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Claims Manager Jobs in Puerto Rico (NOW HIRING)

My Wireless

HR Admin Support

San Juan, PR · On-site

$11 - $13/hr

Manage reporting and correspondence with state and government agencies, including but not limited to: * Unemployment insurance claims and inquiries * State disability and paid leave claims * New hire ...

Coca-Cola

CPS NA Transportation Manager

Cidra, PR · On-site

$63K - $84K/yr

As a CPS NA Transportation Manager, you'll manage inbound, outbound, and intracompany ... Ensure claims and payments processes are executed on a timely basis. * Support the CPS NA logistics ...

Alivia Health

PR · On-site

Guaynabo, PR El Analista de Auditoría PBM es responsable de auditar, analizar y dar seguimiento a las cuentas por cobrar relacionadas con Pharmacy Benefit Managers (PBM) en una farmacia ...

Pharmpix

PR · On-site

... claims processing and system configuration inquiries from internal departments and backend clients. * Proactively identify setup issues and escalate to the Benefit Implementation Director or Manager ...

Chubb

Casualty Jr. Underwriter

San Juan, PR · On-site

Interact with brokers and customers, externally and internally, other line of business underwriters and top management. * Assist Operations Department in policy issuance as well as support Claims ...

COREPLUS SERVICIOS CLINICOS Y PATOLOGICOS LLC

PR · On-site

Revenue Cycle Management Specialist I Who are we? For more than 26 years, CorePlus has provided ... Responsibilities 1. Accurately code and submit claims to insurance companies and government payers ...

COREPLUS SERVICIOS CLINICOS Y PATOLOGICOS LLC

PR · On-site

Revenue Cycle Management Specialist I Who are we? For more than 26 years, CorePlus has provided ... Responsibilities 1. Accurately code and submit claims to insurance companies and government payers ...

DJC Law

Attorney

San Juan, PR · On-site

$60K - $80K/yr

Manage a caseload of personal injury claims from intake through settlement. * Evaluate cases for liability, damages, and value, and communicate assessments to clients. * Negotiate effectively with ...

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Claims Manager information

What does a claims manager do?

A Claims Manager oversees the processing and resolution of insurance claims within an organization. Their responsibilities include evaluating claims, ensuring compliance with company policies and legal regulations, and managing a team of claims adjusters or examiners. Claims Managers work to ensure claims are handled efficiently and fairly, often acting as a point of escalation for complex or disputed cases. They also analyze data to improve claims processes and mitigate risk. Effective communication and leadership skills are essential in this role.

What skills and qualifications are needed to be a claims manager?

To thrive as a Claims Manager, you need expertise in insurance policies, risk assessment, and claims processing, usually supported by a degree in business, finance, or a related field. Familiarity with claims management software, regulatory compliance tools, and industry certifications such as AIC (Associate in Claims) is typically required. Strong analytical thinking, negotiation skills, and effective communication help you manage complex cases and lead teams successfully. These skills and qualities are vital for ensuring accurate claims resolution, minimizing financial loss, and maintaining client trust.

How does a claims manager balance high case volumes with thorough and accurate claim assessments?

Claims Managers often face the challenge of managing a large number of claims while maintaining quality and compliance. To address this, they implement efficient workflows, delegate tasks among team members, and use claims management software to automate routine processes. Regular team meetings and performance tracking help ensure that each claim is processed accurately and within regulatory timelines. Strong organizational skills and effective communication are key to balancing these demands and supporting both claimants and internal stakeholders.

What is the difference between Claims Manager vs Claims Adjuster?

AspectClaims ManagerClaims Adjuster
CredentialsTypically requires a bachelor’s degree, industry certifications (e.g., CPCU), and management experienceUsually requires a high school diploma or bachelor’s degree, with certifications like AIC or CPCU preferred
Work EnvironmentOversees claims departments, manages teams, and develops policies within insurance companiesEvaluates individual claims, investigates damages, and determines settlement amounts
Employer & Industry UsageCommonly employed in insurance companies, handling claims processes and team managementFound in insurance firms, adjusting claims directly with policyholders and providers

In summary, Claims Managers oversee the claims process and manage teams, requiring leadership skills and industry certifications. Claims Adjusters focus on evaluating individual claims, investigating damages, and determining payouts. Both roles are essential in the insurance industry but differ in scope and responsibilities.

How much do claims managers make in the US?

Claims managers in the US typically earn a median annual salary of around $80,000 to $100,000, with experienced professionals and those in senior roles earning over $120,000. Salaries vary based on location, industry, and level of experience, and many claims managers hold certifications such as the CPCU or ARM to advance their careers.

What is the role of a claims manager?

A claims manager oversees the processing and settlement of insurance claims, ensuring accuracy and compliance with policies. They evaluate claim validity, coordinate with adjusters and clients, and may use claims management software to streamline operations.
More about Claims Manager jobs

What are the most commonly searched types of Claims jobs in Puerto Rico?

The most popular types of Claims jobs in Puerto Rico are:

What are popular job titles related to Claims Manager jobs in Puerto Rico?

For Claims Manager jobs in Puerto Rico, the most frequently searched job titles are:

What job categories do people searching Claims Manager jobs in Puerto Rico look for?

The top searched job categories for Claims Manager jobs in Puerto Rico are:

What cities in Puerto Rico are hiring for Claims Manager jobs?

Cities in Puerto Rico with the most Claims Manager job openings:

Claims Manager jobs near you
Infographic showing various Claims Manager job openings in Puerto Rico as of August 2026, with employment types broken down into 1% As Needed, 84% Full Time, 12% Part Time, 2% Temporary, and 1% Contract. Highlights an 94% Physical, 2% Hybrid, and 4% Remote job distribution.

HR Admin Support

My Wireless

San Juan, PR • On-site

$11 - $13/hr

Full-time

PTO

Re-posted 29 days ago

My Wireless rating

2.5

Company rating: 2.5 out of 10

Based on 5 frontline employees who took The Breakroom Quiz

Job description

About the Role
Seeking a detail-oriented HR Administrative Support professional to join our Human Resources team. This role plays a critical part in ensuring compliance with core HR administrative functions, state and federal agency reporting, and payroll-related obligations. The ideal candidate is organized, dependable, and comfortable handling confidential employee information in a multi-state environment.
You will support day-to-day HR administration by managing reports, responding to agency correspondence, maintaining records, and keeping HR communications organized.
Key Responsibilities
HR Administrative Support
  • Assist with HR audits, reporting, and processes
  • Respond to routine HR inquiries or escalate as appropriate
  • Support special HR projects as assigned
  • Pull and organize employee files for legal or audit requests

State & Agency Correspondence & Compliance Support
  • Manage reporting and correspondence with state and government agencies, including but not limited to:
    • Unemployment insurance claims and inquiries
    • State disability and paid leave claims
    • New hire reporting requirements
    • Employment and wage verification requests from authorized agencies
  • Track agency deadlines and maintain documentation to support compliance and audits
  • Coordinate with payroll and HR leadership to resolve agency-related issues or discrepancies

Payroll & Compliance Support
  • Process and administer wage garnishments, including child support orders, tax levies, and creditor garnishments, in compliance with federal and state regulations
  • Monitor garnishment notices, calculate withholdings, and ensure timely remittance and responses

Employee Records & Verifications
  • Process employment verification requests (income, job title, employment dates) in accordance with company policy and privacy laws
  • Maintain accurate and up-to-date employee records within the HRIS (Paycom)
  • Ensure proper documentation, retention, and audit readiness

  • Previous experience in HRIS, HR administration, or data management. Ticketer experience preferred.
  • Strong attention to detail and ability to manage multiple tickets efficiently.
  • Comfortable handling confidential and sensitive employee information.
  • Excellent written and verbal communication skills.
  • Proficient in Microsoft Office Suite (Excel, Word, PowerPoint).

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