- Sedgwick (San Juan, PR)
- …Work(R) Fortune Best Workplaces in Financial Services & Insurance Senior Life Science Claims Specialist (REMOTE US) **PRIMARY PURPOSE** **:** To analyze complex ... claims specific to the product liability / life sciences...provide resolution of highly complex nature and/or severe injury claims ; to coordinate case management within Company standards, industry… more
- Lincoln Financial (San Juan, PR)
- …to staff our ever-growing claims organization. As a Short Term Disability Claims Specialist , you will be responsible for conducting initial and ongoing ... home, then please read on! Click the following link Claims Specialist Job Preview (https://marketingmedia.lfg.com/lfg/DOCS/lfd/emailMarketing/Video/6369162297112.html) to see… more
- Evertec Group, LLC (PR)
- Claims Specialist Business Solutions & Merchant Acquiring Puerto Rico General Responsibilities Responsible for providing excellent customer care with a ... client service mindset with the ability to use collaborative and non-adversarial approaches in achieving diverse goals. * Responsible for evaluating disputed credit card transactions. * Investigates the disputes cases and determine if the chargeback if… more
- Lincoln Financial (San Juan, PR)
- …Role at a Glance** We are excited to bring on a Social Security Specialist to join our Financial Services Organization supporting Group Protection. In this role you ... used in conjunction with disability insurance policies. You will monitor claimants' SS claims until a final decision is received. **What you'll be doing** + Supports… more
- Lincoln Financial (San Juan, PR)
- …this opportunity. **Requisition #:** 74565 **The Role at a Glance** As an Appeals Specialist you will be responsible for being a product subject matter expert to ... multiple product lines. You will perform and deliver on appeals claims assignments/projects while simultaneously leveraging and applying knowledge. You will analyze… more
- CVS Health (San Juan, PR)
- …handle customer service inquiries and problems. Additional Responsibilities - Reviews pre-specified claims or claims that exceed specialist adjudication ... day. **Position Summary** Reviews and adjudicates complex, sensitive, and/or specialized claims in accordance with plan processing guidelines. Acts as a subject… more
- Sedgwick (San Juan, PR)
- …Fortune Best Workplaces in Financial Services & Insurance Remote Accommodations Clinical Specialist - Bilingual French, Hindi, Bengali or more **We are looking for ... United States. **PRIMARY PURPOSE** : Performs standard clinical evaluations on claims that require additional review based on medical condition, client requirement,… more
- Adecco US, Inc. (San Juan, PR)
- Adecco is assisting a local client recruiting for Enrollment Specialist opportunities on-site in San Juan, Puerto Rico. This is an excellent opportunity to join a ... the door with a company that values accuracy, service, and collaboration. If Enrollment Specialist sounds like something you would be interested in, and you meet the… more
- Sedgwick (San Juan, PR)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Vocational Specialist **PRIMARY PURPOSE** **:** To develop and provide vocational services as ... for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The… more
- Otsuka America Pharmaceutical Inc. (San Juan, PR)
- …fee, even if claimed you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to exercise caution when you receive ... legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,...will not be held liable or responsible for any claims , losses, damages or expenses resulting from job recruiting… more
- Fujifilm (San Juan, PR)
- **Position Overview** The accomplished Senior Corporate Compliance Specialist will support FUJIFILM's Corporate Compliance Program's operations to ensure high ... regulations (including Anti-Kickback Statute, Foreign Corrupt Practices Act (FCPA), False Claims Statute, and OIG's guidance of an effective compliance program) as… more
- Terumo Medical Corporation (Caguas, PR)
- Clinical Specialist , TLAC Date: May 13, 2025 Req ID: 4650 Location: Caguas, PR, PR Company: Terumo Latin America Corporation Department: TLAC Sales Terumo Medical ... (QA), and by ensuring all promotional messaging (ie branding strategies, product claims , etc.) and materials (ie literature) discussed or presented to customers are… more
- Mentor Technical Group (Carolina, PR)
- …performance including but not limited to investigation reports, injury reports, insurance claims , performance metric reports, etc. + Take necessary steps to ensure a ... safe work environment for all employees. + Participate in the investigation of incidents, near misses and property damage incidents. + Ensure follow-up is done to minimize future exposure and proper records/documents are maintained. + Conduct, coordinate and… more
- Cardinal Health (San Juan, PR)
- …skills and prioritizes getting the right things done. **The Accounts Receivable Specialist II is responsible for processing insurance claims and billing. ... and support from AR & Billing leadership teams.** **_Responsibilities_** + Processes claims : investigates insurance claims ; and properly resolves by follow-up &… more
- Western Digital (San Juan, PR)
- …supervision and coordination of loss prevention, asset protection, insurance, and claims control. Domestic and/or international travel may be required. **ESSENTIAL ... recommend appropriate courses of action. + Coordinate property and casualty insurance claims control function at all locations. + Continuous review of existing… more
- MetLife (San Juan, PR)
- …and render appropriate claim decisions pursuant to certificates on all claims . * Compare duration control guidelines and clarifies functional inconsistencies. * ... determine if/when to involve specialty resources such as Psychiatric Clinical Specialist , Medical Director or other clinical staff to obtain additional information… more
- Alight (PR)
- …LOA extensions. Generate leave policy kits and assign cases to applicable LOA client specialist . + Entering data and update information of cases in the system for ... LOA Client Specialist call backs + Managing 3- point contact partial...warm transfers to the client's disability vendor and initiating claims . Ensure smooth information transfer and handle confidential issues.… more
- Banco Popular Puerto Rico (San Juan, PR)
- …unit, which is tasked with conducting continuous audits, investigating customer claims , allegations, and internal irregularities where there is a possibility that ... strategies. + Special Investigations: Oversee the investigation of customer claims , allegations, and internal irregularities involving potential employee fraud or… more
- Reyes Holdings (Toa Baja, PR)
- …newsletters, guides, new processes, and contingency plans . Own credit and claims processes for the Distribution Center . Collaborate with the Inventory Control ... Specialist to investigate inventory variances . Establish and maintain connections with restaurant managers, vendors, and personnel in field office positions within… more