International Claims Analyst

Citizens

International Claims Analyst at Citizens, Inc. reviewing claims, ensuring compliance, and collaborating with agents and stakeholders in a bilingual environment.

Posted 4/22/2026full-timeGuaynabo • 🇵🇷 Puerto RicoMid-LevelSeniorWebsite

About the role

Key responsibilities & impact

Correspond with agents, policyholders, hospitals, doctors, attorneys, beneficiaries and claimants for information regarding the claim via email or phone call
Correspond with customers for resolutions of concerns through outgoing calls or written communications
Maintain communication with management regarding development within areas of assigned responsibilities and perform special projects as required or requested
Review policy contracts and determine if coverage is applicable
Review and prepare claims for processing; maintain claims information in the claims app
Determines base payment by referring to policy coverage and limits, and determines course of action (i.e., payment, further investigation or denial)
Process verifications and manage the verification inventory
Assess, research and correct claims discrepancies, collaborate with other members of the team as needed
Meet and maintain the minimum qualitative standards for an International Claims Analyst I

Requirements

What you’ll need

Bachelor’s degree preferred
insurance related work experience and strong computer skills acceptable
Courses in business, finance, economics and mathematics are particularly helpful
Skill in Microsoft Office products
Certification through coursework is expected
Certification is required for advancement to Claims Examiner or claims management positions
fluently bilingual with the ability to read, write and speak English and Spanish

Benefits

Comp & perks

medical, dental, vision
short-term and long-term disability
AD&D
group term life insurance
matching 401k
Virtual Visits
Employee Assistance Program
Paid Time Off
holidays

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

claims processingpolicy reviewclaims assessmentdiscrepancy resolutionverification managementcommunication skillsbilingual proficiency

Soft Skills

interpersonal skillsproblem-solvingcollaborationorganizational skills

Certifications

insurance certificationClaims Examiner certification