations to protect your health and… more
    Humana (04/30/24)
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  • Release Manager

    HealthEdge Software Inc (San Juan, PR)
    …root-cause issues areidentifiedand addressed upstream, and all aspects of claims operations are centralized for comprehensive business intelligence. The complete ... 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 (04/26/24)
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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 (04/19/24)
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  • Administrative Assistant - Project Management…

    FirstBank PR (San Juan, PR)
    …and appropriate service level. . Receives client's inquiries such as investigations, claims and services, resolving or routing their petitions, and supporting the ... 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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  • VP Clinical Operations

    Sedgwick (San Juan, PR)
    …STEPS If your application is selected to advance to the next round, a representative from Sedgwick will be in touch. The statements contained in this document are ... their employees regain health and productivity, guide their consumers through the claims process, protect their brand and minimize business interruptions. Our more… more
    Sedgwick (04/09/24)
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  • Field Operations Project Manager 1 - 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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