Claims Intake & Case Tracking Specialist

Capitol Bridge, Llc; Isabela (PR); On-site; USD 23,000 - 32,000; Full time

Job summary

Capitol Bridge Puerto Rico is seeking a detail-oriented Administrative Specialist to support the Florida CDR and multi-state IRO programs. This non-clinical role handles intake, document control, and tracking to keep reviews moving on time.

You will prepare packets for reviewers and maintain case status across systems, ensuring timely escalation when issues arise. Candidates should have a high school diploma, 2+ years in administrative/claims support, and strong English communication.

Qualifications

• High school diploma or equivalent.
• Two or more years of administrative, healthcare, claims, or case support experience.
• Detail-oriented with ability to manage multiple cases and deadlines.
• Proficiency with Microsoft Outlook, Word, Excel, PDFs and document repositories.
• Strong written and verbal English communications; ability to handle confidential information.

Responsibilities

• Receive, log, organize, and intake incoming claim dispute cases and docs.
• Review case files for completeness and identify missing docs for follow-up.
• Maintain accurate case status, dates, assignments, and documentation in systems.
• Prepare case packets for RN reviewers, coding specialists, and attorneys.
• Route cases per workflows and escalation procedures; monitor aging and deadlines.

Skills

Detail oriented

Multitasking

English communication

Confidential handling

Bilingual English/Spanish

Education

High school diploma or equivalent

Tools

Microsoft Outlook

Microsoft Word

Microsoft Excel

PDFs

SharePoint

ShareFile

Case management systems

Job description

Capitol Bridge Puerto Rico is seeking a detail-oriented Administrative Specialist to support the Florida CDR and multi-state IRO programs. This non-clinical role handles intake, document control, and tracking to keep reviews moving on time.

You will prepare packets for reviewers and maintain case status across systems, ensuring timely escalation when issues arise. Candidates should have a high school diploma, 2+ years in administrative/claims support, and strong English communication.