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Remote Claims Jobs in Moca, PR (NOW HIRING)

Firstsource

Customer Service Representative

Mayaguez, PR · Remote

$16 - $21.75/hr

Remote-NearShore Job Type: Full-time About Firstsource Firstsource Solutions is a leading provider ... High School diploma or GED 1 Year Call Center Exp Six months healthcare claims experience. Ability ...

All JobsClaims JobsRemote Claims JobsRemote Claims Jobs in Moca, PR

Remote Claims information

See Moca, PR salary details

$26.7K

$56.6K

$78.8K

How much do remote claims jobs pay per year?

As of Aug 18, 2026, the average yearly pay for remote claims in Moca, PR is $56,558.00, according to ZipRecruiter salary data. Most workers in this role earn between $44,600.00 and $66,100.00 per year, depending on experience, location, and employer.

What is a remote claims job?

Remote claims jobs involve evaluating, processing, and managing insurance claims from a remote location, typically from home. Professionals in these roles review claims submitted by clients, investigate the details, and determine the coverage or payment amounts according to company policies and regulations. These positions require strong analytical, communication, and organizational skills, along with a good understanding of insurance processes. Many insurance companies now offer remote claims roles, providing flexibility and work-from-home opportunities.

What skills and qualifications are needed to thrive as a remote claims specialist?

To thrive as a Remote Claims Specialist, you need a solid background in insurance processes, claims assessment, and a relevant educational qualification such as a degree in business or insurance. Familiarity with claims management software, CRM systems, and sometimes industry certifications like AIC (Associate in Claims) are commonly required. Strong attention to detail, effective communication, and self-motivation are crucial soft skills for managing cases independently and supporting clients remotely. These abilities ensure accurate, timely processing of claims and high levels of customer satisfaction in a virtual work environment.

What are common challenges faced by remote claims professionals, and how can they be managed?

Remote claims professionals often encounter challenges such as maintaining effective communication with team members and clients, managing time independently, and ensuring data security while handling sensitive information from home. To address these, it’s important to utilize collaboration tools, set structured work hours, and follow strict company protocols for cybersecurity. Regular virtual meetings and clear documentation can help maintain workflow efficiency and keep everyone aligned.

What is the difference between Remote Claims vs Remote Claims Adjuster?

AspectRemote ClaimsRemote Claims Adjuster
Required CredentialsVaries by role, often includes insurance knowledgeLicenses often required, such as state-specific adjuster licenses
Work EnvironmentRemote, office, or hybridPrimarily remote, with some fieldwork possible
Industry UsageInsurance companies, third-party administratorsInsurance companies, claims management firms
Common Search IntentGeneral claims roles, customer service, claims processingClaims evaluation, damage assessment, settlement

Remote Claims roles encompass a broad range of insurance-related positions, including claims processing and customer service, often without requiring specific licenses. Remote Claims Adjusters focus on evaluating claims, assessing damages, and may need state licenses. Both roles are remote-friendly and serve the insurance industry, but adjusters typically have more specialized credentials and responsibilities.

What cities near Moca, PR are hiring for Remote Claims jobs?

Cities near Moca, PR with the most Remote Claims job openings:

Remote Claims jobs near you

Customer Service Representative

Firstsource

Mayaguez, PR • Remote

$16 - $21.75/hr

Full-time

Posted 8 days ago

Firstsource rating

6.5

Company rating: 6.5 out of 10

Based on 57 frontline employees who took The Breakroom Quiz

28th of 71 rated call and contact centers

Job description

Work Location: Remote-NearShore

Job Type: Full-time

About Firstsource 

Firstsource Solutions is a leading provider of customized Business Process Management (BPM) services. Firstsource specialises in helping customers stay ahead of the curve through transformational solutions to reimagine business processes and deliver increased efficiency, deeper insights, and superior outcomes.

We are trusted brand custodians and long-term partners to 100+ leading brands with presence in the US, UK, Philippines, India and Mexico. Our 'rightshore' delivery model offers solutions covering complete customer lifecycle across Healthcare, Telecommunications & Media and Banking, Financial Services & Insurance verticals.

Our clientele includes Fortune 500 and FTSE 100 companies.

Job Description:

Conduct outbound calls and/or campaigns when directed.

Thoroughly document all customer transactions in host system.

Adhere to scheduled shifts to ensure optimal phone coverage.

Ensure compliance to all regulatory guidelines.

Safeguard and secure all PHI from misuse in strict accordance with Information Security Policies and Procedures.

Follow safety guidelines outlined by Illness and Injury Prevention Program.

Specific qualifications for this medical role include:

High School diploma or GED
1 Year Call Center Exp

Six months healthcare claims experience.

Ability to read and interpret general business correspondence, procedure manuals, and specific plan documents
Basic mathematical skills
Intermediate typing skillsOther requirements include:Sitting for long periods of timeFlexibility of schedule especially when overtime is in placePrivate/secured room without distraction
Ability to multitask
Specific to processing: Able to look for data entry differences
Following written directions (emails, SOP documents)
Self-motivation
Ability to prioritize work
Thinking outside the box and making judgement calls
Ability to adapt to change

What Firstsource employees say

Pay

Benefits

Hours and flexibility

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