• Claims Processing

    Humana (San Juan, PR)
    **Become a part of our caring community and help us put health first** The Claims Processing Representative 2 reviews and adjudicates complex or ... specialty claims , submitted either via paper or electronically. The Claims Processing Representative 2 performs varied activities and moderately… more
    Humana (11/20/25)
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  • Grievances & Appeals Representative

    Humana (San Juan, PR)
    …Previous inbound call center or related customer service experience + Previous experience processing medical claims + Bilingual (English and Spanish); with the ... help us put health first** The Grievances & Appeals Representative 3 manages client denials and concerns by conducting...training or your first 120 days.** **Required Qualifications** + ** 2 + years of customer service experience** + **Must have… more
    Humana (11/19/25)
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  • Subrogation Representative III

    Humana (San Juan, PR)
    …**Preferred Qualifications** + Undergraduate Degree + Bilingual in English/Spanish + Claims Processing Experience **Additional Information** + As part of ... of our caring community and help us put health first** The Subrogation Representative 3 identifies, investigates, and collects recoveries from third parties who are… more
    Humana (11/08/25)
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  • Remote Bilingual Customer Service…

    Conduent (Guaynabo, PR)
    …members with enrollment into the Medicare plan, Disenrolling them from their plan, processing claims regarding their plan etc. **There are plenty of growth ... and valued every day. **Remote Bilingual Healthcare Customer Service Representative ** **Must be fluent in English & Spanish &...to the role and provide your basic profile information ( 2 minutes) Answer prescreens questions to be sure you… more
    Conduent (11/18/25)
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