Remote Aetna Customer Service Jobs in Puerto Rico

?? Ready to Lead with Expertise?
?? Be the Adjuster Who Makes a Difference!
Join Us as Multi-Line Adjuster - Remote/Hybrid Role | Guaynabo, PR

What's in it for you?

?? Competitive Pay
?? Flexibility: Remote work allowed in any state, but preference for candidates in Puerto Rico.
?? Impactful Work: Help restore lives and communities through expert claims handling.
At Crawford, every claim represents a person and a community we help rebuild. As a Multi-Line Adjuster, your experience and bilingual skills will ensure accurate, timely resolutions and exceptional client service.

Ready to make an impact through expertise and care? Apply today and join the One Crawford family!

• College degree or an equivalent combination of education and experience.
• Minimum 2 years insurance adjusting experience with experience in each of at least two lines of business (casualty, property, or marine).
• Personal computer, typing and keyboarding skills
• In-depth knowledge of insurance coverage, practices and negotiating skills in multiple lines of business.
• Familiarity with legal, medical and technical disciplines within specific business lines.
• Strong verbal and written communication skills.
• Good analytical ability and mathematical aptitude.
• Good attention to detail and organizational skills.
• Ability to gather and analyze information, then determine and implement the appropriate course of action.
• Good interpersonal skills.
• Licensing as required by state and local jurisdictions.
• Additional continuing education as required by Crawford Educational Services and as applicable for jurisdictions in which claims are adjusted or investigated.

• College degree or an equivalent combination of education and experience.
• Minimum 2 years insurance adjusting experience with experience in each of at least two lines of business (casualty, property, or marine).
• Personal computer, typing and keyboarding skills
• In-depth knowledge of insurance coverage, practices and negotiating skills in multiple lines of business.
• Familiarity with legal, medical and technical disciplines within specific business lines.
• Strong verbal and written communication skills.
• Good analytical ability and mathematical aptitude.
• Good attention to detail and organizational skills.
• Ability to gather and analyze information, then determine and implement the appropriate course of action.
• Good interpersonal skills.
• Licensing as required by state and local jurisdictions.
• Additional continuing education as required by Crawford Educational Services and as applicable for jurisdictions in which claims are adjusted or investigated.

#LI-CB3

• Investigate coverage, liability, and damages with all parties involved in a claim as requested by our customers or Crawford and Company or a subsidiary thereof.
• Investigate claims by interviewing claimants, witnesses, establish claim reserves, handle evidence, obtain and interpret official reports, medical reports and claim forms, and attend/participate at mediation, trials or hearings.
• Negotiates and settles claims, sets reserves, and manages litigation within client service parameters and authority levels by obtaining demands and making offers to claimants.
• May present evidence at legal proceedings.
• Provide filings with regulatory agencies, disposing of salvage and pursuing subrogation when appropriate.
• Prepare reports by collecting and summarizing information required by the client and obtained through investigation.
• Self starter capable of working alone or with others.
• Maintains company reputation and insurance product integrity by complying with Federal and state regulations, client and Crawford and Company service standards.
• Maintain expected case loads in multiple lines of business while meeting established service delivery, production, quality, sales and educational objectives.
• May be required to work on-call during off work hours to respond to emergency on-site investigations.
• Maintain professional and technical knowledge through continuing education in multiple lines of business.
• Maintain acceptable product quality through compliance with service standards and compliance with internal quality control initiatives.
• Uphold and project the corporate image by participating in industry organizations and functions.
• Ability to multi-task in a time sensitive environment and handle job responsibilities with a sense of urgency.
• Participates in special projects or performs duties in other areas as requested.
• Upholds the Crawford Code of Conduct.