Claim specialist jobs in Guaynabo, PR - 26 jobs

By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there's no limit to what you can achieve. Newsweek Recognizes Sedgwick as America's Greatest Workplaces National Top Companies Certified as a Great Place to Work Fortune Best Workplaces in Financial Services & Insurance Specialty Loss Adjuster **Embark on an Exciting Career Journey with Sedgwick Specialty** **Job Location** **: USA, Mexico, Brazil and strategic locations globally** **Job Type** **: Permanent** **Remuneration** **: Salaries can range from** **_$40,000.00USD to $250,000.00USD_** **taking into account skills, experience and qualifications.** **We have a number of fantastic opportunities for Specialty Loss Adjusters across the US, Mexico and Brazil and a number of key locations** We are looking for a variety of skill sets at all levels. Whether you have just started your career, you are a leader in the industry, or a claims management expert looking for a new challenge, this is your chance to showcase your skills and grow with a company that values innovation, excellence, and employee satisfaction. Are you ready to be a part of providing a differentiated and best of class proposition to clients whilst working with like-minded colleagues? Sedgwick Specialty is thrilled to announce that we are investing in growth across Natural Resources, Property, Casualty, Technical and Special Risks and Marine. As we expand our operations, we are seeking individuals who are passionate about making a difference to the Adjusting industry. **As a member of the Specialty platform, you will have the opportunity to:** + Work with a wide range of clients across the globe, handling complex cases and claims + Collaborate with a talented and supportive team of professionals who are dedicated to delivering exceptional results + Utilise state-of-the-art technology and resources to streamline processes and enhance efficiency + Receive ongoing training and development opportunities to further enhance your skills and knowledge in the marine industry + Enjoy a flexible work arrangement that allows you to maintain a healthy work-life balance while contributing to our global success **The skills you will have when you apply:** + **Qualified** : it is important to us that you are either accredited, on your way to be accredited or qualified by experience + **Insurance claims experience:** it is imperative that you have experience working on insurance claims within you respective field. Full claims life cycle experience is a must + **Great communicator:** you will be constantly working with policy holders, brokers, carriers and various third parties, so being able to communicate accurately important. Providing an excellent customer service with our clients in mind. Able to approach issues empathetically + **Commercially minded:** An understanding of how the industry operates and where the role of a Loss Adjuster fits in. Being able to negotiate. Understanding how to market your services is a big advantage **What we'll give you for this role:** As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the annual salaries can range from _$40,000.00 to $250,000.00USD._ Bonus eligible role. A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits. Always Accepting Applications. **This isn't just a position, it's a pivotal role in shaping our industry** At Sedgwick, you won't just build your career; you'll cultivate a team of experts. Our Sedgwick University offering empowers you to excel as well as your team members, with the most comprehensive training program in the industry which includes more than 15,000 courses on demand, training specific to roles, and opportunities to continue formal education. Together, we're not only reshaping the insurance landscape, we're building a legacy of talent. Come and be a catalyst for change within our industry. **Next steps for you:** **Think we'd be a great match? Apply now -** ** we want to hear from you.** As part of our commitment to you, we are proud to have a zero tolerance policy towards discrimination of any kind regardless of age, disability, gender identity, marital/ family status, race, religion, sex or sexual orientation. After the closing date we will review all applications and may select some applicants for an interview (which may be virtual, or in-person). \#LI-HYBRID Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace. **If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The company's expertise, combined with the most advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With over 33,000 colleagues and 10,000 clients across 80 countries, Sedgwick provides unmatched perspective, caring that counts, and solutions for the rapidly changing and complex risk landscape. For more, see** **sedgwick.com**

College degree or an equivalent combination of education and experience. Minimum 2 years insurance adjusting experience with experience in each of at least two lines of business (casualty, property, or marine). Personal computer, typing and keyboarding skills In-depth knowledge of insurance coverage, practices and negotiating skills in multiple lines of business. Familiarity with legal, medical and technical disciplines within specific business lines. Strong verbal and written communication skills. Good analytical ability and mathematical aptitude. Good attention to detail and organizational skills. Ability to gather and analyze information, then determine and implement the appropriate course of action. Good interpersonal skills. Licensing as required by state and local jurisdictions. Additional continuing education as required by Crawford Educational Services and as applicable for jurisdictions in which claims are adjusted or investigated. College degree or an equivalent combination of education and experience. Minimum 2 years insurance adjusting experience with experience in each of at least two lines of business (casualty, property, or marine). Personal computer, typing and keyboarding skills In-depth knowledge of insurance coverage, practices and negotiating skills in multiple lines of business. Familiarity with legal, medical and technical disciplines within specific business lines. Strong verbal and written communication skills. Good analytical ability and mathematical aptitude. Good attention to detail and organizational skills. Ability to gather and analyze information, then determine and implement the appropriate course of action. Good interpersonal skills. Licensing as required by state and local jurisdictions. Additional continuing education as required by Crawford Educational Services and as applicable for jurisdictions in which claims are adjusted or investigated. #LI-CB3 Investigate coverage, liability, and damages with all parties involved in a claim as requested by our customers or Crawford and Company or a subsidiary thereof. Investigate claims by interviewing claimants, witnesses, establish claim reserves, handle evidence, obtain and interpret official reports, medical reports and claim forms, and attend/participate at mediation, trials or hearings. Negotiates and settles claims, sets reserves, and manages litigation within client service parameters and authority levels by obtaining demands and making offers to claimants. May present evidence at legal proceedings. Provide filings with regulatory agencies, disposing of salvage and pursuing subrogation when appropriate. Prepare reports by collecting and summarizing information required by the client and obtained through investigation. Self starter capable of working alone or with others. Maintains company reputation and insurance product integrity by complying with Federal and state regulations, client and Crawford and Company service standards. Maintain expected case loads in multiple lines of business while meeting established service delivery, production, quality, sales and educational objectives. May be required to work on-call during off work hours to respond to emergency on-site investigations. Maintain professional and technical knowledge through continuing education in multiple lines of business. Maintain acceptable product quality through compliance with service standards and compliance with internal quality control initiatives. Uphold and project the corporate image by participating in industry organizations and functions. Ability to multi-task in a time sensitive environment and handle job responsibilities with a sense of urgency. Participates in special projects or performs duties in other areas as requested. Upholds the Crawford Code of Conduct.

Role Purpose The Accident and Health Claims Adjuster is responsible to handle, investigate, analyze, calculate and approve insurance claims filed by policyholders and determine the extent of insurance company's liability concerning Accident and Health claims. Key Responsabilities Manage, evaluate and adjust Accident & Health claims as per the policy terms and conditions including application of exclusions if applicable. Work and manage as many fast track claims as possible (Medical Expenses) and analyze medical records. Assist in resolving complaints from policyholders relative to claims. Comply with OCS, PMP objectives, Claims Best Practices guidelines & standards of services as required. Do coverage determination position letters to policyholders. Perform specials projects and other related duties as assigned. Make timely decisions on claim approval, partial payment, or denial with clear justifications. Identify potential fraudulent claims and refer cases as necessary for investigation. Bachelor's Degree in Business Administration. Adjusters License from the Office of the Commissioner of Insurance of Puerto Rico (OCS). Demonstrated experience and/or knowledge in claims related to the following coverage's: Accident, Medical Expenses, Cancer, Critical Illnesses, Disability, Hospitalization, and SINOT, among others including policy interpretation. Strong ability to perform mathematical calculations. Demonstrate flexibility and adaptability to work in a fast moving and challenging environment. Proficient in MS Applications (Word, Excel and Power Point). Intermediate knowledge of the structure and content of the English and Spanish Language.

Location: Must live within a commutable distance of the Oriskany, NY, Tampa, FL, Bloomfield, CT Cary, NC, Aurora, IL, Bridgewater, NJ, Omaha, NE, Warwick, RI, Clark Summit, PA, San Juan, PR, West Des Moines, IA office Once a month in office for meetings How You'll Help Us Build a Confident Future (Key Responsibilities) * Coaches, coordinates, and develops Multi-State PFL, FML and ADA Claims Specialists. * Acts as resources for claim-related and technical issues. * Monitors case managers' work queues to ensure claims team is meeting expectations and applicable performance guarantees. * Conducts exceeds authority reviews daily, weekly quality audits; resolves escalated phone calls. * Analyzes trending opportunities to provide ongoing trainings. * Provides real time coaching to Claims Specialists. * Provides feedback to Unit Leaders on individuals' and overall team performance. * Daily and weekly reporting to ensure compliance measures are met. * Performs other related duties as assigned or required. What You Need to Succeed (Required Qualifications) * Positive mindset and willingness to learn. * 1+ years of Disability Insurance experience. * Must be able to communicate clearly and effectively, both written and verbal. * Ability to work with autonomy, minimal direction. * Strong computer skills (word, excel, manipulating reports, spreadsheets, etc...). * High School Diploma. What Can Give You an Edge (Additional Skills) * 1+ years of Paid Family Leave experience. * 5+ years of Disability Insurance experience. * Excellent analytical, decision making and problem-solving skills. * Highly self-motivated. Equal Employment Opportunity/Disability/Veterans If you need an accommodation due to a disability, please email us at accommodations@metlife.com. This information will be held in confidence and used only to determine an appropriate accommodation for the application process. MetLife maintains a drug-free workplace.

CSV Specialist to support the installation of several manufacturing solid dosage equipment such as but not limited to: Encapsulator Checkweigher Compression machine Hardness tester Encapsulation machine Auxiliary equipment Main activities should include: Verification of the equipment installed and configured at the vendor site (FAT). Implement the progression from FAT through IOQ in accordance with the CC strategy. Installation at the manufacturing room for qualification activities. Qualification activities in the manufacturing room areas. Development of Standard Operating Procedures. Generation and routing of calibration and preventive maintenance forms. Development and approval of GxP and automation impact assessments. Provide alternatives to resolve documentation situations. Establish project communication and documentation controls. Assure consistent quality of activities that meets or exceeds the requirements. Requirements Bachelor in Science or related field 2 -3 years of experience as CSV consultant in regulated industry. Experience with MS Office applications (Word, Excel and MS Project) Excellent technical writing skills. Bilingual: English and Spanish, speaking and writing.

Job Type Part Time Opportunity - Monday through Saturday | 4:00pm-8:00pm This job requires you to participate in training for eight consecutive weeks from 8:00 a.m. to 5:00 p.m. also requires you to work sitting down and using telephone equipment all the time. Flexibility to work weekends, extended hours, and holidays is also required if necessary. General Description Locates and notifies customers by telephone with delinquent accounts and attempts to secure payment. Essential Duties and Responsibilities Contact customers by phone to encourage and secure payment of delinquent accounts. Dialogue with customer by telephone in attempt to determine reason for overdue payment, reviewing terms of sales, service, or credit contract with customer. Provides orientation to the customer concerning payment alternatives, debt restructuring, and obtaining a payment promise. Follows up on payment promises. Receives payments and posts the amount paid to the customer account. Records information about the financial status of customers, updates demographic information, and the status of collection efforts. Traces the customer to a new address by inquiring at the post office and other locations. Education 24 credits approved from a University or Accredited Institution or equivalent combination of education and experience. Experience At least one year of related experience in collections or customer service. Other Qualifications Ability to identify the client's problems and necessities and offer different alternatives and solutions. Excellent interpersonal skills and can work in groups. Ability to manage difficult situations with clients. Communication skills spoken and written in Spanish and English (preferred). Ability to establish priorities and work on multiple tasks at the same time. Ability to work under pressure and meet deadlines. Customer service skills. Knowledge of rules and regulations applicable to the collection of money. Ability to influence others, reach agreements, and handle difficult situations with clients. Values 1. Passion for People3. Succeed Together2. Own Every Moment4. Build the Future Important: The candidate must provide evidence of academic preparation or courses related to the job posting, if necessary. Our hybrid work model benefit applies to certain positions and is subject to changes based on the organizational needs. Applicants must be authorized to work for any employer in the United States. This position is not open to applicants who need visa sponsorship or transfer of visa sponsorship at this time. ABOUT US Popular is Puerto Rico's leading financial institution and have been evolving since it was founded over a century ago. From a small bank it has developed into a large corporation that offer a wide variety of services and financial solutions to our customers, with presence in the United States, the Caribbean and Latin America. As employees, we are dedicated to making our customers dreams come true by offering financial solutions in each stage of their life. Our extensive trajectory demonstrates the resiliency and determination of our employees to innovate, reach for the right solutions and strongly support the communities we serve; therefore, we value their diverse skills, experiences and backgrounds. We reaffirm our commitment to always offer essential financial services and solutions for our customers and communities, including during emergency situations and/or natural disasters. Popular's employees are considered essential workers, whose role is critical in the continuity of these important services even under such circumstances. By applying to this position, you acknowledge that Popular may require your services during and immediately after any such events. If you have a disability or need more information about requesting an accommodation, please contact us at ***************************. This email inbox is monitored for such types of requests only. All information you provide will be kept confidential and will be used only to the extent required to provide needed exemptions or reasonable accommodations. Any other correspondence will not receive a response. Are you ready for a rewarding career? Popular is an Equal Opportunity Employer, including Disability/Vets Learn more about us at *************** and keep updated with our latest job postings at ******************** . Connect with us! LinkedIn | Facebook | Twitter | Instagram If you are a California resident, please click here to learn more about your privacy rights.

Responsibilities & Duties:Claims Processing and Assessment: * Evaluate incoming claims to determine eligibility, coverage, and validity. * Conduct thorough investigations, including reviewing medical records and other relevant documentation. * Analyze policy provisions and contractual agreements to assess claim validity. * Utilize claims management systems to document findings and process claims efficiently. Communication and Customer Service: * Communicate effectively with policyholders, beneficiaries, and healthcare providers regarding claim status and requirements. * Provide timely responses to inquiries and maintain professional and empathetic communication throughout the claims process. * Address customer concerns and escalate complex issues to senior claims personnel or management as needed. Compliance and Documentation: * Ensure compliance with company policies, procedures, and regulatory requirements. * Maintain accurate records and documentation related to claims activities. * Follow established guidelines for claims adjudication and payment authorization. Quality Assurance and Improvement: * Identify opportunities for process improvement and efficiency within the claims department. * Participate in quality assurance initiatives to uphold service standards and improve claim handling practices. * Collaborate with team members and management to implement best practices and enhance overall departmental performance. Reporting and Analysis: * Generate reports and provide data analysis on claims trends, processing times, and outcomes. * Contribute to the development of management reports and presentations regarding claims operations.

**Req ID:** 351726 NTT DATA strives to hire exceptional, innovative and passionate individuals who want to grow with us. If you want to be part of an inclusive, adaptable, and forward-thinking organization, apply now. We are currently seeking a ERP Functional Specialist to join our team in San Juan, Puerto Rico (US-PR), United States (US). **Overview of job** **:** This is a **6 month position** that will be responsible for providing business analysis, data cleanup, data validation and functional support to the Oracle PeopleSoft Financials application for the client. The position will also be responsible for enhancing Oracle PeopleSoft Financials functionality and reporting as well as maintaining integrity of existing functionality. This role is on client site. **Job Responsibilities Include:** + Perform business analysis and functional support for the Oracle PeopleSoft Financial application version 8.4. Functional areas include, but are not limited to, Billing, Accounts Receivable, Accounts Payable, and General Ledger. + Training users in the PeopleSoft application + Provide telephonic support to Oracle PeopleSoft Financial users + Financial Data Validation and Cleanup **Basic Qualifications** **:** + 4+ years of Accounting / Finance experience + 2+ years of functional experience with the following accounting modules: Billing, Accounts Receivable, Accounts Payable, and General Ledger + BBA accounting, finance or related degree + Bilingual ({Puerto Rican Spanish / English) + Selected candidate will be required to sit at the customer site in San Juan PR **Preferred Skills** **:** + Solid accounting background + Strong project, organizational and time management skills + Strong communication, interpersonal, analytical, and solid problem-solving skills. The role requires constant interaction with client subject matter experts **About NTT DATA** NTT DATA is a $30 billion business and technology services leader, serving 75% of the Fortune Global 100. We are committed to accelerating client success and positively impacting society through responsible innovation. We are one of the world's leading AI and digital infrastructure providers, with unmatched capabilities in enterprise-scale AI, cloud, security, connectivity, data centers and application services. our consulting and Industry solutions help organizations and society move confidently and sustainably into the digital future. As a Global Top Employer, we have experts in more than 50 countries. We also offer clients access to a robust ecosystem of innovation centers as well as established and start-up partners. NTT DATA is a part of NTT Group, which invests over $3 billion each year in R&D. Whenever possible, we hire locally to NTT DATA offices or client sites. This ensures we can provide timely and effective support tailored to each client's needs. While many positions offer remote or hybrid work options, these arrangements are subject to change based on client requirements. For employees near an NTT DATA office or client site, in-office attendance may be required for meetings or events, depending on business needs. At NTT DATA, we are committed to staying flexible and meeting the evolving needs of both our clients and employees. NTT DATA recruiters will never ask for payment or banking information and will only **************** ******************************* email addresses. If you are requested to provide payment or disclose banking information, please submit a contact us form, ************************************ . **_NTT DATA endeavors to make_** **_************************* **_accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact us at_** **_************************************_** **_._** **_This contact information is for accommodation requests only and cannot be used to inquire about the status of applications. NTT DATA is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. For our EEO Policy Statement, please click here (***************************************** . If you'd like more information on your EEO rights under the law, please click here (***************************************************** . For Pay Transparency information, please click here (***************************************** ._**

Mentor Technical Group (MTG) provides a comprehensive portfolio of technical support and solutions for the FDA-regulated industry. As a world leader in life science engineering and technical solutions, MTG has the knowledge and experience to ensure compliance with pharmaceutical, biotechnology, and medical device safety and efficacy guidelines. With offices in Caguas, Puerto Rico, and Boston, United States, we serve life sciences clients in six global markets: United States, Puerto Rico, Dominican Republic, Mexico, Germany, Canada, and South America. Responsibilities: Collaborate with C&Q Engineers to develop and maintain commissioning and qualification procedures and documents. Write, review, and approve C&Q protocols and reports for various systems (e.g., HVAC, utilities, production equipment, lab equipment). Execute commissioning and qualification activities for plants and equipment. Coordinate with external consultants and internal resources to ensure timely document generation and execution. Manage change controls and deviations related to plants and equipment. Support maintenance and calibration functions to improve compliance and quality. Provide expertise in troubleshooting and root cause investigations. Facilitate the transfer of technical knowledge across units and sites. Qualifications Requirements/Knowledge/Education/Skills: Bachelor's or Master's degree in Chemical Engineering, Pharmaceutical Technology, or a related scientific field. At least 2 years of experience in GMP manufacturing relevant to the area of expertise. Proficiency in English; additional language skills are a plus. Strong understanding of regulatory requirements and quality standards. Excellent analytical, problem-solving, and communication skills. Ability to work collaboratively in a team environment. Mentor Technical Group es un empleador que ofrece igualdad de oportunidades y todos los solicitantes calificados recibirán consideración para el empleo sin importar raza, color, religión, sexo, orientación sexual, identidad de género, información genética, origen nacional, estado de veterano protegido, estado de discapacidad o cualquier otro grupo protegido por ley. Mentor Technical Group is an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, genetic information, national origin, protected veteran status, disability status, or any other characteristic protected by law.

**Req ID:** 351726 NTT DATA strives to hire exceptional, innovative and passionate individuals who want to grow with us. If you want to be part of an inclusive, adaptable, and forward-thinking organization, apply now. We are currently seeking a ERP Functional Specialist to join our team in San Juan, Puerto Rico (US-PR), United States (US). **Overview of job** **:** This is a **6 month position** that will be responsible for providing business analysis, data cleanup, data validation and functional support to the Oracle PeopleSoft Financials application for the client. The position will also be responsible for enhancing Oracle PeopleSoft Financials functionality and reporting as well as maintaining integrity of existing functionality. This role is on client site. **Job Responsibilities Include:** + Perform business analysis and functional support for the Oracle PeopleSoft Financial application version 8.4. Functional areas include, but are not limited to, Billing, Accounts Receivable, Accounts Payable, and General Ledger. + Training users in the PeopleSoft application + Provide telephonic support to Oracle PeopleSoft Financial users + Financial Data Validation and Cleanup **Basic Qualifications** **:** + 4+ years of Accounting / Finance experience + 2+ years of functional experience with the following accounting modules: Billing, Accounts Receivable, Accounts Payable, and General Ledger + BBA accounting, finance or related degree + Bilingual ({Puerto Rican Spanish / English) + Selected candidate will be required to sit at the customer site in San Juan PR **Preferred Skills** **:** + Solid accounting background + Strong project, organizational and time management skills + Strong communication, interpersonal, analytical, and solid problem-solving skills. The role requires constant interaction with client subject matter experts **About NTT DATA** NTT DATA is a $30 billion business and technology services leader, serving 75% of the Fortune Global 100. We are committed to accelerating client success and positively impacting society through responsible innovation. We are one of the world's leading AI and digital infrastructure providers, with unmatched capabilities in enterprise-scale AI, cloud, security, connectivity, data centers and application services. our consulting and Industry solutions help organizations and society move confidently and sustainably into the digital future. As a Global Top Employer, we have experts in more than 50 countries. We also offer clients access to a robust ecosystem of innovation centers as well as established and start-up partners. NTT DATA is a part of NTT Group, which invests over $3 billion each year in R&D. Whenever possible, we hire locally to NTT DATA offices or client sites. This ensures we can provide timely and effective support tailored to each client's needs. While many positions offer remote or hybrid work options, these arrangements are subject to change based on client requirements. For employees near an NTT DATA office or client site, in-office attendance may be required for meetings or events, depending on business needs. At NTT DATA, we are committed to staying flexible and meeting the evolving needs of both our clients and employees. NTT DATA recruiters will never ask for payment or banking information and will only **************** ******************************* email addresses. If you are requested to provide payment or disclose banking information, please submit a contact us form, ************************************ . **_NTT DATA endeavors to make_** **_************************* **_accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact us at_** **_************************************_** **_._** **_This contact information is for accommodation requests only and cannot be used to inquire about the status of applications. NTT DATA is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. For our EEO Policy Statement, please click here (***************************************** . If you'd like more information on your EEO rights under the law, please click here (***************************************************** . For Pay Transparency information, please click here (***************************************** ._**

mîrus Consulting Group is a local company based in Humacao, Puerto Rico that provides computer system validation and information technology consulting services to pharmaceutical companies and other organizations across the Island and parts of the United States. Its services include the assessment and validation of automation equipment, network infrastructures and business processes, as well as the project management involved. Position Summary: The CSV Specialist will be responsible for managing and executing all activities related to Computer System Validation (CSV) throughout the full validation lifecycle, ensuring compliance with FDA, cGMP, 21 CFR Part 11, GAMP 5, and corporate standards. This position will support system implementations, upgrades, and periodic reviews across manufacturing and quality systems, with a strong focus on parenteral processes and regulated environments. Key Responsibilities: Develop, review, and execute CSV deliverables including Validation Plans, Risk Assessments, URS, FRS, IQ/OQ/PQ protocols, and Validation Summary Reports. Ensure that computerized systems meet data integrity and regulatory compliance requirements. Support system implementations, migrations, and upgrades, collaborating closely with IT, QA, and Manufacturing teams. Participate in impact assessments, change control activities, and periodic system reviews. Provide technical and compliance support during internal and external audits. Maintain validation documentation in alignment with company quality systems and GAMP 5 guidance. Support troubleshooting, deviation resolution, and CAPA implementation related to validated systems. Promote continuous improvement and standardization of CSV practices across site operations. Qualifications & Requirements: Bachelor's Degree in engineering, Computer Science, or a related scientific discipline. Minimum of 5 years of hands-on experience in Computer System Validation within the pharmaceutical or biotechnology industry. Strong knowledge of CSV lifecycle methodology, 21 CFR Part 11, Annex 11, and GAMP 5. Experience with parenteral operations or aseptic manufacturing environments preferred. Excellent documentation, communication, and teamwork skills. Fully bilingual (Spanish/English) preferred. This Company is an equal employment opportunity employer. We adhere to a policy of making employment decisions without regard to race, color, religion, sex, sexual orientation, national origin, citizenship, age or disability. We assure you that your opportunity for employment with this Company depends solely on your qualifications. ***************

Job Description Validation & Engineering Group, Inc. (V&EG) is a leading services supplier who provides solutions for the Pharmaceutical, Biotechnology, Chemical, Food, and Medical Devices industries in the following areas: Laboratory, Compliance, Computer, Engineering, Project Management, Validation, and other services. We are seeking a talented, dedicated individual committed to work under the highest ethics standards for the following position: Qualification / Computer System Validation (CSV) Qualifications: Bachelor's Degree in Science or Engineering. Minimum of 2 years of experience in direct pharmaceutical, medical device or biotechnology industries. Experience in direct process / manufacturing areas. Must be fully bilingual (English / Spanish) with excellent oral skills. Must be proficient using MS Windows and Microsoft Office applications. Strong knowledge in cGxP and regulatory guidance as well as understanding of how they are applied to regulatory compliance. SDLC: URS, VP, FDS, DQ, TMX, Risk Assessment, Data Integrity, FAT / SAT. Technical Writing skills and investigations processes. Available to work extended hours, possibility of weekends and holidays.

Who We Are: Hi-Lite is a Best-in-Class organization. We are the leader in airfield rubber and paint removal, surface preparation, crack seal, and pavement maintenance. Starting wage: $15.00 Working with the Best: Hi-Lite Airfield Services, LLC is a first class organization for someone interested in a career in airport markings and maintenance. Our personnel include people who have started work as laborers and risen to management status, as well as those who have had previous experience with similar firms in our industry. We offer a full range of benefits such as medical and dental insurance, paid holidays, 401 K match, paid training and other benefits. We are a people powered organization, our people come first and our culture matters. What We Offer: Hi-Lite offers generous compensation, including: $15.00/hour to start while working on airfield. Great benefits include health insurance options, 401K with match, paid time off, and a Christmas bonus. Hi-Lite pays for your airfare to/from job sites, hotel costs, and provides per diem for food Starting Pay Depending on Experience for proven operators What Hi-Lite Expects From You: Ability to travel overnight Good attendance Willingness to learn Work Authorization/Security Clearance: 10-year criminal background search Meet badging requirements at all airports Pre-employment drug screen Valid Driver's License with clean driving history - must be a Real ID Social Security Card What You Will Do: Drive and operate equipment including a forklift, grinder, bobcat, hand striping equipment, blowers, and pickup trucks. Perform a variety of tasks involving strenuous manual labor in heavy/airport construction projects; perform manual work in preparing surfaces for striping and maintenance. Moving stencils, and duct-taping to prepare for painting. Maintenance and protection of traffic. Maintain a clean job site: pick up all tools and equipment and secure the job site each day to eliminate potential hazards. Material handling and storage. Must be able to lift a minimum of 50 lbs. Load and unload trucks and haul and hoist materials. Ensure that proper safety and incident reporting procedures are followed. Bring problems to the attention of the Supervisor, Human Resources Manager, or Safety Manager. Must be willing to travel for extended periods of time. May be required to travel independently and have the ability to read and understand road maps. Must be knowledgeable and comply with Federal Motor Carrier regulations. Working around high-pressure water systems and basic pneumatic troubleshooting skills. Types of Equipment We Use: Removal Division - Water Blaster & Grinder Truck Operators on the following: Blasters Inc Equipment Hog Technologies Equipment Cyclone Technologies Equipment MRL Equipment Company, Inc Markings Division - Airmark Applicators, Paint Truck Operators, & Hand Equipment Operators on the following: MRL Equipment Company Inc Paint Trucks Graco Hand Equipment PPG Infrared Heaters K&M International Infrared Heaters Hours of Work: Day, night, and weekend hours will be required Other Duties: Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice. AAP/EEO Statement: Hi-Lite is an EEO Company. It is the policy of Hi-Lite to prohibit discrimination and harassment of any type and to afford EEO to all employees and applicants without regard to race, color, religion, gender, sexual orientation, gender identity, national origin, age, disability, genetic information, marital status, amnesty or status as a covered veteran in accordance with applicable federal, state and local laws. Hi-Lite complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. Hi-Lite's EEO policy applies to all terms and conditions of employment, including hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.

Be Here. Be Great. Working for a leader in the insurance industry means opportunity for you. Great American Insurance Group's member companies are subsidiaries of American Financial Group. We combine a "small company" culture where your ideas will be heard with "big company" expertise to help you succeed. With over 30 specialty and property and casualty operations, there are always opportunities here to learn and grow. At Great American, we value and recognize the benefits derived when people with different backgrounds and experiences work together to achieve business results. Our goal is to create a workplace where all employees feel included, empowered, and enabled to perform at their best. The Crop Division of Great American has been helping generations of farmers take control of their risks since 1915. The Division is also one of a select few private companies authorized by the United States Department of Agriculture Risk Management Agency (USDA RMA) to write MPCI policies. With six regional offices throughout the U.S., the teams provide tremendous expertise in the specific needs of farmers and crops. ********************************** Great American is currently seeking Seasonal Crop Adjusters. These positions are seasonal and may not be eligible for full-time or part-time benefits. Qualified candidates will cover territory in one of the following states: * Alabama * Arkansas * California * Colorado * Florida * Georgia * Idaho * Illinois * Indiana * Iowa * Kansas * Kentucky * Louisiana * Michigan * Minnesota * Mississippi * Missouri * Montana * Nebraska * New York * North Carolina * North Dakota * Ohio * Oklahoma * Oregon * Pennsylvania * South Carolina * South Dakota * Tennessee * Texas * Washington * Wisconsin * Wyoming Schedule: Seasonal part-time. Hours fluctuate based on seasonal needs. As a Crop Adjuster, you will: * Understand and can work claims for all major crops, policy/plan types, in all stages of growth. * Complete field inspections, reviews, and adjustments by reading maps and aerial photos, measuring fields and storage bins, and appropriately administering company Crop insurance policies. * Review and evaluates coverage and/or liability. * Secure and analyze necessary information (i.e., reports, policies, appraisals, releases, statements, records, or other documents) in the investigation of claims. * Ensure compliant and cost effective application of Crop policies by leveraging knowledge of basic insurance statutes and regulations and complying with state and federal regulatory requirements. * Accurately document, process and transmit loss information to determine potential. * Works toward the resolution of claims files, and may attend arbitrations, mediations, depositions, or trials as necessary. * May affect settlements/reserves within prescribed limits and submit recommendations to supervisor on cases exceeding personal authority. * Conveys simple to moderately complex information (coverage, decision, outcomes, etc.) to all appropriate parties, maintaining a professional demeanor in all situations. * Ensures that claims handling is conducted in compliance with applicable statues, regulations, and other legal requirements, and that all applicable company procedures and policies are followed. * Follow regulatory and company rules, policies, and procedures. * Performs other duties as assigned. Physical Requirements for employees in the Crop Business Unit/Crop Claims General Adjuster * Requires continuous and prolonged walking and standing. * Requires frequent lifting, carrying, pushing and pulling of objects up to 50 lbs. * Requires frequent climbing grain bins, bending, twisting, stooping, kneeling and crawling. * Requires overhead reaching and grabbing. * Requires regular and predictable attendance. * Requires ability to conduct visual inspections. * Requires work outdoors, in inclement weather conditions. * Requires frequent travel. * May require ability to operate a motor vehicle. Business Unit: Crop Salary Range: $0.00 -$0.00 Benefits: Compensation varies by role, position level, and location. Individual pay is influenced by skills, education, training, certifications, experience, and the role's scope and complexity, along with business needs. We offer a competitive Total Rewards package, including medical, dental, and vision plans starting on day one, PTO, paid holidays, commuter benefits, an employee stock purchase plan, education reimbursement, paid parental leave/adoption assistance, and a 401(k) plan with company match. These benefits are available to eligible full-time and part-time employees. Your recruiter can provide more details about our total rewards and specific compensation ranges during the hiring process.

For Computer and System Validation services in the Engineering area. WHAT MAKES YOU A FIT: The Technical Part: Bachelor's degree in engineering or science with five (5) years of experience in computerized system validation of the pharmaceutical or biopharmaceutical industry. Experience in: Design and execution of compliant and efficient validation strategies for system and equipment. Development of a technically competent and focused customer service-oriented team. Ensure that timely and adequate computerized system validation is performed in conformance with cGMP's plant procedures, corporate policies, and applicable regulations (FDA, ENEA, DEA, etc.) Prioritizes projects and schedules as needed. Provides guidance for determining work procedures, preparation of work schedule, and expediting of workflow. The Personality Part: Besides being an CSV Pro, you're able to analyze data so that not a single inconsistency gets past you (which allows you to be an amazing problem-solver). You're also a skilled multitasker with an incredible ability to set priorities. Add to this a commitment to serving customers with high-quality research and products, to embracing a diverse work culture, and even to the environment, and you might just be what we're looking for! AS A PIECE OF FITS, YOU WILL: (The day-to-day on the job) Define and execute strategies for IT Computerized Systems, Computerized System Validation and Data Integrity Compliance for Computerized Systems. Design and execute Validation Plans and Protocols for Computerized Systems. Perform data integrity risk assessment for new and existing computerized systems. Execute Periodic Review activities for the Computerized System in adherence with Site, Regulatory, and Client Corporate Requirements. Work both independently and in a team environment with representatives from Quality, Engineering, Manufacturing Operations, and Manufacturing Science & Technology. Work within the Office Environment and GMP Controlled Cleanrooms. Work within a Facility that requires high diligence and, on occasion, use Personal Protective Equipment (PPE) effectively. Coordinate and execute activities as per the approved Protocol. Perform computerized systems validation in conformance with cGMPs, plan procedures, corporate policies, and applicable regulations (FDA, DEA, etc.) WHO WE ARE: We are a Service Provider company different from the rest. We pride ourselves in how we treat the most important piece of our company's puzzle: you! We integrate Engineering, Construction, Maintenance, Utilities and Specialized Technical services across the Island (and in the US as well!). Our company is flexible, family-oriented and focused on our resources' well-being, while providing our Pharmaceutical, Medical Device and Manufacturing industry clients with top-notch quality talent. We're FITS! Are you the next piece?

At Fluor, we are proud to design and build projects and careers. We are committed to fostering a welcoming and collaborative work environment that encourages big-picture thinking, brings out the best in our employees, and helps us develop innovative solutions that contribute to building a better world together. If this sounds like a culture you would like to work in, you're invited to apply for this role. Fluor is a leading government contractor with a proven track record of delivering high‑value technical solutions around the world to U.S. government agencies such as the DOE, NNSA, the Department of Defense and the Intelligence Community. **Job Description** The purpose of this position to apply recently gained education or experience to promote a safe work environment. These problems include but are not limited to prevention of human injury, environmental degradation and unsafe working conditions/practices. This is done through health, safety and environmental training, programs, and processes with a visible and uncompromised commitment to the protection of the environment as well as the productivity of the Company's employees. - Promote HSE standards and goals with programs throughout the Company and/or project to foster a safe and productive work environment - Assist with the administration of simple HSE programs involving lower levels of employees on the project or in the office through presentations, printed materials, and activities - Provide support in the development of simple HSE project plans and development of simple HSE specifications - Using established procedures, assist in the preparation of surveys, audits, evaluations, inspections, and investigations of incidents and activities to monitor and track HSE standards, programs and goals including project environmental data collection and documentation - Adhere to and support Fluor's Health, Safety & Environmental and Sustainability Policies - Other duties as assigned **Basic Job Requirements** - Accredited four (4) year degree or global equivalent in applicable field of study and no required years of work-related experience or a combination of education and directly related experience equal to four (4) years if non-degreed; some locations may have additional or different qualifications in order to comply with local requirements - Ability to communicate effectively with audiences that include but are not limited to management, coworkers, clients, vendors, contractors, and visitors - Job related technical knowledge necessary to complete the job - Ability to learn and apply knowledge of applicable local, state/province, and federal/national statutes and guidelines - Ability to attend to detail and work in a time-conscious and time-effective manner **Other Job Requirements** - Gather industry-wide HSE-related information and data for application to HSE programs and procedures - Occasionally assist with the activities of subordinates when requested by supervisor **Preferred Qualifications** - Basic computer and software skills to include the use of word processing and email as well as the intermediate use of spreadsheets and electronic presentations We are an equal opportunity employer. All qualified individuals will receive consideration for employment without regard to race, color, age, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, genetic information, or any other criteria protected by governing law. Benefits Statement: Fluor is proud to offer a comprehensive benefits package designed to promote employee health, wellness, and financial security. Our offerings include medical, dental and vision plans, EAP, disability coverage, life insurance, AD&D, voluntary benefit plans, 401(k) with a company match, paid time off (personal, bereavement, sick, holidays) for salaried employees, paid sick leave per state requirement for craft employees, parental leave, and training and development courses. Market Rate Statement: The market rate for the role is typically at the mid-point of the salary range; however, variations in final salary are determined by additional factors such as the candidate's qualifications, relevant years of experience, geographic location, internal pay equity, and prevailing market conditions for the specific role. Notice to Candidates: Background checks are carried out as part of any conditional offer made, including (but not limited to & role dependent) education, professional registration, employment, references, passport verifications and Global Watchlist screening. To be Considered Candidates: Must be authorized to work in the country where the position is located. Salary Range: $38,000.00 - $65,000.00

The Claims Specialist (Auditor) position is responsible for assuring compliance with Medicaid, Commercial claims payment regulation. This position contributes to the identification and recovery of improper payments through management of claims audit timelines, billing, coding and payment analysis. Essential Functions: * Conduct research and analysis utilizing claims and direct member reimbursement policies and procedures; the Center for Medicare and Medicaid Services (CMS) Manuals and pricing established for the Medicaid and commercial lines. Responsible for maintaining knowledge base of Medicaid and Commercial rules and regulations. * Conduct claims and direct member reimbursements audits to evaluate compliance with Medicaid regulations and Commercial line. Responsible for identifying trends/concerns and conduct root cause analysis for identified concerns and document opportunities for improvement, make recommendations for process improvement, track, and trend performance for both claims analysts and claims process and develops trainings to address identified improvement opportunities. Evaluate the report where all the claims processed daily of the different products for the Medicaid and Commercial business lines sent by the supervisor are included. * Able to work efficiently in teams and fluidly switch between team and self-directed work priorities. Coordinate with Claims, Information Technology, and other internal and external business partners to analyze and resolve data submission issues at the organization, provider, and regulator levels. Evaluate letters of denied claims and identify those that correspond to the development carried out by the Claims Department to be informed of Compliance. * Reports possible instances of fraud and abuse, if found. Validation of the reimbursements worked by the Claims Department of the different products for the Medicaid and Commercial business lines. * The Financial Recovery Claims Auditor will generate assessment reports monthly, quarterly, or as required. The Financial Recovery Claims Auditor will ensure: The charges listed on the invoice are correct. The services were paid according to the amount agreed upon in the service contract. * Complies with all guidelines established by the Centers for Medicare and Medicaid (CMS) and guidelines set forth by other regulatory agencies, where applicable. * All other duties assigned by management. Education: * Associate degree or four (2) years of experience in a directly related field * Certification of compliance Medical Auditor, "CMA" Experience: * Minimum three (3) years of claims processing with minimum two (2) years of claims auditing experience. Knowledge: * Knowledgeable with insurance policy, Medicare regulations and general claim compliance * Experience in CPT and ICD-10 coding and different pricing tools. * Know several different coding systems, including Level 1 HCPCS and Level 2 HCPCS.

Mentor Technical Group (MTG) provides a comprehensive portfolio of technical support and solutions for the FDA-regulated industry. As a world leader in life science engineering and technical solutions, MTG has the knowledge and experience to ensure compliance with pharmaceutical, biotechnology, and medical device safety and efficacy guidelines. With offices in Caguas, Puerto Rico, and Boston, United States, we serve life sciences clients in six global markets: United States, Puerto Rico, Dominican Republic, Mexico, Germany, Canada, and South America. Responsibilities: Collaborate with C&Q Engineers to develop and maintain commissioning and qualification procedures and documents. Write, review, and approve C&Q protocols and reports for various systems (e.g., HVAC, utilities, production equipment, lab equipment). Execute commissioning and qualification activities for plants and equipment. Coordinate with external consultants and internal resources to ensure timely document generation and execution. Manage change controls and deviations related to plants and equipment. Support maintenance and calibration functions to improve compliance and quality. Provide expertise in troubleshooting and root cause investigations. Facilitate the transfer of technical knowledge across units and sites. Qualifications Requirements/Knowledge/Education/Skills: Bachelor's or Master's degree in Chemical Engineering, Pharmaceutical Technology, or a related scientific field. At least 2 years of experience in GMP manufacturing relevant to the area of expertise. Proficiency in English; additional language skills are a plus. Strong understanding of regulatory requirements and quality standards. Excellent analytical, problem-solving, and communication skills. Ability to work collaboratively in a team environment. Mentor Technical Group es un empleador que ofrece igualdad de oportunidades y todos los solicitantes calificados recibirán consideración para el empleo sin importar raza, color, religión, sexo, orientación sexual, identidad de género, información genética, origen nacional, estado de veterano protegido, estado de discapacidad o cualquier otro grupo protegido por ley. Mentor Technical Group is an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, genetic information, national origin, protected veteran status, disability status, or any other characteristic protected by law.

Salary: $15 Who We Are: Hi-Lite is a Best-in-Class organization. We are the leader in airfield rubber and paint removal, surface preparation, crack seal, and pavement maintenance. Starting wage: $15.00 Working with the Best: Hi-Lite Airfield Services, LLC is a first class organization for someone interested in a career in airport markings and maintenance. Our personnel include people who have started work as laborers and risen to management status, as well as those who have had previous experience with similar firms in our industry. We offer a full range of benefits such as medical and dental insurance, paid holidays, 401 K match, paid training and other benefits. We are a people powered organization, our people come first and our culture matters. What We Offer: Hi-Lite offers generous compensation, including: $15.00/hour to start while working on airfield. Great benefits include health insurance options, 401K with match, paid time off, and a Christmas bonus. Hi-Lite pays for your airfare to/from job sites, hotel costs, and provides per diem for food Starting Pay Depending on Experience for proven operators What Hi-Lite Expects From You: Ability to travel overnight Good attendance Willingness to learn Work Authorization/Security Clearance: 10-year criminal background search Meet badging requirements at all airports Pre-employment drug screen Valid Driver's License with clean driving history - must be a Real ID Social Security Card What You Will Do: Drive and operate equipment including a forklift, grinder, bobcat, hand striping equipment, blowers, and pickup trucks. Perform a variety of tasks involving strenuous manual labor in heavy/airport construction projects; perform manual work in preparing surfaces for striping and maintenance. Moving stencils, and duct-taping to prepare for painting. Maintenance and protection of traffic. Maintain a clean job site: pick up all tools and equipment and secure the job site each day to eliminate potential hazards. Material handling and storage. Must be able to lift a minimum of 50 lbs. Load and unload trucks and haul and hoist materials. Ensure that proper safety and incident reporting procedures are followed. Bring problems to the attention of the Supervisor, Human Resources Manager, or Safety Manager. Must be willing to travel for extended periods of time. May be required to travel independently and have the ability to read and understand road maps. Must be knowledgeable and comply with Federal Motor Carrier regulations. Working around high-pressure water systems and basic pneumatic troubleshooting skills. Types of Equipment We Use: Removal Division - Water Blaster & Grinder Truck Operators on the following: Blasters Inc Equipment Hog Technologies Equipment Cyclone Technologies Equipment MRL Equipment Company, Inc Markings Division - Airmark Applicators, Paint Truck Operators, & Hand Equipment Operators on the following: MRL Equipment Company Inc Paint Trucks Graco Hand Equipment PPG Infrared Heaters K&M International Infrared Heaters Hours of Work: Day, night, and weekend hours will be required Other Duties: Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice. AAP/EEO Statement: Hi-Lite is an EEO Company. It is the policy of Hi-Lite to prohibit discrimination and harassment of any type and to afford EEO to all employees and applicants without regard to race, color, religion, gender, sexual orientation, gender identity, national origin, age, disability, genetic information, marital status, amnesty or status as a covered veteran in accordance with applicable federal, state and local laws. Hi-Lite complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. Hi-Lites EEO policy applies to all terms and conditions of employment, including hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.