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Insurance Claims Assistant Jobs in Puerto Rico (NOW HIRING)

Grupo Triple-S

Claims Supervisor

Guaynabo, PR · On-site

Document business rules for incorporation into training programs and assist with the training of ... a health insurance industry analysis, investigation, auditing and/or risk management in a Health ...

Mentor Technical Group

EHS Specialist

Cidra, PR · On-site

$70 - $110/hr

... insurance claims, performance metric reports, etc. * Take necessary steps to ensure a safe work ... * Assist in the oversight of the Worker's Compensation program. * Promote excellent relationship ...

Mentor Technical Group

EHS Specialist

Cidra, PR · On-site

... insurance claims, performance metric reports, etc. * Take necessary steps to ensure a safe work ... * Assist in the oversight of the Worker's Compensation program. * Promote excellent relationship ...

Chubb

Casualty Jr. Underwriter

San Juan, PR · On-site

Examine insurance proposals, gather and evaluate background information in order to effectively ... * Assist Operations Department in policy issuance as well as support Claims Department in the ...

Firma de Reclutamiento en PR

PR · On-site

... * Assist producers and agencies with follow-up on new policies and claims. * Promote complementary company offerings such as credit insurance, commercial lines, and financial services. * Process and ...

Chubb

Collection Analyst

San Juan, PR · On-site

The collector must reconcile accounts and assist in creating a repayment plan between the debtor ... Chubb is a world leader in insurance. With operations in 54 countries, Chubb provides commercial ...

Chubb

Collection Analyst

San Juan, PR · On-site

The collector must reconcile accounts and assist in creating a repayment plan between the debtor ... Insurance industry, preferable. About Us Chubb is a world leader in insurance. With operations in ...

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All JobsInsurance Claims JobsInsurance Claims Assistant JobsInsurance Claims Assistant Jobs in Puerto Rico

Insurance Claims Assistant information

What does an insurance claims assistant do?

An Insurance Claims Assistant supports the claims process by gathering information, processing paperwork, and communicating with policyholders, adjusters, and other stakeholders. They help ensure that claims are handled efficiently and accurately, from the initial report to the final settlement. Typical tasks include data entry, document management, scheduling appointments, and responding to inquiries. Their role is critical in maintaining customer satisfaction and the smooth operation of the insurance claims department.

What are the key skills and qualifications needed to thrive as an insurance claims assistant, and why are they important?

To thrive as an Insurance Claims Assistant, you need strong organizational skills, attention to detail, and a solid understanding of insurance policies and processes, often supported by a high school diploma or associate degree. Familiarity with claims management software, document management systems, and Microsoft Office is typically required. Excellent communication, customer service, and problem-solving abilities help you effectively interact with clients and team members. These skills are crucial for efficiently processing claims, minimizing errors, and ensuring client satisfaction in a fast-paced environment.

What are some common challenges faced by insurance claims assistants, and how can they be managed effectively?

Insurance Claims Assistants often handle high volumes of claims and tight deadlines, which can be challenging when juggling multiple cases simultaneously. Effective time management and strong organizational skills are essential to prioritize tasks and ensure accurate, timely processing. Additionally, dealing with upset clients or complex claim scenarios requires patience, empathy, and clear communication. Building a solid understanding of company procedures and regularly collaborating with adjusters and other team members can help address these challenges and support professional growth.

What is the difference between Insurance Claims Assistant vs Insurance Adjuster?

AspectInsurance Claims AssistantInsurance Adjuster
CredentialsTypically requires a high school diploma or equivalent; certifications like CPCU or AIC are a plusRequires relevant licenses, certifications, and often a bachelor’s degree in insurance or related field
Work EnvironmentOffice settings, supporting claims processing teamsFieldwork and office work, investigating claims on-site or remotely
Employer & Industry UsageInsurance companies, claims departmentsInsurance companies, adjusting claims and assessing damages
Search & Comparison IntentPeople looking for entry-level or support roles in claims processingIndividuals interested in assessing damages and making claim decisions

While both roles are involved in the insurance claims process, Insurance Claims Assistants primarily support claims teams with administrative tasks, whereas Insurance Adjusters evaluate damages and determine claim payouts. The roles differ in responsibilities, required credentials, and work environment, but both are essential in the insurance industry.

Is insurance claims assistant a stressful job?

The role of an insurance claims assistant can be stressful due to handling multiple claims, meeting deadlines, and managing customer expectations. It requires attention to detail, communication skills, and the ability to work under pressure, especially during high claim volumes or complex cases.

What is the role of an insurance claims assistant?

An insurance claims assistant supports the claims process by reviewing and organizing claim documentation, communicating with clients and adjusters, and ensuring accurate data entry. They often use claims management software and need strong organizational and communication skills to facilitate efficient claim resolution.

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

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

What cities in Puerto Rico are hiring for Insurance Claims Assistant jobs?

Cities in Puerto Rico with the most Insurance Claims Assistant job openings:

Insurance Claims Assistant jobs near you
Infographic showing various Insurance Claims Assistant job openings in Puerto Rico as of August 2026, with employment types broken down into 1% As Needed, 76% Full Time, 19% Part Time, and 4% Contract. Highlights an 91% Physical, 1% Hybrid, and 8% Remote job distribution.

Claims Supervisor

Grupo Triple-S

Guaynabo, PR • On-site

Full-time

Re-posted yesterday

Job description

Claims Supervisor
Company: Triple-S Salud
Job Location (Short): Guaynabo, PR
Posting Start Date: 9/1/26
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
The Claims Supervisor performs activities to ensure claims related processes are executed according to standards, policies, procedures, regulations, laws, and guidelines.
ESSENTIAL FUNCTIONS
  • Supervise daily operations and processes within the department by monitoring workflow and inventory, including distribution of work.
  • Train, mentor, motivate, support, and oversee staff.
  • Monitor departmental and individual performance metrics and take proactive action, when necessary, on a timely basis to maintain desired workflow outputs.
  • Monitor vendor performance metrics and take proactive action, on a timely basis to maintain desired workflow outputs, when applicable.
  • Develop and implement workflow changes to improve service and production efficiency of the department; this may include collaboration with other teams.
  • Collaborate with other teams to implement new and revised policies and procedures, which may include suggested system changes or enhancements.
  • Partner with internal and external contacts to achieve effective communications and maximum efficiency.
  • May act as a liaison in monitoring and supporting specific topic or departmental assignments through reporting and relationship building.
  • Select, develop, and evaluate staff to ensure the efficient operation of department.
  • Demonstrate Company's Core Competencies and values held within.
  • Participate in internal and external audits (i.e but not limited to Compliance, CMS, ASES, SOX, MTM, etc.)
  • Stay up to date on local, state, and federal changes in regulations and laws to anticipate impact, new requirements, and potential changes in operational processes.
  • Ensure legal compliance by following company policies, procedures, and guidelines as mandated by state and federal legislation and, or health plan or company directives. Alert non-compliance issues, coordinate and manage corrective action plans
  • Oversight and, or act as SME on projects, initiatives and, or issues impacting claims operations and contribute with knowledge and experience. Research claim processing problems and errors to determine their origin and appropriate resolution.
  • Manage and review complex and, or difficult claims or issues to determine best outcome.
  • Prepares, maintain, and monitor productivity reports and presentations as required by management.
  • Oversight all claims dependencies delegated to the different operational areas until full resolution to ensure the resolution of any incoming inquiries related to claims processes.
  • Supervise and monitor the creation and submission of regulatory reports to ensure the compliance in a correct and timely manner and comply with metrics.
  • Communicate with management regarding trends to improve claims processing accuracy.
  • Document business rules for incorporation into training programs and assist with the training of new employee and vendor staff.

EDUCATION
  • Bachelor's Degree in Natural Science or Arts

EXPERIENCE
Bachelor's Degree (BD) in Natural Science, Arts or Business Administration preferable with three (3) to five (5) years of experience in the Claims processing preferable in a health insurance industry analysis, investigation, auditing and/or risk management in a Healthcare setting.
LICENSES AND CERTIFICATIONS
  • None required

COMPETENCIES
  • Financial & Business Acumen
  • Data Driven Insights
  • Customer Delight
  • One Company Mindset
  • Develops Talent
  • 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.

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