Health Claims Professional
hace 3 días
We are seeking a skilled Health Claims Specialist to join our team at Manpower Inc. As a Health Claims Professional, you will play a crucial role in ensuring accurate and timely processing of health claims.
Key Responsibilities- Verify and process health claims in accordance with established procedures and regulations.
- Communicate effectively with healthcare providers, patients, and other stakeholders to resolve claim-related issues.
- Maintain accurate records and reports to ensure compliance with regulatory requirements.
- Associate degree in Medical Billing or related field (preferred).
- 2+ years of experience in medical billing or a related field.
- Fully bilingual in English and Spanish.
- A competitive salary range of $55,000 - $75,000 per annum.
- A dynamic and supportive work environment.
- Ongoing training and professional development opportunities.
This is a full-time position with regular working hours and a comprehensive benefits package. If you are a motivated and detail-oriented individual with excellent communication skills, we encourage you to apply.
-
Medical Claims Professional
hace 1 mes
San Juan, San Juan, Puerto Rico Manpower Inc. A tiempo completoCompany OverviewManpower Inc. is a global leader in the staffing industry, providing workforce solutions to meet the needs of clients worldwide. Job SummaryWe 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...
-
Insurance Claims Leadership Professional
hace 1 mes
San Juan, San Juan, Puerto Rico AIG A tiempo completoAIG is a leading global insurance organization providing property casualty insurance in over 70 countries and jurisdictions. The company aims to make a positive difference for its colleagues and communities, encouraging volunteer efforts through the Volunteer Time Off and Matching Grants Programs.Job OverviewThis role leads and manages the Medium Complexity...
-
Claims Adjuster
hace 1 mes
San Juan, San Juan, Puerto Rico Elevance Health A tiempo completoCompany Overview">Elevance Health is a leading healthcare company dedicated to improving lives and communities. We are a Fortune 25 company with a long history in the healthcare industry, seeking leaders at all levels who are passionate about making an impact on our members and the communities we serve.">Salary">We offer a competitive salary of approximately...
-
Pharmacy Claims Quality Assurance Specialist
hace 2 meses
San Juan, San Juan, Puerto Rico abarca health A tiempo completoAbout the RoleAbarca Health is seeking a skilled Pharmacy Claims Quality Assurance Specialist to join our team. As a key member of our Quality Oversight Department, you will play a critical role in ensuring the quality and integrity of our pharmacy claims testing and adjudication processes.Key ResponsibilitiesOptimize testing and monitoring activities to...
-
Financial Claims Specialist
hace 1 mes
San Juan, San Juan, Puerto Rico AIG A tiempo completoAbout 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...
-
Pharmacy Claims Quality Assurance Specialist
hace 1 mes
San Juan, San Juan, Puerto Rico abarca health A tiempo completoAbarca Health is igniting a revolution in healthcare, and we're looking for a skilled Pharmacy Claims Quality Assurance Specialist to join our team.Job DescriptionWe're seeking a detail-oriented professional with 2+ years of experience in quality assurance and software development life cycles. As a Pharmacy Claims Quality Assurance Specialist, you'll be...
-
Insurance Claims Examiner
hace 1 mes
San Juan, San Juan, Puerto Rico Firma de Reclutamiento en PR A tiempo completoCompensation for this role is estimated to be around $65,000 - $85,000 per year.About the PositionFirma de Reclutamiento en PR is seeking a highly skilled Insurance Claims Examiner to join our team. As an Insurance Claims Examiner, you will play a critical role in ensuring that insurance claims are processed efficiently and fairly.Job DescriptionThe...
-
Marine Claims Adjuster Position
hace 1 mes
San Juan, San Juan, Puerto Rico AIG A tiempo completoAbout the Marine Claims Adjuster RoleAIG, a global leader in commercial and personal insurance solutions, is seeking a skilled Marine Claims Adjuster to join their team. This exciting opportunity will allow the successful candidate to utilize their expertise in claims handling to deliver exceptional customer service and drive business growth.Key...
-
Claims Analyst
hace 4 semanas
San Juan, San Juan, Puerto Rico UnitedHealth Group A tiempo completoAt UnitedHealth Group, our mission is to provide quality healthcare services to millions of people worldwide. We believe that everyone deserves access to healthcare, and we strive to make the health system work better for everyone.We are seeking a skilled Claims Representative to join our team. In this role, you will be responsible for authorizing payments...
-
Healthcare Claims Specialist
hace 1 mes
San Juan, San Juan, Puerto Rico UnitedHealth Group A tiempo completoCompany 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,...
-
Data Insights Analyst
hace 1 mes
San Juan, San Juan, Puerto Rico abarca health A tiempo completoCompany OverviewAbarca Health is a leading healthcare technology company that is revolutionizing the pharmacy benefits industry with its innovative solutions.We are seeking a highly skilled Data Insights Analyst to join our team and contribute to our mission of transforming healthcare.Salary: $85,000 - $110,000 per year, depending on experienceJob...
-
Claims Expertise Manager
hace 1 mes
San Juan, San Juan, Puerto Rico Ryder System, Inc. A tiempo completoRyder 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...
-
Claims Adjuster Specialist
hace 3 semanas
San Juan, San Juan, Puerto Rico Firma de Reclutamiento en PR A tiempo completoJob Title: Claims Adjuster SpecialistFirma de Reclutamiento en PR is seeking a highly skilled Claims Adjuster Specialist to join our team. This role plays a crucial part in handling claims and ensuring that customers receive fair compensation for their losses.About the Role:This position involves reviewing and evaluating insurance claims to determine their...
-
Customer Relations Professional
hace 1 mes
San Juan, San Juan, Puerto Rico Elevance Health A tiempo completoAbout the Role:We are seeking a highly skilled Credit & Collections Specialist to join our team at Elevance Health. This individual will play a vital role in collecting past due health insurance premiums and/or claims, ensuring timely payments and maintaining excellent customer relationships.Key Responsibilities:Contact clients to discuss outstanding...
-
Financial Lines Claims Specialist
hace 4 semanas
San Juan, San Juan, Puerto Rico AIG A tiempo completoJob DescriptionWe are seeking a highly skilled Financial Lines Claims Specialist to join our team. In this role, you will be responsible for assessing and managing complex liability claims within authority limits from the first notification of loss to a timely, accurate and customer-focused resolution.The ideal candidate will have a strong understanding of...
-
Claims Adjuster Expert
hace 4 semanas
San Juan, San Juan, Puerto Rico Busy Season Staffing Solutions A tiempo completoJob OverviewBusy Season Staffing Solutions is seeking a skilled Claims Adjuster to join our team. The ideal candidate will have excellent communication skills, strong analytical abilities, and a keen eye for detail.About the RoleAs a Claims Adjuster, you will be responsible for evaluating and examining claims, reviewing reports prepared by external parties,...
-
Senior Auto Bodily Injury Claims Specialist
hace 2 meses
San Juan, San Juan, Puerto Rico First Chicago Insurance Company A tiempo completoWe 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...
-
Pharmacy Claims Resolution Specialist
hace 2 meses
San Juan, San Juan, Puerto Rico abarca health A tiempo completoIn a few words...Abarca Health is revolutionizing pharmacy benefits. Our Operational Performance team is dedicated to centralizing data to drive improvements.As an Issue Management Analyst, you will collaborate with key functional areas to ensure the quality and integrity of the claims processing system.Contribute to the definition of tactical and strategic...
-
Sales Support Professional
hace 1 mes
San Juan, San Juan, Puerto Rico Elevance Health A tiempo completoAbout MMM Holdings, LLCElevance Health is a leading health company dedicated to improving the quality of life of communities in the United States. We provide Medicare Advantage and Medicaid plans in Puerto Rico.Sales Assistant I PositionWe are seeking a highly motivated Sales Assistant I to join our team. The successful candidate will be responsible for...
-
Professional Check Processor
hace 1 mes
San Juan, San Juan, Puerto Rico Popular A tiempo completoJob DescriptionWe are seeking a skilled and detail-oriented individual to join our team as a Professional Check Processor in the Caparra area.About the JobThe successful candidate will be responsible for verifying and analyzing invoices for advance checks, final payments, leftovers, substitution, and payments to the workshop that are requested for issuance....