Multi-Line Adjuster - Inside
Guaynabo, PR · On-site +1
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 ...
Multi-Line Adjuster - Inside
Guaynabo, PR · On-site +1
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 ...
Hospital Billing Operator
San Juan, PR · Remote
$18 - $23/hr
As an Epic Hospital Billing Analyst, you will help review and submit hospital claims, resolve billing issues, and work across teams to reduce avoidable denials. This is a primarily remote role ...
Hospital Billing Operator
San Juan, PR · Remote
$18 - $23/hr
As an Epic Hospital Billing Analyst, you will help review and submit hospital claims, resolve billing issues, and work across teams to reduce avoidable denials. This is a primarily remote role ...
Multi-Line Adjuster - Inside
Guaynabo, PR · On-site +1
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 ...
Multi-Line Adjuster - Inside
Guaynabo, PR · On-site +1
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 ...
Remote Claims Examiner information
What are the key skills and qualifications needed to thrive as a Remote Claims Examiner, and why are they important?
To thrive as a Remote Claims Examiner, you need a solid understanding of insurance policies, analytical skills, and attention to detail, typically supported by a degree in business or a related field and relevant claims experience. Familiarity with claims management software, document management systems, and sometimes certifications like AIC (Associate in Claims) are often required. Strong communication, time management, and problem-solving abilities help you effectively assess claims and collaborate remotely. These skills are crucial for accurate, efficient claims processing and maintaining trust with clients and insurers in a remote environment.
What are some common challenges Remote Claims Examiners face, and how can they overcome them?
Remote Claims Examiners often encounter challenges such as maintaining clear communication with team members and accessing required documentation efficiently. Since the role is remote, staying organized and disciplined is essential to meet deadlines and manage caseloads effectively. Utilizing secure digital platforms, setting regular check-in meetings, and proactively seeking clarification on complex claims can help overcome these challenges. Additionally, embracing ongoing training on claims software and staying updated with industry regulations ensures accurate and timely claim processing.
What Does a Remote Claims Examiner Do?
Remote claims examiners review insurance claims to ensure they are accurate and completed properly. Instead of working in the office, remote claims examiners work from home or another location outside of the office. As a remote claims examiner, your job duties include researching the claim and gathering supportive documentation, such as medical records, invoices with services rendered, and policy guidelines. Once you have all the necessary information, you may make adjustments to the claim and determine payments or denial of service. You may also be responsible for contacting all parties involved. Complicated claims may require collaboration with a claims adjuster or investigator. Claims examiners work in healthcare, real estate, automotive, government agencies, and other insurance-related industries.
What is a Remote Claims Examiner?
A Remote Claims Examiner is a professional who reviews insurance claims from home or another remote location. Their primary job is to investigate, evaluate, and process claims to determine their validity and the amount that should be paid out. They work for insurance companies, healthcare providers, or third-party administrators, handling documentation, communicating with claimants, and ensuring compliance with regulations. By working remotely, they use digital tools to manage claims and collaborate with other team members online.
More about Remote Claims Examiner jobs
What are popular job titles related to Remote Claims Examiner jobs in Puerto Rico? For Remote Claims Examiner jobs in Puerto Rico, the most frequently searched job titles are:
What job categories do people searching Remote Claims Examiner jobs in Puerto Rico look for? The top searched job categories for Remote Claims Examiner jobs in Puerto Rico are:
What cities in Puerto Rico are hiring for Remote Claims Examiner jobs? Cities in Puerto Rico with the most Remote Claims Examiner job openings:
Full-time
Posted 11 days ago
Job description
?? 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.