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Remote Insurance Claims Manager Jobs in Puerto Rico

ABB

Regional Sales Manager

Aguadilla, PR · Remote

$98K - $157K/yr

The work model for the role is : #LI-Remote in the US with 60% travel required. This role is ... Vision benefit * Company paid life insurance (2X base pay) * Company paid AD&D (1X base pay)

OncoHealth

Case Review Specialist - PR

Guaynabo, PR · On-site +1

Remote/hybrid experience preferred * A minimum of 2-4 years' administrative experience and/or ... Knowledge in pre-authorizations and health insurance client services departments are preferred

RelateCare

$11/hr

We are a multidisciplinary team of nurses, contact management specialists and technologists who ... Remote

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

Remote Insurance Claims Manager information

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

To thrive as a Remote Insurance Claims Manager, you need in-depth knowledge of insurance policies, claims processes, and regulatory requirements, often supported by a bachelor's degree and relevant industry experience. Familiarity with claims management software, digital documentation tools, and, in some cases, certifications like AIC (Associate in Claims) are typically required. Excellent problem-solving, leadership, and communication skills help manage teams remotely and resolve complex claims efficiently. These skills ensure accurate claims processing, regulatory compliance, and effective team coordination in a virtual environment.

What does a Remote Insurance Claims Manager do?

A Remote Insurance Claims Manager oversees the process of evaluating, processing, and resolving insurance claims, all while working from a remote location. They manage a team of claims adjusters, review claims for accuracy and compliance, and ensure timely settlements for policyholders. This role often involves communicating with clients, liaising with other departments, and leveraging technology to streamline claims handling. The remote aspect allows managers to perform all duties using digital tools, making communication and documentation critical parts of the job.

How does a Remote Insurance Claims Manager typically coordinate with on-site team members and external partners?

As a Remote Insurance Claims Manager, you will frequently collaborate with on-site adjusters, underwriters, and external partners such as legal advisors and service vendors. Most communication is conducted via video conferencing, email, and specialized claims management platforms. You’ll be responsible for ensuring seamless information flow, timely updates, and resolution of claims by coordinating virtual meetings and maintaining clear documentation. Developing strong remote communication and organizational skills is essential for success in this role.

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

AspectRemote Insurance Claims ManagerRemote Insurance Adjuster
CredentialsTypically requires a claims management certification or industry experienceRequires licensing and certifications specific to insurance adjusting
Work EnvironmentOversees claims teams, manages processes remotelyEvaluates individual claims remotely, often in the field or from home
Employer & Industry UsageUsed by insurance companies for claims oversightUsed by insurance companies for claim evaluation and settlement
Search & Comparison IntentPeople compare managerial roles in claims processingPeople compare roles focused on claim assessment and settlement

The main difference is that a Remote Insurance Claims Manager oversees claims teams and manages claims processes remotely, requiring management experience and certifications. In contrast, a Remote Insurance Adjuster evaluates individual claims, often needing specific licensing and adjusting certifications. Both roles are integral to the insurance industry but differ in responsibilities and focus areas.

What are popular job titles related to Remote Insurance Claims Manager jobs in Puerto Rico? For Remote Insurance Claims Manager jobs in Puerto Rico, the most frequently searched job titles are:
What job categories do people searching Remote Insurance Claims Manager jobs in Puerto Rico look for? The top searched job categories for Remote Insurance Claims Manager jobs in Puerto Rico are:
What cities in Puerto Rico are hiring for Remote Insurance Claims Manager jobs? Cities in Puerto Rico with the most Remote Insurance Claims Manager job openings:
Remote Insurance Claims Manager jobs near you
Infographic showing various Remote Insurance Claims Manager job openings in Puerto Rico as of June 2026, with employment types broken down into 100% Full Time. Highlights an 100% Remote job distribution.

Associate, Remote Channels (Bilingual Customer Service Mortgage)

Oriental Bank

Bayamon, PR • On-site, Remote

$13 - $18/hr

Full-time

Posted 10 days ago

Job description

Job Description Summary
Are you passionate about customer service? Join our Team, we have several Associate, Retail Channels (Call Center) opportunities to serve our customers while providing a best-in-class customer experience and building loyalty. You may work from our Contact Center in Minillas (Bayamon).
The Associate, Retail Channels (Call Center), provides prompt, courteous, efficient, and best-in-class customer experience with precision and accuracy adhering to existing, operational, and security practices and procedures established.
Job Description

MAJOR DUTIES & RESPONSIBILITIES:

  • Delivers a unique customer experience utilizing effective questioning and active listening skills to anticipate and determine customer needs ensuring a high level of satisfaction in adherence to established policies and procedures.

  • Educate customers on digital channel solutions and self-service applications available for their accounts.

  • Receives and channels a variety of customer inquiries through our call center to provide service, support, and provide expert advice regarding our products including referring customers to other divisions.

  • Ensures and promotes that all transactions and inquiries are managed within our compliance and regulatory standards.

  • Promotes and provides information on the bank's products, services, and channels. Identifies cross-selling opportunities and refers the customer to the appropriate sales team member.

  • Receives, records, and channels claims, and inquiries from customers or potential customers and provides applicable guidance.

  • Documents calls and service inquiries in existing bank systems and applications.

  • Escalates and refers customer matters to next-level management or appropriate operational areas.

  • Consistently provides the customer with a high level of quality service.

  • Provides support and services to internal customers and colleagues as required.

  • Performs other duties as assigned.

EDUCATION AND EXPERIENCE:

  • Associate or Bachelor's degree in Business Administration or related field required.

  • One (1) year of customer service, call center, or sales experience required. Retail environment preferred. An equivalent combination of education and experience may be considered.

  • Excellent customer service, interpersonal, problem-solving, and documentation skills are required both verbal and written.

  • Requires good telephone etiquette, listening, and communication skills.

  • Understanding of banking or financial products and services preferred.

  • Detail oriented and able to manage multiple priorities required.

  • Computer proficiency is required. Knowledge of MS Office and other business applications required.

  • Bilingual (English and Spanish required).

  • Availability to work any day of the week based on the established hours of operations, plus flexibility to work overtime according to business needs is required.

WORK AUTHORIZATION & ELEGIBILITY:

  • Legally authorized to work in the US is required. This position is of indefinite duration and requires candidates to have permanent or ongoing work authorization.
  • Employee is responsible for maintaining eligible work authorization throughout his tenure with the organization.

Oriental is an Equal Opportunity Employer (EEO/Affirmative Action for Veterans/Workers with Disabilities)

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