At Triple-S, we are committed to providing meaningful job experiences for Valuable People (Gente Valiosa). We strive for excellence in everything we do, from the way we work together to the way we serve our customers.
When you join Triple-S, you will be key to our efforts on delivering high-quality and affordable healthcare as well as contribute to our purpose to enable healthier lives. We serve more than 1 million consumers in Puerto Rico through our Medicare Advantage, Medicaid, Commercial, Life and Property & Casualty Businesses.
Let's build healthier communities together, join now!
JOB SUMMARY
Under general supervision, is responsible for collecting invoice data to ensure data accuracy. Provides support to accounting and claims processes by applying various operational procedures and guides.
ESSENTIAL FUNCTIONS
- Process collections in the automated system. Analyze the balances in the policies of the insured to offer status and guide the insured.
- Verify that invoices were approved, verify quantities and channel any discrepancies.
- Guide, quote and issue payment plan for policyholders.
- Process duplicate payment plans.
- Provides claim status to customers.
- Provide account information and mandatory insurance information to insurers and producers.
- Update the demographic information of the insured in the system such as name, postal address, email and telephone numbers and notify the changes to the corresponding area
- Prepare payment or collection letters to policyholders.
- Guide customers about the claim process. Receive the information and create the claim for the insured.
- Coordinate inspection appointments with claimants and insureds.
- Document the results of the procedures in automated systems.
- Requests and or channels requests from policyholders and claimants with other departments, if necessary.
EDUCATION
- Associate's Degree
EXPERIENCE
Associate's Degree or at least 60 to 64 college credits with six (6) months to one (1) year of customer service experience. Or instead, one (1) to three (3) years of experience in the functions described above.
LICENSES AND CERTIFICATIONS
- None required
COMPETENCIES
It is company policy to seek for the qualified applicants for positions throughout the company without distinction of race, color, national origin, religion, sex, gender identity, real or perceived sexual orientation, civil status, social condition, political ideologies, age, physical or mental disability, veteran status or any other characteristic protected by law. Drug-free company.
Equality Employment Opportunity/Affirmative Action for People with Disabilities/Veterans. Employer with E-Verify to verify the eligibility of employment of all the new employees.
We encourage Veterans and Disabled to Apply.