claims

Descripción El tiempo que inviertes en **MAPFRE** cobra sentido. Ponemos a tu alcance oportunidades de desarrollo profesional valorando la diversidad. Aquí podrás transformar tu tiempo en aprendizaje y experiencias. Nuestro entorno abierto y colaborativo de trabajo está lleno de oportunidades y retos apasionantes en el que las personas son el...

Date: Aug 19, 2026 Location: San Juan-Cupey, PR Company: Popular Workplace Type: On-site **Claims Specialist - Seasonal** ****Seasonal Claims Specialist**** ****General Description**** The Claim Specialist is responsible of the fraud claims resolution for Credit Cards, Debit Cards, Checks and ACH. **Essential Duties And...

At Triple-S, we are committed to providing meaningful job experiences for Valuable People (Gente Valiosa). We strive for excellence in everything we do, from the way we work together to the way we serve our customers. When you join Triple-S, you will be key to our efforts on delivering high-quality and affordable healthcare as well as contribute to our...

CMS At ZOLL, we're passionate about improving patient outcomes and helping save lives. We provide innovative technologies that make a meaningful difference in people's lives. Our medical devices, software and related services are used worldwide to diagnose and treat patients suffering from serious cardiopulmonary and respiratory conditions. ZOLL...

Hourly Wage: **$14.5 - $27.5 per/hour** - The actual hourly rate will equal or exceed the required minimum wage applicable to the job location. **Additional Compensation Includes Annual Or Quarterly Performance Incentives.** Additional compensation in the form of premiums may be paid in amounts ranging from $0.35 per hour to $3.00 per hour in specific...

Temporary - AEP Non-Exempt **GENERAL DESCRIPTION:** Coordinates and collaborates with the sales team through the processing of sales documents, reporting, data entry, inventory management, and other additional tasks related to the smooth running of the office and membership sales department. **ESSENTIAL FUNCTIONS:** - Assists with issues...

**About Frost Law** Founded in 2011 by Glen Frost, Frost Law is a rapidly growing, nationally recognized law firm headquartered in Annapolis, Maryland, with offices across the East Coast and clients throughout the U.S. and abroad (including a growing presence in San Juan, Puerto Rico. Our team of skilled tax attorneys, business attorneys, litigation...

At Triple-S, we are committed to providing meaningful job experiences for Valuable People (Gente Valiosa). We strive for excellence in everything we do, from the way we work together to the way we serve our customers. When you join Triple-S, you will be key to our efforts on delivering high-quality and affordable healthcare as well as contribute to our...

Regular Non-Exempt **GENERAL DESCRIPTION:** Analyzes claims and/or adjustments submitted in Centers for Medicare and Medicaid Services Form 1500 (CMS‑1500) and Uniform Billing Form 04 (UB‑04) formats, as well as member reimbursements, by applying payment rules to determine appropriate adjudication, denial, or the need for additional...

Regular Non-Exempt **GENERAL DESCRIPTION:** Analyzes, processes, and adjudicates all types of complex claims submitted in Centers for Medicare and Medicaid Services Form 1500 (CMS‑1500) and Uniform Billing Form 04 (UB‑04) formats, applying the highest level of analytical judgment to determine appropriate payment or denial. This includes the...

**Job Overview** Works closely with People & Communication teams, Finance and business units, promoting company-wide best practices and maintaining high standards in Total Rewards. This role is responsible for administering the organization's employee benefits program, which includes retirement plans, wellness initiatives, flexible benefits, and insurance...

Date: Aug 14, 2026 Location: San Juan, PR Company: Popular Workplace Type: On-site **Business Operations Officer** ****General Description**** The Business Operations Officer (BOO) supports the unit’s operational integrity by overseeing critical operational processes that intersect with supervisory review, books and records,...

Be a part of our mission! As a world leader in creating comfortable, sustainable, and efficient climate solutions for buildings, homes and transportation, it's our responsibility to put the planet first. For us at Trane Technologies, and through our businesses including Trane® and Thermo King, sustainability is not just how we do business—it is our...

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers,...

**Job Description Summary** The Associate, Retail Channel (Teller At-Large) is responsible for providing superior and efficient customer service that includes handling an array of transactional services as well as promoting bank products in accordance with established processes, guidelines and in strict compliance with applicable regulations. Position works...

Regular Exempt **GENERAL DESCRIPTION:** The Coding & Payment Rule Specialist is responsible for identifying coding guidelines established by the American Medical Association's (AMA) standard classification systems (ICD-10, CPT, HCPCS) and payment rules established by the Centers for Medicare & Medicaid Services (CMS) for the proper and timely...

Regular Exempt **GENERAL DESCRIPTION:** Supervises and monitors pre-service appeals, payment appeals or disputes, Complaint Tracking Module (CTM) grievances through the Center for Medicaid and Medicare Services (CMS), Administrative Organization Determinations (AOD), grievances, and Late Enrollment Penalty (LEPs) reconsiderations submitted by the...

Application and Interview Amazing Opportunity and Great Place to Work! Are you looking for a new opportunity to work in a goal-oriented team? Our Story At Alight, we believe a company's success starts with its people. Alight embraces values that come directly from our people – purposeful, human, united and growth-minded –...

LinkActiv Group It's fun to work in a company where people truly BELIEVE in what they're doing! We're committed to bringing passion and customer focus to the business . The Customer Engagement Rep II position is a Full time, Regular position. MAIN RESPONSABILITIES - Receive inbound calls to guide customers, process service...

The Installer Service Specialist is an experienced and technical parts specialist who services the needs of professional customers through the store’s installer counter. This position will oversee and direct the daily activity of the delivery specialist to ensure customers receive accurate and timely order deliveries. Bilingual candidates...