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Senior Remote Claims Manager Jobs in Puerto Rico

Firstsource

Customer Service Representative

Mayaguez, PR · Remote

$16 - $21.75/hr

Remote-NearShore Job Type: Full-time About Firstsource Firstsource Solutions is a leading provider ... Management (BPM) services. Firstsource specialises in helping customers stay ahead of the curve ...

Collins Aerospace

Sr. Data Analyst (Puerto Rico)

Santa Isabel, PR · Remote

$77K - $97K/yr

  • Medical

  • Life

  • Retirement

Remote U.S. Citizen, U.S. Person, or Immigration Status Requirements: U.S. citizenship is required ... The Services Management team within the RTX Collaboration and Digital Workspace organization is ...

OncoHealth

Case Review Representative

Guaynabo, PR · On-site +1

$13 - $15/hr

Triage and manage inbound calls, routing case specific calls to an appropriate team member, and ... Triage request/claims processing issues to health plans as needed Prior authorization creation

Tetra Tech

Urban Planning Specialist - Ponce, PR

Ponce, PR · On-site +1

$65K - $85K/yr

Working under the direction of the Senior Urban Planning Lead, this position will assist in the ... Conduct research on vacant property management, neighborhood revitalization, and planning best ...

DaVita

Regional Operations Director (ROD)

San Juan, PR · Remote

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

... or SVP to develop competitive strategies in alignment with DaVita's mission and values. Position ... member of DaVita's field management team. Location: This is a field-based/remote position.

DaVita

Regional Operations Director (ROD)

San Juan, PR · Remote

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

... or SVP to develop competitive strategies in alignment with DaVita's mission and values. Position ... member of DaVita's field management team. Location: This is a field-based/remote position.

DaVita

Regional Operations Director (ROD)

San Juan, PR · Remote

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

... or SVP to develop competitive strategies in alignment with DaVita's mission and values. Position ... member of DaVita's field management team. Location: This is a field-based/remote position.

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All JobsClaims JobsSenior Remote Claims Manager JobsSenior Remote Claims Manager Jobs in Puerto Rico

Senior Remote Claims Manager information

What does a senior remote claims manager do?

A Senior Remote Claims Manager oversees the claims process for an insurance company or third-party administrator, working remotely to manage a team and handle complex or high-value claims. Their responsibilities include reviewing and approving claims, ensuring regulatory compliance, mentoring junior staff, and implementing best practices to streamline operations. They often serve as a key point of contact between clients, adjusters, and other stakeholders to resolve challenging claims efficiently. Strong communication, analytical, and leadership skills are essential for this role.

How does a senior remote claims manager effectively coordinate with team members and stakeholders across different locations?

As a Senior Remote Claims Manager, effective coordination relies heavily on utilizing digital collaboration tools, establishing clear communication protocols, and scheduling regular virtual meetings. You will often lead a dispersed team, so setting expectations, tracking progress through shared platforms, and maintaining open channels for feedback are essential. Building strong relationships with adjusters, underwriters, clients, and external partners is key to ensuring timely and accurate claims resolution. Adapting to remote leadership also requires proactively addressing challenges such as time zone differences and fostering team cohesion.

What are the key skills and qualifications needed to thrive as a senior remote claims manager, and why are they important?

To thrive as a Senior Remote Claims Manager, you need in-depth knowledge of insurance claims processes, strong analytical skills, and several years of experience in claims management, often supported by a relevant degree or industry certifications such as AIC or CPCU. Expertise in claims management software, remote collaboration platforms, and regulatory compliance systems is typically required. Leadership, effective communication, and the ability to make sound decisions under pressure are critical soft skills for this role. These competencies ensure accurate claim resolutions, regulatory adherence, and effective team leadership across remote environments.

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

AspectSenior Remote Claims ManagerRemote Claims Adjuster
CredentialsLicenses, certifications in claims management, industry experienceLicenses, certifications in claims adjusting, industry experience
Work EnvironmentOversees claims teams, manages complex cases remotelyEvaluates and settles claims independently remotely
Employer & Industry UsageInsurance companies, third-party administratorsInsurance companies, third-party administrators

The main difference is that a Senior Remote Claims Manager oversees claims teams and handles complex cases, while a Remote Claims Adjuster focuses on evaluating and settling individual claims. Both roles require similar credentials and are used within the insurance industry, but the manager position involves leadership and strategic responsibilities.

What are popular job titles related to Senior Remote Claims Manager jobs in Puerto Rico?

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

What job categories do people searching Senior Remote Claims Manager jobs in Puerto Rico look for?

The top searched job categories for Senior Remote Claims Manager jobs in Puerto Rico are:

What cities in Puerto Rico are hiring for Senior Remote Claims Manager jobs?

Cities in Puerto Rico with the most Senior Remote Claims Manager job openings:

Senior Remote Claims Manager jobs near you
Infographic showing various Senior Remote Claims Manager job openings in Puerto Rico as of August 2026, with employment types broken down into 85% Full Time, 12% Part Time, 2% Temporary, and 1% Contract. Highlights an 87% Physical, 2% Hybrid, and 11% Remote job distribution.

Customer Service Representative

Firstsource

Mayaguez, PR • Remote

$16 - $21.75/hr

Full-time

Posted 9 days ago

Firstsource rating

6.5

Company rating: 6.5 out of 10

Based on 57 frontline employees who took The Breakroom Quiz

28th of 71 rated call and contact centers

Job description

Work Location: Remote-NearShore

Job Type: Full-time

About Firstsource 

Firstsource Solutions is a leading provider of customized Business Process Management (BPM) services. Firstsource specialises in helping customers stay ahead of the curve through transformational solutions to reimagine business processes and deliver increased efficiency, deeper insights, and superior outcomes.

We are trusted brand custodians and long-term partners to 100+ leading brands with presence in the US, UK, Philippines, India and Mexico. Our 'rightshore' delivery model offers solutions covering complete customer lifecycle across Healthcare, Telecommunications & Media and Banking, Financial Services & Insurance verticals.

Our clientele includes Fortune 500 and FTSE 100 companies.

Job Description:

Conduct outbound calls and/or campaigns when directed.

Thoroughly document all customer transactions in host system.

Adhere to scheduled shifts to ensure optimal phone coverage.

Ensure compliance to all regulatory guidelines.

Safeguard and secure all PHI from misuse in strict accordance with Information Security Policies and Procedures.

Follow safety guidelines outlined by Illness and Injury Prevention Program.

Specific qualifications for this medical role include:

High School diploma or GED
1 Year Call Center Exp

Six months healthcare claims experience.

Ability to read and interpret general business correspondence, procedure manuals, and specific plan documents
Basic mathematical skills
Intermediate typing skillsOther requirements include:Sitting for long periods of timeFlexibility of schedule especially when overtime is in placePrivate/secured room without distraction
Ability to multitask
Specific to processing: Able to look for data entry differences
Following written directions (emails, SOP documents)
Self-motivation
Ability to prioritize work
Thinking outside the box and making judgement calls
Ability to adapt to change

What Firstsource employees say

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Hours and flexibility

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