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Remote Insurance Claims Adjuster Jobs in Puerto Rico

Deloitte

Hospital Billing Coordinator

San Juan, PR · Remote

$50K - $60K/yr

This is a primarily remote role supporting enterprise Epic implementation, with minimal travel and ... Prepare and submit hospital claims to commercial, government, and other third-party payers in ...

Deloitte

Hospital Billing Operator

San Juan, PR · Remote

$18 - $23/hr

This is a primarily remote role supporting an enterprise Epic implementation, with minimal travel ... Prepare and submit hospital claims to commercial, government, and other third-party payers in ...

UnitedHealth Group

$16.75 - $21.50/hr

Review and research insurance follow-up, and denied claims by navigating multiple systems simultaneously, such as payer portals, to accurately capture data/information for accurate processing

All JobsInsurance Claims Adjuster JobsRemote Insurance Claims Adjuster JobsRemote Insurance Claims Adjuster Jobs in Puerto Rico

Remote Insurance Claims Adjuster information

What are some common challenges faced by remote insurance claims adjusters, and how can they be addressed?

Remote insurance claims adjusters often face challenges such as effectively communicating with claimants and colleagues without in-person interaction, managing a high volume of claims, and ensuring accurate documentation from a distance. To address these, successful adjusters leverage strong organizational skills, utilize digital collaboration tools, and maintain clear, proactive communication. Many companies provide robust digital platforms and regular virtual team meetings to support remote adjusters in overcoming these obstacles and staying connected with their teams.

What are the key skills and qualifications needed to thrive as a Remote Insurance Claims Adjuster, and why are they important?

To thrive as a Remote Insurance Claims Adjuster, you need a solid understanding of insurance policies, analytical skills for evaluating claims, and typically a bachelor’s degree or relevant work experience. Familiarity with claims management software, industry regulations, and sometimes licensure or certifications such as AIC (Associate in Claims) are important. Strong communication, negotiation, and time management skills help you resolve claims efficiently and maintain customer satisfaction. These abilities are essential to ensure accurate, timely claim resolutions and to uphold the company’s standards while working independently from a remote environment.

What does a Remote Insurance Claims Adjuster do?

A Remote Insurance Claims Adjuster evaluates insurance claims from policyholders to determine the extent of the insurance company's liability. Working from a remote location, they review documents, conduct interviews, gather evidence, and communicate with claimants via phone or email. Their main tasks include investigating the circumstances of a claim, assessing damages, negotiating settlements, and ensuring claims are processed efficiently and fairly. Remote adjusters use digital tools and software to manage their workload and maintain communication with clients and colleagues. This role requires strong analytical, communication, and organizational skills.

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

AspectRemote Insurance Claims AdjusterRemote Insurance Appraiser
Required CredentialsAdjuster license, insurance knowledgeAppraiser license, valuation expertise
Work EnvironmentInsurance companies, remote or fieldInsurance companies, remote or field
Industry UsageClaims processing, damage assessmentProperty valuation, damage estimation
Common Search IntentClaims handling, damage assessmentProperty valuation, damage estimation

The main difference between a Remote Insurance Claims Adjuster and a Remote Insurance Appraiser lies in their roles. Adjusters handle claims processing and damage assessment, often working remotely or in the field, while Appraisers focus on property valuation and damage estimation. Both roles require specific licenses and are integral to the insurance industry, but they serve different functions within the claims process.

What are popular job titles related to Remote Insurance Claims Adjuster jobs in Puerto Rico? For Remote Insurance Claims Adjuster jobs in Puerto Rico, the most frequently searched job titles are:
What job categories do people searching Remote Insurance Claims Adjuster jobs in Puerto Rico look for? The top searched job categories for Remote Insurance Claims Adjuster jobs in Puerto Rico are:
What cities in Puerto Rico are hiring for Remote Insurance Claims Adjuster jobs? Cities in Puerto Rico with the most Remote Insurance Claims Adjuster job openings:
Remote Insurance Claims Adjuster jobs near you
Multi-Line Adjuster - Inside

Multi-Line Adjuster - Inside

Crawford & Company - América Latina

Guaynabo, PR • On-site, Remote

Full-time

Posted 22 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.

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