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Insurance Claims Manager Jobs in Puerto Rico (NOW HIRING)

DJC Law

Attorney

San Juan, PR · On-site

$60K - $80K/yr

... 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 ...

Pharmpix

Benefit Business Support

Guaynabo, 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 ...

GOEBEL FIXTURE COMPANY

Director Of Finance

San Juan, PR · On-site

$100 - $140/hr

Knowledge of insurance, employee benefits, claims and liability * Knowledge of business law ... Strong leadership, management and people skills * High Level of integrity and ethical judgment

Firma de Reclutamiento en PR

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 ...

Firstsource

Customer Service Representative

Mayaguez, PR · On-site

$15.50/hr

... Management (BPM) services. Firstsource specialises in helping customers stay ahead of the curve ... High School diploma or GED 1 Year Call Center Exp Six months healthcare claims experience. Ability ...

Firstsource

Customer Service Representative

Mayaguez, PR · Remote

$15.50/hr

... Management (BPM) services. Firstsource specialises in helping customers stay ahead of the curve ... High School diploma or GED 1 Year Call Center Exp Six months healthcare claims experience. Ability ...

Chubb

System Support Technician

San Juan, PR · On-site

Manage service requests and incidents assigned through the ticketing tool, ensuring timely ... Chubb is a world leader in insurance. With operations in 54 countries, Chubb provides commercial ...

Chubb

System Support Technician

San Juan, PR · On-site

... managing service indicators and operational metrics. About Us Chubb is a world leader in insurance ... claims handling expertise and local operations globally. At Chubb, we are committed to equal ...

The Condado Plaza Hotel

PR · On-site

Ensure all reports required by ownership are consistently managed, produced, and timely delivered ... insurance, employee benefits, claims and liability. • Ability to read, write, and speak the ...

Grupo Triple-S

Network Operations Analyst

Guaynabo, PR · On-site

Provides timely information to management regarding status of compliance with guidelines, rules ... Ensures data integrity and consistency across multiple healthcare data sources, including claims ...

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All JobsInsurance Claims JobsInsurance Claims Manager JobsInsurance Claims Manager Jobs in Puerto Rico

Insurance Claims Manager information

What does an insurance claims manager do?

An Insurance Claims Manager oversees the processing of insurance claims to ensure they are handled efficiently, fairly, and in compliance with company and legal standards. They manage a team of claims adjusters and analysts, review complex or disputed claims, and develop strategies to improve claims procedures. Their role also involves liaising with policyholders, third parties, and legal professionals to resolve issues and minimize fraud or errors. Effective Claims Managers balance customer service with cost control to protect both the insurer and the policyholder.

What are the key skills and qualifications needed to thrive as an insurance claims manager?

To thrive as an Insurance Claims Manager, you need a solid understanding of insurance policies, claims processes, and risk assessment, typically supported by a bachelor's degree in finance, business, or a related field. Familiarity with claims management software (such as Guidewire or ClaimCenter) and certifications like Associate in Claims (AIC) are commonly required. Excellent leadership, negotiation, and problem-solving skills set top performers apart in this role. These abilities are crucial for efficiently managing claims teams, reducing fraud, and ensuring timely, fair settlements for clients.

What are some common challenges faced by insurance claims managers, and how can they be addressed?

Insurance Claims Managers often encounter challenges such as managing complex claims, addressing customer dissatisfaction, and staying up-to-date with regulatory changes. To overcome these, successful managers prioritize clear communication, maintain strong organizational systems, and foster collaboration between adjusters, underwriters, and legal teams. Proactively investing in ongoing training and leveraging technology for claims processing also helps streamline workflows and improve customer experiences.

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

AspectInsurance Claims ManagerInsurance Adjuster
CredentialsTypically requires a bachelor’s degree; certifications like CPCU or AIC are commonHigh school diploma or bachelor’s; certifications like AIC or state licensing often needed
Work EnvironmentOffice-based, managing teams and claims processesField or office-based, investigating claims and assessing damages
Employer & IndustryInsurance companies, claims departmentsInsurance companies, independent adjusting firms
Primary FocusOverseeing claims processes, managing staff, ensuring policy complianceEvaluating 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.

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

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

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

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

Insurance Claims Manager jobs near you
Infographic showing various Insurance Claims Manager job openings in Puerto Rico as of August 2026, with employment types broken down into 1% As Needed, 73% Full Time, 20% Part Time, 2% Temporary, and 4% Contract. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution.

Supervisory Veterans Service Representative

SD Department of Veterans Affairs

Guaynabo, PR

$106K/yr

Full-time, Part-time

Retirement

Posted 3 days ago

New

Job description

The Veterans Service Representative (Coach) leads an assigned team within the Veterans Service Center (VSC) division through a staff of personnel responsible for providing information, advice and assistance on all types of Veterans benefits claims administered to Veterans and their dependents and for providing outreach services to various stakeholders.
This is not a remote position; the selectee will be required to report in person to the San Juan Regional Office.Qualifications:To qualify for this position, applicants must meet all requirements by the closing date of this announcement:09/08/2026.
TIME-IN-GRADE REQUIREMENT: As a current Federal, GS employee you must meet time-in-grade requirements by the closing date of this announcement.
  • For this GS-13 position you must have served 52 weeks at the GS-12 level in the federal service.
  • If you are a current VBA employee requesting reassignment or change to lower grade via this vacancy announcement, you must currently hold the GS-13 or higher and the promotion potential of your current position must be at least GS-13.
The grade may have been in any occupation, but must have been held in the Federal service. An SF-50 that shows your time-in-grade eligibility must be submitted with your application materials. If the most recent SF-50 has an effective date within the past year, it may not clearly demonstrate you possess one-year time-in-grade, as required by the announcement. In this instance, you must provide an additional SF-50 that clearly demonstrates one-year time-in-grade.
MINIMUM QUALIFICATION REQUIREMENT: You may qualify based on your experience as described below:
GS-13 Grade Level:
  • Specialized Experience: You must have one year of specialized experience equivalent to the GS-12 level or higher in the federal service.
Specialized experience is defined as performance of technical assignments affecting the entire field of VA's Compensation and Pension (C&P) Benefits Programs. These assignments could require interpretation of the full range of Federal, state, local laws and regulations, C&P laws and regulations, or include precedent opinions of the Court of Appeals for Veterans' Claims and authoritative opinions of the General Counsel.
Examples of specialized experience would typically include:
  • Performing the duties of an Assistant Coach and assisting Coaches in their responsibilities on a daily basis;
  • Ensuring that the teams' quality and timeliness of service meets performance indicator goals; and,
  • Responsible for the cost-effective use of resources to accomplish the teams' assigned outcomes.

Note: There is no education substitution at the GS-13 Grade Level.
Volunteer Experience: Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religions; spiritual; community; student; social). Volunteer work helps build critical competencies, knowledge, and skills and can provide valuable training and experience that translates directly to paid employment. You will receive credit for all qualifying experience, including volunteer experience.
Full vs. Part-Time Employment: Full-time employment is considered to be at least 35 hours per week. Part-time experience will be credited on a pro-rated basis; when including part-time employment in your resume you must specify the average hours worked per week.
Physical Requirements: This position is mostly sedentary.
For more information on these qualification standards, please visit the United States Office of Personnel Management's website at http://www.opm.gov/policy-data-oversight/classification-qualifications/general-schedule-qualification-standards/.Education:Employment Type: OTHER

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