Top 283 Claims Jobs in Guaynabo Pr

Remote Fraud Call Center Representative - Puerto Rico
Conduent Business Solutions of Puerto Rico, Inc. —Guaynabo, PR
- $12.10 an hour
- Email
- Remote
- Background check
- 18 years or older
- English
- Paid training
- Paid holidays
7d
Enrollment Specialist - San Juan, PR
UnitedHealth Group —San Juan, PR
- Overtime
- Pass drug screening
- HIPAA
- English
14d
Medical Billing Specialist (Entry-Level)
Advanced Analytics —San Juan, PR
- From $15 an hour
- Full-time
- Hybrid work
- Computer literacy
- High school diploma or GED
- Data entry
- Paid training
- Paid time off
Quick Apply
19h
Claims Analyst - REMOTE
Ryder System —San Juan, PR
- $90,000 - $100,000 a year
- Full-time
- Remote
- Customer service
- Bachelor's degree
- Experience equivalent to degree accepted
- Disability insurance
- Health insurance
Claims Representative
Chubb —San Juan, PR
- Full-time
- Analysis skills
- Senior level
- Communication skills
11d
Claims Associate
Walmart —Carolina, PR
- $14.50 - $27.50 an hour
- Full-time
- High school
- Forklift
- Ability to lift 50 pounds
- Paid jury duty
- Disability insurance
Pharmacy Technician / Pharm Tech Apprenticeship
Walgreens —Guaynabo, PR
- $17.50 - $21.00 an hour
- Weekends as needed
- Computer literacy
- English
- Fair chance
- Health insurance
- Dental insurance
Int'l Claims Analyst
Citizens, Inc. —Guaynabo, PR
- Full-time
- Writing skills
- HIPAA
- Research
- AD&D insurance
- Paid holidays
Quick Apply
Pharmacy Customer Service Associate
Walgreens —Bayamón, PR
- $16 - $18 an hour
- Part-time
- Computer literacy
- Basic math
- Maintenance
- Continuing education credits
- Health insurance
6d
Patient Collection Associate (San Juan, PR)
Smith & Nephew —San Juan, PR
- Full-time
- Hybrid work
- Data analysis skills
- HIPAA
- English
- Paid holidays
- Health insurance
Hospital Billing Operator
Deloitte —San Juan, PR
- $70,000 - $90,000 a year
- Full-time
- Microsoft Excel
- Mid-level
- Bachelor's degree
Pharmacist Call Center - San Juan, PR
UnitedHealth Group —San Juan, PR
- Extended hours
- Computer literacy
- Pass drug screening
- Primary Care
8d
Bilingual HR Admin Support
MY WIRELESS —San Juan, PR
- $11 - $13 an hour
- Full-time
- Bilingual
- Mid-level
- Communication skills
Quick Apply
Safety Manager – Puerto Rico
Keolis Transit America —San Juan, PR
- CDL B
- Background check
- Classroom
- Flexible schedule
Quick Apply
12d
Eagle Logistics Systems: Logistics Specialist
AJC International —Guaynabo, PR
- Full-time
- English
- Mid-level
- Bachelor's degree
Quick Apply
8d
Collections Representative - Dignity Health - Remote in San Juan, PR
Optum —San Juan, PR
- Overtime
- Remote
- Microsoft Outlook
- Computer literacy
- Pass drug screening
PBM Claims Analyst - Guaynabo PR
Alivia Health —Guaynabo, PR
Quick Apply
Pharmacy Customer Service Assoc. Cert
Walgreens —Guaynabo, PR
- $16 - $18 an hour
- Weekends as needed
- Computer literacy
- Maintenance
- English
- Continuing education credits
Claims SME (HCBS) - San Juan, PR
Optum —San Juan, PR
- Full-time
- Inventory management
- Pass drug screening
- English
17h
Secretary (Unit Secretary)
US Bureau of Prisons/Federal Prison System —Guaynabo, PR
- $50,241 - $83,257 a year
- Online Application
- Pass drug screening
- Mid-level
- Office

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Remote Fraud Call Center Representative - Puerto Rico

Conduent Business Solutions of Puerto Rico, Inc. -
Guaynabo, PR

Apply Now

Job Details

Full-time
$12.10 an hour
7 days ago

Benefits

Paid training
Paid holidays
Disability insurance
Health insurance
Dental insurance
Paid time off
Work from home
Vision insurance
Retirement plan

Qualifications

Computer operation
Customer communication
English
Windows
High school diploma or GED
Desktop applications
Computer skills

Full Job Description

Through our dedicated associates, Conduent delivers mission-critical services and solutions on behalf of Fortune 100 companies and over 500 governments - creating exceptional outcomes for our clients and the millions of people who count on them. You have an opportunity to personally thrive, make a difference and be part of a culture where individuality is noticed and valued every day.

Remote Fraud Call Center Representative - Puerto Rico

Must be proficient in English.

Must reside in Puerto Rico to be considered.

$12.10 HR

Opportunity to earn an additional $350 per month.

Great Benefits and Paid Training!

As a Customer Service Representative II, you will be responsible for the resolution of multi-product fraud related client requests by answering calls, chats, or emails in an inbound contact center. These individuals work in a fast-paced environment that requires accuracy, use of logic, multi-tasking, toggling between multiple systems and clearly communicating resolutions in an efficient manner while delivering a great client experience. They provide seamless service delivery to answer client questions, resolve problems, perform account maintenance, and look for opportunities to deepen relationships through digital solutions.

What we offer:

Work From Home
We are currently hiring for the following shifts: 12:00 PM–9:00 PM, 3:00 PM–12:00 AM Days off will vary.
Full-Time Employment: Reliable schedule and stability.
Competitive Pay: $12.10 starting on day one.
- Pay is $12.10/hour which may be below your state's minimum wage Please take this into consideration when applying.
Night differential: $1.50 per hour for any hours worked between 6pm to 6am AST, Monday through Sunday.
- This is not a specific overnight shift, the differential applies to hours you work that fall within that time window, based on your assigned schedule.
Weekend Shift Differential: $1.00 per hour (Sat and Sun, 6am-6pm AST)
Paid Training: Get the training you need to excel.
Incentive Plan: Potential to earn up to an additional $350 per month after training by meeting performance metrics.
Full Benefits: Comprehensive benefit options and a great work environment that values your success

What You'll Do:

Manage inbound calls from customers regarding account inquiries, transactions, and fraud concerns.
Identify and respond to potential fraud using training, account data, and internal tools; escalate complex cases as needed.
Process fraud claims and disputes per client guidelines.
Clearly explain account issues and resolutions, ensuring a professional, empathetic, and confidential approach.
Conduct investigations with accuracy and care, documenting all actions and conversations in the case management system.
Support team operations with other duties and tasks as assigned.

What We're Looking For:

A clear communicator who can explain complex topics in simple terms.
A passionate, reliable professional with integrity and a drive to deliver exceptional service.
Someone committed to excellent attendance and able to follow a structured, full-time schedule.
A confident conversationalist who builds rapport, anticipates needs, and handles objections with ease.
Strong written and verbal communication skills with attention to accuracy.
Comfortable navigating multiple systems and screens in a fast-paced environment.
Ready to take high-volume calls while maintaining focus and professionalism.

Required Qualifications:

Must be at least 18 years old and possess a High School Diploma or equivalent.
Must have 6 months of Customer Service, Call Center or Dispatch experience.
Complete a background check, credit check, and security fingerprinting.
Working knowledge of computers and Windows applications.

Training Requirements:

Completion of a mandatory 3-week training program (Week 1 classroom; Weeks 2–3 call handling with support).
Must maintain an average quiz score of 80%+ and complete all required E-Learning training.

Technical & Workspace Requirements:

Must have a secure, reliable high-speed internet connection, including a verified speed test of at 50 download Mbps & 10 upload; (no Wi-Fi).
Must maintain a dedicated work area with a desk, chair, power access, and direct LAN (wired) connection.
Company equipment will be provided

Preferred Qualifications:

6 months of experience in the banking or financial industry.

Looking for more information?
We’re happy to help. Visit our landing page to explore key details about the role, including shift schedules, examples of call types, FAQs, and our workspace and internet requirements. It’s a great resource to help you understand what to expect and determine whether this opportunity is the right fit for you.

Landing Page: About Call Center Representative Role

Pay Transparency Laws in some locations require disclosure of compensation and/or benefits-related information. For this position, actual salaries will vary and may be above or below the range based on various factors including but not limited to location, experience, and performance. In addition to base pay, this position, based on business need, may be eligible for a bonus or incentive. In addition, Conduent provides a variety of benefits to employees including health insurance coverage, voluntary dental and vision programs, life and disability insurance, a retirement savings plan, paid holidays, and paid time off (PTO) or vacation and/or sick time. The estimated hourly rate for this role is $12.10 per hour.

Conduent is an Equal Opportunity Employer and considers applicants for all positions without regard to race, color, creed, religion, ancestry, national origin, age, gender identity, gender expression, sex/gender, marital status, sexual orientation, physical or mental disability, medical condition, use of a guide dog or service animal, military/veteran status, citizenship status, basis of genetic information, or any other group protected by law.

For US applicants: People with disabilities who need a reasonable accommodation to apply for or compete for employment with Conduent may request such accommodation(s) by submitting their request through this form that must be downloaded: click here to access or download the form. Complete the form and then email it as an attachment to [email protected]. You may also click here to access Conduent's ADAAA Accommodation Policy.

Apply Now

Refine Your Search

claims jobs in guaynabo pr

Remote Fraud Call Center Representative - Puerto Rico

Enrollment Specialist - San Juan, PR

Medical Billing Specialist (Entry-Level)

Claims Analyst - REMOTE

Claims Representative

Claims Associate

Pharmacy Technician / Pharm Tech Apprenticeship

Int'l Claims Analyst

Pharmacy Customer Service Associate

Patient Collection Associate (San Juan, PR)

Hospital Billing Operator

Pharmacist Call Center - San Juan, PR

Bilingual HR Admin Support

Safety Manager – Puerto Rico

Eagle Logistics Systems: Logistics Specialist

Collections Representative - Dignity Health - Remote in San Juan, PR

PBM Claims Analyst - Guaynabo PR

Pharmacy Customer Service Assoc. Cert

Claims SME (HCBS) - San Juan, PR

Secretary (Unit Secretary)

I want to receive the latest job alert for claims in guaynabo pr

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