- GAP Solutions Inc (San Juan, PR)
- **Position Objective:** As a Junior Human Resource Specialist , apply HR skills in support of managers, program staff and customers on the full range of HR topics ... Assisting with drafting SOP's. + Processing personal liability insurance reimbursement claims . + Initiating tentative selection notifications, notice of results or… more
- Zurich NA (San Juan, PR)
- Marine Claims Senior Claims Specialist 126574 Zurich North America is hiring a Marine Claims Senior Claims Specialist Role (With Hull and ... and 6 or more years of experience in the Claims and/ or Litigation Management area.OR + Juris Doctor...and 2 or more years of experience in the Claims and/ or Litigation Management area.OR + Zurich Certified… more
- Banco Popular Puerto Rico (San Juan, PR)
- Date: Oct 28, 2025 Location: San Juan-Cupey, PR Company: Popular Workplace Type: On-site Claims Specialist Seasonal Claims Specialist General Description ... Claim Specialist is responsible of the fraud claims resolution for Credit Cards, Debit Cards, Checks and...by phone, email or mail and through the internal claims system. + Solves the assigned claims … more
- MetLife (San Juan, PR)
- …member(s) within authority limit including Financial accuracy of coding Claims System including accurate claim Benefit Amount/Salary and appropriately investigates ... Preferred: . Associate Degree . 2 plus years of claims management experience preferably in Healthcare field . 5...Prior STD, state leave and/or Family Medical Leave Act claims knowledge preferred. * Strong communication skills, both written… more
- Sedgwick (San Juan, PR)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Unemployment Specialist **This position will have a heavy focus on processing unemployment ... clients.** **PRIMARY PURPOSE** **:** To analyze complex or technically difficult unemployment claims to determine benefits due; and to ensure ongoing adjudication of… more
- Sedgwick (San Juan, PR)
- …Fortune Best Workplaces in Financial Services & Insurance Disability Clinical Specialist **PRIMARY PURPOSE** : Performs standard clinical evaluations on claims ... and RESPONSIBILITIES** + Performs standard clinical reviews of referred medical claims based on client requirements to ensure accurate and sufficient information… more
- Sedgwick (San Juan, PR)
- …Fortune Best Workplaces in Financial Services & Insurance Provider Network Specialist **PRIMARY PURPOSE** **:** To ensure clients and Managed Care Organization's ... with clients relative to their MCO status. + Ensures claims management system parameters are set for MCO flags....other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating… more
- FirstBank PR (San Juan, PR)
- Product Management Specialist Digital Transformation and Innovation FirstBank PR Our Company At FirstBank PR, we strive to be a trusted advisor to our clients and ... the number one place for you. A Brief Overview The Product Management Specialist within the Digital Transformation and Innovation team is an execution-focused role… more
- Datavant (San Juan, PR)
- …and life experiences to realize our bold vision for healthcare. The Specialist is responsible for identifying, analyzing, and resolving claim denials across the ... practices, and proficiency in multiple electronic systems and software tools. The specialist serves as a key liaison between coding, billing, utilization review,… more
- Western Digital (San Juan, PR)
- …**Job Description** **Position Summary** We are looking for a **Retail Compliance Specialist ** to join the Western Digital Fulfillment Operations Team to be ... chargebacks, late deliveries, labeling errors, incorrect shipments. Review and validate claims received from retail partners to determine legitimacy and compliance… more
- Cardinal Health (San Juan, PR)
- …to meet and exceed revenue and profitability objectives. The _Sr. Specialist , Business Intelligence_ provides Product & Solutions Marketing support to internal ... methodology and requirements gathering is a plus. + Basic understanding of operations and claims processing in pharmacy or other healthcare related area is a plus. +… more
- Staff Management | SMX (Guaynabo, PR)
- …with the ability to manage customer accounts and investigate and resolve claims . We highly value the reliability and availability of prospective candidates work ... large amount of data into our system accurately + Investigate & manage customer claims + Ability to perform repetitive tasks + Maintain strong records for all work… 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
- Adecco US, Inc. (San Juan, PR)
- …and courteous manner. + Provide accurate information regarding benefits, claims , authorizations, and other healthcare-related inquiries. + Document all interactions ... + Comprehensive 16-week training program + Weekly paycheck + Dedicated Onboarding Specialist & Recruiter + Access to Adecco's Aspire Academy with thousands of… more
- Philips (San Juan, PR)
- …product line at luminary sites in North America. + Will be the expert MRI specialist in an assigned technical or clinical application area, build a network in the ... solutions, and IP for product development and generate evidence to support claims through scientific publications. + Be hands-on, be able to independently run… more
