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Remote Dental Claims Processing Jobs in Puerto Rico

Kelly Services

Senior Validations Engineer

Juncos, PR · On-site +1

$45/hr

Administrative shift (support a 24/7 manufacturing operations, some remote work is possible) Why ... Experience developing and executing process characterization studies , with strong technical ...

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Remote Dental Claims Processing information

What is remote dental claims processing?

A Remote Dental Claims Processing job involves reviewing, verifying, and processing dental insurance claims from a remote location. Professionals in this role assess claim accuracy, ensure compliance with insurance policies, and communicate with providers or policyholders if additional information is needed. They use specialized software to submit claims, check eligibility, and resolve discrepancies. Strong attention to detail and knowledge of dental terminology and insurance policies are essential for success in this position.

What are the key skills and qualifications needed to thrive in remote dental claims processing?

To thrive in Remote Dental Claims Processing, you need a strong understanding of dental insurance policies, coding (such as CDT codes), and claims review procedures, often supported by experience in dental billing or a related certification. Familiarity with claims management software, electronic health records (EHR), and secure remote communication tools is typically required. Attention to detail, effective written communication, and time management are essential soft skills for success in this role. These skills ensure errors are minimized, claims are processed promptly, and communication with providers and payers remains clear and professional.

What are some typical challenges faced in remote dental claims processing and how can they be managed?

Working in remote dental claims processing often involves balancing a high volume of claims while ensuring each claim is accurately coded and documented, which can be challenging when dealing with complex dental procedures or discrepancies in submitted information. Staying updated on ever-changing insurance policies and payer requirements is also essential. Success in this role often depends on strong organizational skills, proactive communication with team members and providers, and continual professional development. Utilizing workflow management tools and keeping a well-organized digital workspace can help streamline tasks and reduce errors. Many employers also offer ongoing training and support to help remote team members stay current and succeed in their roles.

What are popular job titles related to Remote Dental Claims Processing jobs in Puerto Rico?

For Remote Dental Claims Processing jobs in Puerto Rico, the most frequently searched job titles are:

What job categories do people searching Remote Dental Claims Processing jobs in Puerto Rico look for?

The top searched job categories for Remote Dental Claims Processing jobs in Puerto Rico are:

What cities in Puerto Rico are hiring for Remote Dental Claims Processing jobs?

Cities in Puerto Rico with the most Remote Dental Claims Processing job openings:

Remote Dental Claims Processing jobs near you
Infographic showing various Remote Dental Claims Processing job openings in Puerto Rico as of August 2026, with employment types broken down into 1% As Needed, 79% Full Time, 14% Part Time, 2% Temporary, and 4% Contract. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution.

Remote Fraud Call Center Representative - Puerto Rico

Conduent, Inc.

Guaynabo, PR • On-site, Remote

$12.10/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 19 days ago

Conduent rating

6.1

Company rating: 6.1 out of 10

Based on 190 frontline employees who took The Breakroom Quiz

35th of 72 rated call and contact centers

Job description


Remote Fraud Call Center Representative
Location: Remote - Must reside in Puerto Rico
Pay Rate: $12.10/hour
Employment Type: Full-Time
Shift Information: Must be available to work any 8-hour shift, Monday through Sunday
Job Summary:
We're hiring a Remote Fraud Call Center Representative in Puerto Rico to provide high-quality customer service support in a fast-paced call center environment. In this role, you will handle inbound customer calls, resolve inquiries, and deliver a positive customer experience while meeting performance goals.
Key Responsibilities:
  • Provide professional customer service support via inbound calls
  • Handle high-volume call center interactions efficiently and accurately
  • Resolve customer inquiries, issues, and complaints in a timely manner
  • Maintain accurate records through data entry and system updates
  • Follow company processes, compliance standards, and quality guidelines
  • Meet productivity, attendance, and performance metrics
  • Collaborate with team members to improve customer satisfaction

Required Qualifications:
  • High school diploma or GED required
  • Minimum of 6 months of call center, customer service, or dispatch experience
  • Strong communication and customer service skills
  • Ability to work in a fast-paced call center environment
  • Basic computer skills and ability to navigate multiple systems
  • Reliable attendance and strong work ethic
  • Proficient in English
  • Must reside in Puerto Rico and be authorized to work in the U.S. permanently.
  • Ability to successfully complete a background check, credit check, and security fingerprinting

Preferred Qualifications:
  • Banking or financial services experience

What We Offer:
  • Competitive hourly pay
  • Monthly incentive opportunity of up to $350 after training by meeting performance metrics
  • Night or weekend differential, based on shift worked
  • Benefits from day one (medical, dental, vision) for eligible roles
  • Paid time off and holidays
  • Paid training
  • Career growth and advancement opportunities
  • Supportive and inclusive work environment

Training Requirements:
  • Complete a mandatory 3-week paid training program (Week 1 classroom training; Weeks 2-3 supported call handling).
  • Maintain an average quiz score of 80% or higher and complete all required E-Learning courses.

Technical & Workspace Requirements:
  • Secure wired high-speed internet connection, including a verified speed test of at 50 Mbps download & 10 Mbp upload; (Wi-Fi not permitted).
  • Dedicated workspace with a desk, chair, and a quiet, distraction-free environment.
  • Company equipment provided

Apply now and make an impact from day one
Looking for more information?
We're happy to help. Visit our landing page to explore key details about the role, including shift schedules, examples of call types, FAQs, and our workspace and internet requirements. It's a great resource to help you understand what to expect and determine whether this opportunity is the right fit for you. Landing Page: About Call Center Representative Role in San Antonio & Puerto Rico
Pay Transparency Laws in some locations require disclosure of compensation and/or benefits-related information. For this position, actual salaries will vary and may be above or below the range based on various factors including but not limited to location, experience, and performance. In addition to base pay, this position, based on business need, may be eligible for a bonus or incentive. In addition, Conduent provides a variety of benefits to employees including health insurance coverage, voluntary dental and vision programs, life and disability insurance, a retirement savings plan, paid holidays, and paid time off (PTO) or vacation and/or sick time. The estimated hourly rate for this role is $12.10, which may be below your state's minimum wage. Please consider this when applying.
About Us
Through our dedicated associates, Conduent delivers mission-critical services and solutions on behalf of Fortune 100 companies and over 500 governments - creating exceptional outcomes for our clients and the millions of people who count on them. You have an opportunity to personally thrive, make a difference and be part of a culture where individuality is noticed and valued every day.
About the Team
Conduent is an Equal Opportunity Employer and considers applicants for all positions without regard to race, color, creed, religion, ancestry, national origin, age, gender identity, gender expression, sex/gender, marital status, sexual orientation, physical or mental disability, medical condition, use of a guide dog or service animal, military/veteran status, citizenship status, basis of genetic information, or any other group protected by law.
For US applicants: People with disabilities who need a reasonable accommodation to apply for or compete for employment with Conduent may request such accommodation(s) by submitting their request through this form that must be downloaded: click here to access or download the form. Complete the form and then email it as an attachment to FTADAAA@conduent.com. You may also click here to access Conduent's ADAAA Accommodation Policy.

What Conduent employees say

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About Conduent

Sourced by ZipRecruiter

Through our dedicated associates, Conduent delivers mission-critical services and solutions on behalf of Fortune 100 companies and over 500 governments - creating exceptional outcomes for our clients and the millions of people who count on them. You have an opportunity to personally thrive, make a difference and be part of a culture where individuality is noticed and valued every day.

Industry

It services

Company size

10,000+ Employees

Headquarters location

Florham Park, NJ, US

Year founded

2017

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