Medical Claims Professional

hace 8 horas


San Juan, San Juan, Puerto Rico Manpower Inc. A tiempo completo

Company Overview

Manpower Inc. is a global leader in the staffing industry, providing workforce solutions to meet the needs of clients worldwide.

 

Job Summary

We are seeking a Medical Claims Specialist to join our team in [location]. This role will be responsible for processing medical claims efficiently and effectively, ensuring timely payment and compliance with regulatory requirements.

 

Key Responsibilities:

  • Process medical claims accurately and promptly
  • Verify patient information and ensure compliance with regulations
  • Analyze claim data to identify trends and areas for improvement
  • Communicate effectively with healthcare providers and payers
  • Collaborate with internal stakeholders to resolve claim issues

 

Requirements

To be successful in this role, you will need an Associate degree, preferably in Medical Billing, or 2+ years of related experience. Additionally, you must be fully bilingual in English and Spanish.

 

What We Offer

As a Medical Claims Specialist at Manpower Inc., you can expect a competitive salary of $60,000 - $80,000 per year, depending on your location and experience. You will also have opportunities for professional growth and development within our organization.

 

About Us

Manpower Inc. is a company that values its employees and provides a supportive work environment. We are committed to diversity and inclusion, and we welcome applications from qualified candidates who share our values.



  • San Juan, San Juan, Puerto Rico West Suburban Medical Center A tiempo completo

    Job SummaryWest Suburban Medical Center seeks a detail-oriented and organized Medical Claims Administrator to administer third-party payer claims processing and self-pay receivables. This role is responsible for ensuring accurate and timely reimbursement from various payers.Key ResponsibilitiesProcess claims manually or electronically for...

  • Claims Professional

    hace 2 semanas


    San Juan, San Juan, Puerto Rico Cincinnati Insurance Company, Inc. A tiempo completo

    Claims Professional PositionCincinnati Insurance Company, Inc. is seeking a Claims Professional to investigate and evaluate multi-line insurance claims.Key Responsibilities:Conduct thorough claim investigationsInterview insureds, claimants, and witnessesEvaluate claim facts and policy coverageInspect property and auto damages and write repair...

  • Medical Claims Expert

    hace 2 semanas


    San Juan, San Juan, Puerto Rico Manpower Inc. A tiempo completo

    Requirements:Associate degree, preferred in Medical Billing, and or 2+ years of related experience.Fully bilingual in English and Spanish.Key Responsibilities:Process and analyze medical claims with high accuracy.Ensure compliance with regulatory requirements.

  • Claims Manager

    hace 2 semanas


    San Juan, San Juan, Puerto Rico AIG A tiempo completo

    About the RoleThe Claims Manager - Complex Claims Leadership position at AIG is a key role in our General Insurance team. As a leader in medium complexity claims, you will be responsible for managing a high-performing team of adjusters, ensuring adherence to departmental and line of business best practices, and providing technical referral expertise and...

  • Medical Claims Specialist

    hace 2 semanas


    San Juan, San Juan, Puerto Rico My Medical Billing Career A tiempo completo

    Launch Your Medical Billing & Coding CareerAre you interested in a career in the medical billing and coding field? My Medical Billing Career can help you get started. With our training services, you'll gain the skills and knowledge needed to succeed in this in-demand field.Why Choose Medical Billing & Coding?The medical field is constantly evolving, and the...

  • Insurance Claims Examiner

    hace 2 semanas


    San Juan, San Juan, Puerto Rico Busy Season Staffing Solutions A tiempo completo

    Claims Examiner Job DescriptionEvaluate and analyze insurance claims to determine validity and ensure fair payouts. Review reports prepared by external parties, such as medical professionals or contractors, to verify information.Key Responsibilities:1. Review insurance policy terms and conditions against claims received.2. Conduct on-site inspections or...


  • San Juan, San Juan, Puerto Rico AIG A tiempo completo

    About the Role:As a Financial Claims Specialist at AIG, you will be responsible for assessing and managing complex liability claims within authority limits. You will perform coverage and quantum analysis throughout the claims' lifecycles, ensuring timely and accurate resolutions for our customers.What You'll Do:Proactively assess and manage complex liability...


  • San Juan, San Juan, Puerto Rico UnitedHealth Group A tiempo completo

    Company OverviewOptum, a global organization, 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.We have a culture guided by diversity and inclusion,...

  • Senior Claims Adjuster

    hace 4 semanas


    San Juan, San Juan, Puerto Rico Ryder System, Inc. A tiempo completo

    Job SummaryThe Senior Claims Representative is responsible for handling complex and mid-to-high exposure bodily injury and property damage claims under Ryder's self-administered liability program.Key ResponsibilitiesInvestigate and adjust claims, directing outside defense counsel, independent adjusters, experts, and other vendors in the claims-handling...


  • San Juan, San Juan, Puerto Rico First Chicago Insurance Company A tiempo completo

    We are seeking a highly skilled Auto Bodily Injury Claims Specialist to join our team at First Chicago Insurance Company. Our new office in Oak Brook is now open and we are looking for an experienced professional to support our growth.Key Responsibilities:Investigate and settle automobile bodily injury claimsReview and determine course of action on each file...

  • Insurance Claims Examiner

    hace 2 semanas


    San Juan, San Juan, Puerto Rico Firma de Reclutamiento en PR A tiempo completo

    About the Role:    We are seeking a skilled Insurance Claims Examiner to join our team at Firma de Reclutamiento en PR. As an Insurance Claims Examiner, you will be responsible for reviewing and analyzing insurance claims to ensure they are accurate and valid.Responsibilities:    The successful candidate will have the following...


  • San Juan, San Juan, Puerto Rico Ryder System, Inc. A tiempo completo

    Ryder System, Inc. is seeking an experienced Claims Expertise Manager to handle complex claims and lead our team in delivering exceptional results.The estimated salary for this position ranges from $75K to $80K annually, depending on experience.Job Description:We are looking for a seasoned Claims Expertise Manager to join our Risk Management team. In this...


  • San Juan, San Juan, Puerto Rico Ryder System, Inc. A tiempo completo

    Job SummaryThe Senior Claims Representative position at Ryder System, Inc. involves handling complex and mid-to-high exposure bodily injury and property damage claims.Key Responsibilities:Investigate and adjust claims, directing outside defense counsel, independent adjusters, experts, and vendors as needed.Supervise vendors to ensure claims are handled...

  • Field Claims Investigator

    hace 2 semanas


    San Juan, San Juan, Puerto Rico Cincinnati Insurance Company, Inc. A tiempo completo

    Field Claims Representative Job SummaryAs a Field Claims Representative with Cincinnati Insurance Company, Inc., you will play a crucial role in investigating and evaluating multi-line insurance claims through personal contact to ensure accurate settlements. This role offers the opportunity to work independently, collaborate with diverse teams, and provide...

  • Marine Claims Adjuster

    hace 2 semanas


    San Juan, San Juan, Puerto Rico AIG A tiempo completo

    About the Role:AIG is seeking a skilled Marine Claims Adjuster to join our team. As a Marine Claims Adjuster, you will be responsible for assessing and managing medium complexity Marine claims within authority limits from the first notification of loss to a timely, accurate, and customer-focused resolution.Key Responsibilities:Proactively assess and manage...


  • San Juan, San Juan, Puerto Rico Humana A tiempo completo

    About the RoleBecome a part of our caring community and help us put health firstThe Claims Review Representative 3 makes appropriate claim decisions based on strong knowledge of claims procedures, contract provisions, and state and federal legislation. The role involves performing advanced administrative / operational / customer support duties that require...

  • Claims Representative I

    hace 2 semanas


    San Juan, San Juan, Puerto Rico Elevance Health A tiempo completo

    Job SummaryWe are seeking a Claims Representative I to join our team at Elevance Health. As a Claims Representative I, you will be responsible for successfully completing the required basic training and performing basic job functions with help from co-workers, specialists, and managers on non-basic issues.Key ResponsibilitiesLearning the activities/tasks...


  • San Juan, San Juan, Puerto Rico Humana A tiempo completo

    Job SummaryBecome a part of our caring community and help us put health first. As a Claims Review Representative, you will make appropriate claim decisions based on strong knowledge of claims procedures, contract provisions, and state and federal legislation. You will perform advanced administrative duties that require independent initiative and judgment,...

  • Claims Adjuster

    hace 1 día


    San Juan, San Juan, Puerto Rico Busy Season Staffing Solutions A tiempo completo

    About the RoleBusy Season Staffing Solutions is seeking an experienced Claims Adjuster to join our team. As a key member of our team, you will be responsible for evaluating and examining claims, reviewing reports prepared by external parties, and ensuring compliance with insurance policies.Job DescriptionWe are looking for a skilled professional with...

  • Marine Claims Adjuster

    hace 2 semanas


    San Juan, San Juan, Puerto Rico AIG A tiempo completo

    About the Role:We are seeking a highly skilled Marine Claims Adjuster to join our team at AIG. As a Marine Claims Adjuster, you will be responsible for assessing and managing medium complexity Marine claims within authority limits from the first notification of loss to a timely, accurate and customer-focused resolution.Key Responsibilities:Proactively assess...