PR · On-site
... insurance claims, performance metric reports, etc. * Take necessary steps to ensure a safe work ... Alerts management when problems are identified and make recommendations for improvements. * Must be ...
Quick apply
PR · On-site
... insurance claims, performance metric reports, etc. * Take necessary steps to ensure a safe work ... Alerts management when problems are identified and make recommendations for improvements. * Must be ...
Quick apply
PR · On-site
... insurance claims, performance metric reports, etc. * Take necessary steps to ensure a safe work ... Alerts management when problems are identified and make recommendations for improvements. * Must be ...
ICF seeks Insurance Risk Specialists to work in our Disaster Management Division with proficiency ... claims settlements and other related documents that may be related to the development of the ...
ICF seeks Insurance Risk Specialists to work in our Disaster Management Division with proficiency ... claims settlements and other related documents that may be related to the development of the ...
Positions in this function investigates Optum Waste and Error stopped claims by gathering ... Proven working knowledge of the healthcare insurance/managed care industry * Proven working ...
Positions in this function investigates Optum Waste and Error stopped claims by gathering ... Proven working knowledge of the healthcare insurance/managed care industry * Proven working ...
Guaynabo, PR · On-site
$40K - $74K/yr
Minimum 2 years insurance adjusting experience with experience in each of at least two lines of ... Negotiates and settles claims, sets reserves, and manages litigation within client service ...
Guaynabo, PR · On-site
$40K - $74K/yr
Minimum 2 years insurance adjusting experience with experience in each of at least two lines of ... Negotiates and settles claims, sets reserves, and manages litigation within client service ...
Guaynabo, PR · On-site +1
Minimum 2 years insurance adjusting experience with experience in each of at least two lines of ... Negotiates and settles claims, sets reserves, and manages litigation within client service ...
Guaynabo, PR · On-site +1
Minimum 2 years insurance adjusting experience with experience in each of at least two lines of ... Negotiates and settles claims, sets reserves, and manages litigation within client service ...
Guaynabo, PR · On-site +1
Minimum 2 years insurance adjusting experience with experience in each of at least two lines of ... Negotiates and settles claims, sets reserves, and manages litigation within client service ...
Guaynabo, PR · On-site +1
Minimum 2 years insurance adjusting experience with experience in each of at least two lines of ... Negotiates and settles claims, sets reserves, and manages litigation within client service ...
Guaynabo, PR · On-site
One (1) to three (3) years of experience in health insurance operations, provider relations, claims administration, and/or managed care environment. LICENSES AND CERTIFICATIONS * None required ...
Guaynabo, PR · On-site
One (1) to three (3) years of experience in health insurance operations, provider relations, claims administration, and/or managed care environment. LICENSES AND CERTIFICATIONS * None required ...
Examine insurance proposals, gather and evaluate background information in order to effectively ... top management. * Assist Operations Department in policy issuance as well as support Claims ...
Examine insurance proposals, gather and evaluate background information in order to effectively ... top management. * Assist Operations Department in policy issuance as well as support Claims ...
Guaynabo, PR · On-site
Medical
Dental
Vision
Life
Retirement
PTO
Minimum 2 years insurance adjusting experience with experience in each of at least two lines of ... Negotiates and settles claims, sets reserves, and manages litigation within client service ...
Guaynabo, PR · On-site
Medical
Dental
Vision
Life
Retirement
PTO
Minimum 2 years insurance adjusting experience with experience in each of at least two lines of ... Negotiates and settles claims, sets reserves, and manages litigation within client service ...
PR · On-site
Medical
Dental
Vision
Life
Retirement
PTO
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 ...
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PR · On-site
Medical
Dental
Vision
Life
Retirement
PTO
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 ...
PR · On-site
Medical
Dental
Vision
Life
Retirement
PTO
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 ...
Quick apply
PR · On-site
Medical
Dental
Vision
Life
Retirement
PTO
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 ...
PR · On-site
Medical
Dental
Vision
Life
Retirement
PTO
6 Months Assignment - Revenue Cycle Management Specialist Who are we? For more than 30 years ... Responsibilities 1. Accurately code and submit claims to insurance companies and government payers ...
Quick apply
PR · On-site
Medical
Dental
Vision
Life
Retirement
PTO
6 Months Assignment - Revenue Cycle Management Specialist Who are we? For more than 30 years ... Responsibilities 1. Accurately code and submit claims to insurance companies and government payers ...
San Juan, PR · On-site
$60K - $80K/yr
Medical
Retirement
PTO
... with insurance companies, and guiding clients through the pre-litigation process with ... Manage a caseload of personal injury claims from intake through settlement. * Evaluate cases for ...
Quick apply
San Juan, PR · On-site
$60K - $80K/yr
Medical
Retirement
PTO
... with insurance companies, and guiding clients through the pre-litigation process with ... Manage a caseload of personal injury claims from intake through settlement. * Evaluate cases for ...
San Juan, PR · On-site
$79K - $119K/yr
Description Liberty Specialty Markets (LSM) offers specialty and commercial insurance and ... Collaborate with internal stakeholders, including UW Support, Claims, Actuarial, and the GRS Global ...
San Juan, PR · On-site
$79K - $119K/yr
Description Liberty Specialty Markets (LSM) offers specialty and commercial insurance and ... Collaborate with internal stakeholders, including UW Support, Claims, Actuarial, and the GRS Global ...
PR · On-site
Properly enter test claims to verify business rules set up in the system. * Perform quality ... Support all Quality Management Program initiatives. * Perform other duties as assigned. TRAINING ...
Quick apply
PR · On-site
Properly enter test claims to verify business rules set up in the system. * Perform quality ... Works with the Benefit team, Account Management and Quality Internal Audits to evaluate complex ...
Quick apply
$10.50 - $14/hr
Medical
Dental
Vision
Life
Retirement
PTO
... insurance benefits, provider contracts, eligibility and claims. * Analyzes problems and provides ... Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the ...
$10.50 - $14/hr
Medical
Dental
Vision
Life
Retirement
PTO
... insurance benefits, provider contracts, eligibility and claims. * Analyzes problems and provides ... Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the ...
San Juan, PR · On-site
$15.75 - $21.25/hr
Medical
Dental
Vision
Life
Retirement
PTO
... insurance benefits, provider contracts, eligibility and claims. * Analyzes problems and provides ... Non-Management Non-Exempt Workshift: Job Family: CUS > Care Reps Please be advised that Elevance ...
San Juan, PR · On-site
$15.75 - $21.25/hr
Medical
Dental
Vision
Life
Retirement
PTO
... insurance benefits, provider contracts, eligibility and claims. * Analyzes problems and provides ... Non-Management Non-Exempt Workshift: Job Family: CUS > Care Reps Please be advised that Elevance ...
PR · On-site
... new policies and claims. * Promote complementary company offerings such as credit insurance ... Proven ability to manage high workloads, prioritize multiple tasks, and meet deadlines. * Excellent ...
Quick apply
PR · On-site
... new policies and claims. * Promote complementary company offerings such as credit insurance ... Proven ability to manage high workloads, prioritize multiple tasks, and meet deadlines. * Excellent ...
San Juan, PR · On-site
Medical
Dental
Vision
Life
Retirement
PTO
... department, insurance agencies to assist in case evaluation, settlement or defense involving ... Monitor the Workers Compensation claims/statistics and manage the Workers Compensation reduction ...
San Juan, PR · On-site
Medical
Dental
Vision
Life
Retirement
PTO
... department, insurance agencies to assist in case evaluation, settlement or defense involving ... Monitor the Workers Compensation claims/statistics and manage the Workers Compensation reduction ...
| Aspect | Insurance Claims Manager | Insurance Adjuster |
|---|---|---|
| Credentials | Typically requires a bachelor’s degree; certifications like CPCU or AIC are common | High school diploma or bachelor’s; certifications like AIC or state licensing often needed |
| Work Environment | Office-based, managing teams and claims processes | Field or office-based, investigating claims and assessing damages |
| Employer & Industry | Insurance companies, claims departments | Insurance companies, independent adjusting firms |
| Primary Focus | Overseeing claims processes, managing staff, ensuring policy compliance | Evaluating damages, determining claim validity, negotiating settlements |
While both roles are integral to the insurance claims process, the Insurance Claims Manager oversees the entire claims operation and manages staff, whereas the Insurance Adjuster focuses on investigating individual claims and assessing damages. The roles often work together but differ in scope and responsibilities.
The most popular types of Insurance Claims jobs in Puerto Rico are:
For Insurance Claims Manager jobs in Puerto Rico, the most frequently searched job titles are:
The top searched job categories for Insurance Claims Manager jobs in Puerto Rico are:

Mentor Technical Group (MTG) provides a comprehensive portfolio of technical support and solutions for the FDA-regulated industry. As a world leader in life science engineering and technical solutions, MTG has the knowledge and experience to ensure compliance with pharmaceutical, biotechnology, and medical device safety and efficacy guidelines. With offices in Caguas, PR, Boston, MA & San Francisco, CA and we serve life sciences clients in six global markets: United States, Puerto Rico, Dominican Republic, Mexico, Germany, Canada, and South America.
Essential Functions:
Responsibilities:
Qualifications Requirements/Knowledge/Education/Skills:
Physical Requirements and Working Environment:
Mentor Technical Group es un empleador que ofrece igualdad de oportunidades y todos los solicitantes calificados recibirán consideración para el empleo sin importar raza, color, religión, sexo, orientación sexual, identidad de género, información genética, origen nacional, estado de veterano protegido, estado de discapacidad o cualquier otro grupo protegido por ley.
Mentor Technical Group is an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, genetic information, national origin, protected veteran status, disability status, or any other characteristic protected by law.
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