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Remote Insurance Claims Jobs in Puerto Rico (NOW HIRING)

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 ...

Hospital Billing Analyst

San Juan, PR · Remote

$47K - $62K/yr

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 ...

Role is remote Preferred * Work Experience/Direct knowledge of Utilization Management or Tapestry ... Must have a current Epic Tapestry Certification (any of these Claims, Membership, Enrollment ...

Role is remote Preferred * Work Experience/Direct knowledge of Utilization Management or Tapestry ... Must have a current Epic Tapestry Certification (any of these Claims, Membership, Enrollment ...

Remote Insurance Claims information

What are the key skills and qualifications needed to thrive in the Remote Insurance Claims position, and why are they important?

To thrive in a Remote Insurance Claims role, you need a solid understanding of insurance policies, claims processing, and investigative techniques, often supported by experience in insurance or a related field. Familiarity with claims management software, customer relationship management (CRM) systems, and sometimes required certifications such as AIC (Associate in Claims) are important. Exceptional communication, active listening, time management, and problem-solving skills help professionals excel in remote, client-facing environments. These abilities ensure accuracy, efficiency, and positive customer experiences throughout the claims resolution process.

What is the best insurance company to work for remotely?

Several insurance companies are known for offering remote claims positions, including State Farm, Progressive, and Liberty Mutual, which provide flexible schedules, training, and remote work opportunities. Factors such as company culture, benefits, and career growth should also be considered when evaluating the best employer for remote insurance claims roles.

How to make 2000 a week working from home?

Remote insurance claims professionals can earn $2,000 or more weekly by handling a high volume of claims, gaining relevant certifications, and working full-time hours. Developing strong claims processing skills and using specialized software can increase productivity and income potential.

How to become a remote insurance claims adjuster?

To become a remote insurance claims adjuster, you typically need a high school diploma or equivalent, relevant licensing or certification depending on the state or country, and strong skills in communication, analysis, and computer use. Many employers prefer candidates with prior claims experience or knowledge of insurance policies, and some roles require passing a licensing exam. Working remotely often involves using claims management software and maintaining compliance with industry regulations.

What is a Remote Insurance Claims job?

A Remote Insurance Claims job involves reviewing, processing, and managing insurance claims from a remote location. Professionals in this role assess documentation, communicate with policyholders, and determine claim validity based on policy terms. They may work for insurance companies, third-party administrators, or as independent adjusters. Strong analytical, communication, and customer service skills are essential for success in this position.

What are some common challenges faced in a Remote Insurance Claims role and how are they managed?

One common challenge in a Remote Insurance Claims role is maintaining effective communication with clients and team members while working outside a traditional office environment. Professionals overcome this by utilizing secure messaging, video conferencing, and robust claims management platforms to ensure consistent updates and collaboration. Staying organized and self-motivated is also key, as remote claims adjusters often manage a high volume of cases independently. Employers typically provide training and ongoing support to help remote employees navigate complex claims, maintain compliance, and deliver timely resolutions.

What job makes $10,000 a month without a degree?

Remote insurance claims adjusting is a role where experienced professionals can earn around $10,000 per month, especially with specialized skills and certifications. These jobs often require knowledge of insurance policies, strong communication skills, and the ability to work independently, with some positions offering high earning potential without a traditional degree.
What are the most commonly searched types of Insurance Claims jobs in Puerto Rico? The most popular types of Insurance Claims jobs in Puerto Rico are:
What are popular job titles related to Remote Insurance Claims jobs in Puerto Rico? For Remote Insurance Claims jobs in Puerto Rico, the most frequently searched job titles are:
What job categories do people searching Remote Insurance Claims jobs in Puerto Rico look for? The top searched job categories for Remote Insurance Claims jobs in Puerto Rico are:

Multi-Line Adjuster - Inside

Crawford & Company - América Latina

Guaynabo, PR • On-site, Remote

Full-time

Posted 25 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.