Casualty Manager
Guaynabo, PR · On-site
... Medicaid, Commercial, Life and Property & Casualty Businesses. Let's build healthier communities together, join now! JOB SUMMARY In charge of leading our casualty claims management efforts ...
Casualty Manager
Guaynabo, PR · On-site
... Medicaid, Commercial, Life and Property & Casualty Businesses. Let's build healthier communities together, join now! JOB SUMMARY In charge of leading our casualty claims management efforts ...
Investigate and/or resolve all types of claims for health plans, commercial customers, and ... Coding experience * Managed care experience * Claims processing experience * Medical record ...
New
Investigate and/or resolve all types of claims for health plans, commercial customers, and ... Coding experience * Managed care experience * Claims processing experience * Medical record ...
New
Senior Legal Claims Handler
San Juan, PR · On-site
Role Purpose The Senior Legal Claims Examiner is responsible for managing complex and high-value ... With operations in 54 countries, Chubb provides commercial and personal property and casualty ...
Senior Legal Claims Handler
San Juan, PR · On-site
Role Purpose The Senior Legal Claims Examiner is responsible for managing complex and high-value ... With operations in 54 countries, Chubb provides commercial and personal property and casualty ...
Claims Examiner
Guaynabo, PR · On-site
$21/hr
Retirement
PTO
Medicare, Medicaid, commercial insurance, or managed care ; Clinical documentation review Proficiency with: ICD-10-CM ; CPT ; HCPCS ; Medical terminology ; Anatomy and physiology ; EHR systems (such ...
Claims Examiner
Guaynabo, PR · On-site
$21/hr
Retirement
PTO
Medicare, Medicaid, commercial insurance, or managed care ; Clinical documentation review Proficiency with: ICD-10-CM ; CPT ; HCPCS ; Medical terminology ; Anatomy and physiology ; EHR systems (such ...
Claims Examiner
Guaynabo, PR · On-site
$21/hr
Retirement
PTO
Medicare, Medicaid, commercial insurance, or managed care ; Clinical documentation review Proficiency with: ICD-10-CM ; CPT ; HCPCS ; Medical terminology ; Anatomy and physiology ; EHR systems (such ...
Claims Examiner
Guaynabo, PR · On-site
$21/hr
Retirement
PTO
Medicare, Medicaid, commercial insurance, or managed care ; Clinical documentation review Proficiency with: ICD-10-CM ; CPT ; HCPCS ; Medical terminology ; Anatomy and physiology ; EHR systems (such ...
Cost Manager
San Juan, PR · Hybrid
$130K/yr
Manages cost control, valuations, reporting and final account processes with clarity and accuracy ... Oversees claims, change assessments and key project certifications through strong commercial ...
Cost Manager
San Juan, PR · Hybrid
$130K/yr
Manages cost control, valuations, reporting and final account processes with clarity and accuracy ... Oversees claims, change assessments and key project certifications through strong commercial ...
Senior Cost Manager
San Juan, PR · Hybrid
$130K/yr
Manages cost control, valuations, reporting and final account processes with clarity and accuracy ... Oversees claims, change assessments and key project certifications through strong commercial ...
Senior Cost Manager
San Juan, PR · Hybrid
$130K/yr
Manages cost control, valuations, reporting and final account processes with clarity and accuracy ... Oversees claims, change assessments and key project certifications through strong commercial ...
Facilities Lead/ EHS Manager/ Facilities Supervisor FLSA Status: Exempt Location: Anasco, J&J ... Coordinates worker's compensation claims process and maintains communication with injured employees ...
Facilities Lead/ EHS Manager/ Facilities Supervisor FLSA Status: Exempt Location: Anasco, J&J ... Coordinates worker's compensation claims process and maintains communication with injured employees ...
Facilities Lead/ EHS Manager/ Facilities Supervisor FLSA Status: Exempt Location: Añasco, J&J ... Coordinates worker's compensation claims process and maintains communication with injured employees ...
Facilities Lead/ EHS Manager/ Facilities Supervisor FLSA Status: Exempt Location: Añasco, J&J ... Coordinates worker's compensation claims process and maintains communication with injured employees ...
PR · On-site
$88K - $119K/yr
... claims are processed in a timely manner. * Implements and maintains a change management control ... Minimum 10 Years of experience as a project manager overseeing commercial and industrial projects.
PR · On-site
$88K - $119K/yr
... claims are processed in a timely manner. * Implements and maintains a change management control ... Minimum 10 Years of experience as a project manager overseeing commercial and industrial projects.
PR · On-site
$88K - $119K/yr
... claims are processed in a timely manner. * Implements and maintains a change management control ... Minimum 10 Years of experience as a project manager overseeing commercial and industrial projects.
PR · On-site
$88K - $119K/yr
... claims are processed in a timely manner. * Implements and maintains a change management control ... Minimum 10 Years of experience as a project manager overseeing commercial and industrial projects.
PR · On-site
$88K - $119K/yr
... claims are processed in a timely manner. * Implements and maintains a change management control ... Minimum 10 Years of experience as a project manager overseeing commercial and industrial projects.
PR · On-site
$88K - $119K/yr
... claims are processed in a timely manner. * Implements and maintains a change management control ... Minimum 10 Years of experience as a project manager overseeing commercial and industrial projects.
PR · On-site
$88K - $119K/yr
... claims are processed in a timely manner. * Implements and maintains a change management control ... Minimum 10 Years of experience as a project manager overseeing commercial and industrial projects.
PR · On-site
$88K - $119K/yr
... claims are processed in a timely manner. * Implements and maintains a change management control ... Minimum 10 Years of experience as a project manager overseeing commercial and industrial projects.
PR · On-site
$88K - $119K/yr
... claims are processed in a timely manner. * Implements and maintains a change management control ... Minimum 10 Years of experience as a project manager overseeing commercial and industrial projects.
PR · On-site
$88K - $119K/yr
... claims are processed in a timely manner. * Implements and maintains a change management control ... Minimum 10 Years of experience as a project manager overseeing commercial and industrial projects.
PR · On-site
$88K - $119K/yr
... claims are processed in a timely manner. * Implements and maintains a change management control ... Minimum 10 Years of experience as a project manager overseeing commercial and industrial projects.
PR · On-site
$88K - $119K/yr
... claims are processed in a timely manner. * Implements and maintains a change management control ... Minimum 10 Years of experience as a project manager overseeing commercial and industrial projects.
PR · On-site
$88K - $119K/yr
... claims are processed in a timely manner. * Implements and maintains a change management control ... Minimum 10 Years of experience as a project manager overseeing commercial and industrial projects.
PR · On-site
$88K - $119K/yr
... claims are processed in a timely manner. * Implements and maintains a change management control ... Minimum 10 Years of experience as a project manager overseeing commercial and industrial projects.
... claims as well as recovery and resolution for health plans, commercial customers, and government ... Medical record coding experience with experience in Evaluation and Management Services in the ...
... claims as well as recovery and resolution for health plans, commercial customers, and government ... Medical record coding experience with experience in Evaluation and Management Services in the ...
PR · On-site
$88K - $119K/yr
... claims are processed in a timely manner. * Implements and maintains a change management control ... Minimum 10 Years of experience as a project manager overseeing commercial and industrial projects.
PR · On-site
$88K - $119K/yr
... claims are processed in a timely manner. * Implements and maintains a change management control ... Minimum 10 Years of experience as a project manager overseeing commercial and industrial projects.
PR · On-site
$88K - $119K/yr
... claims are processed in a timely manner. * Implements and maintains a change management control ... Minimum 10 Years of experience as a project manager overseeing commercial and industrial projects.
PR · On-site
$88K - $119K/yr
... claims are processed in a timely manner. * Implements and maintains a change management control ... Minimum 10 Years of experience as a project manager overseeing commercial and industrial projects.
PR · On-site
$88K - $119K/yr
... claims are processed in a timely manner. * Implements and maintains a change management control ... Minimum 10 Years of experience as a project manager overseeing commercial and industrial projects.
PR · On-site
$88K - $119K/yr
... claims are processed in a timely manner. * Implements and maintains a change management control ... Minimum 10 Years of experience as a project manager overseeing commercial and industrial projects.
Commercial Claims Manager information
What are some common challenges faced by a commercial claims manager and how can they be addressed?
Commercial Claims Managers often encounter challenges such as handling complex, high-value claims, balancing multiple cases simultaneously, and navigating negotiations between clients, insurers, and legal teams. Staying organized and maintaining clear communication channels with all stakeholders is crucial. Leveraging case management software and ongoing training in negotiation and regulatory compliance can help address these challenges and ensure timely, fair resolutions.
What does a commercial claims manager do?
A Commercial Claims Manager oversees the process of handling insurance claims for businesses and organizations. They manage a team of claims adjusters, ensure claims are processed efficiently and accurately, and work to resolve disputes between clients and insurers. Their responsibilities also include evaluating claims, negotiating settlements, and implementing policies to minimize risk and losses for the company. This role requires strong analytical, negotiation, and leadership skills to ensure fair and timely outcomes for all parties involved.
How much do commercial claims managers make in the US?
Commercial claims managers in the US typically earn a median annual salary of around $80,000 to $120,000, depending on experience, location, and industry. Senior roles or those in high-cost areas can earn higher salaries, often supplemented with bonuses and benefits.
What are the key skills and qualifications needed to thrive as a commercial claims manager?
To thrive as a Commercial Claims Manager, you need in-depth knowledge of insurance policies, claims processes, and risk assessment, typically supported by a degree in business, finance, or a related field and relevant insurance certifications. Familiarity with claims management software, regulatory compliance systems, and data analysis tools is crucial. Strong leadership, negotiation, and communication skills help manage teams, resolve disputes, and maintain client relationships. These skills and qualities ensure efficient claims resolution, regulatory adherence, and customer satisfaction in a competitive insurance environment.
What is the difference between Commercial Claims Manager vs Commercial Claims Adjuster?
| Aspect | Commercial Claims Manager | Commercial Claims Adjuster |
|---|---|---|
| Credentials | Typically requires a relevant insurance license, industry certifications, and managerial experience | Requires insurance licensing and adjuster certifications |
| Work Environment | Oversees claims teams, manages claims processes, and interacts with clients and stakeholders | Evaluates and settles individual commercial insurance claims, often working in the field or office |
| Employer & Industry Usage | Used by insurance companies, large brokers, and corporations | Commonly employed by insurance carriers, third-party administrators, and adjusting firms |
The Commercial Claims Manager focuses on supervising claims teams and managing overall claims processes, while the Commercial Claims Adjuster handles the evaluation and settlement of specific claims. Both roles require insurance knowledge and licensing, but differ in scope and responsibilities.
What are popular job titles related to Commercial Claims Manager jobs in Puerto Rico?
For Commercial Claims Manager jobs in Puerto Rico, the most frequently searched job titles are:
What job categories do people searching Commercial Claims Manager jobs in Puerto Rico look for?
The top searched job categories for Commercial Claims Manager jobs in Puerto Rico are:
What cities in Puerto Rico are hiring for Commercial Claims Manager jobs?
Cities in Puerto Rico with the most Commercial Claims Manager job openings:
Full-time
Posted 6 days ago
Job description
Casualty Manager
Company: Triple-S Propiedad
Job Location (Short): Guaynabo, PR
Posting Start Date: 8/3/26
At Triple-S, we are committed to providing meaningful job experiences for Valuable People (Gente Valiosa). We strive for excellence in everything we do, from the way we work together to the way we serve our customers.
When you join Triple-S, you will be key to our efforts on delivering high-quality and affordable healthcare as well as contribute to our purpose to enable healthier lives. We serve more than 1 million consumers in Puerto Rico through our Medicare Advantage, Medicaid, Commercial, Life and Property & Casualty Businesses.
Let's build healthier communities together, join now!
JOB SUMMARY
In charge of leading our casualty claims management efforts, overseeing all aspects of claims handling, from investigation to resolution. Is responsible for managing high-risk claims, ensuring compliance with company policies and procedures, and supervising internal and external personnel. As a key member of our claims leadership team, the Casualty Claims Manager will collaborate with internal stakeholders, including the Legal Manager, to drive tactical plans and make strategic decisions that minimize reputational risk and financial exposure. Provides strategic direction to drive tactical plans of the company, in addition to administrative responsibilities and development of its employees.
ESSENTIAL FUNCTIONS
EDUCATION
EXPERIENCE
LICENSES AND CERTIFICATIONS
COMPETENCIES
It is company policy to seek for the qualified applicants for positions throughout the company without distinction of race, color, national origin, religion, sex, gender identity, real or perceived sexual orientation, civil status, social condition, political ideologies, age, physical or mental disability, veteran status or any other characteristic protected by law. Drug-free company.
Equality Employment Opportunity/Affirmative Action for People with Disabilities/Veterans. Employer with E-Verify to verify the eligibility of employment of all the new employees.
We encourage Veterans and Disabled to Apply.
Company: Triple-S Propiedad
Job Location (Short): Guaynabo, PR
Posting Start Date: 8/3/26
At Triple-S, we are committed to providing meaningful job experiences for Valuable People (Gente Valiosa). We strive for excellence in everything we do, from the way we work together to the way we serve our customers.
When you join Triple-S, you will be key to our efforts on delivering high-quality and affordable healthcare as well as contribute to our purpose to enable healthier lives. We serve more than 1 million consumers in Puerto Rico through our Medicare Advantage, Medicaid, Commercial, Life and Property & Casualty Businesses.
Let's build healthier communities together, join now!
JOB SUMMARY
In charge of leading our casualty claims management efforts, overseeing all aspects of claims handling, from investigation to resolution. Is responsible for managing high-risk claims, ensuring compliance with company policies and procedures, and supervising internal and external personnel. As a key member of our claims leadership team, the Casualty Claims Manager will collaborate with internal stakeholders, including the Legal Manager, to drive tactical plans and make strategic decisions that minimize reputational risk and financial exposure. Provides strategic direction to drive tactical plans of the company, in addition to administrative responsibilities and development of its employees.
ESSENTIAL FUNCTIONS
- Supervise and manage legal and non-legal adjusters in the casualty/legal claims area.
- Supervise coverage analysis for all litigated claims and coordinating support for coverage analysis in non-litigated claims.
- Oversee effective investigations of claims, ensuring thorough, accurate and timely reports.
- Manage delegated monetary authority for claims resolution.
- Collaborate with the Legal Manager to develop and implement litigation strategies, including adjustments, expert resources, and budgeting.
- Approve determination of appeal resources, in collaboration with the Legal Manager.
- Oversee approval of billing generated by vendors in claims.
- Manage adequacy of indemnity reserves for casualty/legal claims.
- Administer reporting to reinsurers on claims as required.
EDUCATION
- Bachelor's Degree
EXPERIENCE
- Bachelor's degree from an accredited institution with 10 years of experience in Claims adjustment, vast and extensive knowledge of Property and Casualty Policies and Regulations.
- Puerto Rico All Lines Insurance Adjuster License.
LICENSES AND CERTIFICATIONS
COMPETENCIES
- Customer Delight
- Data Driven Insights
- Develops Talent
- Financial & Business Acumen
- One Company Mindset
- Practical Knowledge in Tech
It is company policy to seek for the qualified applicants for positions throughout the company without distinction of race, color, national origin, religion, sex, gender identity, real or perceived sexual orientation, civil status, social condition, political ideologies, age, physical or mental disability, veteran status or any other characteristic protected by law. Drug-free company.
Equality Employment Opportunity/Affirmative Action for People with Disabilities/Veterans. Employer with E-Verify to verify the eligibility of employment of all the new employees.
We encourage Veterans and Disabled to Apply.