• Senior Claims Representative

    Ryder System (San Juan, PR)
    …Policy by clicking HERE. (https://ryder.com/job-applicant-privacy-policy)\_ **Summary** The Senior 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...to verify the legitimacy of an interview or Ryder representative , please contact Ryder at ###@ryder.com or ###. **Current… more
    Ryder System (11/02/24)
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  • Liability Claims Representative

    Sedgwick (San Juan, PR)
    …work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Liability Claims Representative | Remote Are you looking for an opportunity to ... Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. +...OF THE ROLE:** To analyze mid-level Commercial General Liability claims on behalf of our valued clients to determine… more
    Sedgwick (10/31/24)
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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 (12/20/24)
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  • Claims Representative 2 - Remote

    Ryder System (San Juan, PR)
    …with Commercial Auto claims is a plus. **SUMMARY** The Liability Claim Representative II handles property damage claims and low to mid-range bodily injury ... by clicking HERE. (https://ryder.com/job-applicant-privacy-policy)\_ Experienced with handling Auto Liability claims to include Property damage Bodily Injury claims more
    Ryder System (12/12/24)
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  • Claims Representative

    Adecco US, Inc. (San Juan, PR)
    ** Claims Representatives** . **Primary Responsibilities:** + Authorizes the appropriate payment or refers claims to investigators for further review + Conducts ... data entry and claims processing/issues + Responsible for handling issues within turnaround...holidays) **Preferred Qualifications:** + Experience in medical billing or claims + Healthcare experience **Pay Details:** $13.50 per hour… more
    Adecco US, Inc. (12/18/24)
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  • Customer Service Representative

    CAI (San Juan, PR)
    …**Worksite Flexibility** Remote **Job Summary** We are looking for a motivated Customer Service Representative ready to take us to the next level! If you are located ... **Job Description** We are looking for a Customer Service Representative to provide first point of contact for our...with navigating and resolving a variety of issues, including claims and continuity of care. + Work towards meeting… more
    CAI (12/24/24)
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  • Customer Service & Sales Representative

    FirstBank PR (San Juan, PR)
    CUSTOMER SERVICE & SALES REPRESENTATIVE FIRSTLINE CALL CENTER FIRSTBANK PR Our Company At FirstBank 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 (12/11/24)
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  • Call Center Representative (Temporary)

    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 (12/18/24)
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  • Senior Payment Integrity Analyst

    HealthEdge Software Inc (San Juan, PR)
    …implementing proprietary healthcare edits that drive cost savings and accuracy in claims processing. The successful candidate will be responsible for taking a senior ... level role in analyzing claims data, as well as translating contract terms, policies,...permanent **Work Environment:** The physical demands described here are representative of those that must be met by an… more
    HealthEdge Software Inc (12/18/24)
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  • Cust Care Rep I-Bilingual (US)

    Elevance Health (San Juan, PR)
    **Position Title:** **Customer Care Representative - Bilingual** **(English/Spanish) (Hybrid)** **Location: Hybrid (Candidates must live within commutable distance ... and business operations services for health plans. The Customer Care Representative is responsible for successfully completing the required basic training. Able… more
    Elevance Health (12/27/24)
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  • Baggage Service Office Supervisor - Luis Munoz…

    PrimeFlight Aviation Services (Carolina, PR)
    …Supervisor oversees the team responsible for addressing passenger baggage concerns and claims . You will ensure efficient and effective handling of inquiries related ... team's day-to-day activities + Ensure efficient handling of baggage-related inquiries and claims + Train staff on baggage handling systems and customer service… more
    PrimeFlight Aviation Services (12/10/24)
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  • Director, Product Management (Billing/Financials)

    HealthEdge Software Inc (San Juan, PR)
    …and QE. We have divided our product teams into Value Streams (ie, Claims , Billing & Financials, Enrollment, BlueCard, Integration, and Platform). Each Value Stream ... integrated solutions suite includes the industry's leading, digital, next-generation claims administration processing system, business intelligence, integration capabilities, a… more
    HealthEdge Software Inc (12/20/24)
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  • Senior Manager, Product Operations

    HealthEdge Software Inc (San Juan, PR)
    …and QE. We have divided our product teams into Value Streams (ie, Claims , Billing & Financials, Enrollment, BlueCard, Integration, and Platform). Each Value Stream ... integrated solutions suite includes the industry's leading, digital, next-generation claims administration processing system, business intelligence, integration capabilities, a… more
    HealthEdge Software Inc (12/20/24)
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  • Business Consultant

    HealthEdge Software Inc (San Juan, PR)
    …issues are identified and addressed upstream, and all aspects of claims operations are centralized for comprehensive business intelligence. The complete suite ... of provider rate and/or claim editing provisions in a claims adjudication system and/or third-party vendor application. + Working...None **Work Environment:** The physical demands described here are representative of those that must be met by an… more
    HealthEdge Software Inc (12/18/24)
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  • Manager, Fraud and Waste * Special Investigations…

    Humana (San Juan, PR)
    …investigation experience in managed care or CMS. + 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 (12/19/24)
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  • Sr. Coord, Individualized Care (Reimbursement…

    Cardinal Health (San Juan, PR)
    …pharmacy insurance benefit practices, preferred * 1-2 years of Pharmacy and/or Medical Claims billing and Coding work experience * 1-2 years' experience with Prior ... appropriate team member (when applicable) * Resolve patient's questions and any representative for the patient's concerns regarding status of their request for… more
    Cardinal Health (12/11/24)
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  • Network Engineer

    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 ... (USA Only):** Exempt **Work Environment:** The physical demands described here are representative of those that must be met by an employee to successfully… more
    HealthEdge Software Inc (11/27/24)
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  • Senior Principal QA Architect

    HealthEdge Software Inc (San Juan, PR)
    …solutions suite includes the industry's leading, digital, next-generation claims administration processing system, business intelligence, integration capabilities, a ... 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 (11/20/24)
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