• Claims Processing…

    Humana (San Juan, PR)
    **Become a part of our caring community and help us put health first** The Claims Processing Representative 1 reviews and adjudicates complex or ... specialty claims , submitted via paper. The Claims Processing Representative 1 performs basic administrative/clerical/operational/customer… more
    Humana (11/24/25)
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  • Claims Processing…

    Humana (San Juan, PR)
    **Become a part of our caring community and help us put health first** The Claims Processing Representative 2 reviews and adjudicates complex or specialty ... claims , submitted either via paper or electronically. The Claims Processing Representative 2 performs varied activities and moderately complex… more
    Humana (11/20/25)
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  • Grievances & Appeals Representative

    Humana (San Juan, PR)
    …Previous inbound call center or related customer service experience + Previous experience processing medical claims + Bilingual (English and Spanish); with the ... help us put health first** The Grievances & Appeals Representative 3 manages client denials and concerns by conducting...and speak English and Spanish + Experience with the Claims Administration System (CAS) + Experience working with MHK… more
    Humana (11/19/25)
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  • Claim Supervisor - REMOTE

    Ryder System (San Juan, PR)
    …action plans if deficiencies are noted. Monitors staff's workflow to ensure accurate processing of claims , timely establishment of reserves, reviews and logs ... : **SUMMARY** This position supervises adjusters and directly handles claims within Ryder's self-insured, self-administered liability program. Oversees claim-handling… more
    Ryder System (10/30/25)
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