- Adecco US, Inc. (San Juan, PR)
- **Adecco is assisting a local client in recruiting for Claims Representative opportunities in San Juan, PR.** This is an excellent opportunity to join a global ... company that values growth, performance, and career development. If Reject Entry Claims Representative sounds like something you would be interested in, and you… more
- Sedgwick (San Juan, PR)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Auto Claims Representative **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
- Elevance Health (San Juan, PR)
- Claims Representative I **Location Hybrid 1:** This role requires associates to be in-office 1-2 days per week, fostering collaboration and connectivity, while ... **Office Location: 654 Avenue Luis Munoz Rivera, San Juan, 00918** The ** Claims Representative I** responsible for successfully completing the required basic… more
- Zurich NA (San Juan, PR)
- Claims Call Center Representative 127686 Zurich is a leading multi-line insurer that serves its customers in global and local markets. Zurich's customers include ... different levels of complexity, ensuring a positive customer experience. + Resolve complex claims inquiries and problems, judging when to pass complex queries on to… more
- Elevance Health (San Juan, PR)
- **Position Title:** Customer Care Representative - Bilingual (English/Spanish) (Hybrid) and Customer Care Representative **Location: Hybrid:** This role requires ... and business operations services for health plans. The Customer Care Representative is responsible for successfully completing the required basic training. Able… more
- Cardinal Health (San Juan, PR)
- …things done. **The Accounts Receivable Specialist is responsible for processing insurance claims and billing. They will work within the scope of responsibilities as ... and support from AR & Billing leadership teams.** **_Responsibilities_** + Processes claims : investigates insurance claims ; and properly resolves by follow-up &… more
- Humana (San Juan, PR)
- …help us put health first** The Provider Group Medicare Inbound Contacts Representative 2 represents the company by addressing incoming telephone, digital, or written ... inquiries. The representative performs varied activities and moderately complex administrative/operational/customer support...calls daily from providers to check on members and claims in a fast-paced inbound call center environment.** +… more
- Conduent (Guaynabo, PR)
- …where individuality is noticed and valued every day. **Remote Fraud Call Center Representative - Puerto Rico** **Must reside in Puerto Rico to be considered.** ... month. **Great Benefits and Paid Training!** **Summary:** As a **Customer Service Representative II,** you will be responsible for the resolution of multi-product… more
- ATS Automation (Guaynabo, PR)
- …US, 27603 Columbia, SC, US, 29201 Date: Oct 4, 2025 Field Service Representative - Electro Mechanical Overview This role will be responsible for servicing automation ... customer specifications to prepare for service scope. + Facilitate warranty/non-warranty claims with the customer. + Coordinate service projects including team… more
- 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
- Cardinal Health (San Juan, PR)
- …cycle, from prior authorization through billing and collections. The Billing Representative is responsible for verifying, distributing, and managing all billable ... works directly with insurance companies, healthcare providers, and patients to ensure claims are processed and paid accurately and efficiently. The position requires… more
- CenterWell (San Juan, PR)
- …caring community and help us put health first** The Grievances & Appeals Representative 3 manages client denials and concerns by conducting a comprehensive analytic ... clinical and other Humana parties. The Grievances & Appeals Representative 3 performs advanced administrative/operational/customer support duties that require… more
- Otsuka America Pharmaceutical Inc. (San Juan, PR)
- …in wider clinical development plans. + Serve as early-stage CMC representative of the department in effectively communicating program related updates, strategies, ... you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to...legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,… more
- Otsuka America Pharmaceutical Inc. (San Juan, PR)
- …assigned disease areas within the CNS TA. + Act as a company representative and advocate in relevant medical and scientific communities for specific assigned areas ... you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to...legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,… more
- Ford Motor Company (San Juan, PR)
- …for the balance of the book . Proactively monitor key underwriting and claims metrics to identity emerging risks and opportunities . Collaborate with underwriting ... and underwriting experience and performance targets . Ford Pro Insure representative on Underwriter Committees, North American Statutory Boards, and Corporate… more
- GAP Solutions Inc (San Juan, PR)
- …Assisting with drafting SOP's. + Processing personal liability insurance reimbursement claims . + Initiating tentative selection notifications, notice of results or ... each essential duty satisfactorily. The requirements listed above are representative of the knowledge, skill, and/or ability required. Reasonable accommodations… more
- Fresenius Medical Center (San German, PR)
- …or other situations change. + Completes and follows up with paperwork when claims are disputed for non-payment. + Collects necessary documents to complete indigent ... The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions… more