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Claims Manager Jobs in Puerto Rico (NOW HIRING)

Walgreens

Pharmacy Operations Manager

Dorado, PR · On-site

Ensures the accurate processing of insurance claims to resolve customer issues and prevent payment ... Manages Community Outreach Portal and coordinates and, at the direction of the Pharmacy Manager ...

Inteldot

QC Laboratory - Project Manager

Barceloneta, PR · On-site

$110 - $160/hr

Manage QC laboratory capital projects from concept through commissioning, start-up, qualification ... Review contractor progress, invoices, claims, and change orders. * Enforce site safety standards ...

Essilor

Assistant Manager

Caguas, PR · On-site

K00133 EM Assignment Claims-FIELD Position: Full-Time Total Rewards: Benefits/Incentive Information ... GNERAL FUNCTION The Assistant Manager acts as a leader in the absence of, or in support of the ...

EssilorLuxottica Group

Assistant Manager

Caguas, PR

K00133 EM Assignment Claims-FIELD Position: Full-Time Total Rewards: Benefits/Incentive Information ... GNERAL FUNCTION The Assistant Manager acts as a leader in the absence of, or in support of the ...

EssilorLuxottica

Assistant Manager

Caguas, PR · On-site

K00133 EM Assignment Claims-FIELD Position: Full-Time Total Rewards: Benefits/Incentive Information ... GNERAL FUNCTION The Assistant Manager acts as a leader in the absence of, or in support of the ...

Solx

Project Manager, Capital Projects

Aguadilla, PR · On-site

$120 - $180/hr

Manage procurement, expediting, and logistics of long‑lead equipment and materials -- including ... Hold contractors to the contract on progress, quality, and safety -- and head off claims before ...

Grupo Triple-S

IT QA Analyst

Guaynabo, PR · On-site

Design, Develop, and maintain manual test scripts for web, API, data, and backend systems, focusing on healthcare payor workflows (member, eligibility, claims, billing, member management, etc.

DJC Law Firm

Attorney

San Juan, PR · On-site

$60 - $80/hr

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.

Pharmacy Operations Manager

Walgreens

Dorado, PR • On-site

Full-time

Posted 17 days ago

Walgreens rating

5.5

Company rating: 5.5 out of 10

Based on 2,233 frontline employees who took The Breakroom Quiz

97th of 113 rated pharmacies

Job description


  • Where state and federal laws/regulations allow, accountable for performing day-to-day non-clinical pharmacy operations, administrative activities; Ensures efficient pharmacy workflow and a positive patient experience. Serves as a full-time certified pharmacy technician.
  • Responsible for operating pharmacy systems to obtain patient and drug information and process prescriptions. Under the supervision of a pharmacist, supervising pharmacy technicians and pharmacy cashiers within the guidelines of authorized company policies, laws, regulations and business ethics.
  • Responsible for the selection, scheduling, and development of pharmacy technician personnel. Leads training, coaching, and performance management of pharmacy technicians. Makes decisions regarding performance management including discipline and termination.

Customer Experience
  • Engages customers and patients by greeting them and offering assistance with products and services. Resolves customer complaints, helps respond to customers' requests in a timely manner and answers non-clinical questions to ensure a positive customer experience. Models and shares customer service best practices.
  • Develops strong relationships with customers by anticipating customer needs and proactively offering services to provide the best experience possible when using the pharmacy. Enhances customer experience by increasing focus on healthcare services.
Operations
  • Responsible for assisting pharmacist in the delivery of patient care including patient registration, prescription data entry, preparation of medications for patients, counting, and verifying (where allowed by law). Completes patient and physician calls under the supervision of a pharmacist (where allowed by law). Under the supervision of a pharmacist assists with healthcare service offerings including administering vaccines, health screenings, and any health services allowed by law.
  • Within the guidelines of authorized company policies, state and federal laws/regulations, exercises independent judgment to delegate, direct, and assign non-clinical work in the pharmacy. Ensures tasks are completed on-time and holds others accountable for efficient workflow.
  • At the direction of the Pharmacy Manager or pharmacist, prepares, and files reports and records required by the company and various government agencies.
  • Manages core pharmacy workflow and drives excellence in pharmacy operations. Coordinates and organizes pharmacy daily schedule of activities. Recommends allocation of pharmacy hours. Assures the pharmacy is clean, neat, orderly, and stocked with adequate supplies.
  • Under the direction of the pharmacist, exercises independent judgment to ensure compliance and execution of all business administrative activities and pharmacy inventory management tasks that do not require pharmacist licensure. Manages annual inventory preparation.
  • Accountable for completion of non-clinical patient calls.
  • Drives new technology/ process roll out, champions change and engages team around action planning. Assures proper operation and maintenance of pharmacy department equipment. In collaboration with Pharmacy Manager, responsible for recordkeeping and ensuring security safeguards are in-place.
  • Under supervision of the pharmacist, strictly adheres to the Walgreen Co. policy regarding Good Faith Dispensing during all applicable prescription-dispensing activities and understands their role in ensuring that the elements of Good Faith Dispensing are met.
  • Maintains and applies knowledge of Company asset protection techniques. Supports Pharmacy Manager with diversion monitoring and reports any concerns that would compromise the security of the pharmacy to the Pharmacy Manager.
  • Communicates prescription errors to the accountable pharmacist, and adheres to Company policies and procedures in relation to pharmacy errors and the Continuous Quality Improvement Program.
  • Ensures the accurate processing of insurance claims to resolve customer issues and prevent payment rejections. Follows-up with insurance companies as well as medical providers and conducts or participates in 3rd party audit.
  • Assists and supports Store Manager and Pharmacy Manager in analyzing and seeking to improve pharmacy financials, operational quality and customer service.
  • Manages Community Outreach Portal and coordinates and, at the direction of the Pharmacy Manager, assigns pharmacists to off-site immunization clinics and community events. Builds and sustains relationships with retail partnerships.
People & Performance Management
  • Leads performance management of technicians including making decisions and recommendations regarding discipline and termination. Follows constructive discipline policy to discipline, suspend, terminate or effectively recommend the same. Uses constructive discipline policy to ensure pharmacy technicians are compliant with state and federal laws. Holds technician accountable for attendance and timeliness. Maintains and improves performance of pharmacy through team member engagement and action planning.
  • Accountable for technician hiring, on-boarding, training, and scheduling. Monitors and holds pharmacy technicians accountable for timely training completion. Follows established policies and procedures set by the company for scheduling and training.
  • Accountable for identifying gaps in pharmacy operations knowledge among team members and supporting those team members in their training, either through hands-on training or assignment of learning modules.
  • Assists Pharmacy Manager in monitoring that all pharmacy and team member licensures, registrations and certifications are active and in good standing/ compliant with all regulatory and legal requirements. Leverages Walgreens resources such as Walgreens Online Verification System to assist in documenting licensure status.
  • Ensures proper procedures are followed for selection, recruitment, record retention, and training as required by Company policy and local, state and federal laws.
Training & Personal Development
  • Maintains PTCB certification through the designated PTCB training program and/or state required certification/registration.
  • Maintains and enhances current knowledge and skills related to pharmacy and healthcare.
  • Obtains necessary certifications, education credits and training such as LTMP e-modules as required by the Company. Follows performance improvement plans offered by Pharmacy Manager.
  • Seeks professional development by monitoring one's own performance, solicits for constructive feedback, and leverages Healthcare Supervisor as mentor and coach.
Communication
  • Communicates with pharmacy team, relaying messages from the support center or other key emails as required.
  • Participates in key store/pharmacy meetings, including 5-minute meetings and weekly check-ins with the Store Manager

External Basic Qualifications
  • High School Diploma, GED, or equivalent.
  • PTCB certification (except in Puerto Rico).
  • Has one year of work experience as a pharmacy technician in a retail or hospital setting.
  • Must be fluent in reading, writing, and speaking English (except in Puerto Rico).
  • Requires willingness to work flexible schedule, including evening and weekend hours.

Preferred Qualifications
  • Previous people management/ leadership experience.
  • Previous work experience with Walgreens with an Exceeding Expectation on last performance evaluation.
We will consider employment of qualified applicants with arrest and conviction records.
This information is being provided to promote pay transparency and equal employment opportunities at Walgreens. The current salary range for this position is $22.50 per hour - $31.00 per hour. The actual hourly salary within this range that you will be offered will depend on a variety of factors including geography, skills and abilities, education, experience and other relevant factors. This role will remain open until filled. To review benefits, please click here jobs.walgreens.com/benefits. If you are applying on a job board or unable to click on the link, please copy and paste this URL into your browser jobs.walgreens.com/benefits

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