Remote Humana 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.

Why Crawford?

Because a claim is more than a number - it's a person, a child, a friend. It's anyone who looks to Crawford on their worst days. And by helping to restore their lives, we are helping to restore our community - one claim at a time.

At Crawford, employees are empowered to grow, emboldened to act and inspired to innovate. Our industry-leading team pioneers new solutions for the industries and customers we serve. We're looking for the next generation of leaders to take this journey with us.

We hail from more than 70 countries and speak dozens of languages, reflecting the global fabric of the audience we serve. Though our reach is vast, we proudly operate as One Crawford: united in purpose, vision and values. Learn more at www.crawco.com.

When you accept a job with Crawford, you become a part of the One Crawford family. And as part of the One Crawford family, we offer  a comprehensive Total Rewards package to  our employees  to assist with their financial, health/wellness, continuing education/training and other needs:

• Competitive base pay

- The Pay Range/Salary represents the anticipated low and high pay that may be offered for this position. To determine the actual offer, Crawford considers a wide range of factors including the candidate's previous experience and education, market rates, minimum pay requirements for the applicable jurisdiction, business segment, supply/demand, and scheduled hours. 

• Bonus/Incentive Pay and other Performance-Based Rewards, if applicable.
• We offer a well-rounded benefits package that encourages wellness and helps our employees to be an educated healthcare consumer. The core benefits* offered include:

- Medical, Dental and Vision Plans
- Prescription Drugs
- HSA, HRA, and FSA Accounts
- Paid Holidays, Vacation and Sick Leave
- 401(k) Retirement Plan
- Tuition Assistance
- Paid Parental Leave
- Supplemental Health Benefits
Other Benefits currently available at no cost include: - Enhanced Mental Health Support
- Virtual Physical Therapy
- Caregiving Services
- Life Assistance Program

*The above information highlights some of the benefits currently available to eligible full-time employees.

• Training programs that promote continuous learning and career progression while enhancing job performance.
• Sustainability programs that give back to the communities in which we live and work.
• A culture of respect, collaboration, entrepreneurial spirit and inclusion.

Crawford & Company participates in E-Verify and is an Equal Opportunity Employer. M/F/D/V Crawford & Company is not accepting unsolicited assistance from search firms for this employment opportunity. All resumes submitted by search firms to any employee at Crawford via-email, the Internet or in any form and/or method without a valid written Statement of Work in place for this position from Crawford HR/Recruitment will be deemed the sole property of Crawford. No fee will be paid in the event the candidate is hired by Crawford as a result of the referral or through other means.

• 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.